4565 Pilot Knob RdCITY OF EAGAN Remarks ? -/? - I ` ' . _
Addition Section 28 Lot etk Parce4 10 02800 020 72
Owner i l`'_? ?,? i? Q?1__`:: st?eet 4565 Pilot Knab Rd. _ Stace Eagan,?r 5512.3.
'?-7 -7 - l?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN 5EW TRUNK 136c1 1
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA ?
STORM SEW TRK 111 1983 838.51
55 :.89
STORM SEW LAT
CURB & GUTTER
SfDEWALK
STREET LIGHT
WA7ER CONN.
BUILDING PER.
SAC
PARK
C
EAGAN TOWNSHIP
BUILDING PERMIT
owo.: ...... ..... .....?.-?j----- -- -..._...._.......
Address (Present) .......
Builder
Address
..............
DESCRIPTION
Nlel 3044
Eagan Township
Town Hell
Dale __4- 73
.........................
...
6tozies To Se Used Fos Fronf Depth Heigh2 Esl. Cos! Permi! Fee Remaska
0 j[ .?
SliOel. R08d Oi OIheL DeeCL1pI1017 0I LOCSrion I LOi 7510CB AtltiiIiOn oi 'PleCI
ZtfV? Q??l
1'his permit doee aot aufhorise the use of slreeffi, soads, allepa or aidewalks nor does it give the ownee or hSe sgen!
the right fo ereale any sifuetion whiah is a auisauce or which presenfs a hasard !o the heailh, safetp, coaveaienae and
general welfaie !o anyone in the eommuniiy.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROGRESS.
T6is is 3o certifp. 2hai........... -.----........... haspermisaion to erec! ?.... ......... .. .. _.._upon
!6e above deacribed premise subjee! !o the ptovlsiona of ffie Building Ordinaaae for Eagan Tbwnship ado !ed April 11.
1955. p
?]...??
---..-.---°°-------...-°•+""---i-°°.---°- °......---....°°.--_.. Per ..................... `___""..._..-----°....---°---9... _.....--°°--.......-------°-
Chasman of nwn Board SuSldin Inepectos _a
EAGAN TOV!/N 5 H i P
BUILDING PERMIT
Owner ......... XI,-C,iL.....?........LE!`"fl.?f..?......'-----
Address (Presenl) 1..-------- ?Iel--------
Builder ---'-"'_'?.?C'?
Address ................... ...... . .. s----.
N° 1186
Eagan Township
Town fiall
Date .d /yL...?.'../....
5ioriea To Be Used For Fron1 Depih1 Heigh! Est. Cos! Permif Fee Remarks
?? ? / X O ^
? I7 /+.D I7i ~ oT O / ?tl?srJ/?se .
?
t• C?? ? Z I
A.,a ? r• i3-•-y Ca. Aal
O I LOCATION ° 1
Sfreel, Aoad or olher Descsipiion of Localion Lof Slock Addilion or Trae2
???+- ?CJ o-+? Co s?+P 3 I
?? ,?„?;??„ ?,? ? s,?
Dao
y9
/•0 4asoo aaa 79
This permii does nof euihorise lhese?of slreefs, roads. alleps or sidewalks nos does it give the owner or his ageaf
the right to creafe any sifuaiion which is a nvisance or whiah presenis a hasard !o the healih, safefy, convenianee and
general welfare So anyone in !he communily.
THIS PEAMIT MUST BE EPT /O?N pTH"E" PAEMISE WHILE THE WORK IS IN PROGRESS. ?
.?.?-:a:tc?.s .......................has permission !o ereat a. . '. . ......... .... .'t?,r7q?.., ,'.?."?..upon
This is fo cerlify, ihal---- .....Q .
the abave described premise subjeci !o the provisions of the Building Ordinance for Ea n Townshi dopfed' April 11.
7955. y,/? -
........--`-----..........l?.Cf4..?!crR!.`.ti(........... Per .-----. enLL.....?R!e.cc1.. 5.?.'-"-"'__.......
