4135 Lexington WayCITY OF EAGAN fiemarks -? ?°,?ACS • ?_is?•rl?st_
Addltion 'SECTI'?N 22 Lot 031 glk 76 Parcel 10 02200 031
O/wner Street 4135 Lexington Ave. So. State Eagan, hIN 55123
Improvement Date Amount Annual Years Payment Receipt Dace
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WA7ERMAIN
ATER LATERAL C ? 198 .
WATER AREA G? •
SEY'V1L'eS
STORMSEWTRK 1018 1986 8218.49 547.90 15
STORM SEW LAT
CURB & GUTTER
SIDEWAIK
STREET LIGHT
WATER CONN.
9UILDING PEF.
5AC
PARK
a , y7 Ac- ?i6 X 7,le • ad-
%'??a
' ' ' ,?#' - ??:•._??.
C OF EAGAN Remarks ?a
Addition SeCtiOh ?22 Lot Blk Parcel 10 02200 030 76
Owner Street State
a a-?- i)
Improvement Qate Amount Annual Years Payment Rec ' Date
STREET SURF.
STREET RESTOR.
GRADI NG
' SAN SEW TRUNK
SEWER LATERAL
WA7ERMAIN
WA7ER LATERAL
WATER AREA
STORM SEW TRK
STOFiM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CON
OF EAGAN
. _ ..
Owner? Street -
a? Sa <t v
10 02200 020 76
Improvement Date Amount Annual Years Payment Re ' t Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
f
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN
BUILDIN ER,
SAC
PK-RK
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 +H2 175
??f 1o6q3 651-681-4675
New Construction Requirements RemodellReoair Reouirements
• 3 registered site surveys showi`y sq. fl. of lot sq. ft of house; and all roofed areas 2 copies of plan
(20% maximum lot wyerage allowed) • • -. t set o( Energy CalculaUons for heated addi6ons
• 2 copies of plan showing beam & window sizes: poured found design, etc.) ' " • 1 ste survey for exienor adtlitions & decks
• 1 set of Energy CaIcuW6ons
• 3 copies of Tree Preservatlon Plan if bt platted after 7/1193
• Pom Joist DeWil Options selection sheel (bldgs with 3 ar less units)
DATE ':A? ' ItAIC)I VALUATION (EXCLUDING LANDA_jo?
JOB SITE ADDRESS LIl Sk„ JAdl 4Q?) \)M?` i
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Li?IU??P l.?LIPIL.?J?I'?OJ1
TYPE OF WORK kP4f,D ?2dCY?F FIREPLRCE(S) _0 _] _2 _3
APPLICAP
ADDRESS CODE 4? _
PAGER #
CELL PHONE #
FAX # '"(K,711
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RiTI.ES 7672
- New Energy Cade Worksheet Submitted
Plumbing Contractor: Phone #:
PlumUing System Includes: Water Softener _ I.avm Sprinkler Fce:
Water Heater No. oF R.I. Baths
No. of 13aths
Mechanical Contractor:
4(cch?uiic.d SNstcm Includcs:
Sewer/Water Contractor:
Phone #
Phone #
$90.00
Fce: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant dy JQ."&
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Air Condiuoning
Hcal Rccovery Systcm
Updated 1l01
TO THE CONTRACTOR OF LEXINGTON WAY:
Until such a permit has been issued, you could be
considered in technical violation of current City
Codes if the property owner claims you did not have
permission to do this work. Therefore, I encourage
yov to work with the proper[y owner to get a permit
issued as soon as possible.
Tom Colbert
7o4c,?Iq
2007RESIDENTIAL BUILDING rERMiT nrrLicaTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWclion ReQUiremenLs
3 regislered site surveys shovnng sq R M lot, sq. fl. of house; arM all mofed areas
(20%maximum lot coverage atlowed)
1 Soils Reporl rf propwed 6uilding is ta be placed an disArched soil
2 copies of plan shovnng beam 8 windovr sizes; poured found desiqn, etc
1 set of Energy Calculations
3 wpies of Trce Preservation Plan if IM platled after 711193
Rim Jdsl D&ail OpM1Ons selectim sheet (buildirgs wifh 3 or less unifs)
Minnegasco rtAchanicalverwUla6on fortn
9?- zzD
RemodeVRmair Renuirements OKce Use Onlv
2wpiesofplanshovnngfootinqs,heams,jomts Cert ofSurveyRecd _Y _N
1 setMEnergyCalculationsforheatedaddi6ons SoilsRepod _Y _N
1 site survey for additiore & decks Tree Pres Plan Recd _ Y_ N.
Add6on-irdca(eifon-sifesep6csystem TreePresRequired _Y _N
Onsite SepUc 5ystem _ Y_ N
Plans are considered ublic information uniess ou state the are trade secret and the reason.
Date 07
SiteAddress Lef yit? Construction Cost
7Gv? wG-Y UniUSte #
Description of Work re ?'CG?e
Multi-Family Bldg _ Y V N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner Telephone#((o5/)19 ?DV^ll??
Contractor PI-VO-?!
Aaaress l(? SCJ Z
State
Zip cjry
Telephone # ( ??J) Zy
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Aules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enelgy Code Category . Residential Ventilation Category 1 WoMsheet • New Energy Code Worksheet
(d submission type) Submitted Submittetl
. Energy Envelope Calculations Submitted
In the lasf 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, daTe and address of master plan:
Licensed Pltjmber
Mechanical Contractor
Sewer/Water Contractor
I herebv apnlv for a Residential
Telephone # (
Telephone # (
Telephone #(
and acknowledge that the information is complete and accurat
e;
that the work will he in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a eeview and
approval of plans. _
l)G_v7T E if
Applicant's Printed Name Applicant's Signature
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reoui2menls
3 registered mte wrveys shovnng sq. ft oi lot, sq. fl. of house; and all roofed areas
(20%maximumlotcoveregeaPowed) •
1 Soils RepoR if proposed building is to he placed m disWrbed sal
2 copies W plan showinq bemn 8 winda.v sizes; poured fwnd design, etc.
1 set o( Energy Calcula4ons
3 copies dTree Preservatlon Plan if IM platted atler 71153
Rim Joisl Detail Options selection sheet (6uildings wilh 3 or less unifs)
Mnnegasw mechanical ventilation fam
/9-/- ;) 0
V?
RemodeVReoair Reauirements Offce Use OnN
2copiesofplansharingfoo6ngs,beams,joisfs Cert ofSurveyRecd _Y _N
1setWEnergyCalculaUOnsfahea[edadditions SoilsReport . _Y _N
1 site survey for additlons & decks Tree Pres Plan Recd _Y _ N.
Addifion-indcatei(on-54tesepficsysfem TreePresRequireH,
, _Y _N
'
On-sile Septic System _Y _ N
oi.,.,? ..o r.,nciricrori niihlir infnrma+inn iiniPSC vnu state thev are trade secret and the reason.
? ?PIIJ N
Date /O C,7 ConshuMion Cost ':cY,D
Site Address Z n???v7??'-?
/h t) S--r1 Z Z Unit/Ste #
Description of Work /L,OP<J't2 J`???r"-tn G°T`'"',"" 12-(I?'?
Multi-Family Bldg _ Y"N Fireplace(s) _ 0 _ 1 _ 2
Property Owner L L (G f(e Telephone #?S/
??0c(T Con ST- 77-J?C,
Contractor
(
`o
Address
State /•i? ( / c
? lT' L ,
?
Zip?jJal
L`7[}' ?/?1 [/C?o?'tJ
Telephone#(6?-I) ??-d-r'O??
? 57- 98-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residen6al VenWation Category 1 Worksheet • New Energy Code Worksheet
(.) submission type) Submitted Submitted
. Energy Envelope Calculalions Submitled
In the last 12 monihs, has the City of Eagan issued a permiT for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Coniractor
Sewer/water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wor and
approval of plans. r
ocT i s zoo? ?
A plicant's Printed Name A p' ant's Si ature
DO NOT WRITE BELOW THIS LINE
Sub TVpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-p1ex
? 06 04-plex
Work Tvqes
? 31 New
? 32 Addition
? 33 Alteration
x 34 Replacement
? 13 16-plex
? 16 Fireplace
X 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Poal ? 30 Accessory Bldg
O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 23 Porch (screen/gazebo7pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demo6sh Building* ? 43 Reroof ? 46 WindowslDoors
`Demolition (Entlre Bldg) -Give PCA hantlout to applicant
D05Cf1p11011: WatarDamage_Yes
3(vlol
V
l
f -
a
on
uat Occupancy MCESSystem
Plan Review 1'? 100°k or 25%
census code y9Y zoning Acity water ?
SAC Units Stories - Booster Pump -
# of Units Sq. Ft. PRV '-
# of Bldgs Length ? Fire Sprinklered ?
Type of Const Vr? Width
REQUIREDINSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) Final/C.O.
_ Footings (addition) ? FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof
Ice & Water Final Pool Ftgs AidGas Tests Final
?
_
_
Framing -
Siding _ Stucco Lath Stone Lath Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 O5-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
Building Inspector
_ 7(. ?
CITY USE ONLY n
L ?BL ? RECEIPT#:
SUBD. ? i? RECEIPTDATE: lUIaZl 9U
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, tM1 55122
(612) 681-6675
Please complete for: ? single family dwellings .
? townhomes and wndos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener * for dwellings under construdion
' 5.00 x =
for existing dwelling
; Water Softener 20.00 x
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprlnklef "forexistingdwelling 20.00 =
AlteraiiOnS ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' nnandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50 ?
TOTAL C;o s?
---------------------------------------------------------• -------------•-----° -------------------------- ------------------------- -----
I hereby acknowledge that I have read this application, state that the iMormation is eorrect, and agree to compty with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notrfy the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its
normal operational and maintenance activities to the facilkies constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: q«F- zoxI?Ai ?ejl Y
OWNER NAME:
INSTALLER NAME:
,4,3 IF
re,
-
" 1 G , ??- TELEPHONE #:
STREET ADDRESS: ` 3 1 7 ( (Si? ?? / "?
CITY: STATE: ZIP:
SIGNATURE OF
6(?-303
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1998
czrv ni- cAcsAn
CA:iHll'=F't: J5 1'I-F;FiTRAi._ NCIe 946
DP, T'Ea Uf;/11/93 1'IMLr, i0.45:35
ID:
Nr1MFc UJCTL.I_E M. WARI::LiN1'IC.;d
3865 ''r.'?"r'.U 4135 I_I"nSidGTN rl E3P5.,00
3868 9220 Q35 IF:X.T.NGI'N H 46£3.00
3716 9220 a135 i_c:xzN r.a1N w ?14.. 00
2252 9220 Q:IS LI_X7:NGTH 41 .I.J.OO
3 7 1.3 9 K>?01 na.35 L.Exzr!r•,rr. w 50.00
20:i 9001 405 L.ECXING1'i, W f].'iSl]
i
l'oi: a7. i'terea.pt: Amoun+.: i. y 4'i 2,5U
CFi:l.i...:,!.`a.4
USF_'R :I.D;: JAN
k? ?k:? k??k ?6 ? ? r:t ? X? v,t m %? ? k? M ?: ?k # ? ? ? ?X !! RtX? ?;;•: ?: X?. ? ? X? ? M ?%?%%c
??Lt 1 Block 1_ PID #? Sewer /water pcrnut # -2,? aq3
Plat BUJC ?7C) Y-'E 1, C) V\ Date ?-?J-_I j Rcceipt # "J_l` I 1 ?
CITY OF EAGAN
1999 SEWER AN D WATER CONNECTION AND AVAILABILITY CHARGES
EXlaTiR1G ftESIaERITIAL PRORERTY
iU
b ?
P
1 f ?`
Sewer Water
Iatera harge @ $21.85/ff Lateral charge @ $22.10/ff?. $
Trunk @ 80/connection Trunk @ $920/connection
City SAC 100.00 Water supply & stprage 825.00, ?lyCp?l/f1,
Base SAC 1,050.00 Date paid
Date paid Receipt #
Receipt # Treatment plant 468.00 ,?/7Q/?I
Account deposit 15.00 Water metcr *'Inspections req'd prior 114.00 ,q/?'{yQ
Sewer permit surchazge 50.50 to issuing
Account deposit
15.00 A(OfP
Subtotal g
Water permit & surcharge . i
50.50W142
Subtotal
it & surchaz
e
Pl
b $1??-1 ? a .SO ?
g
mg P.rni
un
Total g Total $
Sewer and Water
Sew ateral charge @ $21.85/ff
Water lat chazge @ $22.10lff
Sewer trunk g
Water trunk @
City SAC
Base SAC
Date paid _
Water supply & storage
Date paid Receip _
Treahnent plant
Water meter `*Inspectio eq'd prior to
Account deposit
Sewer and water it & surcharge
Subtotal
Plumuu?g rmii & surchacge
Total
100.00
1,050.00
825.00
468.00
114.00
30.00
100.50
30 5
$
UI'11C1: USI= U\LY
Propertyowner noxaicj '? C i Ke h tl2 n
I • {--e f;
Address ?{!3S heXIYi4 ?a4 " C84d
Phone number
Plumber
eitV ,.;:n,ir,,a: No
R-O-lY Pcnnit: ('ity/#CounTV T?fA
L'npaid $ _-.-
P.,•rmit PrLs:
Ci:y tinnnc-,d:
5 ? ?`
I - 4t:3 -,) - /
-L i CITY USE ONLY
L L 1
SUBD. ?a TO-V-eS4
RECEIPT #: I 1? 140
RECEIPT DATE - I V
PERMIT # ?-7 ai?6
1999 PLUM$INF PEtMIT (RESIDENTtAL)
Ct'CYOF £AfiAN
3930 i'{LOT KNOS RD
E4fiAN, MN 55122
(65] ) 6$1-4675
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
GeS i in Outlet ' mimmum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alteretions to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- ?OIJ
State Surchar e 50 --> ----> ----> $ 50
rotal --> --> ----> ----> S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
-
- -
-----------•-•-----------•------•--------- •------------------------------------------------------
-
-inan-ce-s.
- Ciry-of Eagan ord-
?is-
- to comply-
- with-all applicable-
-correct, -and-agree-
-on, state-
-that- the -informalion-
I-hereby ac-knowledge-that-
-I-have-read•this applicati
It is the applicanYS responsibility to notify the property owner thal lhe City of Eagan assumes no Ilability for any damages caused by the City during its
normal operational and maintenance activities to the facilihes consUucted under this permit within Gty pmpeAy/right•of-way/easement.
SITE ADDRESS: Z//,
OWNER NAME: :
{NSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
TELEPHONE #: SY VSa? - IS-lo S
(AREA CODE)
CITY: (`"?(,j?Jii/?J STATE: 21P: ?
.
SIG ATURE OF PERMITTEE
APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX '
ON SPECIAL ASSESSAIENTS FOR SENIOR CITIZENS' HOMESTEAD
LAWS 1974, CHAPTER 206
STATE OF MINNESOTA)
COUNTY OF DAKOTA L, •b 10 $0 FZ)c r Y0
)
DATE
T0: County Auditor, Dakota County, Minnesota
I, the undersigned, declare under penalties of perjury:
That I reside at 413s' G?a
That I am not less than 65 y rs of a e and that the date of my birth is
That I am the owner of the property legally described as: Seo 1x- Tw n Z 2 et z.?e 1.9
1V J' ? r .f o -f1' f,E !La ft f J?%Y ?f S E%
, Property Identification No./o ayx^a °31 '7C
That my interest in the ownership of the above property was aquired on < 1yJ9
19 and is as follows: '
1. Sole ownership (Enter Yes, if applicable)
2. Joint tenancy, held with,s sn.ra Gk.,)/z
3. OTHER undivided interest Specify)
That on January 2, 19,rr or June 1, 19 I owned and occupied the above property as my
homestead and such occupancy began on ?}„yNst a ? 19 ?T
,
That the installments for improvements on the SPECIAL ASSESSAIENTS duly adop ted in ordin-
ance by the ??k2.,C? t, E??? OF ? 2 p„ AS OF fjy?ryn4y,ep- 19 ?Q'
which have been allocated against the subject pr perty would create undue personal hard-
ship on my behalf and I respectfully request that ayment be delayed and that such in-
stallments be so deferred for the years 19dr to ?"
SIGNED??.¢.y
? Olh'NER SPOUSE
DR."CIT,Y? "USE>t;l
I,
IN
, Clerk of the C ?T Y OF E#,&ea
?f Minnesota, do hereby certify'that the application
N above named, has been duly reviewed an3 that '
'icial record in said e?ambers was duly :
_ nz,.,rUD as of OcA-o b2r (0 19?.
That in accordance with approval granted, the SPECIAL ASSESSD7ENTS listed below on the
affiants subject property levied for annual collection in the amounts and £or the years
shown be so deferred with interest at the annual rate shown until such time as it is
deemed the applicant no longer qualifies or the property loses its eligibility.
