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4701 Galaxie Ave
PLUMBING PEfiMiT CITY OF EAGAN ' 3830 PILOT KN08 ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 Site Lot Add ess "J 4k Bloc t``k?.-:%r'` x I Y Sec/ yb - y Name ? Address c City Phone ? Name 3 Address O Ciry Phone ___ FEES PERMIT # RECEIPT q -'? l DATE: BLDG. TYPE WORK DESCRIPTION Res. New _ Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 S Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 ? Water Heater - $1.50 ? Whirlpool - $3.00 ` Gas Piping Outlets - $1.50 1, {MINIMUM - 1 ?ER PERMF? ? Softener - $5.00 } ? ? Well - $10.00 Private Disp. - $10.00 `Roligh Openings - $1.50 ? FEE: STATES/C: GRAND TOTAL: PERMIT # l : : • MECHANICAL PERMIT RECEIPT # ? f CITY OF EAGAN -w 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ; CONTRACT PRICE: PHONE: 454-8100 Site Address 4- ? ? ?It i • BLDG. TYPE WORK QESCRIPTION . Lot Block Sec/Sub . Res. New , ? Name Mutt. Add-on m c Address City Phone - it ' Comm. .? Repair mher I FEES Name RES HVAC 0-100 M BTU -$24 00 I . . c Address ADDITIONAL 50 M BTU - 6.00 O City.J Phone (RES. HVAC INCLUDES A/C ON NEW T ` i RUCTtON) CONS GAS OUTLETS MINIMUM 1 PER PERMIT) 50 EA 1 - . . ( - TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 , Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT 50 Vent CFM ?, - . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # g BEYOND $1,000) Other $ FEE ? S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN f- Site Add ess ' ' • ' + Lot _ Block ? Sec/? S L Name ?o Address 62 - ? c City a' r I'Phonff' ? Name 3 Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) '+ ?? .,f?./;?? ',f ? ? ' t' l.1? ? '?I L ? SIGNRTURE OF PERMITTEE , ?- FOR: CITY OF EAGAN Comm. Repair r Other ' ,? n? ??. ; _ . RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki?chen Sink - $3.00 Urinal/Bidet - 33.00 Laundry Tray - $3.00 Floor Drains - $1.50 l Water Heater - $1 50 ?. Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 ?ER PERMI? Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 • FEE: STATE S/C: .l ? GRAND TOTAL: ` PERMIT # PWMBING PERMIT RECEIPT ?i CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 ? BLDG. TYPE WORK DESCRIPTION b ? Res. New ? Mult. Add-on CONTRACT PRICE: I ? ,0oo >• Site Address ? Lot Block i m Name i:??' 0 Addres? ? City C`_. Name f f . ,? ? ` 3 Address • O Ciry - ? + ? •• Phone FEES COMM/IND FEE - 1°rh OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECElPT # N ?A CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?--- ?- PHONE: 454-8100 ' BLDG. TYPE WORK DESCRIPTION ?ec?Sub Res. New ?- ' Mult. Add-on Comm. 1'` Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3 00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3A0 Kitchen Sink - $3.00 UrinaliBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: i' I.... .. .,? STATE S/C: ? '?• TOTAL: ? y CITY OF EAGAN ' 3880 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454•8100 BUILDING PERMIT Receipt # I, To be used for Est. Value - ' Date ?9 -- Site Address OFFIC NLY .? Lot BIoCk Sec/Sub. On Sfte Sewsge Occupancy MWCC System Zoning Parcel No. On Site well (Actuaq Conat Ciry Water (AllowaWe) s Name W Address PRV Required # of Storias ; ? City Phone ' eooster Pump Length Depth °Co . Name . S.F. Total -?i o u Address Footprint S.F. ? U ? City Phone APPROVALS FEES yVj W Name Engr./Assess. Permit = Z Address Planner Surcharge ? a W City Phone Council Plan Review ? Bldg. Off. SAC, City j I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Wafer Conn. Minnesota Statutes and City oF Eagan Ordinances. Water Meter Signature of Permittee Ar ? ? Road Unit STHMION A Building Permit is issued to: ~ ?? ? Treatment P1 on the express condition that all work shall 6e done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Oflicial_ TOTAL Permit No. Permft Holdsr Date Telephons # Plumbing C? ° ; 'Z?? H.V.A.C. Electric ? . ;' .J jG• Fj? ? ? °% Softener F// Inspection oats Inap. Comments Footings I Footings II Foundation Framing d?? Roofing Rough Plbg. f 0 Rough Htg. Ad, Isul. Fireplace Final Htg. Final Plbg. J? Ir Bidg_ Final ce?c occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ?? •? E?',?c i? i?/p8 ,, J?( F•:'!? G/; rc9->? v c< ?- ?_ , tLrac < : ?? .? ??? P/s? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt# ^ To be used for '? •' Est. Value Date i uA Y 5 Site Address Lot ? Block ` Sec/Sub. :'??" ? n _".:.;,. ,??••f', t.?? • Parcel No. ? Name C.1"I'Y U! BAGAN z Address ?FOO =:NC1R •<! ° City `A`.,n` Phone 4?•''. ?. OFFICE USE ONLY On Site Sewage Occupancy MWCC Syatem Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Totai Footprint S.F. , o Name '"{5 ? , „q.:TlPau z? J h o ` Address U? City , ;,?.Phone 4N ¢ W z a z W Name _ Address City _ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. APPROVALS FEES Engr.lAssess. Permit Planner Surcharge Council Plan Review Bidg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Foad Unit Treatment P1 Parks TOTAL Permit No. Permit Holdar Date Talephone Plumbing H.V.AC. Electric Softener Inspection Date Inap. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final cert occ. Temp. LP DeCk Ftg. Deck Finai weu Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PH ON E: 454-8100 Receipt * - -... . ' To be used for V '? 5 Est. Value Date 'A ; % t A fiL" 19 •r Site Address 4701 .4': ,: Lot F Block 1 Sec/Sub. SCHINDELtiECiCZR Gl'; Parcel No c Name C1'CY OF SAGAIV. W . ?, ; Li:f 0 '(7h RU z AdRiress o rrir., .lAFi o?,,,,,o ? 4-$1 -,A.' . o Name E:ACAAf CC?:STF•l.CT10H o ? Address 1771 YA'? r::OOULE kD V?'- CitY EA('AN Phone 45-0555 Name City I hereby acknowledge that i have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City oEagan Ordinances. S'Ignature of Permittee ?' . .? }• ' ??^ A?uilding Permit is issued to: on'the express condition that all work shall be done in accordance with all applie-able State of Minnesota Statutes and City of Eagan Ordinances. Building OFFICE USE ONLY On Ske Sewaye Occupancy B-2 B"2 MWCC System Zoning PF on site weu (nctuai) Conat 1 I-a City Water (Allowable) v-N PRV Required * of Storles 1 Booster Pump Length Depth 701 S.F. Total '' 40u Footprint S.F. 'JGib APPROVALS FEES ' Engr./Assess. Permit Planner Surcharge 246.00 Council Plan Review 81dg. Off. SAC, City -? Variance SAC,MWCC 1650.00 Water Conn. Water Meter Road Unit Treatment P1 Parks ???t? TOTAL CXi1/ of EAGM an"Yt KWAi AaM P.O_ MW 21100 Ealiw Am mio §i??,e; c --- ?? ----_ 1?4• 6? 1?F451t?? , r: c-• A T t T' 7? fb169?:-- ? WT ? cirr oF '" ` •- •- . .... ? r..?,., _ ? 3830 Ptlo K? b Aaad Me mit No: 975a - --1 F O. Box ?f 199 ?r No: Date: 7`.g?a8 , Ea9an. MN 55121 Reader No; Si2e: Date: Owner. Fa,•-.J_ , Site Ad?.e?... 67n, _ Conn, Chg: Acct Dep: Permit Fee; Surcharge: Tr. Plant ? Meter. Misc.: Zoning: No. of Unit 1 agree to comPfy wlfh the City ot Ordinances. By 1 WATER SERVICE pERMIT CITY OF EAG AN Permit No: 10904 Date: 3830 Pllot Knob Rwd B/P No: ?? SC 1 Date: 5_ ` P.O. Box 21199 tagan, MN 55121 7-s-?? - I SEWER SERVICE PERMIT MWCC: 1+6S0.b0pd Zoning. City Chg: No. of Units: i`T''?' Acct. Dep: R F!!ES .v. I Permit Fee: agree to comply with the City of Eagan ' Surcharge: Ordlnances. CITY OF EAGAN N! 14 9 5 0 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 03S-0 1 BUI LDING PERMIT PHONE: 454•8100 Aeceipt # a To be used tor FIRE STATION 5 Est. Value $491, 995 Date MAY 5 SiteAddress 4701 GALAXIE AVE Lot 1 81ock 1 Sec/Sub.SCHINDELDECKER 4T Parcel No. a Name CITY OF EAGAN = Address 3830 PILOT KNOB RD o City EAGAN phone 454-8100 OFFICE USE ONLY On Site Sewage - Occupancy "B-Z B-1 MWCCSystem X Zoning PF on site well _ (Actuaq const II-N City Water X(Allowable) V-N PRV Required _ # of Stories 1 Booster Pump Length SO ' DePth 70' - S.F. Total 5400 Footprint S.F. 5400 o Name EAGAN CONSTRtiCTION ?a Address 1771 YANKEE DOODLE RD P City EAGAN phone - 452-0555 `ua wW F W z x? ¢Z aw Name _ Address Ciry _ I hereby aCknowled9e that I have read this application and sta[e ihaf the information is correct and agree to com with all applicable State of Minnesota StaWtes and City g dinances/. Signature of Permittee _l? o? - " -Azx - A Building Permtt is issued to: EAGAN . CONSTRUGTIQN__-_ on the express condition ihat all work shall be done in accortlance with all applicable State of Minneso1t+a Sta-ItutIesa?ndpCity of Eagan Ordinances. Building Official `'y .??_L,i(AkL.?1.!-L?- _ APPROVALS FEES Engc/Assess. Permit --- Planner _ Surcharge 246.00 Council _ Plan Review = -- _ 81dg. ON. SAC, City Variance SAC, MWCC .1454._00 Water Conn. Water Meter Roatl Unit _ Treatment P7 Parks 1896.00 TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PH ON E: 454•8100 BUILDING PERMIT To be used for DEMOLITION Est. Value N_ 14951 Receipt # Date MAY 5 ,198$- Site Address 4701 GALAXIE AVE Lot 1 Block 1 Sec/Sub. SCHINDELDECKER 4T1 Parcel No a Name CITY OF EAGAN z Address 3800 PILOT KNOB RD ° City EAGAN Phone 454-8100 o Name JMS CONTRACTING ?a Address 3165 SPRUCE ST ? City ST PAUL Phone 483-4900 W w Name_ Fw i g Address aw Ciry_ I hereby acknowledge thaU have read this application and state Ihat the information is correct a agree t om? ly witf all pplicable State of Minnesota Statutes antl ity ol Eag? Oi`Qin s. Signature of Permitte? _ \ _ A Building Peimit is issued to: JMS NTRACTING on the express condition thal all work shall be done in accordance with all applicable State of Minnes?ot.a(?StatuItes and Ciry of Eagan Ordinances. BuildingOHicialJA`.WlA, ? OFFICE USE ONLY On Site Sewage - Occupancy MWCCSystem _ Zoning On Site Well _ (Actuap Gonst City Water _ (Allowable) PRV Required _ # of Stories Booster Pump _ Leng[h Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit NO FEE Planner Suroharge . Council Plan Review Bldg. Off. SAC, City Variance SAC,MWCC Water Conn. Water Meter Road Unit Treatment P7 Parks 707aL NO FEE 19$8 BQILDING PERMIT 9PPLICATION - CITY OF EAGAN # SIN L I ? ? JrW /,?j`l? ?? G E FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY C6LCULATIONS NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HQILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR S9LE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CHECK WITH HLDG. DEPT.p 7 SET OF ENERGY CALCULATIONS CONAfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAIICTURAL PLANS, 1 SET OF SPECIFICATIONS AN 1 SET' OE ENERGY CALCULATIONS ? To Be Used For: Date: Site Address Lot J_ Block ? Parcel/Sub '"JCf-FIFJUELD?CK?'