Chairman of Tnwn Board ? Building Inspecior
a-,/5 -
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN \
5 3830 PILOT KNOB RD - 55122 Q. S V
657-681-4675 ? a
NewConsWetfonReauiremeMS RamodeVReoeirReaulremeMc 11
? 3 regktered site aurvaya showing cq. R ot b; aq. R of house
and all roofed areas 120°h maximum rot covemae alloxred)
? 2 aopiea ot plane (show Deam & window sizes; poured fid. design; ete.)
D 7 set of energy calculatlons
D 3 eopiea o(tree presenatlon plan N bt plattad after 711193
DATE: I1'I8 ` S,
2 copies of plan
1 set of onerpy ealculetlonn lor heatad additbns
1 ske survay for exterior additlons 6 decks
,g .e
CONSTRUCTION COST: 3, 0 oa 4-
DESCRIPTION OF WORK: lS.xW+aw .
STREET ADoREss: yscs
LOT: ? BLOCK: 5UBDJP.I.D. #: _ S-C <L:k? p y?
PROPERTY
OWNER
CONTRACTOR
ARCHRECT/
ENGINEER
Name: fAs742 Lte,? CJ,wr?L Phone#: (Z SO YSZ • 3L $ 6
Lesl First
StreetAddress: -/'LOO fi'c.nr XA1ae /sio,
ChY 4&?a"' State: Nl n. . 2ip: .$'S/ 2 Z
Company: N. N?,-S 1. .. &MLJ6 2'u e Phone MCGS/ )_
(area eode)
StreetAddress: C1,6/D c"GVC,O 131UD . Lieense# Exp.
City ?u-ca GRer- Z6i-s, State: Y11 N. Zip: 55?7,L
Company:
Telephone #: (
Name:
Street Address: Registration #:
City
? Sawer 8 water Ilcensed plumber (new eonstrucfion onlvl:
State:
I PenaNy applies when address change and lot change is requested once permR is tasued.
Zip:
I hereby acknowledge thffi I have read this applketion, sfate that fhe infomudw is wrted, end agree to compy vA all applkable State of MfnneaWa Statutes and Cit
of Eagan Ordinances. /
Signature ofApplipnt:/9•?CAatiJ`da,s L±?c.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
woRK nrPe
? 31 New ? 35 Tenant Impr 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
r'
SAC Units
°k SAC
czrv Or CncnN .
CASH:[CR: :IS TE1°tMINAl.'Nfi: 878
DA'tE: '.1.119/93 7IMC8 09:13:1Fi.
Ip;
NAMF: A. KpPi:i'SH G 50N8
18 9001. -1575 FIL-Ul' YNU& , 60 .00
= 2{015 3001 4575 PTL GT P:Nf1B. C?.;^;o ;
iQ 30(]:
3'? 4:'?'? "TI,..07',f?i.OB , F,Q.Of! -
.,
2?5 9(JDi. fiS'S F'Tl:d'i KNOB, O.SD.,
;;?21f7 90C11 14'i.?'t CL.T.1=F hD E.O.q(J
2:LT.3 g['U:. 1475 CLIFC= •F:U C].,5Ll-_
3219 9OQ4 45U5 P2c..or vac,rt 60.00
21.55 .90411.
4E;6; F?ILDT-KNdV,.` ,
L..;rO
I 32153 '3G0 1 451 ? F'.ii.AT;KNG$ .? 6t).04
2155' ?n, Q} 451.5 PII...QT KiJdB n L1?5R
CR11_`.if;r:4 •
'
iJ3Eft Ifi° JAk .
.
i ?L.' . . -...n
N'
.
.
.