ASSESSMENT D/P N0. TOTAL AMOUNT YEARS INTEREST RATE
5T/L11/78 /SL 9 30 6a•8o 10 91?0
SL 51 7f 1570 7579,75- /0 ?, 22
DATED 16 - (? . $R 19
(over)
c1040 Department ol Me Treasury-Internal Revenue Semce
° U.S. Indlvidual Income Tax Retui
(3)
Label voo"" SORT **CR 28 1e
UseIR5label, preseRU 474-07-6286 471-22-8502 SOB 30 ? o?s.)
Otnerwise. DONALD F 8 LUCILLE M WARKENTIEN o?
vieasevrintor
tYPP 4135 LEXINGTON WAY 344 S-
GIY.I
EAGAh MN 55123
Presidential ' Oo you want $1 to go to this fund? .
Eleclion Campaign If joint return, does your spouse want $1 to go to this fund?. .
19 . I OMB No. 15450074
Your soclal security num6ar
Speuae's fxial weudty num6ar
For Privacy Acl and PaDemork Re.
duction Act Notiu, see Instructions.
Nn Nota: Checking "Yes"wd!
1 Single
Filing5tatus p Ma«iedfilingjointreturn(evenifonlyonehadincome)
Check only 3 Married liling separate return. Enter s0ouse's social secunty no, aGove and lull name here.
one box. 4 Head of household (with qualifying person). (See page 7 of Instructions.) If the qualifying person is your child but not
your dependent, enter child's name here.
_ 5 Qualifying widow(er) with gependent child (y_ear spouse died ? 19 ). (See page 7 of Instructions.)
Ezemptions
(Ser
tnstructions
on page 7.)
If more than 7
tlepenaents,see
Instructions on
page 7
Dependents
(1) Name (Lrsl. mdol. anE hsl name) R) CMunderCk
.I
i¢e 5 (3) 11 a¢e 5 or or.r, aepen0em's
miaI secuntY numkr
(Q Aelalionship (S) No. of months
6Ye0 in yaur Aane
m 1961
No. of bous
checMcd on 68
and 6b ? Z
No. of children
an 6c who IivM
I. ?
with you
No. of children
on 6c who dbn't
live witA you due ?
lodivoraar ?
separalion
No. of Darm[s
? ?
Iistee on sa
No. of olher
dependents
lisled an 6c 0. ?
d ifyourchilOdiCn't6vewithyoubutisclaimedasyourtlependentuntlerapred985agreement,checkhere. .?LJ manumxrs
entered in
e Totalnumberofezemptionsclaimed(alsocompleteline35) . 6otesabove ?
Z
. . . . . . . . . . .
7 Wages
salaries
tips
etc
(attach Form(s) W-2) 7
,
,
,
.
. . .
Income 8 Taaableinterestincome(a/soattachSchedufeBilover$400) . . . . . . . . . 8
h 9 Tax•exempt interest income (see page 10). DON'T include on line 8 9
'l
ease attac
_opy8otyour 10 Diviaendincome(alsoattachSchedule8i/ovet $400)
.
. . . 10
.
. . . . . . . .
Forms W-2. W-213,
trom worksheet on page 1101 Instructians. .
11 Taxa6le refuntls of sWte anG local income tazes
it any 11 /O O '?
,
,
in0 W-2P here.
.
. . .
12 Alimon
recerved 12
.
. . . . . . . . . . . . . . . . . . . .
y
lyoutlonothave
. . . . .
see 13 Business income or (loss) (attach Schedule C)
3 w-2 13
. . . . . . . . . . .
,
page 6 ot 14 Capital gam or (loss) (attach Schedule O)
. . . 14 / L 9 ? 17.-
. . . . . . . . . . . . . .
nStNCtionS.
. . . .
15 Othergainsoi(losses)(attathForm4797)
15
. . . . . . . .
16a Pensions, IRA distributions, annmties, and rollovers. Total receiveC Lba L 94 1 y
. . . . .
b Taza6le amount (see page 11)
: •
16b
?e }MJ?
oe
. . . . .
. . . . . . . . . .
..
trusts
(attach Schedule E)
17 Rents
albes
artnershi
s
estates
etc
ro 4
.....
,
y
p
,
,
,
.
, P
. . . . .
18 Farm income or (loss) (attach Schedule F)
? 1
. . .
. . . . . . . .
.
19 Unemployment compensation (insurance) (see page 11) 19
.. . .
.... 20a 4 J
..
Piease 20a Social security benetits (see Dage 12)
.
.
zttach check b Tazable amount
. . . . . . . . .
trom lhe warksheet on page 12
if any 20b
. . .
,
,
or money
21 Other income (list type and amount-see Dage 12)
oraer nere 21
.
22 AdC the amounls shown in Ihe lar ri ght column for lines 7, 8, and ! 0-21. Thi _
s is our total Incom
e ?
22
?? e 9 O
Y
23 Reimbursetl employee business ezpenses from Form 2106 ..
fromapplicableworksheetonpage13or 14
Adjustments 24a YourlRAdeduction 23
24a
LyJ?a
r•
,
to I neome b Spouse's IHA deductian
Irom applicahie worAsCcet on DaQe 13 or 14 24b
..
,
irom worksheet on page 14
25 Sell-em
ioyed health msurance deductian 25
,
p
,
loyed SEP deduction
26 Keo
h retirement
lan and seN-em 26 .? 1/ J O
. .
g
p
p
s
27 Penalt
on earl
withdrawal of sann
S 27
g
.. .....
y
ee
y
(
Instructions pg qlimony paitl (reupient's last name
on page 12
and social security no. ?
28
29 Adtl lines 23 throu h 28. These are cur total ad ustments . -lp 29 6 f 3 °°
Adjusted 30 Sub[ract Ime 29 6om line 22. This is your adjus[ed grosc incoma. U fhis Ime is less than
815,432 and a chrld Irved wdh you, see "famed Income Credrt" (irne 56) on page 18 nl
Gross I ncome fhe Instructions I/you want 1RS ro ligwe your tax, see pare 15 ol the Instructions ?
30
?`-
CauUon: If you can be claimed as a Aependent on another perwn's tax retum (such as your parents' retum),
do not check boz 6a. But be sure to check the bax on line 32b on page 2
6a EXI Yourself 6b _X? Spouse
c
rorm 1040(1987)
Page 2
31 •Amount from line 30 (adluste0 gross income) . . . . . . . . 31
T8 % 32a Check if: ? You were 65 or over ? Blind; ? Spousa was 65 or over ? Blind.
CORIP{I• Aadthenumber ofbozescheckedandenterthetotalhere. . . . . . . . ? 32a (
lation b If you can be claimeC as a depentlent on another person's return, check here. .? 326 ?
c If you are married liling a separate retum and your spouse itemizes deductions,
or you are a dual-status alien, see page 15 and check here ........? 32e ?
33a Itemized deductlons. See page 15 to see if you should itemize. If you don't itemize, enter zero. If
you tlo itemize, attach Schedute A, enter the amount Irom S[hedule A, line 26, AND skip line 336 . 33a O d 1 .5 9
Caulion: ? 6 Standard deduction. Read Caution to left. Ii d applies, see page 16 for the amount to enter.
f you If Caution doesn't ( Single or Head of household, enter E2,540 l
:necked any apply and your (ihng S Marned tilingjomtly or Qualifyingwidow(er)
. •.
enter $3
760
33b
,
,
Doc on line status from page 1 is. ? Marrietl ftling separately, enter $1,880
J
or c
34 Suhtract line 33a or 33b, whichever applies, from line 31. Enter the result here .
and' Y o, u 34 ?
7cn't 35 Multiply $1,900 by the total number of eaemptions claimed on line 6e or see chart on page 16 .
m
, 35 d n ao
ize. see
e
)age 16 for 36 Tazable income. Subtract line 35 from Ime 34. Enterthe resWt (but not less than zero) ..
36
3
8
ne amount Cautfon: I1 under age 14 and you have more than E1,000 oi investment income
check here ??
,
u enter on and see page 16 to see if you have to use Farm 8615 to figure your taz.
ine 33b
37 Enter tax. Check A from ? Taz Table, ? Tax Rate Schedules, ? Schedule D. or ? Form 8615 37 e o
38 Aaditional tazes (see page 16). Check if from ? Farm 4970 ar ? Form 4972 ..... 38
39 Add lines 37 and 38. Enter the total . ?
. . . . . . . . . . . . . . . . . . , 39
40 CreEd for child and depentlent care eMpenses (aftatA Form 2441) 40
Credits 41 Cie(lrt for the elderly or for the permanently and totally disabletl
See (attach Schetlule R) . . . . . . . . . . . . . . . 41
}t a Ce 175) 42 Ada lines 40 and 41. Enter the total . . . . . . . . . . . . . . . . . . . .
n
Dd
42
43 Su6tract line 42 from Ime 39. Enter the result (but not less ihan zero) ......... 43
44 Foreign tax cretlit (attach Form 1216) ... ... 44
45 General business credit. Check if from 0 form 3800, ? Form 3468
,
? Form 5884, ? Form 6478, ? Form 6765, or ? Form 8586 ..
45
46 Aaa lines 44 and 45. Enter the total . . . . . . . . . . . . . . . . . . . 46
47 Subtract line 46 from line 43. Enter ihe result (hut not less than zera) . ,? 47
?the! 46 Setl-employmenttax(attachScheduleSE) . . . . . . . . . . . . . . . . . . 48 91Cy ••
fazes 49 Alternativeminimumtax(atta[hFOrm6251) , , , , , , , , , , , , , , , , , 49
50 Tax from recapture of investment credit (attach Form 4255) . . . . . . , . . . . . 50
indutling 51 Saualsecunty taxontipincomenotreportedtoemployer(atfachFOrm4137) .
:dvance JC • ? ? ? • 51
'ayments) 52 Taz on an IRA or a quahtieA retirement plan (attach Form 5329) .....,..... 52
53 Atle lines 47 thmu h 52. This is ouitotal tax ?
. . . . . . . . . . . . . . . . 53
54 FederaiincometaxwdhhelA(mcludingtaxshownonForm(s)1099) 54 lzy
'ayments 55 l?9877estimet?etl tazJpaymems and amount applied fiom 1986 retum 55 ( 8
56 Eametl income credit (see page 18) ........ .
cn F
n
rm 56
e
o
s
12, w2G. 57 Amount paitl with Furm 4868 (extension request). ..... 57
nd W 2P 58 Ezcess sonal secunry taz and RRTA taz wdhhela (see page 19)
I 5$
>
ront
59 Credit for Federal laz on gaso6ne and special tuels (attacAform 0136) 59
60 Regulatedinvestmentcampanycredit(attachForm2439). . . 60
61 Add lines 54 through 60. These are your tatal payments .
.0"
61 /
.1
C
62 If line 61 is larger than line 53, enter amount OVERPAID ........ ....0. 62
tefundor 63 Amounto(Iine62tobeREFUNDEDTOYOU. . . . . . . . . . , .> 63
,mount 64 Amountothne62tobeapphetltoyour1968estimateEtax . , ? q
OU ?W2 65 If line 53 is larger than line 61, enter AMOUNT YOU OWE. Attach chxk or money orAer tor full
amounl payaDle to'9nternal Revenue Serwce." Wnte yaur social secunty num0er, tlaytime phone
number, antl "1987 Form 1040" on rt. .
65
Check ?? d Fa.m 2210 2210F) is attached. See a e 20. Penalt :$
UnOer penalbes oi perryry, I Geclare tha[ 1 have esamine0 this returp and a[companying schedules and statements, and t o the Desl of my knowletlge and
'lease beliel,tneyaretrue,correct, an complete DeNarationolpreparer(otherthantaRpayer)is Easetlanallmlorma6onofwhich preparethasairyknowledge.
ign vt?oursignaWre `J /
' Date Vourwcupahon
lere ?
/?
c,..?
Spou s vgna re pl p mt returo, BOTH must sign) Date pouse's occupat? ?
Preparer's Date Preparer's soaal zxunty na
aid '
signawre ChecM d ?
(eparer's --
self-employe0
se Only Firm's name (ar
E I
No
yours d sell-emptoyptl) ? .
.
and aaoress
?J G1??? ?..ci.r C
TFflNS(-tCl"TOIV :I:U: F:68 SPECIA!_ 43tiLSf_Mi=N'T'S
SF'F_C 3Al_ ASSE S.S'I'1k:NTS SEAFiCH SU MMAF.Y
F'kGF'E. RiY I.D. TO DAYS 17H'1"E'e 04129/E38 -----SF'EC1 AL.. FLAGS-.___.
1-. ...,-;_4_ 5-6-7--8--9--1 0
10-022 00-031- 76
`
---•
--
S.l"-1. #--- f-iSSEtiSh1E:N"I"? UESCFY. YI=t YFtS ^-F'./tl-E_ -_TOTRL F1hIIV.F'RThl. F'AYOFF Cf]I`11hE1\
100689 W"I"F.-::ii4 E:31 15 11.001 172"g,00 115.27 922.15
10069:e: WL'T'R 2997:.; 01 15 11.00'!. 2993.45 199.57 1596.53
1010ie Sti--j=il-I 411 E35 15 11.0(7! 9218.49 547.40 6574,.75?
,h9 S'T'I<::4?Ei ?3[3 iG 9,UC)i _;66?'.8D a+?b:??E3
. .,?'.8!? ?
j?li.J7() :]LIEiB EiEi 7.f.1 9.h[)I ?J7?l.IJ .88
7J7
57H.
75
SUMM,=IF:Y CJF Fa1.TiVE 23582.49 1926.90 0 .._.,.U?
-rHt S vE_AR• s TO..r Pa,I 1957.94
,
F'r-es<s Ft or 1=: (h9eader Fnrm) oi^ 1=7 (Iie,tart R769)
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(C) Wi?50N JON[5 cnMP/.YY G7507 GREEN l°.Ol BUFF
V Y/
MEMO TO: HONORABLE MAYOR & CITY
FROM: CITY ADMINISTRATOR HEDGES
DATE: OCTOBER 3, 1988
SUBJECT: ADMINISTRATIVE AGENDA
CITY ATTORNEY
Item 1. Discussion Regarding Status of O'Neil Lawsuits--The City
Attorney is requesting an attorney/client session immediately
following the regular City Council meeting to discuss and update
the status of the O'Neil lawsuits.
CITY ADMINISTRATOR
Item 1. Acceptance of Commercial Market Analysis--The final
report from Laventhol and Horwath has been received by the City
for consideration and acceptance by the City Council. A copy of
the report is attached for your review. There is essentially no
change to the draft report the City Council received and reviewed
during the month of August.
It is suggested that the City Council accept the report as a
Commercial Market Analysis study completed by the firm of
Laventhol and Horwath. This action does not bind the City
Council to make decisions based purely on the assumptions of the
report, however, at the same time, the action does allow the City
Council to reference this study and use it as a planning tool for
future rezoning considerations.
ACTION TO BE CONSIDERED ON THIS ITEM: To approve acceptance of
the Commercial Market Analysis as prepared by the Laventhol and
Horwath firm.
? Item 2. Senior Citiz n Deferred Special Assessment Application--
? Enclosed on page is an application from Donald and Lucille
1IN?t Warkentien of 4135 Lexington Way for a senior citizen deferment
of special assessments.
ct\? The assessments in question total $10,641.55 and were approved on
« September 6, 1985. They relate to Project 478 which was
authorized for the Lexington Hills Addition.
The application, as presented, meets the criteria identified in
the City Code.
ACTION TO BE CONSIDERED ON THIS ITEM: To approve or deny the
request for a senior citizen deferment for Mr. and Mrs.
Warkentien and to direct the City Clerk to process the deferment
to the Dakota County Auditor's Office.
3g?
DIRECTOR OF PUBLIC WORKS
Item 1. Contract 88-02, Final Payment/Acceptance (1988 Seal
Coating)--The City staEf is processing a request for final
payment from the contractor who performed the 1988 seal coating
within the City of Eagan. All inspections were nerformed by
representatives of the Public Works Department with the Einal
product verified as being in conformance with the approved plans
and soecifications. Subsequently, all items are in order for
favorable Council action regarding this approval for final
payment and acceptance for perpetual maintenance.
ACTION TO BE CONSIDERD ON THIS ITEM: To approve the first and
final payment for Contract 88-02 (1988 Seal Coating) to Astech,
inc., in the amount of $121,162.79 and accept the improvements
for perpetual maintenance.