?K q7-?4 Owner (--ITY O= Address City/Zip Code Phone On site sewage Oecupancy MWCC system _ Zoning On site well _ Actual Const City water Allowable PRV required ll of stories _ Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Contractor 5pK 5 ??yll j /??_ Address City/Zip Code 5T, /'LL ' ?511-7 Phone 4j/3 - 4?0C) Arch./Engr. Address City/Zip Code Engr/Assess Planner Council Bldg. O£f. Variance Permit Surcharge Plan Review SAC, City S9Cp MWCC Water Conn Water Meter Hoad Unit Treatment P1 Parks Copies TOTAL NO Ft-z Phone 0 1988 BUILDING PERMIT 6PPLICATION - CITY OF EAGAN 41-- ??160 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES DF SURVEY, 1 SET OF ENEftGY CALCULATIONS NOTE: 14DD8ESSE5 FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFiICH ADDRESS IS DESZRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUEO. MULTIPLE DWELLINGS RENTAL QNITS ? FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH HLDG. DEPT.t 7 SET OF ENERGY CALCULATIONS COtR4EACIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To se osea eor: PM5TA[T10?-4 'o 5 Valuation: 411 .115 Date: 5-2-88 ? Site Address 4701 64l6((?AM= I Lot I Block ? Parcel/Sub Owner Gt'rY QF ?AF?It? Address '3j336 tJILDT L?AIW2 2p4D City/Zip Code Phone Contractor OAAA,,?j n?.1 Y'tip}?j Address 11'11 VAMKE)-:'- LxnD1 i= =Z City/Zip Code. gy-.dkj) &AAI, 5517-1 ? Phone 45Z.-D5SS R -J Areh./Engr. MC&I(& tj4"E?e AWA, Address 499pW? ANE .?^ City/Zip Code ka5o, Mkl 5541D Phone # _ °(zQ - 341 -5 1,h5•?•UU" } 6•i,)ii? On site sewage_ M6JCC system ? On site well City water PRV required _ Hooster Pump _ 9PPROVALS Engr/Assess Planner Council Bldg. Off. Variance Occupancy $z/$( Zoning PF Actual Const IIN Allowable St•N # of stories ! Length ,qd' Depth 7o' S.F. Total 4ip0 Footprint S.F. SyoJ FEES Permit Surcharge Plan Review kS/SSAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTN. 24l0.00 Il?SO.oo 896.00 - -t) " 5?-" $7 ? ?6 SuRc4AR??'. 1"Yl w cc.._ .SA-r- ', yq?4RS X,o005 = .?q? °-= 5so x 3 ,AN„s- l(,So. Q ME?[0 T0: JAY $ERTHfi - POLICE DEPT. ED gIRSCHT, Sfi. ENGINEERING TECH. CRAIG %NIJDSEN, ENGINEERING TECH. TO;N CALBEAT, DIRECTOR OF PUBLIC WORKS JIM STIIRM, PLANNING DEPT. JON HOHENSTEIN, ADMINISTRATION BILL AKINS, ELECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. F80M: DOUG REID, CHIEF BUILDING OFFICIAL DATE: MAP.CH c30/ I Cl SS The preliminary X construction plans for _?I{QESTATioN # Jr are in our plan review section for your review and comments. Please return this form to Joe Merchak with your initialed comments and the date of review. Failure to return Porm to Joe within five (5) days will be considered your approval. If you have any objections to approval of these plans, ib is your responsibility to notify this department aad resolve any problems. liiank-poca, ?f LK&1 Tb wPyN£ TESIC? `T Q2o - 3113 1 ? Wt Alce-d Re v;scct rLati f /JS C 5c? ..: ?cA . Y S4i?ewp7 LI? AhJ .Sf a? \ I w ?QQ? 1hCick7C w?l?f l..i.?°J Lti? /1 Gh.? ?..d E?-? s?: ?? ,1??2??f wra? G.. ?,.?« t , / D-3 C u?e w,c6 ti p v 9 MEM0 T0: JAY BERTHE - PflLICE DEPT. ED KIHSCET, SR. ENGINEERING TECH. CB&IG KNUDSEN, ENGINEERING TECH. TQPi COLBERT, DIRECTOR OF PUBLIC WORKS JIt4 STURM, PLANNING DEPT. JON HOHENSTEIN, ADMINISTRATION BILL AKINS, ELECTRICAL INSPECTOR JQE CONNOLLY, WATER DEPT. F80M: DOUG REID, CHIEF BUILDING OFFICIAL DnTE: MARCH 30, 1988 'Rie preliminary X plans for ?i(QES?ATioN '# are in our plan review secti< construetion your review and commen Please return this form to Joe Merchak with your initialed comments and the date of ree3ew. Failure to return form to Joe within Pive (5) days will be considerEd your approval. If you have any objeetions to approval of these plana, it is your responsibility to notify this department and resolve any problems. Thank-yoss. ? O ? ME`TO T0: JflY BERT.TiE - POLICE DEPT. ED gIRSCHT, SE. ENGINEERING TECH. CBgIG RNSTDSEN, ENGINEERIVG TECH. T41H COLBEBT, DIRECTOR OF PUB{.IC WORKS JI?"1 STUA{3, PLANNING DEPT. ?? JO€i HOHENST£IN, ADMINISTRATION BZLL AKINS, ELECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. FAOM: DODG REI?, CHIEF BUILDING OFFICZAL nATE: MARCF{ 30, ISgg The preliminary plans for FfQESTAJ/oN # are in our plan review sectioi canstructian your review ana comments. Please return this form to Joe Merchak with your initialed comments and the date oP review. Failure to retura form to Joe within five (5) days will be considered your approval. IP you have any objeetions to approval of these Plansi ib is your responsibility to notify this department and resolve any probiems. Thank-pow. /JS M&MO T0: JAY BEAT:3fi - POLICE DEPT. BIT KSRSCEIT, S$. ENGINEERING TECH. CRgIG RNd]DSEN, ENGINEERING TECH. Tp"4 COLBEBT, DIRECTOR OF PUBLIC WORKS JIl] STURM, PLANNING DEPT. JOU HOHENSTESN, ADMINISTRATIDN BZi.L AKINS, ELECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. FHOM: DOUG REID, CHIEF BUILDING OFFICIAL DaTE; MARCK 30/ I988 The prei3minary X construction plans for r I`QESTATio.v '# Jr are in our plan review section for your review and comments. Please return this form to Joe Mercriak with your initialed comments and the date of review. Failure to return form to Joe within five (5) days will be considered your approval. If you have any ob,jections to approval of these p3.aus, it is qour responsibility to notify this department and resolve any problems. Thank-qou. I7?10 f'j/r-' //??" lS ,!? l??fG jf?