?1??7k 1k%k7k*7?Qik* **? %k1CYc.k*7K 1KWt?M7K•?{.? *??? A?
crrv OF EAcaN
r,ASHZER. as rERnzNAi... Nn: -re,s
nnrE,g 07i23i99 l'LMLc 11:03:25
IU"
PlAMC; SWSF'i HOtJSF MOVING & I-IFqVY MA
321F3 9001. 451i F'IL07 t:NOFi 75.00
2155 700:I. 4515 F'ILAT Y.NUB 0e50
321f3 9001. 1475 CI...IrF RD 75.00
21.`:i`i 9001. 1475 f.;L.IF'F FD 0.50
321E3 9001 4565 I"TL.UT KNOTS i`'5.00
21.55 ? 4Jbt1 t'I_OT t:NUE{ C1.JO
/
?.
'•w
Tnta7. RPCei.pt Flmount,w 2.26.50
Cft:1.1.40 i G
(JSEFt TI!. J(-tN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) '; 75' -ST?
?J?g?S3
New Construction Reaulrements
CITY OF EAGAN
3830 PILOT KNOB RD • 55722
651•681 •4675
? 3 registered ske surveys showing sq. fF, 01 lo}, sq. k. of house
and JI roofed areaa (20% maximum loT eoveraae allowed)
D 2 coples of plans (show beam 3 window sizes; poured Ind. dealgn; etc.)
? 1 set of energy calculallons
? 3 coples of hee preservafionplan N loi plaNed alfer 7/1/93
DATE: Q 9
DESCRIPTION OF WORK:
?
1- i- a-a - 9 9
Remodel/Reoah ReaufremeMs
2 copies of plan
i set of energy calculailons Iw heated addHions
7 sHe survey lor exlerior addlHons 3 decks
CONSTRUCTION COST:
STREET ADDRESS: L4
LOT: ?-- BLOCK: ?"I SUBD./P.I.D. #: S`2 C-L C) Y\,
Name:.aic?r ? .a f'? ?lcYSkPhone#: ?.?'I-?2-3GrY7?
PROPERTY
OWNER
-? ? ?n-f-
Sheet Address: !Z,;2Od Ket C)
City Ea ??, t- State: 1/1/( ? Zip:
Company:'??4 4 .E ?Rio t?6df &? ?;hone#: & t 2_ 9;7;V- 63 V3
(area code)
CONTRACTOR ?
Sheet Address: V 6 S L.a r 1G i v?. Q aE License #5f aZZ ? Exp
City ? o ?C-+ r ai ?.. State: lNl Zip: ???! (]
ARCHITECT/
ENGINEER
Telephone #: area code (
Name:
Streefi Address: Registration #:
City State: Zip:
Sewer i water Iicensed plumber (reaulred for new conshueHon onlvl:
PenaNy applies when address ehange and lot change Is requesfed onee permtt is issued.
>
I hereby acknowiedge that 1 have read this applicaHon, state fhat the InformaHon Is conect, and agree fo eomply wffh ail applicabl
State of Minnesota Sfatutes and City of Eagan Ordinances. /
* Signature of Applicant ?- ? v
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
/
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
re 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ?r 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration p 37 Demolish Bidg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building V s Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MClES 5ystem
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
,Ew - G °J'
c t
Permit Fee
Surcharge
Plan Review
License
MC/ES 5AC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
?
SAC Units
% SAC
o xNMESOTq
'o Minnesota Department of Transportation
9 `< - ----- ----
%Fi, Ottice of Motor Carrier Services
QF TP 1110 Centre Point Curve
Mail Stop 420
Mendota Heights, MN 55120
Building Mover License
CERTIFICATE NO: 312227
ESSUED TO:
SWIFT HOUSE MOVITIG 8x FIEa4VY MACHINERY 1NC
llic abnve named license hnlder has cumplied witli ihe license rcyuiremems anJ is herehy issucd tliis Minnesota IIuilding Muver License N'l111I1 N'III
expire on Ihe Jate s6nwn bclnw.
