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1393 Lakeside DrCITY OF EAGAN ?•i ? 3830 Pilot Knub Raad, P.O. Box 21-199, Eagan, M s,y ? ?S?f?1 1,70 .; PHONE: 68h -4675 t? )ING PE Receipt # Y- DENTIAL ted for &F.A}ODEL Est. Value ;27+000 Date JAN ji , 19 92 Site Ad?Jress `"' ?`yy ~Yy "" Lot i Block I SeclSub. CHE$ MAR IS? Parcel No. Name _ a: w qddress `^ ? `Y - Ztp ? Name SLAbVML 8U 1 LYiLKD ! 114 ??d? 4530 SCOTf TA ? cfty EACAN MN ZP 53123 Phone 454-5971 TIH) g ? i,r,,. # 0001652 I hereby acknowlege Ihat I have read this application and slate that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.. c. SignaWre of Permit6e A Building Permil is issued to: SEASONAL BifII.DERS INC on tha express condltion that all work shall be done in accordance with all applicable State ot Minnesota Stalutes and City of Eagan Ordinances. BAG11N IiN Occupancy Zoning cnctuaq consi N ot Stories Length Depth S.F. Total S.F. Footprints On Site Sewage on site well MWCC System Ciry water PRV Required 8ooster Pump APPROVALS Planner Council Bldg. Off. va?iance OFFICE USE ONIY Bldg. Pemiit Smharcle Plan Review FEES 265.00 13.50 172.00 SAC, City SAC,MCWCC Water Conn water Meter Acct. Deposil S1W Permil SNV Surcharge Treatment PI Rosd Unit Park Ded. Copies TOTAL 650.50 Permit No. PermR Holder Date Telephone # S/W PLuMAG 89- WAC ELECTRI J`o EI.ECfRIC Inspsction Da1e Insp. Comments Foptings I Foundation Framing Roofing Rough Plbg. Rough Htg. .,?D. AOL Isul. Fireplace Final Htg. Orsat Test Rnal PWg. Plbg. Inspecta - NoGly Plumber Const. Meter EngrJPtan Bldp. Final Dedc Ftg. Dedc Fnal Well Pr. Disp. - CITY OF EAGAN 3830 Pilot Knob Road, P.U. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? BUILDING PERMIT Receipt # To be used for UECK Est. Value $i• vD0 Date AM 19 Site Address I Lot 1 Block Parcel No. rW Name 3 Address i? o - v. Name - Address City - ? W Name W W ? ; Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanaes., •, ? Signature of Permitee A Building Permit is issued to: uri iSA.R tLYN GNk{] n: on the express condition that all work shall be done in aCCOrdanCe with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Otticial Sec/Sub. CM$ HU iST Phone Phone 19 !?9 USE ONLY Occupancy - FEES Zoning - (Actual) Const - Bidg. Permit 26= (Allowable) - Surcharge 8 ot Stories Length LTM 14' x 141 Plan Review Depth ? ?'-x_ 6' SAC, City S.F. Total - SAC, MCWCC S.F. Footprinis - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System - _ City Water t. Deposit Acc PRV Required - S!W Permil Booster Pump - S1W Surcharge Treatment PI APPROVALS Poad Unit mner - park Ded. Council BIdg.Off. _ Copies 26.53 Variance - TOTAL Permit No. Permit Holder Date Talephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC InspecNon Oate Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. IsuL Fireptace Final Htg. Final Plbg. Const. Meter Pibg. Inspector - Notity Plumber Engr./Plan BkJg. Final Deck Ftg. Deck Fnal Well Pr. Disp. N ? CITY OF EAGAN 3795 Pilot Knob Reod Eagan, MN 55122 N2 4392 ' PHONE: 454-8100 BUILDING PERMIT ReceiPt # ' _ . To be used fer Date . 19 ---- Site Address Q Si?3G. - , - Ered ? Occupancy - - Lot Block Sec/Sub. 'i Alter 0 Zoning -- -- Parcel # Repair ? Fire Zone Enlar e ? e of Const T v g yp , Name Move ? # Stories l W = Address _ Demolish ? Front - ft. O , City ' Phone • Grode ? Depth ft. ? Nnme ou Address u? F f :a.. Dl,.,.,e Ncme _ Address I hereby ocknowledge thot I have read this application and state thot the information is correct and agree to comply with all applicoble State of Minnesoto Statutes and City of Eagun Ordinonces. Assessment Water & Sew. - Police Fire Eng. Planner Council "2?1C VblT?t::.tFees Bidg. Off. APC Permit Surcharge - ?? P(an check SAC Water Conn. Water Meter Toral 900.50 Signature of Permittee - - - . ; ? ? A Building Permit is issued to: ' on the express condition thot all work shall be done in actordonce with all applicable 5tote of Minnesota Statutes and City of Eocan Ordinances. Building Official Penek # Osh IoooM FuMftM Plumbing -7 S - -?-.---c? . Mechanical ?- INSPECTIONS OATE INSP. RaupF-in Fhai Footings ? Date Irop. Date Irup. Foundation Pf umbing - 7 Frame/ins. Mechoniool Final Je..??• ?? Remorks: /o /)-7? ??'? A*'-e .v"°?.?. PERMIT # MECHANICAL PERMIT RECEIPT # (I S y CITY OF EAGAN P_ Z0L-86 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE Site Address Lot Block ? N8rr1@ m Address 4030 I3eau r° City !?a4aii Phone 452-2775 Name ulen ulrist ? c Address 1398 La)ces C) City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other 75,.)C1 t M BTU M BTU M BTU M BTU CFM BLDG. TYPE WORK DESCRIPTION Res. New Mutt Add-on Comm. Repair Otlher FEES RES. HVAC -,0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FEE 1:? . !)0 ? . S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN 16 di, PERMIT # MECHANICAI PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ PRICE PHONE: 454-8100 For Office t / Site Addrpss . BLDG. TYPE WORK DESCRIPTION Lot ? Block Sec/Sub Res. New Name Mult Add-on _' Comm. Repair ?o Address c Ciry Phone , f Other ? Name c Address p City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL: FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000) SIqN43UR,&0f ?ERM7EE - $24.00 - 6.00 1.50 EA. - 12.00 4 - 20.00 - .50 = 3060587 Receipt#370253 ABSTRACT FEE $46.00 Recorded on:4/812015 12:00:09PM By: DDW,Deputy Retum to: DOUGHERTY MOLENDA 74985 GLAZIER AVENUE 7oe1 T. Beckman County Recorder STE 525 APPLE VALLEY,MN :i5124 D�Otc1 COUll�,��IN DRAINAGE AND UTILITY EAS]EMENT THIS DRAINAGE AND UTILITY EASEMENT is m��de and entered into this /�'�day of --�1 Gtn c.�, , 2015, by and between R.ONAI,D C &. SHARON A MA�SON, husband and wife, hereinafter referr�ed to as "Landowners," and the Cit}� of Eagan, a municipal corporation organized under the laws of the State of Minnesota, hereinafter referred to as the "City". WITNESSETH: That the Landowners, in consideration of the sum of O�ne Dollar ($1.00) 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, a permanent drainage and utility easement, over, across and under the following described prernises, situated within Dakota County, Minnesota,to-wit: An easement for drainage and utility purposes over, under and across part of Lot 1, Block 1, Ches Mar lst Addition, according to the r�ecorded plat thereof, Dakota �� County, Minnesota, lying Northerly of a line commencing at the Southwest corner of said Lot 1, thence Northerly along the West line of said Lot 1, a distance of 120.00 feet to the point of beginning, thence South 88 degrees 33 minutes 32 seconds East a distance of 90.62 feet to a