`,4T /JS . APFLICATION 1=0R PERMIT SEWER AND/OR WATER CONNECTION oF eagan 1) PROPERTSt ADDRFSS: I= R-1 SINGLE FAMILY ? R-2 DLPLEX (3tvo C?nits) ? R-3 TCWNIIHOUSE (Three +.IIqits) Q R-4 APARTMENT/CONIDOMINILM 49 T•Ff:AT• DESCI2IPTION' ' . . ' . . . . . . . Lot Block S ivlsion or Tax Parcel ID ) ZF EXISTING STRL'CTLiRE, DATE OF ORIGINAL SLILDING P° T ISSL?ANCE: Mon Year PRESENT ZONING/PROPOSID LSE: Q COD'A'IEE2CIAL/RETAIL/OFFICE Q INDTlSTRrAS, ?. INSTIZ[)TIONAL/GOVERNNNIEENT 2) NAN1E: aIDDxEss: d l l?l \ kt? c?.UJ\?cl, CITY, STATE, ZIP: PHONE: 4lo? ?Ui 3 iti v?n aL!' S SU?? J' _MASTEK LICENSE # YVl J a lQ ? 3) ? :?• nAME: ADDRESS: a, \ CITY, STATE, ZIP: PHONE: ?-- 4) 99A ' U. IFLOInild m(• ? N11I?: ADDRESS: 7Q / CITY, STATE, ZIP: a. PHONE: 0 D , *NOTE: PAYMFNP OF FEE AT TIME OF ? APPLICATION DOES NC7P CDN- : ? SfI1[T1E APPROVAL OF PII7IqT. ? • ? INSPFS•fI(Rl OF SE4IIR2 A!ID/OR WP.1YSi ? +. t IKSTALiATIONS WII.L NOf BE SCEDULFD ? t(7NPSL PETt[aT HAS B@I ApPR(ThD. ? *?Mfft#!4!lk4ki4yli!#ififl(bM*?fffM4k#S ( Units) ( L'nits) ,lumoers License: Active Expired Not recordec St Ia nf?itia,7 * s 5) ? ? • a •?, • ?? .? ?? ?ONNECTION TO CITY WATER a QTfER >?;fCONNECi'ION 'PO CITY SEWER/`_",? 6) ?-'-7- **?***,r******?***n*****+*************:?************?+?**?*?.***????,r,r*+?*********?***?,r*?*******?***i * THEE GOID COPY OF 7HE PERMLT WILL BE SEDIP DIRFX'PLY 770 PUBLIC WJRKS 7D FACILITATE MEPIIt PIQC-DP. ? ? PLEASE ALI.OW 7S+A WORKING DAYS FOR PROCFSSING. SOMEONE FROM Tfis CITY WILL CO[PfACf YOLI IF TIIERE ? * ARE ANY PROBI.IIMS. ; ,?,+********* **?***x****,r*+r***x,r,r?,r*****?***,e ********?**,r,r*,r*t+**?*,r?**+?*?*:?x*,t****,t**?*,r*****+*?*?; ... ? . F'OR CITY USE ONLY PERMIT # ISSLED ? ?.SC7 Pd w/Bldq. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OLTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ , $ .. ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ ? $ WAC $ Ilt"? •6-D $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENSFIT/TRONK WATER $ $ WATER TREATMENT PLANT SLRCHARGE S $ OTHER: $ $ TOTAL 3. ??p 1 RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCA VATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK LVITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERI[VG Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ?v7A? TITLE: DATE : MEMO T0: TOM COLBERT, DIRECTOR OF PQHLIC WORgS JIM STURI{, PLANNING DEPARTMENT BILL AKINS, ELECTRICAL INSPECTOR CRAIG KN00.SEN, ENGINEERING TECH SOE SHERIDAN, UTILITY BILLING CLERK FROM: DOUG REID, BOII.DING INSPECTIONS DEPT DATE: The Protective Inspections Department will be performing a final inspection //? I /Fi re St4.\ for occupancy of ?f ?? q( Q)( ?? A ve. (?s 5 /on k.131, Sch;ndelc(eclte_r 41 t? Please return within 48 hours with your approval or denial. Failure of response within that time frame will be determined as approval. It will be each departments responsibility to contaet the construetion firm with necessary requirements before final inspection and notifying the Building Inspections Department when all requirements have been taken care of. Thank-you. DR/js APPROVAL DENIAL: I (SIGNATURE & DATE) MEMO T0: TOM COLBERT, DIRECTOR OF PQBLZC WORKS JIM STURM, PLANNING DEPARTMENT BILL AKINS, ELECTRICAL INSPECTOR CRAIG KNOD5EN, ENGINEERING TECH SOE SHERIDANp UTILITY BILLING CLERK FROM: DOUG REID, BOILDING INSPECTIONS DEPT DATE: /D//o?11?tSY The Protective Inspections Department will be performing a final inspection IFi re Sta. for oecupancy of G P r CI )( 1? /-'/ U2• ?# 5 on /0-2/8F, ?,?, ?31, S?h?ncle.lde?l<ar <l? Please return within 48 hours with your approval or denial. Failure of response within that time frame will be determined as approval. It will be each departments responsibility to contact the construction firm with necessary requirements before final inspection and notifying the Building Inspections Department when all requirements have been taken care of. Thank-you. DR/;s APP IAL: (SIGNATURE & DATE) . MEMO T0: TOM COLBERTp DIRECTOR OF PIIBLIC WORRS JIM STURM, PLANNING DEPARTMENT SILL 6KINSp ELECTRICAL INSPECTOR CRAIG KNDASEN, ENGINEERING TECH SUE SHERID9N, UTILITY SILLING CLERK FROM: DOOG REIDO BQILDING INSPECTIONS DEPT DATE: The Protective Znspeetions Department will be performing a final inspection // / n ?Fir? Stin. for occupaney of 'Y ??l G r Q?