IiXPIRA"IIUN 1)ATI:: PRI3RUAKY 29. 20(w
llie licensc hulJer agrees iu cumply wilh nll :ipplicaMe Staie amJ Pederal Regulaiiuns. failure io comply may result in revucation of this license.
lhe I.icrnse HolJer m:{y nnt perliirm huilJing nwving npcrntiuiis in Minnesuta unles< the vehicles havc heen registered And Jisplay a vnlid
idcmificniiun cnb card is,ucJ M1y thc Minne.oia Ucpanman ol 'llnnspor(niiur.
POR V@RIF=ICA'1'ION CALI_ (651) 405-6060
Swll°'f 11oUS1! MUViNG Xc lu'.nvY MACIIINGRY INC
20845 I.ARKIN ROAD
CURCORAN MN 55340 F:PFI:CTIV[ UA'lli: 0 II25199
7-1:1-I999 1:25PM FROt4 DAKCTA ELECTRIC ENG 4636107
TH£ FOLLOVJtNG SERVICES WER$ DISCONNEC7ED 9Y OliR CREV+' ON JULY 13, ]999:
4565 PILOT KNOB R0.4D
4515 PIl.OT KNOB ROAD
4575 PILOT KNOB ROAD (2 SERVICES)
1475 CLIFF ROAD
D6LORES DENTIY
Dakota Electric Association
461-463-6247
P. 2
. ?
U
OWNER'S PERMIT APPLICATION (FOR BUILDINC MOVE)
0 Date of Application: 1-13-q9
0 Address & legal description of building being moved:
0 Address & legal description of proposed destination:
- ?
0 Building owner's name:
address: 01.0?45 S S
phone ?: ?1,? - 4?g-?e3y 3
0 Landormer's name:
address:
phone u:
If landowner is different from building owner, provide approval from
landowner to operate on the property.
0 Indicate if structure is connected to:
_ City sewer City water - Septic _ Well
_ Electric service _ Gas service _ Other (list)
0 Indicate party responsible for utilities disconnect:
_ Ocmer Mover _ Other
OFFICE IISE ONLY
Real estate taxes/assessments on building
Real estate taxes/asaessments on land
Utility disconnectt
Electric
Gas I
Sewer/uater
Landoxner approval
2
MOOER'S PERMIT APPLICATION (FOR HOILDING MOVE)
0 Bate of 9pp11cat1on: -7, "?3 "`-V`P
0 dddress 8 legal description of building being moved:
?51.?5 _?j-L)t _I/.Xl Dl0
0 Address 6 legal description of proposed destination:
0 Qieck situation that appliess
? Suilding presently lxated ia Eagan - to be moved out of Eagan
Building presently located in Eagan - to be relxated in Eagan
(Requires Council approval)
Huilding located outside of Eagan - to be relxated 1n Eagan
(Requires Council approval)
Huilding located outside of Eagan - to be moved through Eagan to
aaother City.
o Hover's Name: 2) ( i )I? L kD 1Sf1710U1Y\G _
9ddress: ctoR`is lnXL/-?1? ypad' l n?COvan
Pnone # (2 19 -Lt? FS'(j 34?
Mn. Mover's License #?J
submit a eopy of license)
0 Hig)3ligst origin, route, & destination on current City map. If County
or State roads are usedp provide copy of those permits.
0 Proposed date & tlme of move (notify Eagan Police Department). aOTEt
Eagan Police vill aot acoompany move unEil time ooordinatioa ha3 been aade
with aeighboriag nunicipality.
0 Size & veight oP atructure: ? 44 4/(? L x /Y tt
OFFICE OSS 09LY
Mover's permit fee
Permit #
(iuarantee to repair
3
E i 6 .\ X
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l guPehtte 1 Witl teplktt ANy gnd gll Jampge lo local rnEldways,liiilldes, gnd public riglit-o(-
w#y that MAy be dameged by this moving bperaUon.
bA
/
By:
Swift Housemoving & Heavy Machinery Inc.