point on the Northeasterly line of said Lot 1 and there ternunating. See also Exhibit "A" attachec�hereto and incorporated herein. The grant of the foregoing permanent easement for drainage and utility purposes includes the right of the City, its contractors, agents and servants to ent�er upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits, mains, and gated access; and the further right to remove trees, brush, under�;rowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commence�ient of such actions, save only for the necessary removal of trees,brush, undergrowth and other obstructions. And the Landowners, their heirs and assigns, do covenant with the City, its successors and assigns,that they have the authority to grant and convey the ease:ment herein to the City. IN WI'TNESS WHEREOF, the Landowners have caused this easernent to be executed as of the day and year first above written. � y � Ronald . Mason � �� S n A. Masonl STATE OF MINNESOTA) )ss. ', COUNTY OF DAKOTA ) i The foregaing instrument was acknowledged before me this ��day of `-�"�l�c.�- , 2015, by Rona.ld C. Mason and Sharon A. Mason, husband and wife. �-�YLt�� Notary Public ,�.�. > > ,�°,�s�, APPROVED AS TO FORM: �`'' �� MICHEIIECAMPBELLIUTOVSKY '� NOTARY PUBLIG MINNESOTA �C' ` ' �, � � ,, .o� °9�;;�;�� My Commission F�cpires Jan.31,2019 City Attorney's O fice Dated: L�� '� APPRO AS TO CO NT: Public W k e��n,t/'�j Dated: �l� / THIS INSTRUMENT WAS DRAFTED BY: City of Eagan Engineering Division Public Works Department 3830 Pilot Knob Road Eagan MN 55122 Easement No. 1292 G:Easements/Easement 1292(1393 Lakeside Dr) 2 . �_ w_ _ . ..__ ,__. z,,__,�_�� , �._e.._�.�._.�_ _ .,., _ _ �m . _ �__� ., _... __._�_, _.w__._ ._ _, � . __ . ,. Proposed Drainage&Utilty Easement Descri��tion A permanent drainage&utility easement over,under and acro�ss Lot 1,Block 1, "a"H Ches Mar 1 st Addition,Dakota County,Minnesota,described a�s follows: No Scale That part of said Lot 1, Block 1,Ches Mar 1 st Addition lying No�rtherly of a line - - - ~ described as commencing at the Southwest comer of said Lot 1,thence Northerly � along the West line of said Lot 1 a distance of 120.00 feet to th�e point of beginning, thence South 88°33'32"East a distance of 90.62 feet to a point on the Northeasterly line of said Lot 1 and there terminating. ;�/�/ Pro��osed Drainage ; //,,;, &Utility Easement )' ,�/ =' � � ,�- cv , g � �s� � � � � . �. � /%, �" .� ' � I __ , ---- ----- � � 90.62 —' � � � I 88°33' 32" �� I � � � �� — o I �� ' � N j �c�� I .. — , — � � _— , � �� L- - - - - - - � � �akeside �r• G:\EASEMENfS\7 393lokeside.dwg Cit of E� aIl Proposed Drainage & Utiliity Easement Exhibit A � � Lot 1, Block 1, Ches Mar 1 st Addition Engineering Division ?l/?-??'f ???? CITY OF EAGAN . ? 3795 Pilot Knob Road + Eogon, Minnewta 55122 Phone: 454-8100 Oate: Sep tember 15, 1977 PERMIT Site Address• Lot - BI«k ? Sub/5ec. Ches Mar I Nome ? U=''r. .Tacvbsen . . ; Address O City Phone: 1.?004'y T_:1C:. ome g Address 1.7 ; 5 Se1ti•y .:49 e ? CitY ?'.. 1'1U 1 5514111 _ Phone: This Permit is issued on the express condition that all work shall be Minnesotn Statutes and City of Eagon Ordinances. No. ?2 ?A Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I .c ? New/Alter. / Repai r Cost of Instaliafion ?_C'.On Permit Fee . : !) Surcharge c ,j. TOtal _ done in accordance with all applicoble State of Building Offtcial CITY OF EAGAN 3795 Pilot Knob Road Eogon, Minnesoto 55122 Phone: 454-8100 t; '% - PERMIT Date: "ovember i, 1977 1vE.' Site Address: .L3'.,i.5 i?...-'yC'..":_ . ''i' Lot Block Sub/Sec 51:ephen Jur?a~? Nome - . ? szl? 3 Address O City _ Phone: Narm Fdilbert Cc:. j- Culligan Q. \1<trlF'' ? ACIdrC55 .:..._ • C City Phone: This Permit is issued on the express condition that all work shall be Minnesoto Statutes and City of Eagan Ordinances. f D 1710D D/D OI ch es rn a,r 1 st' No. 157 Receipt No Single Residential ? Multi Res., Comm./Ind. I New/Alter./Repoir. Cost of Installation 5.0^ Permit Fee .50 Surchorge . . '? O TOtaI done in accordonce with all applicable Stote of Building Official ON ? CITY OF EAGAN PERMIT TYPE: ?? I 1 10 + N?, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: . ? (612) 681-4675 ? SITE ADDRESS: APPLICANT: ! AKE '.:I I i.llt . MAI? ! ?, t PERMIT SUBTYPE: ltf r OFt f rr?lia? I hlrj ? p?+ TYPE OF WORK: I<1 11 A tV I „It ri•?,1r1,11i rr ?;•.? ? ? . '? - LL`------------------------- - - -- ._--------- ? PsrmR No. Psrmft Holdor Date Talephona # ELECTRIC PLUMBIN(3 HVAC Inapectlon Deb Insp. Commenb FOOTINGS FOUND FRAMING ROOFINf3 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE RREPLACE AIR TEST FlNAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EA(AN Remarks Addition CH£S MAR lst ADDITION Lot 1 Rik . ? 1393 Lakes3de Drive Owner ?er?:.`ifECt :.?i,-Cc c / ,•:?c , ? ?? : ? . a, ? r, ?. c_.1 ? 01 Li?b'?il' l"Ll JJL StBtB ii Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK 281.69 • 211.29 003447 7-19-77 * SEWERLATERAL ? 1977 4594.89 306.33 15 4288.57 003447 7-19-77 * service stubs 977 WATERMAIN * WATERLATERAL 977 * WATER AREA 977 * STORM SEW TRK 977 * STORM SEW LAT 977 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. _ ,2-77 BUILDING PER. 5AC 77 PARK TY OF EAGAN Remarks Additi !+Jilderness Run lst Addition Lat 8 Rlk 1 owr?er ! l-+ L- screet 44Q Wilderness Run Dr. MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STR EET RESTOR. GRADING SAN SEW TRUNK ] j O $8.75 ZO SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA 160-00 STORM SEW TRK STORM SEW LAT ^ ,. CURB & GUTTER y SIDEWALK STREET LIGHT - WATER CONN, BUILDING PE . SAC P TY OF EAGAN Remarks Additi Section 27 Lot Blk - Owner Street 10 02700 020 Improvement Date Amount Annual Years Payment Receiprl- Date STR EET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL ? / % . ??.?e. WATERMAIN 2-7 ? WATER LA7ERAL WATER AREA STORM SEW TRK STORM SEW LAT ? CURB & GUTTER SIDEWALK STREET LIGHT i ? WATER CONN. / SUILDING-PER. SAC PIkR K OF EAGAN Lot Rlk h a? 111Z?,, ? ?J-U,?,r-, 441k I-V, pr:u-O c(Z-h^ -_1 I 3 Improvement ? Date Amount Annual Years Payment Recei Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 ' 0 c?..00 300.20 20 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 9 2. O '1 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT \ . 77,7, .i ? 49 WATER CONN. BUILDING R. SAC P K O10 ? CITY OF EAGAN Remarks 4m Addition SECTION 27 Lot O11 Bik 51 Parcel Owner V'- -A - Street State f"5??.., Improvement Date Amount Annual Years Payment Recei Date STREET SURF. STREET RESTOR. GRADING ? i SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL . WATER AREA i STORM SEW TRK STORM SEW LAT ? CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILDIN R. SAC P K UF EAGAN ti Section Remarks Lot 10 02700 010 .Lr 1 ct !