(1 e /`7 U2- (_ # 5 on /0-'-? I88' A-1, 131, Sc.h;nde.ldeclter 4l L? Please return within 48 hours with your approval or denial. Failure of response within that time frame will be determined as approval. It will be each departments responsibility to contact the construction firm with necessary requirements before final inspection and notifying the Huilding Inspections Department when all requirements have been taken care of. Thank-you. DR/js APPROVAL: DENIAL: %/?J U U ? (SIGNATURE & DATE) (SIGNATURE & DATE) 7 ? L f ? I ?HI???nEGKE? 4 ? Metropolitan Waste Control Commission 350 Meuo Square Building, 7th and Robert, St. Paul, Minnesota 55101 612 222-8423 May 10, 1988 Mr. Joe Merchak Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Merchak: This letter is to inform you that the Metropolitan Waste Control Commission has made a SAC determination for the Eagan Fire Station #5 to be located within the City of Eagan. It has been determined that 2 SAC Units should be assigned to this building. This determination was made as follows: Charges: office 420 sq. ft. @ 2400 sq. ft./SAC Unit Meeting 686 sq. ft. @ 1650 sq. ft./SAC Unit Lockers (Showers) 10 lockers @ 14 lockers/SAC Unit Truck Washing Total Charge: If you have any questions, please call. n erely, Donald S. Bluhm 3taff Enaineer DSB:RWJ cc: S. Selby, MWCC W. K. Johnson, MWCC Jay Feider, Eagan Construction (50 yenIC's SAC Units 0.18 0.42 0.71 1.00 2.31 or 2 2938-1988 e I STATE OF MINNESOTA --I ?. ? I i ._.) GJ? r421 ?L'G LCi" ? t? DEPARTMENT OF LABOR AND INDUSTFY CODE ADMIN. & INSP. SERVICES (612) 297-2791 443 LAFAYETTE ROAD, ST. PAUL, MINNESOTA 55755-4304 CERTIFICATE OF EXEMPTION 176472 Boilers and Pressure Vessels Location: EAGAN CITY OF 4701 GALAXIE RV EAGAN MN 55122 Owner. EAGAN CITY 0F PO BX 21-199 EAGAN MN 55121 Insurer: WAR7FORD Expiration Date: 0 5-0 1-95 This iS to certify that the boilers and/or pressure vessels as listed below, owned or leased by the above named insured, have been inspected by the insurer's authorized inspector in accordance with Minnesota Statute 183.57, and are theretore exempt from State Inspection provided the objects listed below continue to be insured and any Inspector's recommendations are complied with. LAST INSP MN NUMBER OB.7 NUh1BER OBJ MFG OBJ DESCRIPTIOM 02-04-92 N8850278 BUCKEYE AIR TANK WELDED REPATRS TO BOILERS REOUIRE AN "R" CERTIFTED COMPANY TO MAKE THE REPAIRS TO7RL OBJECTS 1 DISPLAY NEAR THE BOILER OR PRESSURE VESSEL OR IN THE PLANT OFFICE OR 801LER ROOM PAGE 1 LI-50028-03(70/92) s?:::w o lo C-76,03 01o oI Multi-Year Energy Consumption Analysis April 5, 1991 Organization Name: Eagan, City Of Organization ID: 1316 County : Dakota Building Name : Fire Station #/k'S Building ID . 1316014 Current Building Type: PUB ------------------------------------------------------------------------- Energy Use Data Normal Heating Degree Days: 8114 Reported Weather Fuel Elec Total Fuel Elec Total Year Sqft Factor MMbtu MMbtu MMbtu Cost Cost Cost 83-84 84-85 85-86 86-87 87-88 88-89 5400 1.037 444 40 484 1918 899 2817 89-94 5400 1.092 395 78 473 1748 I 1689 3437 ---------------- ------------------ -------- ------- ------------------------- ----- MBtu per SqFt ----- State Your Change From Normal ized Energy Usage Bu ilding Average Usage First Year Mbtu ------ per 5quare Foot ----------------- Year ----- Type ---- (S) --- ---- (X) Usage ----------------- 110 -- S 83-84 PUB 108.07 S 84-85 PUB 109.96 S 85-86 PUB 101.73 s 86-87 PUB 103.51 S 87-88 PUB 105.18 S 88-89 PUB 100.47 92.67 89-90 PUB 94.66 94.32 +1.78qo X i 90 -- ----------------------- I I I I I 1 1 83 84 85 86 87 88 89 84 85 86 87 88 89 90 ------------------------------------------------- Projected Annual Costs at 1988-1989 Consumption Levels ---- Fuel --- Proj. Saved 1866 118 ---- Elec --- --- Total --- Proj. Saved Proj. Saved 866 -823 2732 -705 ------------------------------------------------- -- $/SqFt -- Your State Cost Average (X) (S) Cost per Square Foot ------------ ----------------------- 0.90 S -- 1.02 1.01 0.86 S S S S 0.81 S S 0.87 0.52 0.86 0.64 0.81 X x ----------------------- I I I I I 1 1 83 84 85 86 87 88 89 84 85 86 87 88 89 90 -- 0.52 lD Co -7cPAo/3 0f 0 0l Multi-Year Energy Consumption Analysis April 19, 1990 Organization Name: Eagan, City Of Organization ID: Building Name : Fire Station >< *S Building ID . -------------------------------------------------------------------------• Energy Use Data I Normal Neating Degree Days: 8114 Reported Year Sqft 82-83 83-84 84-85 85-86 86-87 87-88 Weather Fuel Elec Total Fuel Elec Total factor MMbtu MMbtu MMbtu Cost Cost Cost 88-89 5400 1.037 --------------------------- 444 ------- 40 ------ 484 1918 899 2817 I -- ------- ------------------------- ----- MBtu per SqFt ----- State Your Change From Normalized Energy Usage Bu ilding Average Usage First Year Mbtu per Square ----------------- Foot ------ Year Type (S) (X) Usage I10 -- S ----- ---- -------- ----------------- S 82_83 PUB N/A 83-84 PUB 108.07 S 84-85 PUB 109.96 S 85-86 PUB 101.73 S 86-87 PUB 103.51 S 87-88 PUB 105.18 88-89 