20845 Larkiri Rocrd, Corcorart, MN 55340
Pltone:612-478-6343 Fax:612-478-6934
Purchase Agreement
This Purchase Agreement is made this 6th Day of April, 1999 by and between Eastet Lutheran Church- Mark Keel,
4200 Pilot Knob Road, Eagan, Minnesota 55122 hereinafter called the Seller and Swift Housemoving & Heavy
Machinery Inc., 20845 Larkin Road, Corcoran, MN 55340 hereinafter called the Buyer.
In consideration of the mutual covenants and promises contained the Buyer agrces to purchase the
building described as follows:Three Bedroom Stucco Rambler., located at 4565 Pilot Knob Raod, Eagan,
Minnesota.
Purchase price will be $ 10,000.00 with $ 1,000.00 down and $ 9,000.00 paid prior to removal of tha
building.
Seller will be responsible for sewer, water ared bonding as may be required 6y the city.
Seller shall be responsible for cleanup of the site and removal of the old foundation and debris.
Seller further guarantees that he has the right to sell the building to be removed from the property and
shall not hotd the buyer responsible for any liens or real estate obligations as may be required by the Ciry
or Counry.
Seller will be responsible for well abandonment and sewer diswnnection.
Buyer will be atlowed to show the house fur the purposes of sale to prospective buyers.
Buyer will indemnify the property owner from accident or injury related to removal of the building and
provide a certificate of insurance.
Buyer shall remove the building from the property on or before Tuly 15th, 1999.
Buyer: Swift Housemoving & Heavy Machinery Inc.
By: &J4
?? Zz
Robert A. Swift, ier
Seller:
SELLERS COMPANl' NAME
By:
SELLERS AME
/??121t f_ J??? l?
?lroWtr.u?CCMMr ?
04M0lVAOLm
I - -
O'lla e1W w?Optr
7 ANYAYTO 1 UOIIAOOqlNY 1
H
OICiAWMUiv
I I ucMacwMixa? ?
I I ? AoWari ?
I u?MEtLAtOW
0111Ct 1t1111111YMA? XW I
WOOMMN//YUIILONAW ?
fO?OVqIDW?YPo
? [lMCwacaoint 1100,000
g TwarRamOrar .,a 99waMIIU132596 02/13199 02/13/00! u.eAWa-rwevurT S500A00
...rwa1?sco+iw leLaww•MriKOrn6 100,000
artr.es? 92=
A *THU
i Grgo Cev*rsq*
35375694
12/08/96
12/08/99', ? 000? 8500 bed.
eawnft a 5w5naxnouiwWwa10L
ClRT1FKA761lOlf7EN cApIMunan
OrIRlLle/?Y?OVGIYM41KWiO?f/?TM
t
Y
SIIONGMIOF'N
WM?TO? OLil1MMq. ? ilWw6COWYf/?Mll FON'/? 10 ??R
},Q.,,aArtwrrrw Monee To »u e"nrnaAtt NCLauwawe» rnB:vr.
:o wxar sr ra.r coeresur eurrAauum?wex.on« waaMOen,e.no??w?w?n
j OiMY1tlM0YrOMMfAM?Yf/. A661 011
AY
, I?tEINM 7?. SaRCMn
F%
ACORD 254 (1190)
MASTER CARD
LOCATI ON
OWNER
-7% -?., Z /
STRUCTURE AND oid 40d" oie
IAND USED AS
Permif
No.
Issued Issued To
Coniracfor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL ?
_ D
HEATING
GAS INSTALLING '
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING 1, ???,•?il???;?? :-,? TILE FIELD FT.
FINAL
ELECTRICAL ?
HEATING DEPTH
OF WELL
GAS INSTALLATION
$EPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS: -
oF
3830 PILOT KN08 ROAD THOMAS EGnN
EAGAN, MINNESOTA 55142-1897 mva
PHONE: (614) 4548100 DAVID K, GUSTAFSON
FAX: (674) 4548363 DMnELA McatEq
TIM PAWIENiY
THEODORE WACHTER
COUMII M4RIbCrS
August 24, 199? 71?iOh1A5 HEDGFS
CiryAtlminisnaror
EUGENE VAN OVERBEKE
Ciry Clerk
DOROTHY A OLSEN
4565 PILOT KNOB ROAD
EAGAN MN 55122
Res Bpecial Asaessment Deferment
Parcel No. 10-02800-020-79
Dear Mrs. Olsen:
In official action of the City Council at its regular meeting held
August 21, 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 subdivision of
all or any part of the property or loss of homestead status, the
deferment terminates and all amounts accumulated plus applicable
interest become due.