Item 2. Reconsider Condition of Plat Approval, Town Centre 100 -
Sth Addition (Waterford Apartments)--On February 16, 1988, the
City Council approved the preliminary olat for the proposed
Waterford Apartment 3evelopment within Town Centre 100 - Sth
Addition located west of Lexington Avenue and south of Town
Centre Drive. Enclosed on page ?Zs is a list of conditions
that were approved with the preliminary plat. The applicant,
Federal Land Company, is requesting the Council to reconsider
Condition #1 as it pertains to the assessments associated tuitn
the future upgrading of Lexington Avenue and the related
trailways scheduled for 1989 as ident'fied in that portion of the
staff's report enclosed on page ,?. A copy of the
applicant's request is enclosed on pages?8
In early 1985, the Council concurred that all new residential
developments (single and multi-family) should prepay assessments
associated with future major road improvements as a condition of
final plat approval and development. This has eliminated a
significant number of objections to the proposed project and
related assessments at the respective public hearings. The
applicant has said that this condition places a financial burden
on the property with the financial lender for this proposed
development. This same assessment requirement was placed on the
Stuart's lst & 2nd Additions located across Lexington Avenue from
this proposed development with no objections. Therefore, in
fairness to past developments, the staff is recommending that
this condition not be modified as presented.
ACTION TO BE CONSIDERED ON THIS ITEM: To reaffirm/modify/delete
Condition #1 for the preliminary plat approval of Town Centre 100
5th Addition - Waterford Apartments.
?? ?
PROPERTY TAX STATEMENT THOMAS Y. IVOVAK
PAYABIE io 1 9e4 DAKOiA COUNTY TREASURER
R REMIZED STATE MENTu,"
DONALD & LUCILLE WARKENTIEN HASTINGS
55033
MINN
Fio OO
.
,
: 3 STATE
.
;
_ .?
, a
C
4 COUNTY
3?3 GP
?
?
?T
lOi W( 5 TOWNSNIP OR CIiY 321. 95
io 02200 031 7e acp°
e SCHOOlDISTRICT
I, 087. 21
ADOR 4135 LEXIN6TON AVE 50 V
ESSME TS$5..., 7 OTMER TA%ING OISTRICf
I
70 20
Mi L W/f NAME OF irlxPnYEF EAGAN MN FISCAL DISPARITY
a '
ASSESSMENT AMOUNT .
196 6. DEVEIOPMENT UISTRICT
DONALD & LUC ILLE WARKENT IEN
nia?In eaRIstuoa 4135 LEXINGTON AVE 50 689 W TR-304 28?• la BEFORECREDITS
Asor R 299-3 94
484
852. 4
ua :. on 01 wL EAGAN MN 55123 692 WI.T .
DITS WNICH REOIICE YOUR TAX
YES .. •- • °
huGi
R
STAiE SCHOOI 0.GRINlNM1l CREUR
r
ONE OR BOT11
TO FIND OUT IF YOIYRE EBW BlE fOR wETLAND CREDIT
b
THE MMNESOiA PiOPERiY i11X R9UNDAMD' B4i cOO
THE SPEl1l PTAX 1611N0 .
RGNININRAI PRESEYVES CMfDII
flLL PotlN6 TYE WOUOT ltl1??W
?'
4
' STATE PAIO HOMESTEAD CRE?IT 650. 00
-
1: fllL A MK ? ? ? It
'
1,852.4
A110 AlSO ON lME J, f(NNUIF J
060
00 18
2- mt u ?en uBwn aN uwE n. 650.
en ,
IND AlfO ON lME 7, XXmUI[ i ..`'• .
srur?rt
ua a TMis
rec
io TAX AFTER CREDITS
1
2 Oc
44
-
.-
um A rom +-im tuo
. vravwem" ?'1 ?
.
If iN15 BOX IS CNKKEO TOII OWE oELINOUEHT TAXES AN.
MRY IbT APftY fOR 1HY PQOrtRTY iAC NER/NDS. 1, SPECIAL ASSESSMENTS
TOiAI (Se. Mw?l e? LH1)
765. 04
RP,OSES?.
TAX
+,PROVERiY'DESCRIPTION3lOR
,
„"
?-(LEGAL DESCRIPTION'OF-'(' :." r`. 5!C O TOTAL AMOUNT
12
467
48
1
r,"ounI raorE?r:'?av;,ot,al:;:'.?;;wr K
•? ? . • PAYABLE .
,
SECTICN 22 T4tN 27 iRAt?IGE; 23 FTTTVffP?fxm
gpC{IpL ASSESSMENT
04
765
FINST HAIF INSTALLMENT
403. 74
1 FT OF S 1110 F'T OF
N 364 70TAL (TO LINE 11) .
.
E 660 FT OF SE 1/ 4 i OF ; SE i -
PlFASE RETAIN iH15 POR
noN OF SiATEMENi FOR
INTEREST MCIUDED
MENiS
22
450
SECOND HAIF INSTALIMENT
963.74
? ? q23
Q055c0 '2? 2r YOUR RECORDS. IN ASSESS
(INCOOnF 1A% VURPOSES) . -
. Form M-iPR MINNESOTA Property Tax Refund Return 1983
Be/ore vou bevin. read "Use of lnlormation" on vave 5 0l ihe instructions.
?
-L?
`o
`c
a
?
0
m
a
Your hret name and initial Last name(s) Vour social securily; umber
I • 1 ? Age 85 or ovei
1 a 1 y-
o 4A6 Filing Status
Spouse's first name ana imtial /? f? Y?{ e' ?? ?
?' Spouse's social securiry number ChBCk 2? Di38bled
l.w?- lr ?
• ? LL? PSoL allboxes
3 C4 Homeowner
th
l
t
;
app
y
a
Presen6home address (number and street, apartmeM number, or rurel route)
? t0 y0U
0
n
l 3 J
Z k'
4 Renter
4
?
l
Citg rown or post oflic2
L State
`? Zip code
If you rented part of your home to
a ? other persons or used it for busfness,
' l
hed- C
b
t
h
k
hi
d
Check D a antl fill in name ?
City
i
hi
t
L Count
? ox an
comp
e
e sc
c
ec
t
s
c? or
p
o
wherry e you
ownslivetl in 1983. ? Township L a , .-? ? k -
d . i x. ule 2 on the back of this farm.
S4ta Eleellons Campalgn Fund- Check one of these IndepandenF Democratic- Minor Geneial5tale No
boxea d you didn't alreatly do so on your income tax Repu6lican Farmar-S.sbor Party CBmpefgn FunA Contdbudh
return. Dependents 18 or older who are not flling their i;y 0 »_ (FIII in ihe
own forms may atso contribute by checking e box end You 17 ? 20 ? 23 ?
signinq below. This will not reduce your relund. number from
":icpus?s M2 16 -
?? 24 ?
page 2 of the
:eyr.caMS 1. ? i? ?
19 _ Instructiona)
22 ? 25 ?
o of uidsr
?
All AppliCBntS List your househoid ;ncnme oro t;;ree t thvough 6
t Federal adjusted gross inoomv (Prom iine 32 of federal Fonn 1040 or line 14 of Form 1040A or
3 of F
li
1040E2
If
t fil
f
2
f th
i
t
ti
d
l
t
d
1?
%-8R•-2,?
?
L
ne
orm
).
you are no
ns
ons) ..
ing a
urn, rea
page
e
ruc
e
era
re
o . ,
.,
2 Social security payments (include amounts deducted for Medicare)
. 46
. . . ... . . . . . . .
.
3 Weltare payments .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Unemployment payments not included in line 1 . 4?
. . . . . . . . . . . . . . . . . . . . . .
5 Worker's compensation, veterans payments, railroad retirement payments (include amounts
i
d i
li
1
d
d f
M
di
i
d
QS
n
ne
...
de
ucte
or
e
care) and all other pension and annuity payments not
nc
u
e .
6 Nontaxable interest, deduction for a married couple when both work, dividend exclusfon, capi-
1 thr
h 5
t
l
i
d
d
d
th
t
i
t i
l
d
d i
li
ti
bl
?8 z
... ..
ons an
nes
oug
a
ga
ns
e
uc
any o
er non
axa
ncome no
nc
u
e
n
e .
7 Total household income (add lines 1 through 6). . • 7 0 3
Renters Attach your Form(s) CNP
.
8 Renter's share of property tax (from block J of
our Form CRP) .Q
. . . . . . . . . . . . . .
y
9 Property tax refund from the tables in the instructions. Go on to lines 16 and 17 below .. .
Homeowners Attach your Statement of Property Tax Payable in 1984
.
10 Amount from line 1 of your Statement of Property Tax Payable in 1984 . 10
.. ... .....
11 Total property tax credit from the tables in the instructions 11 ?T
. . . . . . . . . . . . . . . . . .
12 Amount from line 2 of
our Statement of Pro
Tax Pa
able in 1984
ert 12 ? S o. 6 0
. ...........
y
p
y
y .
13 Regular property tax refund (subtract line 12 from line 17) 13 / sa .00
. . . . . . . . . . . . . . . . . .
le 3 on the back of this form)
14 S
ecial
ro
ert
tax refund (from line 15 of Sched 14
.......
p
p
y
p
u .
15 Property tax retund (add lines 13 and 14) . •?5 .00
All Applicants '
16 If you wish to give $1 or more of your refund on line 9 or Iine 15 ta the Minnesota
Non
ame Wildlife Fund
This will reduce your refund
fill in the amount here 76
' (•
.........
g
,
. .
17 Your property tax refund (Renters - subtract lino 16 from line 9)
li
16 f
li
15
H
b
17
60
,
) . . . . . . . . . . . .
rom
ne
(
omeowners - su
tract
ne .
Flle lhla property tax relund retum separate from your Income lax retum.
AppllCent - I tleclere unaer the penalties of criminal liabilily lor willlully making e lalse feturn, thal this return is true, correCt and complale to the best of
knowledge and beliet Pfepaf0l- This return is true, correct and complete to the best of my knowlatlge and belief.
Sign ?..,.u&/ f
? ?-•'???,cf- , iAC,rd?' //JG?wdSK?oa ro ? 1-??° 1 9f Y 1S?s`,1 v
'
Her Yoursign ure Spou3e'ssignature ??ate Deyhmetelaphoneno
( 1
Signature of Dreperer if not applicant Minn. I.D. or soc. see. no. Date Deytime telephone no
Mall to: Minn. PiupeRy Tax Refund SL Poul, Mlnn. 5111145
; SChedule 1 For Mobfle Home Ownan or Homeowners Who ReMded In a Renfal Unit Dudng_7983
" • 1 Amount from block J of your Form CRP . . . . . . . . . . . . . . . . . . ... . . . . . 1
2 Amount from line 1 of your Statement of Property Tax Paya6le In 1984 ....., ..... 2
3 Total (add lines 1 and 2). Also iill in on line 10 on the front of this form . . 3
SChedUle 2 For Homeownen or ReMen Who Rented Part of Thelr Home to Ofhen or Usad It tor Buslnesa
, 7 Amount from line 1 oi your Statement of Property Tax Pay-
able in 1984 or the amount from biock J of your Form CRP ...........
2 Percent oT your home not used for business or not rented to others. ........ , . 2`• °"
3. Net property tax amount (multiply line 1 by line 2). Also - flll in on line 8 or on line 10 on the front of this form. . : 3'
Schedule 3 Speclal Property Tax Refund for Homeownen with Houaehold Incomes ot Less than $40,000 Whose Net
Property Tax has Inereased by More tlian 2096
1 Amount from line 1 of your Statement of Property Tax Payable in 1984 (attach a copy) Q
.....
2 Amount from line 2 of your Statement ot Property Tex Payable in 1984 . Q2
3 Your property tax refund from line 13 on the front of this form ......03
4 Add Iines 2 and 3 4
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
S Subtract line 4 from Iine 1 . 5
.
. .. . . . . . . . . . . . . . . . . . . . . . . . . . .
8
. 80
'
Amount from Iine 1 ot your Statement ot Pro
Tax Pa
able in 1983 (attach e copy)
ert
..
..
p
y
y
7 Amount irom line 2 of your Statement of Property Tax Payable in 1983 . 70
8 Your property tax refund from line 14 of your 1982 Form M-1 PR .....Q8
% '`r° 9 Add lines 7 and 8
: .9_....
. .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10 Subtract line 9 from line 8 10 `
'
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
? 11 Mutti
l
the amount on line 10 b
12 (120%) 71 ''
:
. . . . . . . . . . . . . . . . . .
p
y
y . . . .
12 fill in "none")
Subtract line 11 Trom line 5(if line 11 is more than line 5 12
'
......
, . ..
...
73 Fill in one-half rh) of the amount on line 12 13
'
.
; . . . . . . . . . . . . . . . . . . . .
. . .
.
-14 .
FlII in the amount from the table below
' 74
..
.
. . . . . . . . . . . . . . . . . . .
. . . . .
15 Spqclal property tax refund (fill fn the amount from line 13 or line 14, -
whfchever Is smaller). Also fOf in on line 14 on the tront of this form ...... :...: 15 -
. . . : ? .,.
Table for Llne 14 of Schedule3
?" '
;;
"
`=
..,.. :
... . .
. - .-
S
If your household income irom line Filt in this If your household Inwme from Ilne,.?.:;,, -.,FUI in this
,•7. on the front of this form is: amount on line 7 on the Tront ot thia form Is: . ";"amount ori 1)ne
14 above: ' 14 above: .
atteast butlessthan • atleast . .butleasthan
$ 0 $31,000 $200 $38,000 S37,U00 ,.. , . .. ; ,.., - .. . $80
31,000 32.000 180 37,000 38.000
. ,..
60
32,000 33,000 180 36,000 59,000 1,40
, . 33.000 ' 34,000 140 39.000 40.000 20
34.000 35,000 , 120 40,000 or over
35.000 36,000 100 . ,.
FV-0001310
,/Id9 e. I
104 0 Department ol the Treasury-Int<rnal Revenue Servite
? U.S. Indivldual Incmmp TaY Ratur
Label 11 Yaur tirst name and initial last name
L ***********? 3-DIGIT 551
us0RS(aeei. a
Otherwise. RU 474-07-6286 471-22-8502 S09 3E '
e
PleasePrmt L DONALD F& LUCILLE M WARKENTIEN R';
artype. x HoR 4135 LEXINGTON WAY 2365
a EAGAN MN 55123 _
E Gty, town or post oihce. state and ZIP cade. (It a foreign atldre5s, see page i)
Presidential ' Do you want $1 to go to this fund?. .
Election Campaign If joint return, does your spouse want $1 to qo to this fund?
1
Filing Status Z
3
Check only
one box 4
5
Exemptions
(See
InStruchons
on page 8 )
6a
note: cnecxmg reswm
natchange your tax or
reduce rout reluntl.
Single
Marrietl filingjoint return (even if only one had income)
Married filing separate return. Enter spouse's saial security no. above and tull name here.
Heatl of household (with qualifying person). (See page 7 of Instructions.) If the qualifying person is your child but not
your dependent, enter child's name here.
ualrf m wipow(er) wrth de eneent chdd ( ear s ouse died ? 19 ). (See a e 7 of Instructwns.
Yourself If someone (such as your parent) can claim you as a depentlent on his or her taa Na ol hoia
return, tlo not check box 6a. But be sure to check the hox on line 33h on page 2. . chacked on 6a Z,
b 9 SPouse . . . . . . . . . . . . . . . . . . . . . . . . . aM 6b
-
c
If more than 6
dependents, see
Instructians on
page B.
Dependents:
(1) Name (hrst, inibal, anE last name) 12l CnecM
?f under
age t (3) R age 2 or o1Uer, depen0enfs
wial ?uuly num6e
(d) RelatmnsAip (5) fio. af montAs
IirN m yaur Mme
in 1989
No. ol your
children on 6e
NI10:
• Iired wiM rau
• didn't Iiw wiM
you due to
dirarca or
separo8on (xe
W6e9) -
No. of other
dependenh on & _
d if your chdd aidn't Ine wrth you but is claimetl as yaur dependent under a prr1985 agreemeM, check heie ?? pdd numben
eMxedan ?
a r.tai m?mhar nf evamntinn< rlvmnA lines a6ore 0- 7 Wages, salanes, tips, etc. (attach Form(5) W-2) . . . . . . . . . . . . . 7
Income Ba Taxable mterest mcome (also aKach Schedule B d over $400) ....... 8a 3 01 7 `F
Please attach b Tax-exempt mterest mcame (see page 10). DON'T mclude on line 8a 8b
Copy 8 of your g Dmdend income (ako attach ScheCule @ if over $400)
. . .
. • •. g
•
-
farms W-2, w2G,
e 11 of Instructions
30 Ta%able refunUS of state and local incame taxes
from worksheet on
if an
a
d W
2P h 10 a a
. .
p
,
y,
g
an
ere.
-
11 Alimon
received
11
y
. . . . . . . . . . . . . . . . . . . . . .
If you do not have
a W-2
see 12 Business income or (loss) (attach Schedule C) 12
,
. . . . . . . . . . . . . . .
p
age6
13 Capital
ainor(loss)(attachScheduleD) 13 a ?