PUB 100.47 92.67 X 90 -- ----------------------- I I I I I 1 1 82 83 84 85 86 87 88 83 84 85 86 87 88 89 1316 County : Dakota 1316014 Current Building Type: PUB -------------------------------------------------- I Projected Annual Costs at 1988-1989 Consumption Levels ---- Fuel --- ---- Elec --- --- Total --- Proj. Saved Proj. Saved Proj. Saved ------------------------------------------------- -- $/SqFt -- Your State Cost Average (X) (S) Cost per Square Foot ------------ ----------------------- N/A S -- 1.02 0.90 1.01 5 S S S 0.86 S 0.81 0.87 0.52 0.86 X T-1-IFT-F-F 82 83 84 85 86 87 88 83 84 85 86 87 88 89 -- 0.52 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os ' See instructions ior comDleting this form on baek oi yellow copy. D' -?? 4 3 ""X" " Below Wwk Covered by lhrs Requesl N..dannl aenJ Tww oi Builtlino I Aoolioncns WireA 1 Equipmenl WireA I Bldo. I I Air ce p Fee Servica Entmnce5ize M Fee Fexders/Subleaders 4 FeA Circuits 0 to 200 Am s 0 co 30 qm s 0 to 30 An Above 200 qmps 31 [0 100 Ainps 31 to 100A s Swinming Pool Abave 100_Amps Above 100_Amp+ Transiormers Irrigation &ioms P&rtial-bther Fee ii? I I ISigns ? I iSpecialhispection ?S ?,OI ? TOTA Rertarks Iy A? I n??e"-"' .•••. I. th peecEtor I?I I ? Ins, he?nby eriify that the ebove Final inspeclion has been J r?l ? ?aa. This requasl voitl / ,a ?n ths ?, 5 4 3 ? Request'Oat: ? ? ? ?? ?re No. Rouph-in InsVer,lion ReQUVed? fleatly Now ? Will Notiiy Insuec- ? ?1'es No [or Whe.n ReaAy % lffir,,censed Elechical Contractor I hereby requastinsvaction otabove wner alectrical work installed av SV¢et AdAress, Box or Aaute No. 70I ??G-AX Ci1v - / ?i/`? ?9-w ecUOn o. TownGhip Name or Na RanBe No. CBUnty OccupaM IPRINTI c, ?F ?G? ?i? S?riau Phone Nn. Power SupV?- r . ""?^` Adtlress ""^?+..^ / Electri a onvaclor IComoany Namel Contrac?or's License No. Mailing Ad s lC?onuactor or Owner Makine ?nstallau S %i ?•?vD ST, Va.) l?J/SC Authm zetl Bnamre ICOn[ruct O er xkinp Ins[allacioN I Fhone Number l?7 ?` ..1 f?A74' MINNES? STATE BOAflD OF ELECTNICIV TMIS INSPECTION PEQUEST WILL NOT Criges•p'dwey Blde. - Aoom N•191 BE ACCEPTED BV THE STATE 90AqD 1821 iiF versitv Ave.. St. Paul, MN 55104 UNLESS PNOPER INSPEGTION fEE IS Pnono16t91f.42oRao ENCLOSED. J/,-G??p REQUEST FOR ELECTRICAL INSPECTlON ea-ooooi-os It See instructiens for completing this torm on beek ol yellow copy. 11? 5B 5 4 7 "X" Below Work Covered by 7his Requesr Nevq Addl Hep. Type of euiietoe Aoouonces wirea Enuinmeni wired Home Ranye Temporary Service Duplex Water Heater Liyhtinp Fixwres Apt. BuilAing Dryer Electric Heann Commercial Bldy. Furnace Silo Unlonder Industrial BIAg. Air Contlitioner Bulk Milk Tank Farm Other oec, v Ouner ISn??r.lf?1 p ther Other Comoute lnsnection Fee Below p Fee Sarvice EnVenceSize H Fae FexJers/Subleeders N Fe? Circuits - 0 to 200 Am s 0 to 30 Am s to 30 An s _ Above 200 mps 37 to 100 Amps 5 31 to 100 , Amps Swinuning Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms Partial"Other Fee Signs Special Inspection $ TOTAL Nemarks ? PouOh-in ? P Dite %/p , the ' Inspector. nerabv ce i y that the nbove Final r 27 A r ectian has been praee. Thlerepuestvoltll8mon11blrom v - - ,, F?/j?{J? 1x•v ? ?^ T?..w. Th, repuest void ?+ i pp' y /I /p O 18 nwnffis (rom `?/.' ' . D 58547?./ ?Z41 -? 9 Renuest Da ' Fire No. qauph-i Insuer,tion ?/ '` /Je! eq ?retl7 ?Reatly Nuw INWiII Nntify Insper.- T a a ves ? P, 1'c mr When R icensed Elecbical Contractor l / 1 heiaby repuest inspect' p of ebova Owner electrical wnrk inelaiia ,er Street Atldhess, Boz or floute No. / ? ' 6 n Ciry n? 9G?4xi? ? i A ectmn o. Township Name or No. Range No. Coumy T? / `"CJ Occ? ant ?PqINTI G?? s?noa Phone No . Power Su pli¢r AAtlress ElecUic I ConUacmr JCOmpany Namel Convar.to,'s License No. c G ?yI-Z Mailine ?.tlJress (Contractor or Owner Makinp Instatlation? /, ? ati? sT pS'O? ?!//SG ss?a? AW riz d SiPnewre (Contrac r?0 ner kiny Ins[allationl Phone Number /1= ?'lo- Suf h ainit uUAXO Ot ELECTRICI7Y/ ini5 irvJVECIION qEal1EST WILL NOT Gri s-Midwav Bldg. - Noom N-191 ?? BE ACCEPTED BY THE STqTE BOANO 1821 Universilv Ave.. St. Pnul, MN 55104 UNLE55 PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. nome? For Olficc Us Cllt 16 of 1 1 Permit CU I s`. EaRan 1 1 3830 Pilot Knob Road j Permit Fee: j Eagan MN 55122 I I Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 t 1 I Staff: 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 4/-2- 3 Site Address: `1 `7 (oq t ax A ti,P Tenant: C'1 ° 011 a.