Please call if you have any questions regarding this matter.
?
? Sincerely,
?"^?
E. 4l+VanOverbekeA
Finance Director/City Clerk
cc: Linda Fink, Accountant II
Deanne Kivi, Special Assessment Clerk
EJV/Vmd
THE LONE OAK TREE...THE SYMBOI OF STRENGTH AND GROWfH IN OUR COMMUNITY
Equal Opportunfty/Affirmative Action Employer
' „APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX
ON SPECIAL ASSESSD1ENTS FOR SENIOR CITIZENS' HOMESTEAD
LANS 1974, CHAPTER 206
STATE OF MINNESOTA)
COUNTY OF DAKOTA C!
DATE
T0: County Auditor, Dakota County, Minnesota
; I, the undersigned, declare undek penalti
That I reside at. c Fi/a'f H.,L
19 PU
--)-.-21
my uirtn is /,?',yt ?[??)
That I am the owner of the property legally described as: Section 28 'Itap'27 Range 23
PT OF $E 1/4 dF SE 1/4 COM 528 PT N OF SE COR W 435.6 FT N 300 FT E 435.6 FT S 300 FT
TO BEG SUBJ TO HWY ESMNT PARCELS 9& 9-1 IN CTY R/W MAP 25 & 25A
, Property Identification No.10-02800-020-79
That my interest in the ownership of the above property was aquired on January
19 64 and is as follows: •
1. Sole ownership (Enter Yes, if applicable)
2. Joint tenancy, held with
3. OTHER undivided interest (Specify)
That on January2, 19 90 or June 1, 19 0 I owned and occupied t e above property as my
homestead and such occupancy began on_ a ti - (. t,[ 19
--?
That the installments for improvements on the SPECIAL ASSESSMENTS duly adopted in ordin-
ance by the City Council OF Eagan AS OF 8-14 1990
which have been allocate against the subject property would create undue personal hard-
ship on my behalf and I respectfuliy request.that payment be delayed and that such in-
stallmerits be so deferred for the years 19 90 to time eligibility is lost
SIGNEDd L°dt'o1S?° ?
O?IER SPO SE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
?• ?
I. , Clerk of the OF
IN County, State of Minnesota, do hereby certify'that the application
of above named, has been duly reviewed and that '
in ac=ordance wi thc? minutes of o ficial record in d ehambers was duly
F?NF$p :
APPAOVED ?r•9 a s of ?4
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 annual rate shown until such time as it is
deemed the applicant no longer qualifies or the property loses its eligibility.
ASSESSMNT D/P N0. TOTAL AMOUNT YEARS INTEREST RATE
Wa r 7a ra1 2066 3837:18 10 9%
Street 2069 5316.00 10 9(
?Q
DATED ? 19
(over)
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Presidential
Election Can
Filing 5tatus
Check only
one 6oz.
Exemptions
(See
Instrudions
on page 8.)
If more than 6 dependents,se8
Instmctions an
page S.
Servlce .