`iG'f .S-! . voo_I j C G" /I ( „ _. -j n Improvement Date Amount Annual Years Payment Receiyt' Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ?a 1973 ZS .OO ZO SEWERLATERAL WATERMAIN WATER LATERAL p WATER AREA 1 O 1 STORM SEW TRK STORM SEW LAT CURB & GUTTER , SIDEWALK ' STREET LIGHT WATER CONN. . BUILOING PER. SAC PAR K CITY OF EAGq N CI-ES MAR 1ST ADDITION Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATEP AREA STORM 5EW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT CITY OF EAGAN Addition-.r,-HE$ MAR 1ST ADDITION Lo,(llitlnt R glk QO Parcel_.],0 1-71-00.A29 A9 Owner C2tY of Eagan Street State I Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date STREET SURF. STREET RESTOR. GRADING I SEWER LATERAL WATERMAIN STORM SEW TRK STORM SEW LAT SIDEWALK CITY OF EAGAN Remarks rf?"x LX?" /}'? IJ ? Addition CHES 'MAR IST nnrTrnN Lot.0m* I O* C aik -OD Parcel_],n 1,71,.00 030_0,0 Owner Clty of Eagan Street Stete Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. CITY OF EAGAN Addition. CHES• MAR 1ST ADDITION Lot OutlOt D Rik 00 parce40 17100 040 00 Owner Clt}r of Eagan Street Stete Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. CITY OF EAGAN Remarks fA'X LL,,: P' T Addition CHES MAR 1ST ADDITION Lot Outlot E 81k 00 Parcel 10 17100 050 00 Owner Clty of Eagan Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN RemarksT&Y EJ-n1 t-?T Addition CHESi, MAR 1ST ADDITION Lot OutlOt F alkOO Parcel 10 17100 060 00 Owner 'Clty of Eagan Street State Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SEWER LATERAI WATERMAIN WATER LATERAI WATER AREA STORM SEW TRIC STORM SEW LAT CURB & GUTTER SIDEWALK CITY OF EA6AN 3745 Pilot Knob Road Eagon, MN 55122 Zoning: Owner: - Address: ? Slte Address: Plumber: Meter No.: Size: _ Reoder No.: I ogree to aompy with the CIlr of Eogao Ordinanees, By Dete of Insp.: _ WATER SERVICE PERMIT PERMIT NO.: DATE: - ? _ No. of Units: _ Connection Charge: _ Account Deposit: - Permit Fee: Surcharge: Misc. Charges: Totol: _ Dote Poid: _ I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT ? 3-05 Pilot Knob Road PERMIT NO.: _ Eogan, MN 55122 DATE: _ Zoning: No. of Units: - Owner: Address: _ Site Address: - - Plumber: t .r.'.; ?• . .. . 1 . ? i ? .. 1 agree !o oomply wifh ffie City of Eagan Connection Cherge: Ordinanoes. Account Deposit: Permit Fee: Surcharge: ? BY •-- Misc. Chorges: Date of Insp.: Total: - Insp.: Date Paid- -- -- CITY OF EAGAN 3795 Pilef Knob Road Eagan, MN 55722 N2 4392 PHONE: 4548100 ? BUILDING PERMIT APPLICATION $40,000.90 Receipt # _6654 To ba umd for Sin. Fnm lg_ A Ca.g Date Ju1y 6, 1 9L7 Site Address 1191 L8k U nErect []t Occupancy- Lot 1 Block 1 Sec/5ub. Ches Mar I Alter ? Zoning Parcel # Repair ? Fire Zone ? Enlorge ? Type ot Const. w Nome SCEEI}lEII TBGOhSEA Move ? #J.' Stories1Z ft3 Address 1677 Stanford Ave. Demolish ? Front J ? Cit St. P8U1 phone 690-5006 Grode ? Depth --40ft. ouubcL ? ame ApDrorals Fees N O Zu Address 1850 Como AYe. Assessment - ?? - ? r;, St. Paul pk e 645-0331 Woter & Sew. Neme Addreu Police - Fire Eng. Plonner _ Permit R 117. ?_ Surchorge 20.00 Plan check 5nc 475.00 Water Conn..23QiQO WaterMeter 60_00 Council 6 1?5 /.7r7 I hereby acknowledge that 1 have read this applicotion ond state that Bldg. OFf. the in4ortnotion is correct and agree to comply with all applicoble APC Total 900.50 State of Minnesota Statutes ond City of Eagcn Ordinances. Set Back Varianc Signature of Permittee l a? << ? granted 7/5/77 A Buildin9 Permit is is:ued ro: ' Stephen Jacobsen on the express condition thot ull work shall be done in ocy&ance,with glhpppliwble State of Minnewta Statutes ond City of Eagan Ordinances. Building Official CITY OF EAGAN N9 16322 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , PHONE: 454-8100 - BUILDIfJ?.+ PERMIT Receipt # To be used for nECK Est. Value $1,000 Date APR 19 , 7989 Ste Address 1393 LAKESIDE DR Lol 1 Block 1 SeGSub. CHES MAR 1ST OFFICE USE ONLV PBfCeI N0. Occupancy - FEES Zoning _ w Name GLEN & MARILYN CHRISTIANSEN (Adual) Const - Bldg. Permd 26•00 ; AddrBSS 1393 LAKESIDE DR (Allowable) - •50 h S ° Cj( EAGAN Phone - H y #orsmries - urc arge UPPER 14L 14' Plan Rewew - Length o Name SAMR oepm LOWER 6'_x- 6' snC, City , 0 84 Address S.E Total - , ? City Phone S.F Footpiints - SAC, MCWCC Waler Conn On Site Sewaqe _ ? ww Name On Sste Well - Water Meter ? AddfQSS WCC S stem M Y - ? qmt Deposit <w City Phone ary waier - S/W Permit PRV Requued _ I hereby acknowlege tha[ I have read th s' a li¢ation and state that ihe eooster Pump - SiW Surcharge miormation is correct and 0?? 9? co ty wl4h ell apqhcable State of ! ' Minnesota Statutes and Ci of E gan Or nc45 4 ? Q Treatment PI C ?, i??? Signalure of Permitee. APPROVALS Roatl Unit ABuddingPermrtisissuedto: GLEN OR MARILYN CHR7CT p ? psp;?tler - ParkDed. on the express condinon that all work shall be done in accordance wrth all ?ountil - applirable State of Minnesota Statutes and City oi Eagan Ordinances. gldy. pff _ C°p'es 8mldmg Oflicial ? '? „?/? {?` 0)'4( ? Varianca - 70TAL 26.50 CITY OF EAGAN 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Q1 070 PHONE: 681-4675 (1 D 1? BUILDING PERMIT Receipl # l- RESIDENTIAL To6euaedfor nrirtnnFT. Est.Value $27,000 Date JAN 31 , 19 92 Site Address 1393 LAKESIDE DR Lot 1 Block 1 Sec/Sub. CHES MAR 15T Parcel No. occuPancy i Zon ng N3fT10 GLEN CHRISTIANSEN (nctual)const w AddfESS 1393 LAKESIDE DR (Allowable) ?ones ? City EAGAN MN ZP L?9 h Phone 454-5322 Depth ¢ Narne SEASONAL BUILDERS INC S.F. Totai S F. Footprints U Addr2S5 4580 SCOTT TR On Site 5ewa a g Cily EAGAN MN Zp 55123 onsitewen ? Phone 454-5971 (TIM) MWCCSystem Q nywater C U LICef1Se ?l 0001652 PRV Required I hereby acknowlege ihat 1 have read this application and state that ihe gooster Pump information is correct a ly wnh all applicable State of Minnesota Statutes and nancB S . gm q ? p??+Q SgnaWre of Pertnitee w v 1W KJ? U pFPHOVALS A Bui lding Permit is issued to: SEASONAL BUILDERS INC Planner on the express condition that all work shall be done m accordance wilh all Counal apphcable State of Minnesota SlaWte s and City of Eagan Ordinances. BIeg.On. I Bmldin90Pocial ???T?O? /'A 1 V_ varience OFFICE USE ONLY ewg. aermn Surcharge Plan Reviea Liceree snc, ciry SAC,MCWCC Water Conn Water Meter Aal Oeposit S1W Permil SiW Surcharge Treatmenl PI Road Unit Park Dad. Copies TOTAL FEES 9rS nn 13.50 172.00 450.50 Minnesota State Board of Electricity ' 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 '4 - ,'M6QUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST a 71/ G'?