~ ( ms's- 1 Suite PROPERTY Name: Phone: OWNER CONTRACTOR Name: Wt./.3 LL C. License 0-Sq /0 -7,K- PM Address:93-~ 1~k*,- 9` City: AAAA t'1'[ i h AIhpo- 4- State Zip 3 3 Phone C/.S2 -19 y- ,S SP I Contact Person: )V 1M V C-4t_ 4 y -A TYPE OF _ New Neplacement _Repair _Rebuild _ Modify Snpace _~Workk iin R.O.W. WORK Description of work: PERMIT TYPE COMMERCIAL _ New Construction _ Modify Space _ Irrigation System yes / _ no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00 Avg. GPM Nigh demand devices? -Yes No Ffushometers -Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract value $ x1% Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1,00 surcharge). = $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ water Permit Call the Citys Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work be in conformance wi the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is to s thout a rmit; t the work will be in accordance with the approved plan in the case of which require a review and approval of plans. CC- v c % x > Y`U Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By: Date: Required Inspections: -Under Ground Rough-In -Air Test -Gas Test _ Final PRV Required: Yes No Page 1 of 3 • i I I I E AG N Memo To: Advisory Planning Commission From: Michael J. Ridley, AICP City Planner Date: December 13, 2017 Subject: Surplus City-owned Property Background Fire Station 1 —The approximately 1/2-acre site located at 3940 Rahn Road developed in 1963 with a 5,100 SF fire station. Fire Station 5—The combined 2.6-acre site located at 4701 Galaxie Avenue developed in 1988 with a 5,000 SF fire station. Earlier this year fire operations from both stations were relocated to the new Fire Station 1 located at Blackhawk Road. Current Status Both buildings are vacant and the City Council directed a land use change from Quasi-Public (QP)to Office Service (O/S) and a rezoning from Public Facility(PF) to Limited Business (LB). State Law requires that City-owned real property cannot be sold to a private party unless the APC makes findings that the prospective use of the property is consistent with the Comprehensive Plan. Actions To Be Considered 1. To find that the sale of the City-owned properties at 3940 Rahn Road for Limited Business uses(s)as consistent with the 2030 Comprehensive Plan. 2. To find that the sale of the City-owned properties at 4701 Galaxie Avenue for Limited Business uses(s) as consistent with the 2030 Comprehensive Plan. ,. th ab 2 I V CU 112 v) ,,,... .... :41 LL 0 CI Lt .0 . - g . : Ii611.1114 - ,---/z 0 Null i . i E ... 0,) 0 ta • I •• -a (I) C .,.... 1111 Mr= . 11-1 i < 4-. E 10 CU ns - -..... .s. i 111 III 10....; 1.1.1 z ...• 0 4••• Vi 1.". Allii. ..iidl 0 0 ‘. .. .....1 - •-• a. re .4. 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A ..01931111:411:4PI gra:111,...421117 rowA4*"?"---*:i., :a 911 11 It Nii .75,-- 'k __INA -.am IN Dougherty 14985 Glazier Avenue,Suite 525 Apple Valley,MN 55124 952 953-8847 Direct Ole n d a Attorneys (962)432-3136 Office (952)432-3780 Fax rbauer@dmshb.corn Email Solfest, Hills& Bauer P.A. MEMORANDUM To: John Gorder, City Engineer ""' JUS i 2018 Cc: David Osberg,City Administrator BV; From: Robert B. Bauer, City Attorney - Date: July 18,2018 Re: Oudot D in Galaxie Cliff Plaza (Fire Station No. 5) Our File No. 206-39258 John, Enclosed for the City's records,please find the following documents: 1. Reconveyance Deed dated December 19, 2017 and recorded with the Dakota County Registrar of Titles on February 2, 2018 as Document No. 788379; and 2. Commissioner's Deed dated June 29, 2018 and recorded with the Dakota County Registrar of Titles on July 12,2018 as Document No. 794426. CA' �JJC--:)-' Receipt:#539567 788379 'aa66- S D $0.00 S DT $0.00 II 1111 1111 111 1111 I 11111 o D fer uL nt Entered es T Exempt from Deed Tax Recorded on:2/2/2018 8:38 AM Exempt from Conserv,Y on Fee BY.10v1P.Deputy Cert# 83637 83643 83549 Return to:. DAKOTA COUNTY Office of the Registrar of Titles TAXPAYER SERVICES Dakota County,Minnesota 1590 HWY 55 Joel T.Beckman.Registrar of Titles ADMINISTRATION BLDG Joel T.Beckman, Treasurer Auchtor • ATTN MICHAEL HASTINGS MN 55033 PT Form 975(Revised 08/15) Minnesota Department of Revenue 4 Reconveyance of Forfeited Lands to the State of Minnesota By a Governmental Subdivision Under Minnesota Statutes,Section 282.01,Subdivision Id State Deed fax Due:$1.h5 Date: WHEREAS, pursuant to the statute now codified as Minnesota Statutes. Section 282.01. Subdivision la(e),the State of Minnesota, on the 27th day of March , 1998 conveyed to the City of Eagan a governmental subdivis,un of the State of Minnesota (hereinafter "Governmental Subdivision"),by state deed numbered 0188507 r . the real property described below(hereinafter"Property")to be used for an authorized public use.and WHEREAS.the Governmental Subdivision has either failed to put the Property to the public use for which it was conveyed, or has abandoned the public use for which it was conveyed.and now desires to reconvey the Property under Minnesota Statutes, Section 282.01.Subdivision Id to the State of Minnesota.to be held in trust according to Minnesota Statutes,Section 281.25, NOW THEREFORE,the Governmental Subdivision,pursuant to said laws,and pursuant to the duly adopted resolution of its governing body number ,dated December 19,2017 ,does hereby convey and quitclaim the property in the County of Dakota ,described as follows,together with all appurtenances thereunto belonging: 10-28700-040-00 Galaxie Cliff Plaza Outlot D City of Eagan, to the State of Minn,sota,to