J?:-dec;;31";1 8,ur6thartaz er De innin :'1989,enCin ,19 1 OM8NO.1545-007a
Wname0ntl'Inftial Lastname Youraalalsecurlty numEer
?j S y 1J 70 : 30 :7sa 9
; return, spouse's first name and initial Last name SpouM's wclal secudty num6er
ddress (number and street). (N a P.O. boK, see Dage 7 of Instmctions.) Apt. no. FOI PrIVeCyI ACt 8nd '
-61 P / D ` Paperwork Reductlan
rm or post office, state antl ZlPcode. (N a foreign aAdress, see page 7J ACt NOtIC@, 48@
?c/A/v 12M) -J- /a Instructions.
hecking "Yes"will
?U?want$ltogotothisfund?. . . . . '. . : •t N? Note: nCotchangeyourtaxor
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21 • . Marrfed tiling joint return (e'vBn if only one hed incom?) . 3. ..Matr?ed iilirig uyirete return. Enter apouse's social securl{y no. ebove"and full name here:'
4,.-: ;Head of fiouiehold (with qualifying pErson): (Sea pa6e 7 of In§tiuttlon's.) It the quatltying person is your chVid 6ut nat
. . . -.vniuderienACirt?eriterchiltl'snamehere. . ..
Yelf? Ii wmeone (sucli bs jrour parent) can clalm You as a dependent on his or her tez No. of 6oxes /
' retum, da not check box 6a. But be sure to.check the box on Ifne 33h on page checked on W.,
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Income Ba Taxeble mterest income (alsoattach Scbedule B rlover f400)
Please attach ??pt interestincame (see ?)age 10)'?ON'T include ou9ine 9E ' 1116
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Rdjustments S 1cfroapplcable workstieet on page 14 oi 1
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Instructions 'sonalsecurirynum6er. . .
29
on page 14.) 3d ne3.24 thfciu i29. 7hese are our total ad uitments'
- l? to Q
a1 ci,tit.Aer c?,an r.no, una 23. rniz is vnur adlusteii aroas Ineome. !f this line is less than,
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August 4, 1975 ... ?..,. .
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xan c. olsen'
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4565 Pilot Snob Road _
.
.
Eagan, MAt 55122 '
Dear Mr. Oleens Rea 3aa1tar7
,Setrer Trunk Youding Eas ement
.
Reoent3y you aigped:_azt e6ement Por ponding xtEh •?arCit;?" cY Eetgeu .1
' for thamae- Lake.
2 have Deen informed by oqx+, C$.ty.'Attbri?ep'+:Mr. I?Iaul Hauge_ that xs
naed the Certifioate of Ti.tle in orde
r
t
o
reoord Oe eas
ement. Please.
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.. ' ?701Iti8Cti? MI'w;.gBU$8 St jOl$:.@'
9
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ti ?wiraa?BIIOQrt'?t 45L?J;G24 tiO:ti999. 1'ihi8?
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„
mottar reeolved. ?
Thanlt-you for your cooperation cancerniiig the above meiltioned•, . `.
Pcndin8.eeaement.
$Smere]y,. i
Ann f3oera jMre. )
,
_
Aeaeeament Clerk
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` City af Eagaa . '
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DELINQUENT TAX RECORD
I 31 26
?) "/)o/,Y?
PT OF SE t/4 CF E 1 4 C n
LASTGNANTEE 529 FT N OF SF f, RW 435.6
IS CX OCPOTNY A rLSEK F7 K 300 FT E 43 .6 T S
300 FT Tfl ?FG
Dorothy A Olsen Aff of Surv 3.OU0 ACRFS 28 27 23
4f.,4? ??Lt-
r4?"; s?.b? to j?wy
?.S??n1- .?areels q ? 9 f im
S-- 3-??
89-36
city of eagan
3830 PILOT KNOB ROAD. P.O. BOX 21199 VIC ELLISON
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100 Special Assessment Search onvTMi? ?GusrnF?'soN
PaMELA MCcaEq
THEODORE WACHIER
DateO January 12, 1989 CouncnMembers
7HOM0.5 HEDGES
CiN ?mnisUalor
Requested By; R8: Section 28 euGENEVnraovEaeEKE
j
ClryCleik
Gonyea Land Company 10 02800 020 79 `
On the attached form is the City's response to your search
request on the identified property. The information includes the
original amount of the assessments and the payoff amounts of the
assessments on the parcel. In addition, pendinq assessments are
included for improvement projects that have been ordered to be
installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Enqineering Division can provide further clarification
of this policy, if you desire.