?
g
. . . . . . . . . . . . .
tions.
.....
14 Capital gain distributions not reported on line 13 (see page 11) 14
.....
. . . . .
15 Other gains or (losses) (aftach forrtr 4797)
. 15
16a Total IRA distributions 16a .
G C .
. . .
a` 166 TaxaGle amount (see page 11) 16b 3 ??? <^
17a Total pensions antl annuities 17a ? G ' 17b Taxable amount (see page 12) 17h
...
I
18 Rents
royalties
partnerships
(attach Schedule E)
estates
trusts
etc 18
-
,
,
,
,
,
.
.. ,_
I 19 Farm income or (loss) (attach Schedule F) 19
20 Unemploymentcompensation(insurance)(seepagel3)
. Z0
. . . . . . .
Please 23a Sxialsecurity6enefits
I23a? 4y V I Ra 21bTaxableamount(seepagel3) zlb
. .
attach check
or money 22 Other income (list type and amount-see page 13)
ZZ
_,
"_"""'_"""'_""""'_" ........
mtler here. 23 Add the amounts shown in the tar nght column for Imes 7 through 22 This is your total income ?
23 .
b 0 i
24 Your IRA tleduction
from applicable worksheet on page 14 or 15 24
,
Adjustments 25 Spouse'slRAdeduction,fromapplicableworksheetonpage14ar15 25
to Income 26 Sel6employed health msurance deduction
from worksheet on page 15 26
,
27 Keogh retirement plan antl self-employed SEP deduction 27
.
28 Penalty on early withdrawal of savings 28
.. ....
(See 29 Alimony paitl. a Recipient's last name
Instructions andbsocialsecurdynumber. . .
29
on page 14
30 Add lines 24 throu h 29. These are our total ad ustments .
?
30
Adjusted 31 Subtrect line 30 from line 23. This is your adjusted gross income. If thrs line is less than
$19340 and a chdd lrvetl wdh you, see "£arnetl lncame Credit" (hne 58) on page 20 0(
Gross I ncome fhe Insfruchons. If you wanf IRS fo figure yow fax, see page 16 of the Instructions ?
31
16 La'
4 ,t
Your sxial sacurity numbar
q 7yi O 2' ; L Z9d
Spouse's axlal seeurity numEer
N47 /'J'Se?
no. For Privacy Act and
Paperwork Reductlon
Act NMice, see
Instructions.
ty?lle y< z.
, Form 1040(1989) Page 2
en n..........<......r.....?ir?w.?..?..w...,...?.........e? 32 ?620Q &
.....__.._.._......._"`__'__'_'° . . .
alf 33a Check if: N You were 65 ar older ? 81ind; ? Spousa was 65 or older ? Blind.
'OIIIPU? Addthenumherof6oxescheckedandenterthetoWlhere. . . . . . . ? 33a /
ation b If someone (such as your parent) can claim you as a dependent, check here .. ? 33b ?
c If you are married filing a separate return and yaur spouse itemizes deductions,
or you are a dual-status alien, see page 16 and check here. .... .. ? 33e ?
34 Enter the • Your sWndard daduction (from page 17 of the Instructions), OR ?
. 34 ? 4'
line 26). .
r I• Your itemized deductlons (from Schedule A
lar
.
,
ge
of: ? If yau itemize, attach Schedule A and check here ..??
35 S`J `
lt h
h
i
32
E
? E
ere .. ............
nter t
e resu
35 Subtract line 34 from l
ne
.
36 ' c n.
6
6e
d
l •<
........,
on
ne
aime
36 Multiply $2,000 by the total number of ezemptions c
enterzero) . . 37 1
result(iflessthanzero
th
36f
li
E
t
i
35
,
er
e
rom
ne
n
ne
.
37 Taxableincome.Subtractl
Cautlon: If under age 14 and you have more than $1,000 of investment income, check here No ?
and see page 17 to see if you have to use Form 8615 to figure your tax.
38 Enter tax. Check if fiom: aERTax Table, b? Tax Rate Schedules, or c ? Form 8615.
3$ z?
? d ? .)
....
(If any is from Form(s) 8814, enter that amount here
39
4970 b 0 Form 4972
? F
orm
39 Additional taxes (see page 18). Check if from: a
40 Add lines 38 and 39. Enter the tatai .. ... .
. ll? 40 ?2' °
endent care ezpenses (attach Form 2441)
41 Credit for child and de 41
p
attacAScheduleR)
Credits
di
bl
d
f
ld
l
th
2 42
. . .
(
orthee
yor
e
sa
e
Credit
er
4
credit (attach Form 1116)
43 F
n ta
S 43
. . . . . . . . ,
ee
oreig
x
(
Instructions 44 General business cretlit. Check if fram:
on page 18.)
f
)
b ? F
00
?
?
...
orm (speci
y
or
a
Form 38
hForm8807)
i
t
(
i
i
it
f 45
. . . .
n
ax
a
ac
orpr
aryearm
mum
45 Credit . 46
46 Add lines 41 through 45. Enter the total . . . . . . . . . . . . . . . . . . .
4' Subtract line 46 from line 40. Enter the result if less than zero, enter xro .? 47 0,;P
?
48 Self-employmenttax(aftachScheduleSE) . . . . . . . . . . . . . . . . . .
Other
49
Taxes 49 Alternative minimum taz (attach Form 6251) . . . , . . . . , .
so
4255 b ? Form 8611
Q F
.
orm
50 Rewpture taxes (see page 18). Chetk if trom: a
51
4137)
h F
?
?
...,..
orm
e EIC 51 Social security tax on tip ineame not reported to employer(attac
A
dvanc
52
5329
F
) ............
orm
Payments) 52 Taz on an IRA or a qualifieE retiremeM plan (attach
. . . . . . . . . . . . .
53 Add lines 47 throu 52. Enter the total .? . . . . 53 " a^
. . 54
h F
8808)
i
M
di
. . . . . . . . . . . . .
orm
um (attac
e
care 54 Supplemental Medicare prem
Premium 55 Addline553and54.ThisisyourtotalW:andanysupplemeMalMedicarepremium . . ? 55
56 Federalmcametazwithheld(itanyi5fromForm(5)1099.chttk?Q)
57 1989 estimated tax payments and amount apDlied fram 1986 reNrn
Payments
di
20) 56
57
5H bU 36
. . . . . . . . . .
t (see page
58 Earnad income cre
tension re
uesq
id
F
4868 59
.....
q
(ez
orm
with
Attach Forms 59 Amount pa
W-2
W-2G
e 20)
a
thheld (see
d RRTA t 60
.
g
p
ax wi
, ? ?cess social security tax an
and W-2P
h F
4136)
f
l
tf 61
.....
s (a
oim
ue
ac
to front. 61 Credit far Federel Wx on
R2 aoouiatnd investment camoanv credit (attach Farm 2439) ..
6Z
.__ r
,.
63 Add lines 56 through 62 These are your total payments ?
64 If line 63 is largerthan line 55, enter amount OVERPAID . . . . . . . . . . . . . ?
65 Amount of line 64 to be REFUNDED TO YOU . . . . . . . . . . . . . . ?
Refundor 66 Amauntofline64toheRPPLIEDT0Y0UR1990E5T1MATEDTAX?I 66 1 Z2 sl•+
Amount 67 If fine 55 is larger than line 63, enter AMOUNT YOU OWE Attach check or money order for full
YOU OW@ amount payable to "Internal Revenue Service." Write your wcial securiry number, daytime phone
number, and "1989 Form 3040" on it . . . . . . . . . . . . . . . . . . . .
SI n Under Oenalties of per7ury. I declare that Ihave exammed this reWrn and aaompanpng sche0ules and statements, and ta tM best of my knowleGge and
sedanallinformationofwh¢h preparorhasanyknowkdge.
i
b
g Oelief,theyaretrue,corcect.antlcom0lete OecWrefionafpre0arer(otherth a
antaxpayer)
s
Here v
oursiena
t
ure Yourxcupanon
Date
(Keepacopy ?
-
? /
ofthiSretUm Spousp ssig aNre (ijamlretum.BOTHmus[sign) Date Spouse'soccupation
foryaur
record5.)
3(2 O
Date Preparer's socmi secunry no
Paid Preparer's
signature Checkif
Self?employed ?
Preparer's Firm's name (or E.I. No.
Use Only youro if self-empioyetl)'
21P cotle
and adtlress
oF
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 551 42-1 897
PHONE (672) 454-8100
FAX (612) 454-8363
December 21, 1990
MR & MRS DONALD WARKENTIEN
4135 LEXINGTON WAY
EAGAN MN 55123
Re: Sen3or Citizen Special Assessment Deferment
Parcel No. 10-02200-031-76
Dear Mr. and Mrs. Warken[ien:
THQMASEGAN
Nayor
DAVID K. GUSTAFSON
PMAF.LA /.kQiEA
TIM DAWLEMY
THEODORE WACHiER
Council Mern6¢6
TFIOMPS HEDGES
Crty Atlmmstrata
EUGENE VAN OVERBEKE
cdy clem
C^• ,? t
In official action of the City Council at its regular meeting held
December 18, 1990, the above referenced application was approved
as presented.
This information is being forwarded to the Dakota County Auditor
and will be reflected on all subsequent assessment searches as
senior citizen deferred assessments. Please note that under certain
conditions such as the sale, transfer, or su6division of all or
any par[ of the proper[y or loss of homestead status, the deferment
[erminates and all amounts accumulated plus applicable in[erest
become due.
Please call if you have any questions regarding this matter.
Sincerely,
E. VanOverbeke
Finance Director/City Clerk
cc: Deanna Kivi, Assessment Clerk
Linda Fink, Accountant II
dk
Enclosure
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
Equal Opporfunity/Affirmaffve Actfon Employer
A!^Ci lrVCi ?" , , / r._GC -L
/.1-,0- 9a
SPECIAL ASSESSMENT SEARCH SUNIIMARY
AS OF: 12/07/1990
PROPERTY ID: 10-02200-031-76
S/A# ASSESSMENT DESCRIPT
100689 W TR-304
100692 WLTR 299-3
101018 SS-TRH 411
101569 STK478
101570 SL478
102107 ST 572
------ SUMMARY OF LEVIED
****** 1990 P&I CERTIFIED
------ SUMMARY OF DEFERRED
------ SUMMARY OF PENDING
------ SUMMP.RY OF CLOSED
Z
YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
1981 15 11.0000 1729.00 115.26 691.66
1981 15 11.0000 2993.45 199.56 1197.41
1985 15 11.0000 8218.49 547.89 5479.04
1988 10 9.0000 3062.80 306.28 3062.80 DF
1988 10 9.0000 7578.75 757.87 7578.75 DF
1990 10 8.0000 13813.95 1381.39 13813.95
26754.89 862.71 21182.06
1768.10
10641.55 0.00 10641.55
0.00 0.00 0.00
0.00
Press ENTER; or F1, F4, F5, F7, F8
CC?4 4-(-? Y,
? /? ? ? ?Ci f CJ ? ( ?' c? C??dJ ? ?c" Ca.-»,-?.-? = /Caw Q d
?1r !? cz ? l i? ??7 //?n? QN j' ? ? s ?° ? ?
d
MEMO TO: DIANE DOANS, IITILITY SILLING CLERR
FROM: EDAARD J. RIRSCHTp SR. ENGINEERING TECHNICIAN
DATE: JiTNE 19, 1990
SIISJECT: STREETLIGHT ENERGY COST FOR PLAT AND PARCEL
NOIB. 02200-010-77; 02200-031-76; 02200-011-76;
LOT lt BLOCR 1 W. SC$MIDT ADDITION; LOT 2, BLOCR l,
W. SCHMIDT ADDITION; AND 02300-012-54
This memo is to inform your department to start to invoice the
energy costs with the next scheduled utility billing to the
property owners of plat and parcel No's. 02200-010-77; 02200-031-
76; 02200-011-76; Lot 1, Block 1, W. Schmidt Addition; Lot 2, Block
1, W. Schmidt Addition and 02300-012-54 (see attached sketch).
The streetlights were installed under Project 572 in conjunction
with the upgrading of Lexington Way, and Dakota Electric is
currently billing the City for the energy costs.
Edward J. Kirscht
Sr. Engineering Technician
cc: Thomas A. Colbert, Director of Public Works
Michael P. Foertsch, Assistant City Engineer
Attachment
EJK/jf
o ^ m .
d la l? ? ?a??, I ?? '
ela?. *„ iil COMMI}N1TY
-` = JOY CQRCF1r
AD01T1.
ON ° t •• r ?
kk\\ 7 ? ?t'?
N8a•
? \i • ? ? J ? t
r-r- _ - -r- ? .... --? .,
? ? . ':....? ,.w. -
. ,?
o II • 74, I ';ru ? °s t ?. 1 ?j• ',?y
?
. 0 31- 7fo ' EACi?N •?R, l . ?+,! , ?
i
' EVANGELICAL? '•
,
W
COVENANT CM.IRCH `, ''1 , •
w SCNMIDT
A D
--
-?----.I.?o.o'------ --?z ?
O Y..M
= a
x ?
W --
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--------'-- ` L
OIO-71 0 12--f`f ? ..... ?
,.
f
.. ..
.0f !
....... ^ . ?_-
OF
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122-1897
PHONE(612) 454-8100
FPJ(. (612) 454-8363
October 26, 1989
DONALD F WARKENTIEN
4135 LEXINGTON AVE
EAGAN MN 55123
Re: Parcel 10-02200-031-76, Fillinq Operations
Project 572, Lexington Way (COntract 89-18)
Dear Mr. Warkentien:
V1C ELLISON
Mc?or
THOM0.5 EGAN
DAVID K GUSTAFSON
PAMEL4 McCREA
THEODORE WACH7ER
Camcd AAemEns
niorvvas HEOees
Ctty PdmlMrnaior
EUGENEVAN OVERBEKE
Ctty Cierk
Recently, it was observed that you were having additional fill
placed within the ravine located on the north side of your
property. Present City Code requires that any fill placed on
property that covers more than 10,000 square feet or exceeds a
depth of 4' (approximately 2,000 cubic yards) must have a permit
issued by the City of Eagan before the work can commence.
Some of the permit and code requirements stipulate the need for
erosion control measures, minimum side slopes and proper vegetation
restoration in addition to a detailed grading plan for adequate
review by the City to help ensure that there are no future drainage
problems associated with your operation.
Unfortunately, this work has commenced without the qradinq permit
being applied for. However, this does not relieve you of the
liabilities associated with having the work performed properly.
Therefore, I urge you to contact Mr. Craig Knudsen, Engineering
Technician, involved with grading and drainage aCtivities. FIe can
assist you in processing your permit application.
Sincerely, cc: Craig Knudsen, Engineering Tech
C?}??, Landwehr Heavy Moving, Contractor
?/f '?I ` Bob Frigaard, Contract Manager
/f ` ?,%
hP.E.
Director of Public Works
TAC/jj
TNE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
Equal Opportunity/Affirmative AcTion Employer
OF
3830 PILOT KNOB ROAD, P.O. BOX 21799 BE4 BLOM4UIST
EAGAN, MINNESOTA 55121 nnwor
PHONE. (512) 454-8100 iHOAh4S EGAN
JAMES A SMIiFi
V1C ELLISON
April 4, 1986 TMCoDuxRMemben WACHTER
7HOMAS HEDGES
. Ciry Adminirnaror
EUGENE VAN OVERBEKE
CM Cle*
MR BOB ROSENE
BONESTR00, ROSENE, ANDERLIK & ASSOCIATES
2335 W TRUNK HWY 36
ST PAUL MN 55113
Re: Extension of Storm Sewer Outlet From Lexington Avenue
Parcel Location: 011-76 & 031-16, SE Quarter of Section 22
I would like to have your firm prepare a cost estimate for extending
the existing storm sewer outlet from Lexington Avenue to the
northwest to the east line of Patrick Eagan Park. I need this
information because we are dealing with a couple different insurance
companies regarding damage caused by a past water main break
in this vicinity.
I would appreciate if you could get this
April 15, 1986. If you have any questions
please contact either myself or Tom.
Sincerely,
Richard M. He i, P.E.
Assistant City Engineer
RMH/jj
cc: Tom Colbert, Director of Public Works
information to me by
regarding this request,
THE LONE OAK TREE. .. iHE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY
II l ?.• _..` II1'{. ? ??„i
+J ?? ?/:'?y ?. ?? •• ' ?."?! 1. ?? • . -
? ' ...:??"?`' \• ..,.`; . f?;?? ?,4 ; ??` ? '- ? .
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a.? n31
BEA BLOMQUIST
MAYOfl
CITY OF EAGAN
, 3786 PILOT NNOB RGAO'„?