be held in trust as provided by Minnesota Statutes,Section 281 25,upon like conditions and with like effect as if the Property had not been conveyed to the Governmental Subdivision for a public use. Check here if all or part of'the described real property is Registered(Torrens)l$ City of Eagan (, me Governmental Subdivision) Bv: Mike Magu re.Its: ayor O ' - j'/1:frr'''-------' Christina M.ScipioniIts: STATE OF MINNESOTA ) )ss. County of Dakota ) The foregoing instrument was acknowledged before me this 19th day of December 2017 by Mike Maguire and Christina M.Scipioni respectively the Mayor and the Clerk of the City of Eagan a municipal corporation under the laws of the State of Minnesota,on behalf of the Cr' of Q n e '. I a©-VI \atan• Date CHEIWL L STEVENSON Nasty • .., My t on mkelan Opine Jen S1,2822 a Approval The undersigned.acting for the Commissioner of Revenue of thk State of Minnesota,under delegation of authority duly filed with the Secretary of State.does hereby approve the foregoing conveyank e to the State of Minnesota. Dated:,_„____! ': /J STA l E OF M1,'NESO TA ,, r iti - ' ' (a! it -,.. . „.,,,....,-. -?., . Commissioner of Revenu F '. ('he du appointed delegate of the .commissioner of Revenue.for these purposes. STATE OF MINNESOTA 1 )SS. t.Ut N'f'(IF'RAMSLY 1 This Approval was acknowledged before me on 2,- jr byVA,14.�L 0*%' ✓ the duly appointed delegate of the commissioner of revenue for these purposes. Niire.hr___0Antide 8.46,6044 11 WI ii Notary Date "' f,(' My C rnmisNon Expos aeS Jen St,5018 I I I. „011 Form approved by the Attorney General'',Office THIS INSTRUMENT WAS DRAFTED BY FAN STATEMENTS FOR THE REAL PROPERTY DESCRIBED IN I I HS INSTRUMENT SUN ID BE SENT TO: Dougherty.Molenda.Sol fest.'fills& Bauer P.A. 14985 Glazier Avenue.Suite 525 Dakota County Auditor Apple Valley.MN 55124 1590 West Highway 55 (952)432-3136 Ilastings.MN 55033 (RBB) Receipt:#562469 794426 SID $46.00 II II COW ME $40.00 SD T $209.88 tic:>zliquent Taxes Recorded on:711212018 1:52 PM Traa4ter Entered By JAR,Deputy Cert# 83537 83543 83549 Return to. DAe OTA COUNTY Office of the Registrar of Titles TAXPAYER SERVICES Dakota County,Minnesota 15901-WY 55 ADMINISTRATION BLDG Joel T.Beckman,Registrar of Titles HASTINGS MN 55033 Joel T Beckman,Treasurer Auditor —a%).(\ d N4S0 u }. Conveyance of Forfeited Lands eCf-\I "4:5157 ;5,j Issued Pursuant to Minnesota Statute,Chapter 282 Deed Tax Due:$9C9 Commissioner's Deed No.0215721 Date: 14p WHEREAS,the real property described below has become duly forfeited to the State of Minnesota to be held in trust in favor of the taxing districts for the nonpayment of taxes or otherwise,and, WHEREAS,pursuant to Minnesota Statutes section 282.01,subdivision I a,paragraph(b)or subdivision 3 or subdivision 7a and related provisions,the Grantee has purchased the real property described below,and WHEREAS,the Commissioner of Revenue has determined that the Grantee has fully complied with the conditions for said conveyance and is entitled to an appropriate conveyance of the real property,and, NOW,THEREFORE,for valuable consideration and pursuant to said laws,the Commissioner of Revenue,acting on behalf of the State of Minnesota,a sovereign body(Grantor),does hereby convey and quitclaim to CITY OF EAGAN(Grantee),real property in Dakota County,State of Minnesota legally described as follows: V/10-28700-00-040 Outlot D Galaxie Cliff Plaza, Check here if all or part of the described real property is Registered(Torrens)(X) together with all hereditaments and appurtenances belonging thereto,but excepting and reserving to the said state,in trust of the taxing districts concerned,all mineral rights,as provided by law. Check applicable box: (X) The Seller certifies that the Seller does not know of any wells on the described real property. () A well disclosure certificate accompanies this document. (If electronically filed,insert WDC number: ) ( ) I am familiar with the property described in this instrument and I certify that the status and number of wells on the described real property have not changed since the last previously filed well disclosure certificate. NOTE:The State of Minnesota is issuing this deed for the county and other taxing jurisdictions and in reliance on the Auditor's certification stating the above. BY tS t ATE OF MINK TA, YNTHiA BAUERLY,Commissioner of Revenue - B f X ��h.✓f GARY MARTINI duly appointed representative of the Commissioner of Revenue. State of Minnesota County of Ramsey This instrument was acknowledged before me on 29th day of June,2018,by GARY MARTIN,duly appointed representative of the Commissioner of Revenue,on behalf of the State. { may pr. J001?YNNETTEy,110, ott3rrNPARl Ittr /// W I L: . A . _P "s y. MyComr r._a3h.rXv TI I1S INSTR ENT WAS DRAFTED BY: Tax statements for the real property described Minnesota Department of Revenue in this docu n shoulld bAse 600 North Robert Street,4'h Floor Name: ( t+'t til..in Si.Paul,MN 55146 Address: tof EtAirt (AN Form approved by Attorney General(August 2010)