WAIVER/DISCLAiMER:
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and using information on
the attached form and for all other consideration of any nature
whatsoever, any claim against the City or its employees rising
therefrom is hereby expressly denied. Pending assessments cannot
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
Ver1• truly yours,?/
t?'?/--? ??Je?yLaCi?-7 ?^?`.'l.?
SPECIAL ASSESSMENTS
Attachment
THE LONE OAK TREE. ..THE SYMBOL OF SiRENGiH AND GROWfH IN OUR COMMUNITY
r
l't.,,AI`dSFiCT:f.L.-1N :[DC F276(3 Sl'li`(.:]:rll.. AfiSk2E"i':iMEN.l_S
oPlii:l;:[r')I_ AtiiSFt3Sl°IF'IVTS FiE:A1=iCFl
pRi:1FER7Y I.D. TLIY)AYS L)1-;TI=:: 01/12/89
. .
l. i?--0":::f.3Ci0....C):??. -'% `?'
?
:3., M.. #1 ASSES?iME"I'•.I"I i:iE',3CR.. YR YfiLi Rill"I: T17TFiL
100504 BFdhJ SbJ Tf't 75 15
100151 1+lFi TFR ARL(1 76 15
100Y714 EiYd!`I'li 82 'L`;
7.;:i1=`466 1='7:i_(J`f KfqL)li Fil') 00 Q
3UI°
II°IARY i=lF= i=iC i:[
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--- ;F•IcCI(aL. 1=L.Af'.3-----
'-+
nNiv. F>F,:r.ti. PAvor=r -- c_OriMEiv
8.00% 788.50 52.62
9.00"/. 722,00 48.16
E::. pV% ,:',38. 31 I[i`:i. r19
.00i: 5316.00 5317.1)0
23=4fi. fii 156.b7
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5016. 00
NOY. -30' 99 (TUE) 11: I B DAROTA CO EiNV 1UT
TEL:612-891-7588
P
001
Municipal Notice of Well Permit Applica tion
Dakota County Eavironmental Management Deparment
Water and Land Management Section
14955 Cralaacie Avenue West
Apple Valley, MN 55124
Tel (612) 891-7011 Fax (612) 891-7031
DATE: November 30, 1999
TO: Tom ColberdWayne Schwanz
Fax #: (651) 681-4112
FROM: water and Lsnd Managesent
RE: WellPermic#: 99-H156120-11156123
Municipality: Bagan
Well Type: ?ted
Environmemal Spec ialist: Luehrs
The Water and Land Menagement Section of the Dakota County Environmeital Management DepartmeM
has received the following permit application for t6e well described. If you i?equire futther re?'ie?' of the
application or if you have any questions or concems about it, contact the Environmental Specialist listed
above or our affice at (612) 891-7011. If thene is no response from your oftice ibithin 24 HO[TRS (excluding
weekends and holidays), we will assume that you have no objections to the is>,uance of the permit Please
note that pexmii issuance is always condifioned an the permit applicanYs observancc of and complianao with
all applicable state, county, and municipal laws and wdes.
We11 Contractor: Saiverda Well Company
Datc applieation raceived: Novem6er 30, 1999
Anticipated Dnlling Date: Time:
Anticipated Crtouting Date: Time:
property Owner: Easter Lutheran Church
Well Owner. Easter Lutheran Church
WELL T.OCATION:
PLS Coordinares: 1/4, se 1/4, se 114, se 114, Scc 28, Town 027, ltaegl 23
Street address: 4515, 4565, arsd 4575 Pilot ICnob Rd
PIN Number. TM-P0000-060-26
WELL lNF4RMATION:
Diameter: 4
Casing depth: 150
Total depth: 155
Staric Water Levet:
Aquifer:
COMNTENTS:
6128917588 => CiTY OF EAGAN ,TEL=6516814612 11/30'99 1217