' EAGAN. MINNESOTA '
, saixz
PMONE 651-8100
TMOMASMEDGES
CIiV AOMINISiPAiDfl
THOMASEGwN
MARK PARRANtO
JAMES A SMITH
THEODORE WACHTER
COONCIL MEMBEPS
April 27, 1981
DCxIF1LD F [4ARF?'.NTIIId
4_135 LEXINGiON AVEN(JE S
EAGAN MN 55123
. ' ' 1? .•:e"
• °''' Y'w.''??Ly .
y?N\
--
EUGENE VAN OVERBEKE
GITY CLEPN
Re: Parcel 10-02200-020-7C& 030-76 - Project 304 - Assessable Area Reduction
T1aar Mr. Warkentien:
As you are aware, your request to reduce the assessable acreage and frontage of
the abovrreferenced parcels was presented to the Special Assessrent Camittee of
March 31, 1981. The Special Assessnent Camdttee reviewed the infonnaticn sub-
mitted and ngreed to reduce the assessable frcntage for latPSal benefit for trunk
watermain to the southerly 215' of Parcel 030-76. In addition, the total assess-
able acreage for trunk warPn+oin assessients £or Paroel 030-76 is 1.63 acres (215'
by 330') and for Parcel 020-76 the total assessable acreage is 0.84 acres (170'
by 2151). 'I'his was based on the valuation of the severe topography of the parcels
in question. This recmrtendaticn was then oonsidered by the City Council at their
nreeting on April 21. The City Council concurred with the reornmendation of the
Special Assessment Ca[RUttee and approved it.
Therefore, when the final assessTent role is prepared for Project 304, your assess-
able area and frontage will be reduced in ccepliance with the action by the Special
Assessment Comnittee and City Council. If you have any questions ne*-+Tjning to this
action, please feel free to oontact me.
Sincerely,
?
Thanas A. Colbert, P,/.
Director of Public hbrks
TAC/jac
cc - Ann Goers, Special Assessnent Clerk
THE LONE OAK TREE ... TME SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY.
/D paacb aa o 71o
/D AUo0 030 74
October 21, 1980
Ms. Ann Goers
Special Assessment Clerk
City of Eagan
3795 Pilot Knob Road
Eagan, Minnesota 55121
Dear Ms. Goers,
Z??'J•;?
?
I have combined the two parcels of land at 4135 Lexington Avenue South into one
description for a total land size of 5.52 acres, which will qualify me for the
20% reduction in area assessment for the water project now approved. The descrip-
tion of the lots was:
District 10
Plat 02200
Lot 020 also Lot 030
Block 76 2 Block 76 8
I also request consideration for additional deferment of lateral charges and area
charges due to the terrain of my property. My land extends 365.1' (North/South)
on Lexington Avenue and is 660' deep (West). There is approximately 65' on the
South side of the property which is level with the road - it then drops sharply
into a ravine which reaches a depth of 40' to 50' deep within 75' of the road.
A county culvert extends under the road and empties into the ravine, causing an
erosion ditch of 10' to 15' in depth. This entire ravine cannot currently be
developed.
My home is about 275' back from the road on this narrow level strip. The land
then drops approximately 50' in elevation to the East boundary of Patrick Eagan
Park. This hillside of 2.5 acres could have been developed, but unless sanitary
sewer lines run North-South along the park boundary, the cost of eventual sewer
hook-up makes the development of this hillside prohibitive.
The topographical map in your office clearly illustrates the contours of this
land.
truly yo rs,
,Ve,r,y
Dona d F. Warke? nt?
4135 Lexington Ave. South
Eagan, Minnesota 55123
454-1181 or'423-5518
/,0 40.100 D91 74-
III. NF.W BUSINESS
J. Don Warkentien - Project 304 (Schnudt Addition) - Reduction
We have reoeived a letter fran Mr. Don Warkentien requesting consideraticm by
the Special Assessre.nt Ccumiittee pertaining to the proposed assessment fran
Project 304 relati.ng to the installation of watPrniain facilities im mnjimr
ticn with providing sesvioe to the ScYnnidt Addition imnediately to the south
of and adjacent to Mr. Warkentien's parcel. Mr. Warkentien indicates severe
topography hardships in ocnsidPSaticn of assessaients on his property. A copy
of his letter and supporting topography and location maps are provided for
infonnation purposes. Mr. Warkentien's proposed peTMd;ng assessments anotmt
to an estimabed $7,100.00 based on four assessable acres for watzr area tnmk
at $700.00 per acre ($2,800.00) and 364 Peet for water lateral at $10.60/foot
($3,859.46) with a water service being installed ($450.00). A oopy of the
site location map together with an illustration of the topography over this
property is enclosed along with Mr. Warkentien's letter of request.
STAFF'S
Because of the topography of this parcel and its location adjacent to Patrick
Eaqan Park, it is questionable whether the entire 5+ acres can be developed.
Therefore, the staff would have no objection to eliminatiTra the north 150'
and the west 160' fran trunk area oonsideration and lateral benefit fran trunk
assessment rates. This would iTrply that the southerly 315' of lateral bene-
fit fran tnunk watennain wvuld be assessed in addition to the installed water
sexvice. The assessable area used to calculate the tnmk area water assess-
irent would be defined as the easterly 500' of the southerly 250' of Parcel
031 76 which would encmpass approximately 2.47 acres for assessment puzposes.
li/.rer Scrviaw J??p. 00
GJat? 4hc-e_. a,3-Aes. at 'DO, p« At, yy7f. p4 -/5yrs -//?o
1
46
October 21, 1980
Ms. Ann Goers
Special Assessment Clerk
City of Eagan
3795 Pilot Knob Road
Eagan, Minnesota 55121
Dear Ms. Goers,
I have combined the two parcels of land at 4135 Lexington Avenue 5outh into one
description for a total land size of 5.52 acres, which will qualify me for the
20% reduction in area assessment for the water project now approved. The descrip-
tion of the lots was:
District 10
Plat 02200
Lot 020 also Lot 030
Block 76 2 Block 76 8
I also request consideration for additional deferment of lateral charges and area
charges due to the terrain of my property. My land extends 365.1' (North/South)
on Lexington Avenue and is 660' deep (West). There is approximately 65' on the
South side of the property which is level with the road - it then drops sharply
into a ravine which reaches a depth of 40' to 50' deep within 75' of the road.
A county culvert extends under the road and empties into the ravine, causing an
erosion ditch of 10' to 15' in depth. This entire ravine cannot currently be
developed.
My home is about 275' back from the road on this narrow level strip. The land
then drops approximately 50' in elevation to the East boundary of Patrick Eagan
Park. This hillside of 2.5 acres could have been developed, but unless sanitary
sewer lines run North-South along the park boundary, the cost of eventual sewer
hook-up makes the development of this hillside prohibitive.
The topographical map in your office clearly illustrates the contours of this
land.
Veru? yours,
/
?.? L./?.i?
Dona d F. Warkentien
4135 Lexington Ave. South
Eagan, Minnesota 55123
454-1181 or 423-5518
A'1
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955?213.
: 5 C 22
CORRECTIVE UTILITY EASEMENT
IN CONNECTION WITH EAGAN CITY PROJECT NO. 478
This easement, made this
between DONALD F. WARKENTIEN
wife, herein referred to as
Minnesota municipal corporati?
State of Minnesota, hereinafter
day of
and LUCILLE
"Grantors" a
Dn, organized
referred to as
W ENTIEN,
id the CITY
under the
"Grantee".
_, 19f- ,
husband and
OF EAGAN, a
laws of the
WHEREAS, an utility easement deed was executed February 16, 1987
and recorded as Document No. 792377 between Donald Warkentien and
Lucille Warkentien, husband and wife, as Grantors and the City of
E.aaan as Grantee over the followinq described tract:
? The North 55.00 feet of the south 1165.00 feet of the West 10.00
feet of the East 43.00 feet of the Southeast Quarter of the
Southeast Quarter of Section 22, Township 27, Range 23, Dakota
County, Minnesota. (hereinafter "Old Easement"); and
?.:
y WHEREAS, this Old Easement contains incorrect distances; and
WHEREAS, the City of Eagan as Grantee now wishes to release the
Old Easement and record a new easement incorporating the correct
distances.
NOW, THEREFORE,
The Grantors, in consideration of the sum of One Dollar and other
good and valuable consideration, the receipt and sufficiency of which
is hereby acknowledged, do hereby grant and convey unto the City, its
successors and assigns, forever, the following utility easement:
The North 50.00 feet of the South 795.00 feet of the West 10.00
feet of the East 43.00 feet of the Southeast Quarter of the
Southeast Quarter of Section 22, Township 27, Range 23, Dakota
County, Minnesota.
See Exhibit A.
The grant of the foregoing permanent easement for utility
purposes includes the right of the City, its contractors, agents and
servants to enter upon the premises at all reasonable times to
construct, reconstruct, inspect, repair and maintain pipes, conduits
and mains; and the further right to remove trees, brush, undergrowth
and other obstructions. After completion of such constructions,
maintenance, repair or removal, the City shall restore the premises
to the condition in which it was found prior restore the premises to
the condition in which it was found prior to the commencement of such
actions, save only for the necessary removal of trees, brush,
undergrowth and other obstructions.
And the Grantors, for themselves and their successors and
assigns, do covenant with the City, its successors and assigns, that
they are well seized in fee of the lands and premises aforesaid and
have good right to grant, convey the easement herein to the City.
10 - vzz - 0 51 -7co
And the Grantee does hereby agree to release the Old Easement by
the recording of this document.
IN TESTIMONY WHEREOF, the Grantors have caused this easement to
be executed as of the day and year first above written.
GRANTORS:
Donald F. Warkentien
Lucille Warkentien
GRANTEE:
CITY
?
-11 / y: Thomas A.
_ its: Mayor
Atteb4y ' E. J. Van
Its: City Clerk
STATE OF MINNESOTA
) ss.
COUNTY OF 'rR )
On this cgql-j day of , 1420, before me a Notary
Public within and for said Cou ty, personally appeared DONALD F.
WARKENTIEN and LUCILLE WARKENTIEN, husband and wife, to me personally
known to be the persons described in and who executed the foregoing
instrument and acknowledged that they executed the same as their free
act and deed.
?r DENIw S? EKOENCK
NOTApyPUBLi[p'tolatc.?'VSM? Notary Publi
`mP? Mr Cammiwon Exo-1<.
, .. .
Ali-7f
- f -T-mr'
o;l-"
'? 12
C ity at Ea4vn
4tlA-71
PARK
N
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.y
o1p••N?
n1 SCHM IDT
W. ?J I
------.6(.?.0?------ --
>
?
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wo-17
Y N0.
Exhibit A
STATE OF MINNESOTA )
) ss.
COONTY OF DAKOTA )
on this li %'1 day of 19_?Ld, before me a Notary
Public within and for said County, personally appeared THOMAS A. EGAN
and E. J. VANOVERBEKE to me personally known, who being each by me
duly sworn, each did say that they are respectively the Mayor and
City Clerk of the City of Eagan, the municipality named in the
foregoing instrument, and that the seal affixed on behalf of said
municipality by authority of its City Council and said Mayor and City
Clerk acknowledqed said instrument to be the free act and deed of
=aid municipality.
q •?IN!I.i•r.....,r.r.......'er...?
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a ?? ?•. ?in
? C?.?•„i? r ??;IiY `
Y' ?r •,.? ,F ^ ?'?;
? .?. ....?.' ... .. . ....... ....
APPROVED AS TO FORM;
` ? .
- • n .'LLfCI
City ttorney' Office
D?te• /•;' S Y']
APPROVED AS TO CONTENT:
t YNW-A? "
Public Works Department
Date• I '- e, Z, }
THIS IPISTRUMENT WAS DRAFTED BY:
i ? ???,
Not ry Pub ic -? ?
SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Building
7300 West 147th Street
Apple Valley, MN 55124
(612) 432-3136
JPE
Rranefer Ent7d rwP ? - ?
day cf ---19 ?r
?
?-
ati^:,?c'u' Co.
? APPLICATION AND AUTHORIZATION FOR DELAYED PAYA9ENT OF TAX
, ON SPECIAL ASS?SSMENTS FOR SENIOR CITIZENS' HOMESTEAD
LAWS 1974, CHAPTER 206
` STATE OF MINNESOTA) rr ?,1,f ?'
COUNTY OF DAKOTA ?????j ?O?p
pATE Q?s ! s 19
T0: County Auditor, Dakota County, Minnesotab
I, the undersigned, declare under penalties of perjury:
That I reside at si! ok 4,/
That I am not less than 65 yea s of age nd that the date o my birth is s
That I am the owner of the property le ally described as: , n} /Ijqqlz,
oF ? C.Ga rT af SE ?fjt o? .fE .fe?%ew ?-+- TAIM l? J?sw#e ).3.
'D;st eitit L.t q 1 K
/e eLS..e dJi 9t ?
, Property Identification No./o ej6a44 a31 ]G ?
That my interest in the ownership of the above property was aquired on
19and is as follows:
1. Sole ownership (Enter Yes, if applicable)
2. Juirit tenancy, neid with r„/'#:f4K?i/It
3. OTHER undivided interest (Speci?y)
That on January 2, 19 or June 1, 190*f' I owned and occupied the above property as my
homestead and such occupancy began on 1P 19 r7
That the installments for imp rovements on the SPECIAL ASSESSMENTS duly adopted in ordin-
ance by the C.7"y C•,.,,?, ( OF ?d7LM AS OF S?,f /7 19pf
which have been a located against the subject pro erty would create undue personal hard-
ship on my behalf and I respectfully request that payment be delayed and that such in-
stallments be so deferred for the years 19&`f to '27*- •? f?/e .f
SIGNED ~.l{ e?a.?I4.??, 366?!'il /L'/
0I hER SPOUSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
?I, , Clerk of the OF
IN County, State of Minnesota, do hereby certify that the application
of above named, has been duly reviewed am3 that '
in aczerdance with the! minutes of official record in said chambers was duly :
APPROVED or DENIED as of 19
That in accordance with approval granted, the SPECIAL ASSESS6IENTS listed below on the
affiants subject property levied for annual collection in the amounts and for the years
shown be so deferred with interest at the annual rate shown until such time as it is
deemed the applicant no longer qualifies or the property loses its eligibility.
ASSESSMENT D/P N0. TOTAL AMOUNT YEARS INTEREST RATE
DATED
19
Clerk or Authorized Deputy
(over)
/
.
PROPERTY TAX STATEMENT THOMAS V. NOVMK
PAYABLE it, 1985 - UAKOTA [OUNTY TREASUtE;t
DONALD & LUC;ILLE WARKENTIEN 60VENNMEPR CEMEF
fi
F10, HASTINGS, MINN. 55(C7 3 STATE •
T.,;;??'
}
4
COUNTY
!tK
?IS7 VLAT lOT 5 TOWNSXIV OR CITY
i Q 4224? 031 76 4 cP:
aoox 4135 LEXINGTON WAY 6 SCIIOOlDISTRICT
EAGAN MN 55123 ECIA Sr:Ssmm.
w
S 7 piHER TA%ING DISTRICf
/
HpMEOFiAXPATER
?r CCMP
ASSESSMENT AMOUNT a. RSCRL DISPRNITY
196
ENTIEN
LE WARV
I b. DEVELOPMENiDISiRICi
.
.
DONALD & LUCI
PIlOP9TY NOMFSRICW
.: op
4135 LEX I NG?ON WAY 689 W TR-304 2b7. 4',2
8
TAX BEFORE CREDITS
55123 692 WLTR 299-3 462.93
)u 2, M oo Jux i, nu EA6AN MN
YES 9 CREDITS WNIq1 REDUQ YW0. TAX
ELIGI LE FOR A REFUND a. STA7E SCNOOL RGRINli11PA1 CREDIi
TO FIND DUT IF YOVRE EIIGIBLE FOR ONE OR 90TX OF THESE REFUfJDS_.
84
200
b STATE PAIO XOMESTEAO CREDIT
,
THE MINNESOiA PROPENTt TAX RERIND AND ,
iNE SPECIAL PROPER7Y TAX 0.6iIND I c WEiIAND CREDI7
i0.l ON FOpI Y.III USIN6 7NE A11OIINif MXO IElO'M:
1. flLl IM iPIS AMOtlMf OM IIMf 10 ' 1.881.26 d. A6NINLTUYA fNEf61YE5 CRmIT
ANO I150 ON LIXE N S[XF?UI[ 3
t. rnL iM nHn Axoun aM uNE it 650.00 17,
uro uso m uwt'ts sartouu a ?
Nuo A ws? Wiro wa ?xe un m Tnn suiemrt.