/ p 32$92 Type of Building New Add. Rep. Check Appliances ired For Check Equipment Wired Fo: Nome 'El ? 0 Range L Temporary Wiring ? Duplex ? ? ? Water Heater Lighting Fixtures ? Apt Btdg. ? ? ? Dryer ? Electric HeaUng ? Commercial Bldg. ? ? ? Fumace ? Silo Onloader ? Industrial Bldg. ? ? ? Av Conditioner ? Bulk Milk Tank ? Farm O ? ? List List Othe:° _ ? ? ? ?thecs? ece ) HOthexs ere COMPUTE INSPECTION FEE BELOW Sexvice Enhance Size: # Fee Fceders e[$: # Fee C'vcuits: # Fee 0 ta100 Am s. 0 to 30'' ' es?: 0 ro 30 Am eres 101 to 200 Am s. 31 0' s 31 to 100 Am eres Above 200 Amps. Ab ? Amps. Above 100 Amps. Tcansformers em ControlC'uc. Partial or other fee Signs j6pecial Ins eclion Minimum fee $5.00 Remazks ;m ey%,'`' r•o TpTALFEE ? I, the Electrical-Inspector, hereby c that e?above inspection has been m? o u $%,C (Rough-in) /C" ,.??!?? Date Q- a! 0. L (Final) c?), LC/%f?.Cijic?) Date _ "-7 This request void 18 months from This request void 18 months from d,:;14 !<, -?4 ' ? '` P 32892 Date of this Request T01 7 , ?o, o p I, asX Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street dress r Route No. /vs7_S LafiESi d E L? ?.Z' Section Townshio Range County Which`is occupied by ?--...- - ----?- Is a roughin inspection required on this job? No O Yes Ready Now WID Call ? PowerSupplier.?? -T, l.= t?iz? G. Address Bj% ` \ ?iSS 7 Electrical Contractor :571na, drzy c I¢t c. Contractor's License No. _ (COmpany Name) Mailing Address - (Elat " ontr r or Owner Making Thl5lnstallatlon) Authorized Signature Phone No77`/"$G$I (Ele rical Contr or or Owner Makln9 Tnis Installatlon) STATE BOARD QOPY Minnesota State Board of'Electricity 1954 University Ave., St. Paul, Minn. 55704-Phone 645-7703 •` REQUEST FOR ELECTRICAL INSPECTt9Pf 'CHECK BELOW WORK COVERED BY THIS REQUEST p 119.36 Type of Building New Add. Rep. Check Appliances W iced For Check Equipment Wired Fm Home ? ? ? Range ? Temporary Wiring ? DupleK ? ? ? Water Heater ? Lighting Fixtures ?. Apt. Bldg, ? ? ? Dryer ? Elechic Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Induqtrisl Bldg. ? ? ? Au Con ditioner ? Bulk Milk Tank ? Farm p h Other ? 0. ? Aeie sF 1 ? ers? COMPUTE INSPECTION FEE BELOW - Seavice Enhance Size: # Fee Fceders&Subfeeders: iF Fee C'vcuits: # Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Anipe s 31 to 100 Am eres Above 200 Amps. 00_, P rril s. p- b Above lOQ_Amps. Transfoimers 1,Rvm2V c rixroreirG '` Partialoiothecfee Signs SpecY`al Ins ction' Minimum fee $5.00 Remuks ;-1'v? S4-6ZV Kf?' TOTALFEE I, the Electrical Inspector, hereby certify that the above inspection has been made. (Rough•in) / Date (Final) .. 4 ,Aate This request void 18 months from This cequest void 18 months from .r o y a 3 a i ,4 ^ ? P 11936 Date Rfflw Request /?.v a I, as Licensed Electrical ntractor OOwner, do hereby request inspection of the above electri- cal wi4ng installed at: Stre,? ?tAd dress or oute No. /..5 7_i LAK E srd E/?/K °? / / Secfion Township Range County Which is occupied by .S% ?V E S4 Co)D SoYI (Name of OCCUDant) Is a roughin inspection required on this job? No ? Yes ? Ready No yV Will Call ? PowerSupplier /Vsp Address-Anoo {Mq)twAr G-L- 1 3?.?fb7 Electrical Contractor s?4 ?°? +`ec) E1 ECI-WlL Contractor's License No. - (COmpany Name) Mailing Address /?}? y L?il•? +Te £ Authorized 1vo7717f•z'?6'9 1 STWUE BOARD QOPY ? 04689/4 Request ate C? t JG7 ' 0 v/ Fre No. Ro -in Inspeclion Requlretl+ ? Yes ? No ? Ready Now ? Will Notity Inspeciw When Reatly? I icensed contracror ? owner hereby request inspection ot above electrical work at: Job Street, Bon r Raute 3 wC Ctly? /-f ^ I WJ ? N Secian No Tavnship Neme or No. Rarge No. County Occupant(PRINT) - Gc, ?4 S I 0 E- Phone -l0 ?1 Pawer Suppher pddress Electncal ConVaclor (COmpany Name) RENDRICK ELECTRIC CaNr L MaLn9 14J`YV rCEN"CK1i1'l1Yl+ 5 124 Aulha nOdkICoRt Mn o Phone Number MINNESOTA STATE BOARD OF ELEGTpICRY THIS INSPEGTION REQUEST WILL NOT Griggs-Mitrxay Bltlg. - Poom 5-113 BE ACCEPTED BY THE 5T.4TE BOARD 1821 UnNersity Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Ptione (612) 602-O800 ENCLOSED &/5/89 P 04689 REQUEST,FOR ELECTRICAL INSPECTION ? See instnidions fa compleLng ihis lorm an Oeck of yelbw copy 'X° Below Work Covered by This Request EB.00001-07 ' .9c_,9i&7 Mevi] Add Rep. Typeat8uilding AppliancesWired EquipmentWired Home Temporary Serwce Duplex ter Elec[ric Heating Apt. Buildmg t Other (Specity) Comm./Industrial Farm AirConditicner Other (specvy) CoMredwS Remerks: Compute fispection Fee Below: # Other Fee # Service EntrarweSrze Fee # CircuitsiFeetlers Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps 7ransformers Above 200 _ Amps Above 100 _Amps Sigf1S Irepecmrk Use Only. TOTAL Irtigation Booms Speciallnspection AIarMCOmmunication Other Fee I, the Elearical Inspector, here6y cartify that the above inspecGon has been made. Rough-m r Fmj oaie a?e : OFFICE USE ONLY Thia request void 18 months from J 3 3ol 51 Request Da[e ? ire No k. Rough-in Inspechon Aequ es ' O No 0 ? Reatly Now AJA4rt Notity Inspeciw When Feeqy' IV,NEensed contractor ? owner hereby request mspection oF above electrical work at Job Atltlress (5 et, 90 or Rl • ? CTy az? Section No Township Name or N. Renge No CouMy OccuOanl IPRIMI S?,?SoN--L ?.? Phon No .?.? -S" 7/ Powar Suppliar Address EI c mal Comrncmr ?COmpeny Nemel . Cory4i w l,lce U U e/?? `? I Nn Ade,ess IGonVatlo? Ok'rer Making Installalio ) O Put nzetl SignaWre IGOntra%1ponOwner Making Insla ao n1 • ? l1?? , Il 1 A. 1 V6.l?S/L.IL1.A Pq q Li , um er- . O 6 MINNE30TA STATE 80l FD OF ELECTR CI THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bltlg. - Poom 5-173 BE ACGEPTED BV THE STATE 0DAR0 1821 Unrvnsty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phane(612) 6CY-0800 ENClOSED p??Fj/S? REOUEST FOR ELECTRICAL INSPECTION '; &°"?`°`?? EB 00001-08 ^? See insfrudmns for completmg this form on Lack of yelbw copy -?", /a?8d rv s "X" Be/ow Work Covered by This Request ew AdE Rep Typeof8uilding AppliancesWiretl EqmpmenlWued Home Range Temporary Service Duplez Water Heater Eleclric Heating Apt Builtling Dryer Other (Speciry) Comm./Indusirial Furnace Farm Air Conditioner Oiher(apecdy) ConVacrorS RLemarks. ? • Compute Inspection Fee Be/ow, # . Olher Fee # ServiceEntranceSrze Fee 8 Circmts/Feeders Pee Swimming Pool 0 to 200 Amps 0 to 700 Amps Translormers Above 200 _ Amps v Amps SigflS InspedorS Use Only. a7pL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY OHDE SCONNECTED IF NOT • Other Fee COMPLETED WRHIN 18NS. ? I, the Electrical Inspector, hereby ti th t h b i h Rough-in a?e cer ry a t e a ove nspection as been made. • OFFIGE USE 9NLY This requesl wo 18 monihs hom ? PERMIT ? CiTlbF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L ? I N G Eagan, Minnesota 55122-1897 Permit Number: 0 Z 5 7 7 4 (612) 681-4675 Date Issued: 0 6/08/ 9 5 SITE ADDRESS: 1393 LAKE5IDE DR LOT: 1 BLOCK: 1 CNES MAR 1ST P.I.N.a 10-17100-010-01 DESCRIPTION: (ROOFING/GUTTERS) ?i183vt4:v,Permit Type SF (MISC.) ?,B-Uildirig k TyPe REPAIR ?• _; . ; rM "'r? ;nr?F`tS a Y «P REMARKS: FEE SUMMARY: VALUATION $5,000 Base Fee Surcharge Total Fee $99.75 ? $2.50 $102.25 CONTRACTOR: - Appl.icant - ST. LIC. OWNER: BEFORT ROOFING INC 12270868 0002099 CHRISTIANSEN MARILYN 336 W WATER ST 1393 LAKESIDE DR ST PAUL MN 55107 EAGAN MN 55123 (612) 227-0868 I he retiy ackncswled°ge'that'T have read thss;;;applicatian'an=d.%taC,p:thaC-Che . znfiorrti'atian is 'correct `anb qgree tci coinp?yi w,ith aTi ;ai>olicable State' df Mn " . statutes and Eity_o# Ea"n Ordinan6 es. ' ? • . . _ _ . e _ ? APPLICANT/PERMITEE SIGNATURE ?' R?t :?j I m?? 15SUED BY 51 NAT RE , 11VSYl:I:'1'lUlN K1:UU12I) CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 025774 06/08/95 SITEADDRESS: p•T•N.: 10-171e0-010-e1 1tl7: 1 BLOCK: 1393 LAKESIOE DR CHES MAR 1ST PERMIT SUBTYPE: SF (MTSC.) APPLICANT: i BEFORT ROOFING INC (612) 227-0868 TYPE OF WORK: REPAIR DESCRTPTION (ROOFING/GUTTERS) _.,. . ?--- „ ? ` ?51 KtAL IlYAIt PERMIT N „ " r1r14 VI I i Vr LNVI11r 1883 BUILDING PERMIT 681-4675 APPLICATION ? 10z, ?5 caWA SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date rn.?u 31 /?? / Yaluation of work ? ST O.oo U d 1 ;k L 6 44 a' C. - Site Address: ?? SUITE Y SiREET Tenant Name: (commercial only) X IAT _?_ BLOCK ? SIISD. ujj ?l P.I.D. N Descri tion of work: 'L? The applicant is: Contrac or ? Other (Deccri6e) Name Phone Property LsT FIRST Owner pddress V31 3??--?2.?-o?e l?u STREET STE M City ? 24? State ? Zip 5-,S-/as ? Company Phone aa--7 -o86g Contractor Address License # a.oq7 Exp.S-2141g., City 4pt- POLIJ, State Y'A_? Z i p '5?lo:? Company Phone Architect/ Engineer Name Registration N Address City State ZiD Sewer 8 water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read thisapplication and state that the information is correct and agree to comply with all applicable Stat'e of Minnesota Statutes and City of Eagan Ordinances. ?a4 f'??? Signature of Applicant: OFFICE USE ONLY ? B UIL DING PE RMIT TYPE ?a -4 El 01 Foundation ? 06 Duplex ? 11 Apt./Lodging .?..,... *? 15 ?. Basement Fi?ttsh El 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool 13 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck O 20 Public Facility ? 21 Miscellaneous woRK nrPE JD,m.? - 4jat" 0 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBL Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. Ist hi. sq. ft. -- 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Yariance ? Footing ? Final ? Framing ? Draintile MWCC System t'ii{ri WYYGC PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Insulation ? Fireplace Permit Fee ,pa Surcharge Plan Review License flFbir. JrSV Clty $AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Traits Ded. CoPies Other Total: 074, SAC % SAC Units wtmc;a,: ? 1989 BIIII.DIBG Pfi&!IT 9PPLIC9TIOH - CITY OF EAG9N SIAGLE F9MII.Y DWELLIAG3 14 5 2 at INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS HOTEs ADDBFSSF.S FOH COANER LOTS - COATRACTOR/HOMEOWN&R MB3T DE.SIGN9TE fiHICH ADDRESS IS DESIRED. AO CHANGES HILL BE ALLOWED ONCE BIIII.DING PSRMIT I3 I330ED. MfJI.TIPLE DWE[.LINGS 8ENlAL IRiITS FOE SALS DAIT3 # OF QBITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB WITH BLDG. DEPY.9 1 SET OF ENERGY CALCIILATIONS C014MERCIAL INCLUDE 2 SETS OF ARCAITECTURAL & STROCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C9LCULATIONS 4 m / p9 ?a d To Be Used For: !a c e ?`? Valuation: ? Date: Site Address / 3 93 LakeSid e e ` OFFICE DSfi Lot ? Block / Pareel/Sub Owner `24 -V c-4^r1 IS'T onsta Address /,393 ?a,?ts ?cQQ. hhrvQ- City/Zip Code ZGlpa,r/ , J/l,?l _j5/J3 Phone l - S •(rs!P - Y(oY7- 5fao 3/- o rc a Contractor Address (,6(A//JP/f SJ City/Zip Code Oceupaney Zoning Aetual Const Allowable 0 of stories Length uppet lY x?i4T Depth LowEt !o X!e S.F. Total Footprint S.F. On site serrage On site well _ MWCC System _ City xater _ PRV required _ Booster Pump _ APPRUVAI.S Phone Planner n \ Couneil Arch./Engr. Bldg. OFf. Varianee Address City/Zip Code Phone # UP APR 18 1989 FE63 Bldg. Permit Sureharge Plan Reviex SAC, City SAC, MWCC Water Conn Water Meter Acet. Deposit S/W Permit S/W Sureharge Treatment P1. Road IInit Park Ded. Copies TOTAL a6.oa •sv 96.62 NOTE: 3ewer & Water Permit fees and aeQOUnt depoait fees xill be inoluded in the building permit fee. Processing time for sewer and water permits is two days onae a liaensed plumber has applied Por a permit at City Hall. BUILDIYdG PERMIT APPLICATION ? ? Da'-e:? ? LOT ? I BIACK ? J ADDTTiON 2h? /yIRQ A?Cl, ^R: CM & SECTZOrI flUt9HER ZF UiIPLATTED *kDv^:::,> 0F PAkcEr. (' hps /nRR 9 (m- knhb Rd OCCUPANCY vSE - • --- ' .."2.ai30 COSs•ia. nO C) . C) o .. . ' • -E TV re s(ti. ?rnrez S?p?hen ?AC?0 !d Sc' ti TELEPHONE No.__Lj;O-<do----•-~ ? :,!m:4ss J(?q'? S+0n-c>r(/ AU-Q. S-4• Pa«(,. n• .5.:5/0.5 cova:xxAcToR Stis se ) TELEPxorE 170 . Gr ;L6: - 0?_ ??> rvrREss i856 0ama Sf +n? tti l /h n n Note? Include site plan, buflding plans, and energy calculations v+ith thi.:- applicatioa Signed OFFICE USE n?Tlor??1D i U v ?n . , o ??? 00 C-XarEcTioV - 00 72'.r1x AraTEa - .. '7ILDING PERt•SIT FEL -- / ? 1rd MRCHnRcE aEE ?',F1i7 CFMCK FELs 2P.RK DEDICATION FEE - --- •- - - OTMR _-.' --__.?. ='=SI'SS;+Ir.":9T CLERK BUILDING D€PT. POLICE DEP`l. ,. _. MMR DEPT. FIRr- DnPT. PARK DEPT. ,_.?. _ `, .t?. 1? ?roealP ?16 c- k # l xt 4 nt??, ? /dle?? lfev < CHES MAR FIRST ADDITION? ye:Y2)31 ' ? SB9°49 5iE RJ.*a DR:VC- IY?.?..?.?:?M?.? •i i " ? .E?i lwE 01 A. 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' ? : ? , .? ne° g wd•?y 04y ' e° rzooo ? :xew__ ' 8 ? iis vip?O.i ? ^ '3 ,Q( NB9°a)26E a ¦ __._ --- O'E. i]000 4 ° 8 ? R ? 0 na? ._- MN ' N R ? j a S???Z?zZ?W s?S g? `p62? ??.niII ? ? N .la O eG 42-- 11, 12001?_ o pO I NI y N' Y \ 6? a?+ 0 ? 9`? HA o= 65 i i 1 I • d ? P H .. ? ? $ O 8 - ; ' W 1 L-.?? \ ? . r aaa' '' ? _ " OCA7 P ° , m?o a _..z.w ,a i L 10N MA ixd'€-l -r'_Aes^ . d CI i-o couHTr no?o xo.n ? m W 11 s ? s IS g 4 o 9W fARNEF ;oo_ _. in 5]Nl`fl/2.SWI/<' = I .n NWI/G Nfl/1 10 xesPnizc"E ? R (DGN.CO.NON) f -",," 3 AeS?G ?s.? i' $ TI u n Q '' • . ?'.'ID" E L 4 _?R]9]______J oI'K V a° WRC[P 93 ? ? ? "!1m ? I a Gd "/ ? - •???M'10° A ? ??6 d3 °os ? ? ?? 2 ; ?x . .l R MO SC4E b V < ?i.?' _ .?''"- , 170 4 3"h x^??a• ?,? ' Ni ? ? , ; , , , a Y `___ ---- q SWIN SF.II1 e MeW 4 ? -MBB°a'28 E-' y I & ?8 ^; '4*o S?TE . ?+' 7 g-p 8 k`? ? 1 I . p ? Cllsf ROSD S0. rq 32 J ? 3191 ? L---- ? 3EC.27.T27,R23 sBJe??Po '.. i??---?iiz5 = ao.?? ?I saa 35E, - - `0 x83°47'31°E I ? I - ALL UTILITIES IN ?w ? GRADED AND STAKED - UTILITIES TO BE INSTALLED SUMMER OF 1977 ; =. CITY OF EAGAN L-1- B I C? St MECHANICAL PERMIT RECEIPT # O?v v? SUBA ? oA Y?'lax. ?`? (612) 681-4675 DATE RESIDIIVTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII Y DR'ELISPiGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMTTS ARE REQUIRED FOR EACH DR'ELLING UNIT. OWNER: VCA st&Q.(/yLu.r - ? FEES SITE ADDRESS: 13,33 ADD ON/REMODEL (EXISTIIdG CONSTRUCTION ONLI) S 15.00 FIVAC: 0-100 M BTU 24.00 INSTALLER: ADDIITONAL 50 M BTU 6.00 ADDRFSS: Qu GAS OUTLEI'S - MINIl1iUM 1@ $3 EA. CITY: ZIP: ? g SURCAARGE: $ .SU SIGNA . 4 TOTAL: $ COMMERCIAL PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. WORK DFSCRIPTION: CONTRACT PRICE: 196 OF CONTRAGT FEE. FEES STATE SURCHARGE LS $.50 FOR EACH $1,000 OF PERMTf FEE. $ PROCFSSED PIPING • S25.00 MINIMUM FEE - $25.00 $ OR'NER: TOTAL: $ SITE ADDRESS: 7'ENANT: SUITE #: INSTALLER: ADDRESS: CI1'i': ZIP: PHONE #: CITY SIGNATURE: SIGNATURE: V1111 vx ea+?euv rva Uiix uDn vnLi 3830 PILOT RNOS ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT k t;74 HING?1' --`? DATE: ,:.:::,,.:::<<,<.,.? ..,.,-..,::., ?IDEHT'IAL;' YLEA SE COMPLETE IIPPER PORTION ONLY FOR SINGLE FATfILY DYELLINGS 6 %.::..v ..:. ...:.. .... ......_.3. TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. ------ ----------_-------- WORK DESCRIPTION ----- ---------°°-°---------- ----- -_-_____________-_-_ COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST r ADD-ON MINIMUM 15.00 ADD ON _ SHOWER 3.00 REPAIR L_ WATER CIASET 3.00 ? BATH TtJB 3.00 /? ) IE IAVATORY 3.00 A. Oti1NER NAME: l:? KITCHEN SINK 3.00 ?2 9 ??RY TRAY 3.00 SITE ADDRESS: J J HOT T[TB/SPA 3.00 ?- WATER HEATER 3.00 IDT:__ ? BIACK __ SUBD. ? w _ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ADDRE55: ?? ROUGH OPENINGS 1.50 OTHER Q ?} WATER SOFTENER 5.00 CITY: alVqt4' ZIP: PRIVATE DISP. 15.00 :?p) Y N73W - U.G. SPRINKLER 3.00 PHONE ?? SUBTOTAL S / 'S ? i?3Rt?6-? ST. SURCHARGE .50 IGNATURE OF S 15 TOTAL: ?24fERCTALJiNDITSTRIAI:?' PLEASE COMPLETE THIS PORTION FOR ALL COt?A1ERCIAL/INDUSTRIAL BUILDINGS AND HULTI-FAMILY BUILDINGS {1E1EN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NP.ME: SITE ADDRESS:_ IAT: BIACK INSTALLER: ADDRESS: CITY' PHONE FOR: CITY OF EAGAN SUBD. ZIP: FEES 1B OF CONTRACT FEE. STATE 5URCHARGE - $.50 FOR EACH $1,000 OF PER4IIT FEE. $25.00 MINIMUM FEE. CONTRAC'f PRICE x li $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) 1992 BUILDING PERMIT APPUCATION CITY OF EAGAN f3EQUIREMENTS: lO O 10 SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELUNGS 2 SEfS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf OF ENERCaY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1"SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICM REQUEST IS MADE QB LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED bNCE BUILDING PERMIT IS ISSUED. C lCa n•L.-P a7? 0 0 a To Be Used For: Ise A c?f ?e?J? I Valuation: o Date: ? Ske Address 1. 3 9'7 Lot I Block 1_ `. FEES Occupancy Bldg Petmit a!o S. ? Parcel/Sub Zoning Surcharge 13.S , h / ? C? O ' sb` ? ? ? l Actual Const Pian Review Li F i7a V r wne wy ?. o /, -, s•z Allowable cense ee # of stories SAC, Cfty Address / 7-7 -3 S< or. Length - SAC; MWCC - - ? Depth T Water Conn. City/Zip ?•? A? ? S.F. Total Water Meter Footprint S.F. Acct. Deposit Phone S/W Permit Contractor ?e j-??, so?`? ( 'ld r3 On-site sewage On-sRe well S/W Surcharge Treatment PI ? . v, MWCC System . Road Unit Address y5 &?? 5feiT i c. City water Park Ded. PRV Trail Ded. City/T.ip s-s %? 3 Booster Pump Copies e SUBTOTAL Phone Ucens APPROVALS Penalty C Planner Lot Change Council TOTAL s o-s Arch./Engr. Bldg. Off. Variance Address City/Zip Code - - Phone # Sewer/WaterLicensedContr. . Processingtime for sewer/water permits is two ays once area as en approv . agrees that all work shall be done in acxordance with (Signature o erm ee all applicable State of Minnesota Statutes and City of Eagan Ordinances. January 2, 1992 GLEN S. and MARILYN K. CHRISTIANSEN 1393 Lakeside Drive Eagan, MN 55123 (612) 452 - 5322 E nJAN'::71. y CNA Insurance Companies P. 0. Boa 9322 RE: CNA Claim #k32-338119-G1 *iinneapolis, MN 55440 INSURED: Shank Mechanical Inc. Mr Mart Lee Dear Mr. Lee: ke are in receipt of CVA check #10529197 in the amount of $18,774.31 in re the above referenced claim. We are accepting this check as partial pavment onlti- toward the settlement of our building damage claim. In no way does this imply that we accept this as final settlement. There are some additional repairs Fhich your pa3'ment does not cover, and these include, but are not necessarily limited to, the following: `replacement of £urnace and duct work install gypsum board ceilings and finish removal of all interior stud walls and sill plates replacement of all insulation to meet code bringing electrical work up to current code The replacement of sill plates was verified by a thorough inspection of our house by Tim Johnson, an industrial hygienist from Bay West Inc., an environmental consulting firm which is used extensively by the State of Minnesota. In addition, Ron Spong, Dakota County health inspector, recommended the total replacement of all stud walls and sill plates. Doug Reed, chief building inspector for the City of Eagan, has insisted on the need for building permits for this repair project, and of course that includes bringing all electrical, insulation, etc, work up to current code to meet State of Minnesota standards. Tim Johnson also recommended that the entire upstairs of our house be cleaned, paying special attention to all horizontal surfaces and carpeting where any residues of the chemical may have lodged as they moved through the ventilation system into all parts of the house. Please refer back to our let.ter of Vovember 4, 7991, in uhich we listed not only the history of the events since the accident, but also our grave concerns about reparations which need to be made and the effect on the marketability of our house. We've enclosed a copy of that letter for you to peruse. In addition, we've enclosed an updated copy of our Flood Damage Report in which we verify- all of our personal items lost due to the accident and for which we expect to receiae compensation. (Out of that $13,664, we have received an advance of $5,000 from GAB.) We were told by Eagan officials to keep track of our personal time spent on this matter, since we would be reimbursed for it, especially in view of the mental anguish and time it has taken away from jobs and private family time. A summary of hours follows: Glen 75 hours @ $30.00/hour = $ 2,250.00 (anticipat.ed) 25 hours @ $30.00/hour = 750.00 Marilvn 54 hours @ $ 8.50/hour = 459.00 (anticipated) 24 hours @ $ 8.50/hour = 204.00 Jed 27 hours @ $ 5.00/hour = 135.00 Mnren 28 hours @ $ 5.00/hour = 140.00 $ 3,938.00 ;o summarize the entire cost of this accident, we submit the foll.oHing figures: Bid from Seasonsal Builders Inc. $ 26,740.00 Flood damage report (personal property) 13,664.00 Labor of family members 3,938.00 TOTAL: ? 