''?'i(?'soesc.aiv,lioK?:oF-?';'L?, ,? uc oww
''? ? ?.v:apR QP,E_RTY.,MA AIFFE k IAt BlK
ECTION 22 TWN 27 ?RA1ti1GE i 23 gPKj
3b4. 1 FT QF S 117;0 FT OF p?ASE ,RETAIN THIS roR- toTe
GSO FT OF SE I/4 jOF;SE; TION OF STATEMENT PDR IN71
OSS2O ?'2"?q dt'a.'3 ? YOUR RC{ORDS. pr?xN<
` . THE STATE OF MINNESOTA DOES NOT RECEIVE ANY PROPEF
10 TAX AFTER CREDITS
11 SPECIAL ASSESSMENTS
ro.Ai (s. dren at lA)
TOTAL AMOUNT
" PAYABLE
730. 40 FIRST XAIF INSTALUAENi
415 . 5:3 SFCOND HMF INSTAIIMENT
ENUES. THE STATE waF_MINNESOTA REDUCES Y
374. 43
374.93
1,073.27
58. 13
650. 00
1,961.66
? APPLICATION AND AUTHORIZATION FOR DELAY'ED PAYh1ENT OF TAX
ON SPECIAL ASSESSMENTS FOR SENIOR CITIZENS' HOMESTEAD
? LAWS 1974, CHAPTER 206
--ISTATE OF MINNESOTA)
COUNTY OF DAKOTA ) DATE 71 19 P,r
T0: County Auditor, Dakota County, Minnesota
I, the undersigned, declare under penalties of perjury:
That I reside at
That I am not less than 65 yea s of age nd that the date o my birth is s
That I am the owner of the property le ally described as: T. e f /
o? E C[o FT ef SE ?,[yc o? 3F S¢J.2 Tu•. y; lt...le xy•
'D;iT L.r q 1 K
a11 74 ?
, Property Identification No./e 416s4• a30 That my interest in the ownership of the above property iaas aquired on
19S'7 and is as follows:
r1. Sole ownership (Enter Yes, if applicable)
2. Joint Lenancy, nein witii /„ji{ / w.ai/!?
3. OTHER undivided interest (Speci?y)
That on January 2, 19 or June 1, 19,pr I owned and occupied the above property as my
homestead and such occupancy began on &h?«3Y" 2? 19 ,r7?_•
That the installments for improvements on :.iie SPECIAL ASSESSDfENTS duly adopted in ordin-
ance by the C, jy C.,.,,.,, ! OF ACaPzK AS OF .54-pl" /7 19-Er
which have heen a located against the subject pro erty would create undue personal hard-
ship on my behalf and I respect£ully request that payment be delayed and that such in-
stallments be so deferred for the years 19&S' to 'OsTc •? f?A .f E??b ?
SIGNED&? ?l???J.- 'T' _ Zi,?&
OWhER SPOUSG
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
M M: s *: , , .
I, , Clerk of the OF
IN County, State of Minnesota, do hereby certify'that the application
of above named, has been duly reviewed am3 that '
in aczerdance with t!ie: minutes of official record in said chambers was duly : I
APPROVED or DENIED as of 19_
That in accordance with approval granted, the SPECIAL ASSESSMENTS listed below on the
affiants subject property levied for annual collection in the amounts and for the years
shown be so deferred with interest at the annaal rate shown until such time as it is
deemed the applicant no longer qualifies or ttie property loses its eligibility. I
ASSESSh1ENT D/P N0. TOTAL Ah10UNT YEARS INTEREST RATE ,
c?'.S
DATED 19
Clerk or Authorized Deputy
(over)
. R
•
•
• ?.
. :'
•
f 'z`
?_ .
r'
?•
(
. t?;. .
CP-14-8
DECREMENTSINPRINCIPALANDINTEREST
BALANCE DUE INSTALLMENT INTEREST
ds218•44
79670.60
7*222.71
Gr574.82
„ 6.026.93
5 14 79.04
4.931.15
4.383,26
3.835.37
3s287.4$
2t739.ti9
2,191.70
l9ba3.$1
Ieii9ti.92
548.03
• 547.t39E
547.89
547.89
547.89
547.89
547.B9
547989
547089
547.49
547.ti9
547,89
547.89
547, £!9
547.84
? S
xi too -
sy,?f y
-- -C?E-RTIFICATION
?--?AP.fOUNi ? DATE REC
POS f [D fiY
PA iD TO COUNTY TREASUFi
tih TOATE HI lENT CODE TOTALASSESSMENT
RH 4:1 t018 81 218 49
INSTALLMENTS TO 0[ INCLUDED WITH THE GENEFAL TAXES FOR THE YEAfl
YEAq ASS[SSMENTS CODE AMT.INC.INTEREST
11163,73 19e5 SS-T11,11 411 1018 19711 1 "
843.17 1906 S5-TAN 411 1318
,
1:391166
783.49 1987 55-TkH ?rll 1rJ1b 1r331 j3B
723.23 1985 SS-TkFI 411 1018 1 r271 112
662.97 1989 55-TRH 411, 1028 19210 1e6
602.E9 1990 55-7R.H 411 1016 11150 158
1
542.43 1991 55-TRN 411 1018 42
12090
482.15 1992 SS-TRN 411 1010 1,030 04
i
421.89 1993 55-TRH 411 1018 969
8'
3b1.83 1944 SS-7kH 411 1018 939 152
1
301.35 1995 SS--lRH 411 I018 849
44
241.04 1496 SS-TPH 411 1018 788 ?98
160.81 1997 5S-?kH 411 1018 728 170
22R«55 1998 SS°7F•M 411 lOld 668 44
60.29 1949 SS°TxH 411 1Q1t3 608 i3Z
4), S`
I
? ? SI
o b
?0y? 73?
INTEREST RA
7ST YEAR • jy
REGULAR
" APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX
ON SPECIAL ASSESSMENTS FOR SENIOR CITIZENS' HOMESTEAD
LAWS 1974, CHAPTER 206
STATE OF MINNESOTA)
COIJNTY OF DAKOTA )
DATE- 12-7
T0: County Auditor, Dakota County, Minnesota
#5c!- f l '? /
19 90
? I, the undersigned, declare under penalties of perjury:
That I reside at 4135 Lexington Way, Eagan, MN 55123
That I am not less than 65 years of age and that the date of my birth is 03-01-19
That I am the owner of the property legally described as: 10-02200-031-76
Section 22 TWN 27 Range 23 N 364.1 FT of 5 1110 FT of F. 600 FT of SE 1/4 0£ SE 1/4
, Property Identification Nc8,0-02200-031-76
That my interest in the ownership of the above property was aquired on February
19 57 and is as follows: '
1. Sole ownership (Enter Yes, if applicable)
[. Joint tenancy, neid with (6ife) Lucille Mae Warkentien
3. OTHER undivided interest (Specify)
That on January 2, 19_2, or June 1, 19 I owned and occupied the above property as my
homestead and such occupancy began on n„p„st__ _ 19 r-7
That the installments for improvements on the SPECIAL ASSESSAENTS duly adopted in ordin-
ance by the City Council OF Eagan AS OF 12-7 19 90
which have been allocated against the subject property would create undue personal hard-
ship on my behalf and I respectfully request that payment be delayed and that such in-
stallments be so deferred for the years 1990 to
S I GNE D:?,.,?„Z,?
/ 0 `IVER SPOUSE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I, t•?' ?v??Otvlee?? , Clerk of the OF EQqtQyt
IN County, State of Minnesota, do hereb certify'that tFib application
of Qe,,,,14 F. J4 Luc:lle. ?'1. l.var'?'ie.? above named, has been duly reviewed am9 that '
in ac=erdance with the: minutes of official record in said cham6ers was duly :
APPROVED ? °- ^^Q as of DQCew'0¢e 18 199b •
That in accordance with approval granted, the SPECinL dS5ES5NiENTS iisted beiow on the
affiants subject property levied for annual collection in the amounts and for the years
shown be so deferred with interest at the annual rate shown until such time as it is
deemed the applicant no longer qualifies or the property loses its eligibility.
ASSESSMENT D/P N0. TOTAL AMOUNT YEARS INTEREST RATE
STREET 2107 $13,813.95 10
DATED I ? - I I 19 q D
8%
?? (over)
APi'LICIIiSON AIdD AL'I'TiORIZA:ION FOR D13LAYED P11Yf?S.*?.'NT O.N.' ^_'.'V,:
C-nt SPF.CIAL AuBESSt2,P1T3 a6R SE.IIOR CITI^L:VS' HOAIESTF;AD
LAF9S 1974, C&'1FTF.R 206
STATE OF T9IT•rivE30T11 )
)
COUNT-v Gs DIANOTA ) DA'fE ?2cern h=-.-,?i 19?
:o: Co•,mty Auli.ror, Dakota County, Plinnesota
I, the ur.@ersi.gned, deciare under penalties of perjary:
'1'hat I reside at /q/;% r? ex rtc /?r a+
i r
That Z am aDl: less than 65 years of aqe and that'the date of my bir' th is y< li
'i'ha;. Z aia t:e cw;ie: of the propezrty legally described as: Sec r/" 4-C
N2? v
Pmperty Id:ntification PIO. '? s r" I ri "'r 0 7-zoo L. V3 / d3 /X 7 6 y
That my ir.terest in the ownership of the ahove property was aquired on Y4-j-
19 and is as follow,,:
1. Sole ownership (Drter yes,
2. Joint tenancy, hald with ;
3. Other undivided interest (
if applicable)
That on Jar.vary 2, or June 1, 19 I owned and occupie3 the above pracerty
as ray homestead and such occupancy began on 19 S8
:r'13t tlie ir.sta.llu-Ye.nts for improvementa on the special assessments duly ac?opted in
ordinance by tYie of as of 1-9
which have been allocated against the subject piroperty would create ur:Q+.as perso:tal
hazdship on my behalf and I respectfuZly request that payment be delayed and that
such instullments be so deFerred for the years 19_ to 19
signe46,4 ?LiJfL_.C
ocuner
C2erk of the of
yn County, State of t•linnesota, do hcrebp cerL•iiy that the
application of above naned, has been duly reviexed and tiiat in
accordance mith the min:ates of official record in said chambers was duly
APPROV?'D or DENIED as of 19
That in accordance with appmval granted, fi.he special assesQnents listed below on the
af£iants subject property levied for ar_nual collecti.on in the a-maunts and for the
years shown be so deferred with interast at the annual rate shown until sLCh t;zae ac
it is dee-me3 the applicant no longer qualifies or the pmperty loses its eligib31it1
Xears of
Name of Audi.tors D/P 'FOtal Co113.ectien Int(--rest
11ssessiaent Plutwer PIo. Amount Unc:u3ice) pli}e
Dated 19
(Clerk or Authorized Deputy)
(over)
Hf'PLIGATZO,I APM AL'THORIZA^;ION FOR DGLF+?'ED I'AYt•k,NT 0F ?'_i;:
Ont SPF.CIAL Au$SSSI?'i?S1T5 t6R SEN]:OR CITIui.9IS' HOMES7.`EAD
LAI7S 1974, CE•:AFTER 206
3TATE OE MIDt[v*ES0".A }
COUNTY GF D_tiCOTA ) DF'IE 19,9 ?4
:o: Co•.uity Au3i.tor, Dakota County, Minnesota
I, the wz@ersigned, declare imder penalties of perjury:
2'hat I resiae at % 3? ,/- 2X" ?rrl / cy, "q .
That I am nz)t 1ee3 than 65 years of age and that the date of my birth is Yir1-ti LlL`'?
'i'ha;. Zal:i the cwner of the p-topezty leqa2ly described as: Se f- J-a T? '7-7 I?'t¢;te 1-3
/?. 3('F. ( I' fi- ¢f- 5 E '/./ of- fE uoss':-a
Pmperty Idcntification rlo. 1ot 0,3,/ 61k 76 Sz -
That my -ir.terest in the ovmership of the above property was aquired on /-e KLr
19S-, -7_ emd is as follow.,:
1. Sole o*anerzhip (Enter yes, iE aloplicable)
2. Jo:int "enancy, hald with
3. Otner undivided interest (O'pecify)
That o?1 J3GUaYy 2, 19? or Jime 1, 19_ I owned and occupicd the above praperty
a:, ray horaestead aad such occupancy began on Ja_
2bat the irsta.llnents for improveme.nts on the speci.al assessments duly adopted in
ot3inance by ttie of as of 19
w:iich have heea allocated against the subject pmperty would create urdtae persona1
hardship on my behalf and I respectfully request that payment be delayed and that
Euch instal;ments ba so de£erred for the years 19_ to 19
,
Signe0_-"
ocmer
Clerk of the of
in County, State of t•]innesota, do hereby certi2y tY1at the
appiication of above named, has been duly reviewerl and that in
accordance with the mi*raL-es of official record in said chamhers was duly
APPxOVSD or DENIED as of 19
That in accordance with appmval granted, the epecial assesaments listed below on tkF
ai°ian±s subject property lev3ed for a-rnual collection in the a,.-?vnts and for t:ne -
years shovm be so deferred with interast at the annual rate shoan until sLCh ti:na ac
it is dae_ne3 the applicant no longer qual.ifies or the property loses its eligi.bil.itl.
Xears of
Name of Aadi.tors D/P Total Colllecticn Ir.tprest
Assessraent tiumber rio. Amovnt (Incyasice) Rate
Dated 19
(Clerk or Auth.or±.zed Deputy)
(over)
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MApE IN U v.T'
/O Ag200 0.g/ 71P
III. NES+T BUSIINESS
J. Don Warkentien - Project 304 (Sclvnidt Addition) - Reduction
FPL75
We have reoeived a letter fran Mr. Don Warkentien requesting consideratiai by
t11e Special Assessmellt GUnmittee pe•+ai ni na }o the prpppsed assess[ent frCm
Project 304 relating to the installation of WdtE'ttrt-?i^ facilities in oonjuno-
tim with providing sexvice to the Schmidt Additicn imnediately to the south
of and adjaoent to Mr. Warkentien's paroel. Mr. Warkentien indicates severe
toEo4raPhY t,ardsh;ps in consideraticn of assessments on his property. A oopy
of his letter and supparting topography and location maps are pzovi.ded for
infozmation purposes. Mr. Warkentien's proposed pen3ing assessnents amoimt
to an estimated $7,100.00 based on four assessable acres for wates area tnmk
at $700.00 per acre ($2,800.00) and 364 feet for rrates lateral at $10.60/foot
($3,859.46) with a water servioe being installed ($450.00). A oopy of the
site location map together with an illustration of the tapography over this
pxnperty is enclosed along with Mr. Warkentien's letter of request.
STAFF" S
Because of the topography of this pazoel and its location adjacent to Patrick
Fagan Park, it is questionable whether the entire 5+ acres can be developed.
Therefore, the staff would have rro objection to eLiminati*ra the north 150'
and the west 160' fran tnrik area om-isideration and lateral benefit fran tnmk
assessrent rates. This would inply that the southerly 315' of latesal bene-
fit fran trunk waterniain would be assessed in addition to the installed water
sexvice. The assessable area used to calculate the tnailc area Frater assess-
ment would be defined as the easterly 500' of the southerly 250' of Paroel
031 76 which wnuld encmpass approytinately 2.47 acres for assessrent pusposes.
ll?,t?a r 5 e ? v ? e, e+ ,1? Sp . 00
klet?'4n.c?- g,fAes, at
7oo P?rAc, -07/5`rs - //90_
46
October 21, 1980
Ms. Ann Goers
Special Assessment Clerk
City of Eagan
3795 Pilot Knob Road
Eagan, Minnesota 55121
Dear Ms. Goers,
I have combined the two parcels o
description for a total land size
20% reduction in area assessment
tion of the lots was:
-,
t. .._ : ?
V?
f land at 4135 Lexington Avenue South into one
of 5.52 acres, which will qualify me for the
for the water project now approved. The descrip-
District 10
Plat 02200
Lot 020 also Lot 030
Block 76 2 Block 76 8
I also request consideration for additional deferment of lateral charges and area
charges due to the terrain of my property. My land extends 365.1' (North/South)
on Lexington Avenue and is 660' deep (West). There is approximately 65' on the
South side of the property which is level with the road - it then drops sharply
into a ravine which reaches a depth of 40' to 50' deep within 75' of the road.
A county culvert extends under the road and empties into the ravine, causing an
erosion ditch of 10' to 15' in depth. This entire ravine cannot currently be
developed.
My home is about 275' 6ack from the road on this narrow level strip. The land
then drops approximately 50' in elevation to the East boundary of Patrick Eagan
Park. This hillside of 2.5 acres could have been developed, but unless sanitary
sewer lines run North-South along the park boundary, the cost of eventual sewer
hook-up makes the development of this hillside prohibitive.
The topographical map in your office clearly illustrates the contours of this
land.