44.342.00 Loss of marketability/disclosure liability ???????' ,1s we've noted before, we feel we are the victims in a situation Fhich was totally out of our control, caused by human error on the part of your insured, Shank Mechanical. We expect to be fully reimbursed for the damage caused to our home and possessions, the ensuring labor we put into the project, and to be returned to normal living conditions as soon as possible. The accident happened nearly three months ago and we expect it to be resolved soon. Sincerely, l C4-1?aZ Glen S. Christiansen Marilyn K. Christiansen cc: Doug Gronli, GAB Tom Hedges, City of Eagan pira caru wiU be erecu Ve anfy upon wnrtm omera? m?o mu awm? u.. ?..,? ,? _ ?.? .: i v r.-. _ chorge ove: md aL"ove the ammad All a resma?u : = ??rc -: . , , ... . :,•'; '.. , r,accidaurordda?a.bevondwrcmtroLFMnertoaarryfirc.mmadomidather'.•_,->-fb,,:.,,-,:••5•? -.::••,?.?:`}'r;.:;e ..necevarybwrmue.6urwor*e»anfu!lyoavereatbyWork?'aCompeivadm.,;.;Note:Thir.. ?:•? bl'. ?. - '.; buumnce. - - - .- -.i'. r, ' - - --r-.:'; .- ProP?rdaaYbfwbadn°K'!! y no : .. „ . . .,.... p p . . .. ;., Acce tance N- .... ... .. P , ., ":I.., ... . :.?' ? ,• ??'• "? ,' ? - 15.?Lv? -?' ? y?•' - ? ' ? `yS??. ,:Yil •4?:.,r,-?????„': :?????.' n '`r?Y.-..'' ?' ? ? i . ?,. DrueofAKrytmue: _ . ` . .. :.i p;,, r.? "•a•-•- - _ - _ • . . - :. . . _ ' _ _ ?. ?.,. ",?+-:.:. ` ? ' ,. . _ .,: , - ,. .. : ..' " •L ` ??1 _ ? .'I. ? - _. . - ` Nlit -- - -?$omes _ ?? ..?? ? ? - ,' ? .?N- ? - 'itf rence ?< D e'asurable - . . e . _ ? . . . •i . _ ..t'.? . ?. >. ? . -. " ' _ .•. ' ' ? =. •-, .' . _ - . ? .. : . . .. : ? ' r . i . " . . , . • ' . . . • - .. , t . ' . .. .. . ? • • - . . • . ?. . . . i _ . _ . . " . I -TRANSMITTAL ADMINISTRATION Tom Colbert, Public Works Holly Duffy, Admin Pat Geagan, Police Jon Hohenstein, Admin Dale Runkle, Comm Develop Raren Finnegan, Admin ' Ren Southorn, Fire Rris Hageman, Recycling Gene VanOVerbeke, Finance Rristi Iiorast, lSIS Ren Vraa, Parks & Rec liike Reardon, Cable Jim 5heldon, City Atty Admin Intern .,? `TC • ? ? ? a .l6 Ca,,,-Q? 1 ? ? kil 811 ?`` -T-&-v,? ? i ?? FLOOD.DAMAGE REPORT-CHRISTIANSEN, GLEN & MARILYN FURNITURE TV TRAY SET/4 TABLES 90.00 MAGAZINE STAND 15.00 TWIN MATTRESS 95.00 DRAFTING TABLE/CHAIR 129.00 FOUR-DRAWER DRESSER 125.00 TWIN BED FRAME 75.00 TABLE/TWO CHAIRS/TWQ LEAVES 125.00 COUCH--6' UPHOLSTERED 800.00 RECLINER--UPHOLSTERED 250.00 ROCKER--UPHOLSTERED 200.00 OVERSTUFFED CHAIR/HASSOCK 350.00 SECRETARIAL CHAIR 75.00 EXECUTIVE CHAIR--SWIVEL 150.00 2-DR. TAN FILE CABINET/ROLLER 60.00 TYPEWRITER STAND 50.00 PLANT STAND 30.00 DESK--4-CRAWER 125.00 COMPUTER WORK STATION 250.00 BOOKCASES--2 4' HIGH 100.00 ENTERTAINMENT CENTER 100.00 PLASTIC FLOOR MAT 35.00 BOOKCASE--6' HIGH 75.00 WOOD RACK . 35.00 SECRETARIAL CHAIR--GRAY 75.00 STEREO CABINET 50.00 WOODEN SAND CHAIR 20.00 POLE LAMP 45.00 TV STAND--METAL 40.00 ROLLAWAY COT 50.00 STORAGE CABINETS--3 150.00 BEAN BAG 20.00 FILING CABINET--GREY 150.00 3-DR. BEDSIDE STAND-WOODEN 25.00 WOODBURNING STOVE SUB-TOTAL: CLOTHING-MEN'S BLUE JEANS 22.00 DOCKER PANTS--t PR. 25.00 GOLF SHIRT 17.00 CASUAL T-SHIRTS--2 10.00 SOCKS-11 PAIRS 25.00 DRESS SHIRT 15.00 JOCKEY SHORTS 2.00 EXERCISE SHORTS-2 PAIRS 30.00 WOOL SHIRTS-3 50.00 SHOE SHINE SUPPLIES 15.00 TENNIS SHOES-2 PAIRS 80.00 DRESS SHOES-WHZTE 50.00 SHOE EXPANDERS-METAL 10.00 SHOE EXPANDERS-2 PLASTIC 5.00 3,964.00 1393 LAKESIDE DRIVE-EAGAN, MN 55123 FLOOD DAMAGE REPORT-CHRISTIANSEN, GLEN 8 MARILYN SUB-TOTAL: 356.00 CLOTHING- BOY'S BOXER SHORTS-3 PAIRS 15.00 BLUE JEANS-1 PAIR 20.00 SWEATSHIRT 10.00 SHORTS 10.00 T-SHIRTS-2 LONG-SLEEVED 25.00 SOCKS-8 PAIRS 12.00 CASUAL T-SHIRTS--9 90.00 DRESS PANTS 17.00 BLACK DRESS SHOES--1 PAIR 40.00 NIKE AIR SHOES-1 PAIR 85.00 REEBOK HEXALITE SHQES-1 PAIR 60.00 LEATHER BEDROOM SLIPPERS 75.00 MEDICAL SUPPORT SHOE (SPIINT) 43.OC PNEUMATIC ANKLE SUPPORT SPLINT 56.00 INSULATED WOOL COVERP.LLS 75.00 DRESS LOAFERS--1 PAIR GRAY 35.00 BOY SCOUT BELT 8.00 SUB-TOTAL: 616.00 CLOTHING- WOMEN'S LAB COAT 40.00 DRESS PANTS 25.00 NIGHTGOWN 15.00 DRESS BLOUSES--2 50.00 SOCKS--2 PAIRS 5.00 BLACK SATIN EVENING PURSE 15.00 SUB-TOTAL: 150.00 CLOTHING- GIRL'S CARDIGAN SWEATER 20.00 LEGGINGS/TOP 20.00 DRESS PANTS 15.00 SOCKS--11 PAIRS 20.00 PAJAMAS 15.00 BIKER SHORTS 7.00 PANTIES--2 PAIRS 5.00 SWEATSHIRT 12.00 CASUAL T-SHIRTS--5 50.00 LONG-SLEEVED TOP 15.00 CASUAL PANTS 10.00 SUB-TOTAL: 189.00 WINTER CLOTHING-FAMILY SCARVES--4 40.00 1393 LAKESIDE DRIVE-EAGAN, MN 55123 FLOOC DAMAGE REPORT-CHRISTIANSEN, GLEN & MARILYH LEGGINGS--1 PAIR 8.00 GLOVES--6 PAIRS 24.00 STOCKING CAPS--2 15.00 SUB-TOTAL: SCHOOL SUPPLIES NOTEBOOKS--2 2.00 FOLDER 1.00 UMTYMP MATH PAPERS 5.00 PROTRACTOR 5.00 CALCULATOR--7260 30.00 SAGAR WEATHER-CASTER 10.00 MUSIC 50.00 RULER 1.00 BACKPACK 25.00 DRAFTING TOOLS SET 30.00 SUB-TOTAL: RUGS & BLANKETS, ETC. SLEEPING BAGS--3 135.00 BLANKETS--4 60.00 RUGS--B 80.00 ENTRY RUGS--3 24.00 WOOL BLANKETS--3 90.00 SHEET BLANKET 8.00 AFGHANS--4 80.00 PILLOWS--6 48.00 GOLF TOWELS--2 5.00 BATH TOWELS--13 130.00 HAND TOWELS--4 24.00 WASHCLOTHS--7 21.00 FIVE-GALLON RUBBER BUCKET/LID 10.00 PILLOWCASES--3 15.00 BABY QUILTS--2 25.00 QUEEN SIZE BED QUILT 50.00 TABLECLOTH--1 20.00 BEACH TOWELS--4 48.00 SHEETS--2 20.00 BABY AFGHANS--3 45.00 LATCH HOOK PIANO BENCH COVER 20.00 BABY BLANKET--1 70.00 SUB-TOTAL: MISCELLANEOUS DRUM SET 850.00 SNARE STAND 50.00 ORCHESTRA BELLS CASE 45.00 DRUM STICKS--6 PAIRS 48.00 KIRBY VACUUM CLEANER 350.00 87.00 159.00 968.00 1393 LAKESIDE DRIVE-EAGAN, MN 55123 FLOOD DAMAGE REPORT-CHRISTIANSEN, GLEN & MARILYN DIRT DEVIL 35.00 PRESSURE COOKER--DOUBLE DECKER 100.00 TRAIN SET TABLE/TRACKS 125.00 CRUTCHES--1 PR. 59.00 LP RECORD ALBUMS--63 630.00 FILE BOX-3"X5" 2.00 PITCHER--2-QT TUPPERWARE 3.00 PLAS7IC STORAGE CONTAINER 1.00 AUDIO TAPE 7.00 DECORATIVE DUCKS--WOODEN 5.00 PLASTIC BEACH TOTE BAG 5.00 HANGING PENDAFLEX FILE FOLDERS 8.00 PORTABLE PLASTIG FILE 7.00 RECORD HOLDER--45 RPM RECORDS 5.00 32 CHILDREN'S 45 RPM RECORDS 32.00 PORTABLE METAL FILE-5"X12"X12" 10.00 STAZNLESS STEEL 5" DIAM. BOWL 5.00 THREE-RING B:NDERS--19 33.00 STACKABLE PLASTSC CONTAINER 4.00 FOLDERS--3 2.00 NOTEBGOKS--2 2.00 SKETCH PAD -1.00 CANVAS SCHOOL 8AG 20.00 PILLOW BACK REST 12.00 DUFFEL BAG--PARACHUTE CLOTH 20.00 CHESS PIECES AND CHECKERS 10.00 HANDMADE LEATHER DICE BOX 5.00 BOY SCOUT MESS KIT/BAG 10.00 PUZZLE 3.00 CANTEEN 5.00 TENNIS BALLS--15 12.00 SLUMBERJACK CAMP PiLLOW 5.00 SURGE PROTECTOR 14.00 2-1/2" PAINTBRUSH 3.00 FIREPLACE STOKER 5.00 FIREPLACE TOOLS 17.00 PET DISH AND WATERER 5.00 HANGING CLOTHES RACK 15.00 SLIDE VIEWER-KENCO DELUXE 30.00 SUEDE IEATHER ATTACHE CASE 20.00 DRAPERY TRAVERSE RODS--2 30.00 CURTAIN RODS--3 15.00 SLIDE PROJECTOR SCREEN 50.00 PLASTIC STORAGE CONTAINERS 9.00 OVERHEAD PROJECTOR 500.00 SAMSONITE ATTACHE CASE 60.00 CAMPING FOAM PAQS--5 25.00 EUREKA TENT--AURORA 4-PERSON 269.00 4 DOOR MIRRORS--12"X48" 40.00 TWO-PERSON DOME TENT 30.00 CAMP STOOLS--2 20.00 CAMPING BACKPACK 60.00 SNARE DRUM CASE 30.00 KNITTING BAG/FRAME 12.00 FLOOR LAMP--WHITE METAL 30.00 14 STUFFED ANIMALS AND DOLLS 140.00 1393 LAKESIDE DRIVE-EAGAN, MN 55123 FLOOD,DAMAGE REPORT-CHRISTIANSEN, GLEN & MARILYN WEEKENDER SUITCASE-SKYWAY 45.00 3 STRINGS XMAS LITES-40 EACH 30.00 ? SAMSONITE TRAZN CASE 25.00 VINYL ATTACHE CASE 10.00 KdDAK SLIDE TRAY 10.00 PICNIC BASKET 15.00 XMAS WRAPPING PAPER-6 ROLLS 12.00 WOODEN PICTURE FRAMES--40 160.00 PLASTIC PICTURE FRAMES--30 30.00 GUN CASES--2 30.00 PET TAXIS--2 53.00 SHEEPSKIN DOG BLANKET 10.00 PHOTO ALBUM 16.00 LOCKER PAPER--1 ROLL 16.00 DUMBBELLS--t PR. 10.00 BOOTJACK 6.00 NEEDLEPOINT AND EMBROIDERY 25.00 CNILD'S RECORD PLAYER 15.00 STAR TREK BGGKS--3 14.00 CAT BOOK 2.00 MAC WORLD MAGS FROM SCHOOL--4 24.00 SUB-TOTAL: 4,520.00 BOOKS HARD COVER--28 280.00 PAPERBACKS--53 265.00 SUB-TOTAL: 545.00 SENTIMENTAL OR IRREPLACEASLE ITEMS FIRST EDITION (1882) CAMBRIDGE BOOK OF POETRY 100.00 HANDMADE MATCHBOX CASE/24 CARS 100.00 ORIGINAL OIL PAINTING--20"X30" 125.00 DAMAGED PHOTOGRAPHS & SLIDES 600.00 50 sets of 24 each = 1,200 slides Laminating photos to preserve COPPER BOILER--RESTORATION 50.00 HEIRLOOM QUILT--DRY CLEANING 50.00 SUB-TOTAL: 1,025.00 MAJOR ITEMS WASHING MACHINE 465.00 DRYER 395.00 DOUBLE UTILITY TU6 225.00 SUB-TOTAL: 1,085.00 1393 LAKESIDE DRIVE-EAGAN, MN 55123 ,FLQOD DAMAGE REPORT-CHRISTIANSEN, GLEN & MARILYN GRAND TOTAL: 13,664.00 -P? -97 ffitat¢ Of AtYtt¢tOta, ss. AFFIDAVTT County o}'.. .......... HenneP..7. n .......... ...... . ....... /wr( Stephen J. Jacobsen and Teresa A. Jacobsen, husband and wife , residing at 1.6ZZ...S.tan.f.or.d...Avenue...... St.....P.au1.?.... Mi.nnes.o.ta...5.5_1.Q.5 .................. ......... ......... .............................................. ., beirzQ .... ?... ................ .. ..... flrstduly sworn, onoathsays.- Thwt (theH ¢re) heisJ ( ..... heknowa) .... .. . ..... they are ........... ..... . ....................................... ............. .. .... ............................ ...... . . .. .. . the person S. named as ........ Grantee . ............................. ....... ... ... ....... .......... in tha,t cert¢in instrusnerit dated July 7 ,19.77..., and Jlled for record . Su1.Y....18 .............................. ......... 19....?T, 492771 • ..... as Document No. . , xn the office of the Regist ............ C...o.....untdf Recorder Dakota - - " ? of County,.Minnesota; regarding land described as"_Lot 1, Block 1 Ches Mar First Addition. 11 That sa'zd person(a) are o/' legal age and are by occupation respecttuely. engi,neer ....... ............ ....... and nul^se with place of businessat ...... nnd fhat for the l¢st past ten years have resided at 1677 Stanford Ave, St. Paul, Minnesota 391 Grand Avenue, St. Paul, Minneosta That the said person(s) (are) 0) not now and h2 V2 not been in the armed forces o f the United States ercept as hereia stated; Hereby waives any claim to protection under the Soldier's and Sailor's Cival Relief Act. 1Ytat there hae;e been no proceedings in Probate Cottrt, rzo bankruptey ar diuorce proceeclino's, arzd that there ure no urzsatisfied judgments of record nor any actions pen.ding in any Courts, State or Federal, nor etny tux liens fzled asainst the aboUe named persora(s), exeept as herein staEed; That any judgnientc, ban7cruptcies, probate prcceedings, State or Federal tax ltiens, of record against pcrties zvit7x sarne m' siinibar nrcmes are not agaznst the above named person(s); Z'hat there hna been, no labor or materials ftcrnisT7ed to Ehe premises described in the above menteoned document during tTle last 90 clays for which paynxent has not beerz made; 4'huG there ¢re no unrecord,ed contracts, leases, easements, or other a6reements or tinterests, relating ta said preinises, of which your afj"zarzt(s) haVe. hnoiu2edge except as stated herein; That a ffiant (s) kn,ow (s) the matters herein eta,ted are true and make (a) Ehia a/j'idauit for thz purpose of inducircg tTxe passing of the tiEle to the premiaes referred to in sctid document, free ¢nd clear of all judgme,rzts, .4tate or Federal tax liens, and questians of aervice in the armed forcee af the United SEates, diuorce, com,peteraay, bankruptcy and unrecorded interesta. Regarding the hereinabove described property, the undersigned hereby waives any objection to the County of Dakota widening Co. Road 31, by use of the : County of Dakota's existing easement. This document was drafted by: Halley Land Company 600 Shelard Tower, Suite 650 Minneapolis, Minnesota 55426 ??. .. ?.???'? ............. ................... .. Stephen rd,. obsen ...... .............. ... ..... .. ........................ ..... ... ................ .... ........... Subseribed and sworn to before 7ne this "`???'d?" Teresa A. Jaco sen ? ..?.??.... .dayof ...................... ..................... .29.??. a n4a?aaaaanasaancAnaaaAA<,a* .................. MILM4ElNRlLEY i qOIARY PUBLIL ? A RAMSEYL(MMtt.MINN? ? ? MrcomTmsion cVku e ? ,? ..t ApnI1F.t979. File State of 1VIinnesota, CotcrztJ of. ... AFFIDAVIT State of Mlnnesota, CounEy of..............DAKOTA.................................................... Of?'ice of Regist G0°"ty_!!m I hereby certify that th,e within, in- strunient zaas filed J'or record in my of?'ice on the d¢y of at, o'dock X. and recorded,in Bao7c af DAROTA 600NTY RECORDS , ¢t page Jmmes J. FouscHts f.annty Rgca(dw egist// of ... / 13Y uty ?- ?6?-e-? `-? ='?'' ,G'?r-?? Ssia•r?