Very truly yours,
Dona d F. Warkentien
4135 Lexington Ave. South
Eagan, Minnesota 55123
454-1181 or 423-5518
Lo U
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SPECIAL ASSESSMENT SEARCH SUI+IIMARY
AS OF: 08/31/1993
PROPERTY ID: 10-02200-031-76
S/A# ASSESSMENT DESCRIPT.
100689 W TR-304
100692 WLTR 299-3
101018 SS-TRK 411
101569 STK478-
101570 SL478
102107 ST 572
------ SUMMARY OF LEVIED
****** 1993 P&I CERTIFIED
------ SUMMARY OF DEFERRED
-----^ S[ININIARY OF PENDING
------ SUMMARY OF CLOSED
YEAR TM RATE
1981 15 11.0000
1981 15 11.0000
1985 15 11.0000
1988 10 9.0000
1988 10 9.0000
1990 10 8.0000
Press ENTER; or F1, F4, F5, F7, F8
c I ,, r, J d w1) ? Jc-
&yI -VGo u
J (,Ja,r?
?d??? a? ?l ? ?uie? -???? ?
TOTAL / ANN.PRIN.
1729.00 115.26
2993.45 199.56
8218.49 547.89
3062.80 306.28
7578.75 757.87
13813.95 1381.39
12940.94
1483.401
24455.50
0.00
0.00
ys??-?1?r
PAYOFF CD
345.88'/.
598.73
3835.37
3062.80` DF
7578.75-DF
13813.95 DF
862.71 4779.98
0.00 24455.50
0.00 0.00
ql-0 ? c? ? i 7"? ? ?' ? ?,?'l ?"/' ?.?t ?
7
y o
?yn /???
PROPERTY DATA SYSTEM
. SPECIAL ASSESSMENT P&I INQUIRY :CURR 335 :
. PROPERTY ID S/A# :NEXT :
: 10-02200-031-76 101569 A;:iiiiiii2
. DATE TOTAL YEARS .
. DESCRIPTION ORIG.ASSESSMT LEVIED PRINCIPAL YEARS REMAING :
: STK478 3062.80 10/01/1988 3062.80 10 5 .
. INTEREST lst YEAR CURRENT PAYOFF CLOSED ,,,, TAX FORF .
. RATE INT MOS PAYMENT# AMOUNT Date Reason DATE .
. 9.0000 15 51 3062.80 / / / / •
D E F E R R A L S rr,,,i.,.,.i..ii
. Type Year Method Int.Rate Principal Int.Due .......... ?
Total Due .
. S 1988 N 9.0000 3062.80 1447.16 4509.96 .
•..iiiii.,,..?r?,.,,r..... P& I S
: Year Amount Year Amount C H E D U L E.,......r...r.
Year Amount Year .rr,ii.,,,. •
Amount .
. 1 2 3 4 •
. 5 6 7 $ •
. 9 10 11 12 •
. 13 14 15 16 •
. 17 18 19 20 •
. 21 22 23 24 •
25 26 27 28
Type PID and S/A NBR, press ENTER; or F1, F2, FS
PROPERTY DATA SYSTEM
, SPECIAL ASSESSMENT P&I INQUIRY :CURR 335 :
. PROPERTY ID S/A# :NEXT :
: 10-02200-031-76 101570 Aiii%%ii%%2
, DATE TOTAL YEARS .
. DESCRIPTION ORIG.ASSESSMT LEVIED PRINCIPAL YEARS REMAING :
: SL478 7578.75 10/01/1988 7578.75 10 5 .
. INTEREST lst YEAR CURRENT PAYOFF CLOSED ,,,, TAX FORF
RATE INT MOS PAYMENT# AMOUNT Date Reason DATE .
. 9.0000 15 5 7578.75 / / / / •
D E F
. Type Year Method Int.Rate E R R A L S ...........ri...,rrrr.rrrr ?
Principal Int.Due Total Due .
. S 1988 N 9.0000 7578.75 3580.95 11159.70 .
•.ri..rrrrrii...r.,rr?rrri P& I S
: Year Amount Year Amount C H E D U L E..rr...........,....r...r •
Year Amount Year Amount .
. 1 2 3 4 .
. 5 6 7 8 •
. 9 10 il 12 •
. 13 14 15 16 •
. 17 18 19 20 •
. 21 22 23 24 •
25 26 27 28 :
Type PID and S/A NBR, press ENTER; or F1, F2, F8
PROPERT Y DATA SYSTEM i3iiiiiiiiiW
SPECIAL ASSE SSMENT P&I INQUIRY :CURR 335 :
. PROPERTY ID S/A# :NEXT :
: 10-02200-031-76 102107 Aii%%%%%i%2
DATE TOTAL YEARS .
DESCRIPTION ORIG.ASSESSMT LEVIED PRINCIPAL YEARS REMAING :
: ST 572 13813.95 10/01/1990 13813.95 10 7 .
. INTEREST lst YEAR CURRENT PAYOFF CLOSED ,,,, TAX FORF .
RATE INT MOS PAYMENT# AMOUNT Date Reason DATE .
. 8.0000 15 3 13813.95 / / / / •
D E F
. Type Year Method Int.Rate E R R A L S ,....r...rrr.,,
Principal Int.Due rrr.rrr..rr ?
Total Due .
. S 1990 N 8.0000 13813.95 3591.62 17405.57 .
P& I S
: Year Amount Year Amount C H E D U L E,,,.,,.i.r.rr
Year Amount Year ,..r...rrrr. ?
Amount .
. 1 2 3 4 •
. 5 6 7 $ •
. 9 10 11 12
•
city oF eagan
PATRICIA E. AWppA
bfa}ror
PAUL BAKiCFN
PEGGY GRISON
CYNDEE PIFI RS
MEGT[LIEY
Counai Mem6ers
THOMAS HEDGFS
Ciry Administn[or
Municipal Centcr.
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 65I.681.4600
Fax: 651.681.4612
TDD: 651.454.8535
Main[enana FaciGty:
3501 Coachman Point
Eagm, tVtN sstzz
Phone: 651.68I.4300
Fax: 651.681.4360
TDD: 651.454.8535
www.ciryofagan.wm
THELONEOAKTREE
The rym6ol of strrngch
and grawfh in our
wmmuniry
October 16, 2001
MR. DAVE ROSENTHAL
RIGHT WAY ROOFING
14050 23RD AVENUE N
PLYNIOUTH, MN 55447
RE: 4135 LEXINGTON WAY
Deaz Mr. Rosenthal,
On September 5, 2001 I made a final inspection for roofing at 4135 Lexington Way in
Eagan.
G_4F Vlaterials Corporation Royal SovereignOO shingles had been installed on the
residence, a walkway to the garage, and the garage. The roof on the walkway to the
garage, and the garage, are low slope (roof pitch between 2/12 and 4/12). Table 15-B-1
of the 1997 Uniform Building Code, and GAF installation instructions for Royal
SovereignS shin.-les both require "two layers of nonperforated Type 15 felt applied
shingle fashion" for low slope applications. Only one layer of Type 15 felt was applied
to these locations; therefore, the roof failed inspection.
In subsequent phone conversations, we discussed two potential resolutions:
1. A letter from GAF stating that this installation was acceptable.
2. Corrections are made to the roof to meet code requirements.
On September 15`h, 2001 GAF faxed a letter to the City stating that they would wananty
the shingles, but did not state that this installation was acceptable. This letter does not
address concems regazding the total roof assembly and this situation remains unresolved.
Please contact me at 651-681-4697 at your eazliest convenience to discuss a resolution. I
look fonvard to hearing from you.
Sincerely,
erry revel
y? ?
Building Inspector
cc: Donald Warkentien, 4135 Lexington Way, Eagan, MN 55123
9736283451
09-13%01 "CHL' 13:57 FAS 9736283431 CONTRdCTOR SERVICES
?
GAF MATERIALS CORPORA170N
+361 A:FS acac 4Vayne NJ 07470-3639 • Tel: 973 6283CC0
13 September 2001
City of Egan
3830 Pifot Knob Rd.
Egan, MN 55122
Attn: Jerry Frevel
Fax_ 651-681-4694
Subject: Law Slope Application
Project: 4135 Lexington Way
Egan, MN
To Whom It May Concem:
It is our understanding that you were inquiring about the application of GAFMC Royal Sovereign0
shingles on a roof pitch of between 2/12 and 4112. GAFMC's recommendations for low s1oPg
application are as follows.
Completely cover the deck with two layers of Shingle-MateC) or 75# 6reathable underlayment.
Use only enough nails to hoid underiayment in place until covered by shingles. Use blind nailing
for eave flashings At eaves and where ice dams can be expected, use one layer of GAF
Materials Corporation Weather WatchO or StormGuardTM Leak Barrier. Eave flashing must
overhang the roof edge by 3/8" (10mm) and extend 24" (610mm) beyond the insitle wall Iine.
Where ice dams or debns dams are not expeded, install 2 plies of Shingle-Mate(@ or 15#
breathable underiayment.
This is to confirm that the GAFMC Shingle Limited Warranty remains in effect per its tertns and
conditions for shingles applied on a roof pitch between 2/12 end 4112. This is also to cofirm that
the GAFMC Shingle Limited Warranty remains in effect per its tertns and condition5 even if
underlayment is not used or if an underlayment other than the type specified by GAFMC is used.
If you have additional questions, please C211 500-766-3411. Thank you for ChoOSing GAF
Materials Corporation.
Sncerely,
ChriStian mith
Technical Services Representative
a 001
41?dtV oF eagan
['.ATRICIA E. AWADA
Mayor
f'AUL BAKKEN
PEGGY CARISON
CYkNDEE FIELDS
MEG TILLEY
Counal Mem6ers
THOMAS HEDGFS
CiNAdminisva[or
Municipal Cenrer.
3830 Piloc Knob Road
Eagan, MN 55122-I897
Phone: 651.681.4600
Fax: 65I.681.4612
TDD: 651.454.8535
Maintenance Facility:
3501 Coachman Poin[
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.681.4360
TDD: 651.454.8535
?.aryokagan.com
THE LONE OAKTREE
The rym6ol of strength
and growdi in our
wmmuniry
November 16, 2001
MN DEPARTMENT OF COMMERCE
ENFORCEMENT DIVISION
133 E 7TH ST
ST PAiJL MN 55101
RE: RIGHT WAY ROOFING
LICENSE #3999
TO WHOM IT MAY CONCERN:
On November 8, 2001 the City of Eagan informed your office of our communications
with Ri?ht Way Roofmg Company, Building Contractor License #3999. I am supplying
you with subsequent correspondence regarding that complaint.
Enclosed for your information are:
1. correspondence from GAF Corporation dated 9/13/01
2 correspondence from Right Way Roofin' dated 11/15101
3. correspondence to Right Way Roofing dated 11/16/01
If you have any questions, please contact me at 651-681-4697.
Sincerely,
. 7Building Inspector
.TF/j5
Encl.
cc: Dale Schoeppner, Chief Building Official
Mr. Donald Warkentien, 4135 Lexington Way, Eagan, MN 55123
Mr. David Rosenthal, Right Way Roofing, 14050 23rd Ave N., Plymouth, MN
nav is oi 04:00p
Right-Waa Roofin6
RIGHT-WAY
November 15, 2001
City of Eagan
Attn: Jerry Frevel
Building inspector
3830 Pilut Knob Road
Eagan, MN 55122-1897
Dear Mr. Frevel:
763 551 1527
One of the issues that you identify in your coreespvndence pertains to the payment process
for the wntracted work. Upon completion of the job, it is customarY in our business for the
salcs representative to wntact the homeowner to ensure that all work has been completed.
This visit was made several weeks atter aIl work had been completed, including a follow-up
visit to resolvc specifcc customer wncerns•
In this conversation, the sales representative also reyuests payment in uccordance with the
tertns of the agreed-upon, signed conuact, and assists in clarifyin$ eny questions regarding
insurscn.e paymcnt - which Mrs. Warkentien had. If Mrs. WaTkentien misititerpreted the
actions of the sales representative Qf Right- Way Roofing, InC., we apologize. We were
simply fallowing our typical business procedure.
The documentation previously sent to your office by the manufacturer, GAF was the
information that we believe the inspector requested for this project. In addition, Right-Way
Roofing, Inc. wazrantees the labor for the roofing application for 1- yeazs from the date of
installation (see enclosed sample warranty).
Please advise us if there aze any Temaining issues on this project.
Ee .?
. en ha, 'ght Roofing
p.2
14050 - 23rd Avenue North • Plymouth, MN 55447
Minneapolis: 612- 823-0970 0 Suburbs: 763-557-8678 • 952- 933•1177 6 952-890-4900 • St. Pau1651-646•0049
nov 15 u1 ?a:00p R16ht-Way Roofin6 763 551 1527 p.3
Pa9eNo._ otPagxs.
Proposal
PROI'OSA.L e11BMITTED TO'
_..._- 4l/3 ?S
Cll Y, STATE antl 71P CODG ??v/°
di1 I / ? lcl
JOB
JVFS LOGATION.
State Llcense #: 0003999
unre:
Wa propose hereb"y to ?furnish material an?d ?la?bo?r. ?• ?complete in acCOrdanua with specific[ations below, for the sum of: ? I
rlollaf5 ($/ ?L
2'
-? T Payment is to be made as bNows:
Cf 5e DOWN, BALANCE DUE UPON COMPLETION.
FINANCE CHARGES ON PAST DUE ACCOUIJTS ARE t 1/2% PER MON1 H(18% P OR MAXI PERMI FD BY LAW
All mx?+Nni ir punronieed to be as apar.ttlaE. Ml wurk to ba cnmplaro6 In a wo`kman- AUthofIZ6C
ilku inanner aecordlnp lo Ri9M11•Wny slentluW ?acticea nny aliare?lu?y ?n de.ineion Signature _ -
Irnm epecitlcatwiw Oclow ?rndvlnp oxqa ?sn wlll bw pmWrtncO e?W up^^ wnlten
ortlor% anJ will becomw nn uxVa chaigr wor enn ebovo ma rsiiinalv ena pnymb par
mrma ubuvv go???ied woM antl yuofed pme xubioct tv Nianqe upon Clxovary ut Note: This proposai may be withdrawn by us
hiGtlun eeMCc+W or ?pu.an lor adNllitmW work. NI egTOmena aoneng.m upon obi!w¢, a da S, '
amaena r n.aieyc uaywrc? our wnrmi owrrer to uarrv nr?, m?onno ana ou.sr neeea- wlthin _l Y
eary msufanca. Ownar w provlM olcctdclTy an0 waWr
We hereby submit speclflcaiions and estimates for: Reroofing Dwelling
1. Remove all plumbing stacks and vents.
2. Contractor will provide all reasonable measuras to protect trces, bushes, s/hr'ubs, etC.
3. Remove all eXistfng roofing material from home
.. 4. Renail atl loose roof boards if swta4le. ?,
. S. Replaco any broken or rotten rooT boards. $ ??' ? per toot $_ ?3 per 4' x 8'. Straightening or replacing
rooF joists $ _ Per hour. Re/roofing alone may not resuit in a compfetely level roof.
s. Apply ice and water shield
7. Cover roof area wltn ilberglass reinforeed Shinglemate Falt.
' B. Apply 240 Ib self-sealing mincral staKer at all eaves.
S. Install ne??jC]med galvanized metal valleys.
10. Apply customer choice of GAF, Owens Cornin Certaintee or other _ 240 Ib Ciass A fiberglass se11-
sealing asphait shingles over roof area and nail in ?ng (4) Sour one inch (1") rooting nails per shingle. These nails
may penecrate the area below the roof.
11. Repiace old plumbing stacks wiSh all new galvanized plumbing stacks.
12. fteplacs old vents wirh new Lomanco 865, 750 steel, 750 aluminum or other _ bird proof roof vents.
Install _ additionai veMs. ,Wre! T. lgo.W-A" US!>7=A-/??sG R?j T? C?"?'Pf' "'rX
13. Replace all kitchen and bathroom vents with new demp¢red vents. 0rj1AA U?c
14. Appiy Boston ridging using one and one quaner Inch (1•1/4") nails.
15. Chimney tlashings .I.FiPP. 2f?US:?h?71 C'r.e?w.u6"?3 llL4?Sr
16. Watl ftaylusiys _??B ,?f?.•-????rr? /?iFs. 7? ?,?.?'/.*..v _
17. This contract supercedes eny prior verbal agreements.
18. Clean uP and remove a11 roofinq debris. Provitle magnetic sweep of grounds.
Additional Work: C.46 VOT!•/llt?.a+?r?t
?rr??a E:c? Yrts nv s?zz???v .s?-,?z?33?
We pass on all manufacturers' warranties on materials and make no other material warranty.
IeV Year Written Warranty On Workmanship.
Limilaiion ot Nmmerry Ginuso: Owriur must nonry Ilpm-W¢y of anY yroblems clmmed to ba Fi9hL-Way's nspanNnnlry wlthin una monuh d notk:lnp a proElum. For __ ye.m
RIpM11Way vnil npev any IenRfl rncWLhry h.'nn our mebdnla er workntrnehlu. Vur monwmry Ilnblllly ir IimHed b the DmnUM ol0ur conhiel.
ACCEPTANCE OF PROPOSAL - Tna Pricas,
specifitatlons anrl r.nndltlofl9 of tNs confrect (tron[ & back) are
salisfactory and are hereby accepted. Right-Way Is authorized to do
the work ns apecl}ied. Payment wi11 ba made as outlined above.
Right-Way Roofin9, Ina
Licenced, Sonded, Insured
14050 23rd Avenue North, Plymouth, Minnesata 55447
(763) 557-8678 • Fax (763) 551-1527
PHONE.
All claims, disputes flnd olher matters In quastion arising out u1 0r
relating to !ha Guafantee or Wprkmanship shall hc settled ir
accordaOCe with Rie Conatrucqon Indualry Albitratlon Fiulu of cha
American Arbitration Assoaiatlnn 6efore arbitretlon in Minneapalis
Minnesota (3 erhitrator8 It diypuce $25,000 or greatar) o
... . __..__ .-._.... v ...:.wi.. ??...? ..-n n o.eAlnHnnwl limif.
nov 15 01 04:00p Right-Way RooFins 763 551 1527
RIGBT-WAY ROOFINC
WARRANTY TERMS
VHpRRANTY VALID F(JR TRN YEARS
Owner must notify us bY TeBw-red'neil within 10 days hom the diecovery of leak or evideixe of leakage•
S.ate notlce wilt invalidatc warrantY• Prorid'"E Propee nalce Las becn P,iven and consistetrt with the
sernss of RigUt-way's Contracc and these warrauty terms, we will. durid8 rcBulw a'Oesing hours lnspect
the premises, within a reasoneble tinu after receiving aotifiwiion aad our decision to reQnirs stfaU be
binding. rhe owner shau be required oT pmv+de us ali Iaw1W access to tha prearises for tLe purpose of
invesligatinB thc allaged 1ea15 both within tlie building and on the roof. Fot carKlitlons we ate responsibia
for we witl mukc toaf repaiis wlthin a xeaS°twele Hme, weathu and ether oondidons Pem+ltting. The
Owner or his ageal shall paY all Ri88t-Way acpensas if the defay or leakagc is due to ottier causes-
This agmmant covers onlY the roofmg inSlalkd by us as of the below date and dces mt include or cwer
any alterauons or chauses to thc paesertt rooYiaB or roof decks ar anY additioDS later. In the eveat of a+ry
mch alte:ativtt or insiallation this watranty shall be aatomarically tenninaled. 1'hia wa ? nS1tal?
terminated a? pttymouts automaticully due shouid airy other comracto: or persoa perF Y*ePairs w
th.is roof while same is uadcr cwr egrament. We are uot responsible fvr dameBes to the tooF tliat xcur as
a resutt oF other contracwrs or persons Puforniing work or aipplyinS matertals oP any nanue oa, for, wer
or across the mot:
We are noi tisfile fur asy cmneoWcutisi damsgw+ 1W P"tx or bm of usc. we hsve o° lisM1llity for
any damuQea to peranM bnildiuQ. iateebr deMraUot, toof inAalatlun, rod deckingr £utares or
couteots of suy yttvCpare bwauee or root te4ka qqd wr Itabiiky is timiMd ta the amamt we heve
paid.
Right-Wxy ia not respwnsibk fot conditions such as shedding of chat w gtavei Rom the roof, water
pounding on roof, impcopcr water drainage from roof, or ollier similar items.
This ag[eemeat does not cover dnmage to roofuig or rooF in9ulation or Ieakage flwiefore caueed bY dafects
or fatlure of any meterial used as a raof base, ot imPmper dak construction, setUement, disWttim
waiping or failu[e of the roof deck ovet which our rooSng is applicd, or dumage or leakage due 1o erosion
Or potosity of mona[ eni brick coping, ahimnry's> metnl flashing, skYligh<, iouve+s, gnttecs, roof ara,ns,
curbs, Plumbip8 stuks, venu. suPlpM braccs or other pmts or the buildin& connected W our roofing; or
damagc ar leokage caused 6y hail, &e, tornadacs, wiadstotm or other act of God vr unusual, mturel
phenomatul ar the elomeats.
We are nat mxpansible for damage or leekage c:tused by any thla8 athcr than ft work we oucselves
performed and specificallY we aie not responaible foz the iustallation of decks. P?a1fM'ms, mifings or
wacrete or promenade a'carin8 surPrces uvet thc roo5ag and in otder tn make ft necessary +qmts these
da.'ks, Platfomts, railing or slabs ace w be remwed, thcY shall be renwved and renlaced by uwncr or his
agent, at no crost to us. If, during ttus performance of our root we agoe to mmove arty decks or supports,
tetevision or rudio appaanus or autcanas, or rafkin& we are not to be Iuad liable for dumagas to same or
respoaaible for thetr reinstallation nor their apacific eoadition unkss spCCificaUY agrced upon in wr'tiA&
We diaclaim anY liabality for any damaSes to de roof caused by traffic of azry nature whatsoever, or
resultiag from tLe vx of the roof as a storage or recrcatlon surface aree rn vehide traffic aud thls
agreement is temrinaled if the toof deck and saudure tfiereon are not under thc exclusive conuol of the
ownet or his ug0nt.
In considetatton ofour ag[aing to meking roof cepairs tuider ilils aaTecmea for the dme speci&ed, the
owncr agnces to ho?d us huraiiess firnn any and atl damaSes (iacluding Uu cost of atry de6ease of anry
claim) W peisons olaiminS Personat mJur)' or Prope*4' dama5e resWting ftom roof leaks for whicL wa
uccept eepaid rasponsibility.
Thc foregoing is in lieu of sit cuarrnndes, expreased or impliod, and we aeither assswne nor authorize avp'
person to assuma tbr nq any obligation or liabllity in wnncction wilh seid roo&ng
This smvice under agteemcnt auwmnticoUy terntinates if all paymeNs aad other obliBau°°B ax°rdi°B to
the coAtract have not beeu futGlled bY the owner aod his agem
T1tis agreemcnt is not Ganstbruble or aWgmbde without our priar wtitten conceat.
p.4
UsSe
city oF eagan
rATRIcw E. nvanDA
Mayor
r.aut sAxxFN
PEGGY CARLSON
CYNDEE F[ELDS
tiIECnL, EY
Council Members
THOMAS HEDGES
CitY.4c{rtlINSVdtUf
Viunicipal Center.
3830 Piloc Knob Road
Eagan. MN 55122-1897
Phone: 651.681.4600
Fax: 651.681.4612
"I'DD: 651.454.3535
Maintenance Faciliry:
3501 Caachman Point
Eagan, MN 55122
Phone: 65I.681.4300
Fax: 651.681.4360
TDD: 651.454 8535
wwwciryofeagan.com
THELONEOAKTREE
The rymbul uf stteng[h
and gruwEh in our
cammuniry
November 16, 2001
MR. DAVE ROSENTHAL
RIGHT WAY ROOFING
14050 23P-D AVENUE N
PLYMOUTH, IvLN 55447
RE: 4135 LEXINGTON WAY
Dear Mr. Rosenthal,
Thank you for the prompt response to my letter dated November 7, 2001; however, your
letter fails to address the concems this department has regardin' the roof installation at
4135 Lexington Way.
In your letter, you mention the documentation that was provided by GAF. I informed
you by telephone and conespondence that the letter from GAF was unacceptable.
Enclosed please find a copy of this letter for your review.
The letter from GAF clearly states GAFMC's recommendations for low slope shingle
applications. The roof does not meet GAFMC's application recommendations, and fails
to comply with Table 15-B-1 of the 1997 Uniform Building Code. Both require "two
layers of nonperforated Type 15 felt applied shingle fashion"; only one layer of Type 15
felt was applied.
The letter does confirm that GAFMC Shingle Limited Warranty remains in effect. The
City of Eagan does not approve roofs based on warranty; they aze approved based on
compliance with manufacturer's application recommendations and the 1997 Uniform
Building Code.
In addition, your sales representative should rely on building inspectors, not homeowners,
to determine if the work has been completed and approved.
I can be reached at 651-681-4697 if you have any questions.
Sincerely,
? erry e ??
vel
Building Inspector
cc: Donald Warkentien, 4135 Lexington Way, Eagan, MN 55123
Minnesota Department of Commerce
411?dtV oF eagan
PKI'R1CW E. AWADA
Mayor
PAULBAKKEN
PECGY CARLSON
CYNDEE FIELDS
MEGT'ILLEY Council Members
THOMAS HEDGFS
CiryAdministraror
Municipal Center.
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.68 L4600
Fax: 651.681.4612
TDD: 651.454.5535
Maint<nance FaciGty:
3501 Coachmm Point
Eagan, MN 55122
Phone: 651.681.4300
Farz: 651.681.4360
TDD: 651.454.8535
www.ciryofeagan.rom
THELONEOAKTREE
'Ihe symbal of.arength
md growch in our
mmmuniry
November 8, 2001
MN DEPARTMENT OF COMMERCE
ENFORCEMENT DIVISION
133 E 7TH ST
ST PAUL MN 55101
RE: RIGHT WAY ROOFING
- LICENSE 43999
TO WHOM IT MAY CONCERN:
?L) 3 s 04?iiv? 4" (07
Based on State Statute 326.91 Denial, Suspension, or Revocation of Licenses, Subd. 1,
Item (7) or other provisions contained with the Contractor Licensing Law, the City of
Eagan is informing your office of our communications with Right Way Roofing
Company, Building Contractor License #3999.
Enclosed for your information are:
l. copy of Building Permit #46693
2. inspection results
3 correction notice issued
4. conespondence to Right Way Roofing dated 11/7/01 and 10/16/01
If you have any questions, please contact me at 651-681-4697.
Sincerely,
erry Frevel
Building Inspector
JF/js
Encl.
cc: Dale Schoeppner, Chief Building Official
Mr. Donald Warkentien, 4135 Lexington Way, Eagan, MN 55123
Mr. David Rosenthal, Right Way Roofing, 14050 23rd Ave N., Plymouth, MN
*dtV oF eagan
PATR[CIA E. AWAD?.
rvfayor
PAULBAKKEN
PEGGY CARISON
CYNDEE FIELDS
NtEC nr r Er
Cowcil Memlxrs
THOMAS HEDGES
CiryAdminisnator
Muniupal Cencer. !
i
3830 Piloc Knob Road j
Eagan, MN 55122-1897 ?
i
Phone: 651.681.4600 '
Fax:651.68L4G12 !
TDD: 651.454.3535 IMaintenance F+ciliry:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.681.4300
Farz: 651.681.4360
TDD: 651.454.8535
www:ciryafeagan.wm
THE LONE OAKTREE
'Rie rymbo) of suengh
and grow'h in our
mmmuniry
Vovember 7. 2001
RE:= 4135 LEYINGTON WAY
NIR. DAVE ROSENTHAL
RIGHT WAY ROOFING
14050 23RD AVENUE N
PLYNIOUTH, NN 55447
Dear Mr. Rosenthal:
On October 16, 2001, a letter was sent to you regarding corrections against Building
Permit #46693 issued to Right Way Roofing. To date, you have not responded to this
letter (copy enclosed).
VIs. Lucille Warkentien, the homeowner at 4135 Lexington Way, contacted me on
October 31, 2001 to discuss this situation. She said you told her "the City of Eagan
approved your rooF' and pressured her for compensation. This roof had outstandina,
corrections a.-ainst it, it was never approved. If you did make such a statement to this
owner, you were not telling her the facts.
Because of your failure to make corrections, and the alleged falsification of the facts on
your part, a complaint will be filed with the Minnesota Department of Commerce. A
copy of 6oth letters will be included with this complaint.
I can be reached at 651-681-4697 if you have any questions. Othenvise, please ca11651-
681-4675 to schedule an inspection when the corrections have been completed.
Sincerely,
try Frevel?
Building Inspector
cc: Mr. Donald Warkentien, 4135 Lexington Way, Eagan, MN 55123
MN Dept. of Commerce, Enforcement Div., 133 E 7th St., St. Paul MN 55101
41k?dtV oF eagan
? Oc[ober 16, 2001
P,rrtucuEAWnDA
'Mryoc
MR. DAVE ROSENTHAL
RIGHT WAY ROOFING
PAUL. BAlQCIN 14050 23RD AVENUE N
PECGYG1RtSON pLI'.MOUTH, NL`I 55447
CYNDEE F(EIDS
. 4135 LEXINGTON WAY
RE:
n„ 4„
MEC _
c°""dm°"bm Dear yfr. Rosenthal,
2001 I made a fmal inspection for roofing at 4135 Lesington Way in
On September 5
ntoNW HEJDGEs ,
Ea;an.
Ci[V.ALdRfINSQ][OC
' G.A.F NIaterials Corporation Royal Sovereip?J shingles had been installed on the
? awalkway to the gara;e, and the garage. The roof on the walkway to the
residence
i ,
gazage, and thz garage, are low slope (roof pitch be[ween ?/12 and 3112). Table 15-B-1
.rt??hpalCrn[er. 1 of the 1997 Uniform Building Code, and GAF installation instructions for Royai
3830 Piloc Knab Road Sovzrei.ant shingles both require "two layers of nonperforated Type 15 fzit applied
eagv,. MN 55122-1897 shingle fashion" for low siope applications. Only one layer of Type 15 felt was applied
? to these loca[ions; therefore, the roof failed inspec[ion.
Phonr.6il.681.4600
Fax:6it.G8I.4Gt2 ? In subsequent phone conversations, we discussed two potentiai resolutions:
TDD: 651.454.8535
1. A letter &om GAF stating that this installation was acceptable.
2. Coaections aze made to the roof to meet code requirements.
3501 Coaclunan Pomt On September 15'h, 2001 GAF faxed a letter to the City stlting that they would warranry
the shingles, but did not state that this installation was acceptable. This letter does not
Eagon. MN 55122 address concems regazding the total roof assembly and this situation remains unresolved.
Phonc. 65(.681.6300
F2x:651.681.4360 p(ease contact mz at 651-681-4697 at your eazliest convenience to discuss a resolution. I
TDD: 651.454.8535 [ook fornazd to hearing from you.
Sincerely,
www.cicyofcigan.wm
2l
4
re
Building Inspzctor
7HE LONEOAKTREE cc: Donald Warkentien, 4135 Lexington Way, Eagan, [vL?! 55123
.
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` Use BLUE or BLACK Ink
r--------------.-_.-I
I For Office Use
I 1
I ltd i
C101 9 O AON j Permit . I
~V of Eataft I Permit Fee: 00
s1 I I
3830 Pilot Knob Road t t
Eagan MN 55122 I Date Received: IL3
Phone: (651) 675,5675 I I
Staff: I
Fax: (651) 675-5694 r--------
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I I ~ 2 Site Address:
•
p ,
Tenants I I ~n l f~ l~ ite #:Ac
Resident/Owner Name:, Phone: (D~ I ~~rJ~~ 1 j 77
Address/ City/ Zip: 1 S
G License* LV Li0 q1 W b
Name:
V, rZA -1 1,4
Contractor Address: CRY: SD
State: VVr-_ Zip: Q IYJ Phone: 15 373 9S tom-
Contact-~-Y !V~ 111T11,1)f Email:
Type of Work - New Q- Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
-Description of work: ,.4
,n RESIDENTIAL.
Water Heater
Water Softener 9
Lawn Irrigation RPZ ! - PVB)
Permit Type Add Plumbing Fixtures Main Lower Level) I
Septic System
h
New Water Turnaround
Abandonment r>
RESIDENTIAL FEES: I
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. 2kffi gopherstateonecaii.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and a4prol ans
Applicant's Printed Name ASignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In Air Test Gas Test -Final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152441
Date Issued:10/15/2018
Permit Category:ePermit
Site Address: 4135 Lexington Way
Lot:1 Block: 1 Addition: Fox Forest
PID:10-27475-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Peter M Ramstad
4139 Lexington Way
Eagan MN 55123
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158830
Date Issued:11/04/2019
Permit Category:ePermit
Site Address: 4135 Lexington Way
Lot:1 Block: 1 Addition: Fox Forest
PID:10-27475-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Exchanger
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Peter M Ramstad
4139 Lexington Way
Eagan MN 55123
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158831
Date Issued:11/04/2019
Permit Category:ePermit
Site Address: 4135 Lexington Way
Lot:1 Block: 1 Addition: Fox Forest
PID:10-27475-01-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Dryer
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Peter M Ramstad
4139 Lexington Way
Eagan MN 55123
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature