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3083 Sibley Memorial Hwy CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 4323 PHONE: 454-8100 BUILDING PERMIT Receipt # ?,, ,j ? • To be used for -iding on House Date 'lay la. 19 Site Address `• '?S3 Sihl-ey Menz- Erect p Occupancy Lot _ Block Sec/Sub. See. 8 Alter C] Zoning ?? Parcel .# L0 030 f 0E00 V Repair ( Fire Zone - Enlarge ? Type of Const. Name l.'a yne Goldsw oTth- Move ? # Stories W 3 Address }' ''lblev ?m• Hwy. Demolish ? Front ft. o y i:?g s1= ??__ 452-5518 5 Grade F1 Depth ft. 9z z° ou u< H Nome . A'kDe Address Name _ Address 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. Signature of Permittee - A Building Permit is issued to: 4. 3 all work shall be done in accordance with all Assessment - Water & Sew. Pol ice Fire Eng. Planner Council Bldg. Off. - APC Permit 12.00 _ Surcharge 1.50 Plan check SAC Water Conn. _ Water Meter Total 13.50 "'r on the express condition that of Minnesota Statutes and City of Eagan Ordinances. Building Official Penwit # Date Baud Pen ut" Plumbing Mechanical INSPECTIONS DATE INSP. Rough-in Final Footings Dote Insp. Dote Insp. Foundation Plumbing Frame/ins. _ Mechanical Final 14-- - 7? Remarks: Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 3. Job Address 4. Owner 5. Contractor _ Phone - 6. Address 7. City State Zip S. Building Type: Residential S( Commercial ? Institutional ? 9. Work Description: New ? Add 0 Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ce l/D i fi ld Bath tubs sspoo n ra e S ti T k Lavatory ep c an f S Shower o tner W ll Kitchen Sink e Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Fin. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Permit No. Fee S/C Tot. Installation Cost 10O&Toc) 030 nq - Lot 3 Blk. Tract '5C c, k PLUMBING PERMIT PERMIT # Q 6e -=51f CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /r/G Site Address -71)K:5 kA` 6' +TJ :T Lot .- Block _q Sec/Sub m Name Address C City Phone L Name J C Address p City COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES mMINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 -STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 + a4w \.-AV\ c 0 \ t pa%ld FEE: STATE S/C: GRAND TOTAL CITY OF EAGAN Remarks' Addition Section $ Lot 3 elk 4 Parcel 10 00800 030 OIL Owner eet 3083 Sibley HWY. State Eagan,MN 551 21 )21-) Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, GRADING SAN SEW TRUNK c( 1 8 294.00 30 Paid SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA k, 3 1977 798-00 -7 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, 5D? SAC PARK ' CASH RECEIPT * I( CITY OF EA:dA' N 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE i 19 AMOUNT 3 DOLLARS & 100 O CASH [? CHECK BY C m!;a ; ; o Whi --Pay- Copy Yew-POW-9 Copy Pink-Fife Copy Thank You SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 t OFFICE USE ONLY PERMIT DATE :) ' : C / ` " WATER PERMIT # t 0 , 15 METER # 3 S aZ.?. i,pR RECEIPT # ;; 2409 qF em! ,5_- _ orl? ?Pl RECEIPT DATE METER SIZE T/--nO ^?e ISSUE DATE PRV -BOOSTER PUMP SITE ADDRESS 3 N '' ('- `; rN LOT BLOCK -TSEC/SUB APPLICANT: LJAVnIE 51LX_ F' 4 ADDRESS: L CITY, STATE P/-g ti' ZIP PHONE: -?-? r ? PLUMBER: ' - ADDRESS: CITY, STATE ZIP PHONE: OWNER: - ADDRESS:_ CITY. STATE PHONE: ZIP PERMIT REQUESTED L?WATER - TAPS COMMIIND "ESIDENTIAL I NEW EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: / 9 h?/ SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE 61 141 tit) WATER PERMIT # 1 `1 SEWER-PE # METER # 6k`. RECEIPT # C 21100 READER # 0,101 RECEIPT DATE i t J f . METER SIZE ISSUE DATE - PRV - BOOSTER PUMP SITE ADDRESS LOT -- BLOCK SEC/SUB ?X C k APPLICANT: , ADDRESS: t -? CITY, STATE ZIP PHONE_ PL%BER: ADDRESS: CITY, STATE ZIP PHONE: OWNER: ADDRESS: CITY, STATE ZIP PHONE: PERMIT REQUESTED WATER -TAPS COMMAND JkESIDENTIAL NEW TING I AGREE TO COMPLY WITH CITY OF EEAQGAN ORDINANCES: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. yam,. CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD j allyl EAGAN, MINNESOTA 55122 / DATE 19 nECEo FROM AMOUNT $ & 100 DOLLARS ? CASH +a-CHECK FOR 2 7 41 White-Payers SPY C Yellow-Posting Copy Pink-File Copy Thank You BY /".? o Date of t I, as [K electrical i Street Address or Rout Y A, Sectio own hi Which is occupied bys? Is a roughin inspection Power Suppliery- - Electrical Contractor. Mailing Address Authorized Signature at: t ?o 0o P1 030 0 4- /a '5;eJ3.S -Sec-Hoy) q, N 33892 ntractor,Q owner, do hereby request inspection of the above (Name of Oocu on this job! No [Ir Yes Q Ready w Will Call Q Addr Cont. tor's License No ?(Comame) r 61, A. (Electrical Controll or Owner Making This Lnsta tion) 3 p "?a6 3 sty } Phone No---2 2$ Contractor o Owner Making This Installation) 0 -noKo0 -030-0 Date Time WHILE YOU WERE OUT M f^?G/i ?r t ±?i of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TOSEEYOU WILL CALL AGAIN WANTS TO SEE YOU URGENT I RETURNED YOUR CALL (Zt to "U.V'1 ..cross MCVOW vs F_la 23.000-5 m GENERAL OFFICE PRODUCTS 612 AMP 57255 ?J COMPANY 925.7500 ?41? DAY/;)ATE;-- G ( J "l ADDRESS:. J TIME: I FTG FINAL HTG. DECK. FTG. FOUNDATION FINAL PLBG. FINAL/C.O. FRAMING FINAL/DECK ROOFING ADDITION INSULATION FIREPLACE R. I. HTG. ?• / POOL R. I. PLBG. •`? GARAGE ?a OTHER `?,k FOR ??s??k y ,, ? ?u? /? ?• ?,?, DATE: 6114189 RE: 3083 HIGHWAY 13, L3, B4, SECTION 8 -IIk. Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO . CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following T , deasons: a Your Sewer & Water Permit for the above property has been completed, but the meter cannot, be issued or occupancy allowed until further notice. t COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. JE Secretary, Building Inspections Dept. BLDG. PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. Q 20-3868 Water Trmt. U 20-3716 Water Meter qC 20-2252 Acct. Dep. 20-3713 Water Permit ?Z 20-3743 Sewer Permit 79-3866 Sewer Conn. 283855 Park Ded. 0 -3? ? I?mb?n I TOTAL Minnesota State Board of Electricity 1954.dniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST i a ?l3S N 33892 'Type of Building New Add. Repair Check Appliances Wired For Check Equipment Wired For Home 0 0 E3 Sense 0 Temporary Winne Duplex E3 [3 [3 Water Heater ? Lighting Fixtures ? Apt. Bldg. E] 11 Dryer ? Electric Heating El + Commereial Bldg. 0 E] E] Furnace ? Silo Unloader ? Industrial Bldg. 0 ? ? Air Conditioner Bulk Milk Tank ? + Farm 11 Ei Ei List 1 List 1 Other El Others 1} Here Others 1} Here COMPUTE INSPECTION FEE BELOW 1 Service Entrance Siae: # Fee ?1 Feeders a 5e ede Fee 11 Circuits # Fee i X6n 0 to 60 Amperes II 0Srd311 A 11 0 to 20 Amnerea I !?1 101 to 200 Remarks 1, the Electrical Inspector, hereby i ?l te. bode ins ection r IN (Rough-in) ? (Final) < ? Signs Datp / /- '; 2--7 y CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4323 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # 6040 $3,000. To be and for Siding on House Date May 18, I 9-L7- Site Address 3083 Sibley Mem. Hwv_ Erect ? Occupancy Lot Block Sec/Sub. Sec. 8 Alter ? Zoning Parcel # 10 00800 030 0 4 Repair jl? Fire Zone _ Enlar e ? e of Const T g . yp w Name Wane Goldsw orthy Move ? # Stories z Address 3083 Sibley Mem. Hwy. Demolish ? Front ft. o Eagan ___ 452-5585 Grade fl Depth ft. o Name ou Address -- Name _ Address 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. Signature of Permittee - A Building Permit is issued all work shall be done i9k Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit LL.UU _ Surcharge 1.50 Plan check SAC Water Conn. Water Meter Total 13.50 Wayne Gol 4 swormy on the express condition that all applicable tateiof Minnesota Statutes and City of Eagan Ordinances. Building Official S? ??;; ?? ???.: s. ?? ?„ ? =k, ???? F +g, TEMPORARY CONSTRUCTION EASEMENT THIS EASEMENT, made this I I day of 2006, between WAYNE A. and K. GOLDSWORTHY (hereinafter re rred to as "Landowner"), and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, (hereinafter referred to as the "City"). WITNESSETH: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a temporary construction slope easement, over, across and under the following described premises, situated within Dakota County, Minnesota. A temporary construction slope easement over, under and across that part of the property at 3083 Sibley Memorial Highway (within Section 8, Township 27, Range 23) as shown on the attached graphic. The grant of the foregoing permanent easement for temporary purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct a graded slope not to exceed 3 feet horizontal to 1 foot vertical. After completion of such construction, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions. And the Landowner, its successors and assigns, does covenant with the City, its successors and assigns, that it is the Landowner of the premises aforesaid and has good right to grant and convey the easement herein to the City. Said temporary easement shall expire November 1, 2006. .4 IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. STATE OF MINNESOTA) ?) ss. COUNTY OF foregoing instrument was a,,Le 2006, by WAYNE A Emyq JULIE A. TRID TARYNRNNMA Pommi = Eapem Jan. 31, 2010 APPROVED AS TO CONTENT: ublic Works Department Dated: 4/-11-Gi'o WA`Y?.NQE A. GOL tD?S-W-ORRTTHY K. GOLDSWORTHY d before me this jl? day of THY ANDA. GOLUS?VORTHY Notary Attach: Legal Graphic W N E S LEGEND PROPOSED TEMP. EASEMENT Meadowview Rd. City of Eapn Proposed Temporary Easement for 3083 Hwy. 13 Fig. z Engineering Department Project 928 ('?71Z , k 2004 RESIDENTfAL BUTGDING PERAM APPLICATION CU City Of Eagan 3830 pilot Knob Road,_Eagan AIN 55122 --- -- - _-- - =`= Teleph6il6g.651Y675-5675-- FAX # 651--675 5694----- - NeGrcons _kgggonR uiremenfs 3registeredsite- yssh Rembdel/ReoairRe r o sq. fE auimm ? (20% of lot, sq. It of house; and all roofed areas mazimum lofmverage allowed) 2mpigs Of plan 2 mpiegof plan shovdng beam & window sizes; poured found design, etc t set s Energy Calculations 3 for heated addifions t setof Energy Caicufations i site survey for additions & decks copies of Tree Presetvafion plan if tot platted after7ftl93 Adddion - fndfcafe if on-site soffc system Rim Joist Defap Options sel8don sheet (bldgs with 3 or less units ° - Datel? /?/ 6 LI Site Address Construction Cost 2 r S . 0-0 Unit/Ste # Description of Work MuHi-Fami]y Bldg A(' y _ N Fireplace(s) /\ 0 _ 1 2 Property owner r l Telephone 1 Y W 5 Contractor ?lYl ?1- fty? IC ` Stc t +`?? S Address ?. - City ( state MIA TAPbt)) ?bt Telephone#nO6nY!' iUU ..vmra.e THIS AREA ONLYIr.CONSTRUCTING A NEW BUILDING Energy Code category - Mmnesota Rules 7670 Cate' (d submission type) Residential Ventilation Cate9ory.l Worksheet - Minnesota Rules. 7672 Submitted • New Ene ,,r; =_,., •;... rgy Code Worksheet • Energy Envelope Calculatioru Subrnttted Submitted Have you previously constructed a fee applies. building in Cagan with a similar plan? _ y - N If so, 25T. plan review .icensed Plumber Aechanical Contractor ewer/Wafer contractor O Telephone #( ) Telephone # ( )_ Telephone #[ )_ hereby apply, for a Residential Building permit and admowledge that the information is complete and accurate; at the work will be in conformance with the ordinances and codes of the City of Eagan and the State of m State m2i.t; ; thIat the work understand will this be not a permit, but only an application for a permit, and work-is not to start without a it; proval ofplans in accordance with the approved plan in the case of work which requires a review and . Ch(0. rtcd?, pphcant s prmted Name Appli ant's Signatttre Installed - Siding and Windows LIMITED POWER OF ATTORNEY COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sall-es located at 660 Mendelssohn Avenue North, Golden Valley, MIST 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 21st day of May, 2003 David R. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200 QU. 4. C Notary P is in for the State o eorgia My Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT M' Date: Maw R 1 '1271 BUILDING PERMIT APPLICATION L0T__0 BLOCK ` JZ/ ADDITION -?..=T, & SECTION PIUIIBER IF UI'TPLATTED LoAf q .2 7 J?Q>?g c Gi' w CEL C) 9 1 le C/ / V I P Y) )f9 r iLL' 1 Q k', U OCCUPANCY I i?i4o7 USE IMeLL ?My ___.... J??7E•^ W AX/j U vn y iU r7 Y P TELEPHONE N0. COLT`:'RACTCB.LL S B ?(!? ?„ TELEPHONE TTO. T.IJi?i2ESS J ? l" ? l7 ? ? ? 2k 61%i PnMC/_L/1iL.-L?? ?>lL.'?// _ Note: Include site plan, building plans, and energy calculations vith thi.^ ? pLA1 doG? application ABA ?:?l?N7Ow??w-,7 l?JU`i? W 3hFajo/S &0 y w A ??J r d Signed o? c4ea? OFFICE USE 7ALUATIOi1 ;'_ Tm R hIETER ?TJIT,DING PERMIT FEE MRCTIP.P.GE FEE P:aUl CF_ECK FEE PARK DEDICATIOSd FEE OTHER ?v ??"P309R.LS .-?;7:,MAI IT CLERK BUILDING DEPT. POLICE DEPT R & S -KER DEPT. FIRE' DEPT. PARK DEPT. CITY OF RAGAN DAKOTA COUNTY, MINNESOTA RELEASE OF CERTIFIED LISTING OF POSTPONED SPECIAL PROJECT NO. 1202518 THIS RELEASE is dated, made and entered into this 8th day of March , 19 94 , by and between the City of Eagan (hereinafter "City"), and Wayne Goldsworthy , (hereinafter "Owner"); WHEREAS, the City and the owner entered into an agreement to _ _ _. _ ..-1 .. ...JJ. , all" WHEREAS, on the 12th day of July , 1984, a Certified Listing of Postponed Special Assessments, dated the 27th day of June 19 84 , was recorded by the City as Document No. 659730 , with the Dakota County Recorder in accordance with Minnesota Statute 5429.061, subd. 2, against the following 1.` property: Legal Description: Section 8, ZWn 27 Range 23 Pt of s 1/2 of NE 1/4 of M 1/4 1) ? lying E of E R/W RR Ex Com Int E R/W RR & S Line NE on R/W 842.15 Ft E 192.15 Ft to n E line NE 1/4 S 176.78 Ft SW & Parr to R/W 619.45 Ft W 334.25 Ft to Beg Dakota County Identification No.: 10 00800 030 04 NOW THEREFORE, the City hereby releases the Agreement to Postpone Special Assessments against the Owner's above-described property. DATED: 4 A k Cacti ficate I, E.J. Vanoverbeke, City Clerk of the City of agy do Hereby ce tify that the foregoing is a true and correct copy. Vanoverbeke, City Clerk k)"p"LL, - By. s. J. VanOverbeke it : City Clerk 1202518 OFFICE OF THE COUNTY RECORDER DAKOTA COUNTY, MINNESOTA CERTIFIED THAT THE WITHIN INSTRUMENT WAS RECORDED IN THIS OFFICE ON AND AT 1202518 DOG. NO. JAMESN.DO COUNTYRECORDER BY., Deputy FEE SURCHARGE CASH O CHECK E] ESCR WE] WE--- CHARG CHARGE TO: 2-« Q"" REFUND DO NOT REMOVE 2 3 -Z li2LAt I i-C <« rh I"1 Ssl zz-!S9 7 650730 C I T Y O F E A G A N CERTIFIED LISTING OF POSTPONED SPECIAL ASSESSMENTS LEGAL DESCRIPTION: Section 8" Twn 27 Range 23 Pt of S lz of NE4 of NE14 lying E of E R/W RR Ex Com Int E R/W RR & S Line NE on R/W 842.15 Ft E 192.15 Ft to E Line NE\. 14 S 176.78 Ft. SW & Parr to R/W 619.45 Ft W 334.25 Ft to Beg COUNTY IDENTIFICATION NUMBER: 10 00800 030 04 POSTPONED SPECIAL ASSESSMENT: Water Area Assessment Pursuant to M.S.A. 429.061, Subd. 2, as amended by the 1980 Session Laws, Chapter 560, Section 5, I hereby certify that the City of Eagan has approved the postponement of the special assessments as set forth above on the property described. Dated this 5 1 T N day of Si v%Q-- 1984 EXEMPT FROM STATE DEED TAX STAMPS This Document Drafted By: City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 from State Deed Tax Dakota County Treasurer a vlinird . L E.4':, VanOverbeke Cy Clerk/Finance Director Certificate I, E.J. VanOverbeke, City Clerk of the City of Eagan, do Hereby certify that the foregoing is a true corr ct c py. 14, OV4 E J anOVerbe ce, City Clerk r 71 659 7 STATE OF MINNESOTA ss. County of Dakota Office of Counts Recorder This is tc ^er*.ify that the within instru?? - t ?;zs filed for recur this offi e ° i! s n s, on he Ht /`??0 CiOCk_ P:`., and that the same was uIy recd; dud in Dakota Cony Records. JAMES N. DOLAN Cou Recorder By Deputy ,rvL,, P7 . c 13864`5 RIGHT-OF-WAY AND DRAINAGE AND UTILITY EASEMENT IN CONNECTION WITH EAGAN CITY PROJECT NO. 6158 This Easement Agreement, made this 23rd day of October , 1996, between WAYNE A. GOLDSWORTHY AND KATHERYN GOLDSWORTHY, husband and wife, hereinafter referred to as "Landowners"; FORT SNELLING FEDERAL CREDIT UNION, hereinafter referred to as "Mortgagee" and the CITY OF EAGAN, a Minnesota municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as "City". WITNESSETH: v Z ? That the Landowners and Mortgagee, in consideration of the sum of Eleven Thousand Five Hundred and no/100 ($11,500.00) 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, forever, the following easement: A perpetual easement for public right-of-way, drainage and utility purposes over, under and across the South 30.00 feet of the following described parcel: All that part of the South '/2 of the Northeast 1/4 of the Northeast %4 of Section 8, Township 27, Range 23, lying East of the right-of-way of the Chicago, St. Paul, Minneapolis, and Omaha Railway Company. EXCEPTING THEREFROM the following: Commencing at the intersection of the Easterly right-of-way line of the Chicago, St. Paul, Minneapolis and Omaha Railroad, with the South line of said %4 '/4; thence Northeasterly along said Easterly right-of-way line a distance of 842.15 feet to its intersection with the North line of the South '/2 of said '/4 '/4, thence East along said North line 192.15 feet to the Northeast corner of said South %2; thence South along the East line of said South '/z a distance of 176.78 ;et; thence Southwesterly and parallel with said Railroad right-of-Nay a distance of 619.45 feet to said South line; thence West along said South line a distance of 334.25 feet to the point of beginning. Said easement contains 0.26 acres, more or less. The grant of the foregoing permanent easement for right-of-way and utility purposes includes the right of the City, its contractors, agents and servants to construct, reconstruct, inspect, repair and maintain a roadway and erect and maintain signs in conjunction with the public's use of said roadway and appurtenances and any signs erected in conjunction with the use of the roadway and appurtenances. %OV n 1 1Q% f40J. ASO.64!r4 Transfer Entered This day_of? {^?&- Dakota County Treasurer-Audkor&,,4_ er..f T /10, 4411 AC SCc. do? reconstruct, inspect, repair and maintain a roadway and erect and maintain signs in conjunction with the public's use of said roadway and appurtenances and any signs erected in conjunction with the use of the roadway and appurtenances. The grant of the foregoing permanent easement for drainage and 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 construction, maintenance, repair or removal, the City shall 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 Landowners and Mortgagee, for themselves, and their heirs, successors and assigns, do covenant with the City, its successors and assigns, that they are the fee owners and mortgagees, respectively, of the lands and premises aforesaid and have good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowners and Mortgagee have caused this easement to be executed as of the day and year first above written. Wayne A. Goldsworthy Katheryn G dsworthy STATE OF MINNESOTA ) ) ss. COUNTY OF DAKOTA ) The foregoing instrument was subscribed, sworn to, and acknowledged before me this a3rd day of _N-U&LL 1996 by Wayne A. Goldsworthy and Katheryn Goldsworthy, husband and wife. c WEtmYTWOMEY Notary Pu li NOTARY PUBLIC--MINNESOTA DAKOTA COUNTY MryCamveeimEr?roJON 31.20 ?. I V 2 FORT SNELLING FEDERAL CREDIT UNION FORT SNELLING FEDERAL CREDIT UNION By: FORT SNELLING FEDERAL CREDIT UNION By: Its: , API 1: ri )' ,, %????i?l( 1 STATE OF ,?Zi.;e;FSO ) )ss. COUNTY OF _ ? 1 The foregoing instrument was subscribed, sworn to, and acknowledged before me this day - 1996 by and the iZ and ) A' 10 c of Fort Snelling ederal Credi Union, on behalf of the credit union 0 Notary P. RONALD G. HUNTER NOTARY AjMJC- WM 5afA W COIF 3604 emu 141-W 3 APPROVED AS TO CONTENT: P Work's Department D ted: / O/2 !V 9 G APPROVED AS TO FORM: ,--7) City Attorney Dated: e',lC i s? THIS INSTRUMENT WAS DRAFTED BY: ?S SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street, Suite 600 Apple Valley MN 55124 (612) 432-3136 RBB/kmw Esmt. No. 643 Project No. 615R z, ? a Q z ,WQ ? o ?2 ¢ w a ¢ v ?l x y O - .-1 2 Y W z _ 4 z ? N In) W? - ' o ? = J ° M 0 } z - Q 8 m ° $ go ? 3 ° W O u1 o o Z z cc O _ F¢ Q y + zU) W d ¢ cu'j a 0 3 m w v 0-) LL U . Easement No. 96-2 Parcel I.D. No.: 10-00800-030-04 _ Fee Owner. Wayne A. Goldsworthy and Katheryn Goldsworthy T7 Z " 5B5 husband and wife Legal Description of Existing Parcel: All that part of the South ih of the Northeast 1/a of Northeast Y4 of Section 8, Township 27, Range 23, lying East of the right-of-way of the Chicago, St. Paul, Minneapolis, and Omaha Railway Company. EXCEPTING THEREFROM the following: Commencing at the intersection of the Easterly right-of- way line of the Chicago, St. Paul, Minneapolis and Omaha Railroad, with the South line of said 1/4 1/4; thence Northeasterly along said Easterly right-of-way line a distance of 842.15 feet to its intersection with the North line of the South 1h of said 1/41/4, thence East along said North line 192.15 feet to the Northeast corner of said South 1h; thence South along the East line of said South ih a distance of 176.78 feet, thence Southwesterly and parallel with said Railroad right-of-way a distance of 619.45 feet to said South line; thence West along said South line a distance of 334.25 feet to the point of beginning. Proposed Easement Description: A perpetual easement for public right-of-way purposes over, under and across the South 30.00 feet of the above described parcel. Said easement contains 0.26 acres, more or less. I hereby certify that this easement was prepared by me or under my direct supervision, and that I am a duly Registered I.ggd S*rveyorylmder the bps of the State of Minnesota. Date: Reviewed by: 2O37U NOTE: NO FIELD SURVEY WORK / WAS PERFORMED AS TO THE PRECISE LOCATION OR AREA OF THIS EASEMENT. , rQ / 192.15' O R3• NO. LINE S 1/2 - / 6-:r NE 1/4 -NE 1/4 SEC. 8 Jam,. , QP ? AI O . ?' EASEMENT SKETCH X PL ? y"I' 96-2 r 00800-010-04 O ' %KI /.' 00800-020-04 00800-030-04 JQ , , GOLDSWORTHY a N N O m 0 N I 0 / `•--------- 34.25' ----------' LINE NE 1/4 - N NO SCALE U w VI d w z i w z N In w z a w 1 /4 SEC. 8 22480-010-01 80220 FILE NO. MEADOW VIEW ROAD A ? EAGAN9601 EASELINT PRO.ECT NO. 815R NO.ee-2 OATS' 6/4/96 EAGAN, MINNESOTA s 30' PERM. EASEMENT no -??- CITY OF EAGAN SEVER & WATER CONNECTION CHARGES - 1989 EXISTING PROPERTIES SEWER CONNECTI SAC Previously P Receipt # ACCOUNT DEPOSIT SEWER PERMIYIT / WATER CONNECTION CHARGES $ 675.00 WATER CONNECTION $ 580.00 Previously Pd. Receipt # 15.00 WATER METER 90.00 10.50 TREATMENT SURCHARGE 228.00 $ 700.50 ACCOUNT DEPOSIT 15.00 WATER PERMIT 10.50 PLUMBING PERMIT TOTAL: TOTAL FOR SEWER & WATER HOOK-UP: /OFFICE USE ONLY PROPERTY OWNER: lt p f ? ? / I' U ADDRESS: ?DO hH?f Y , I L:3 B: L/ ADD: A& Ct4? 9 $t-636.5e 12.50 $ 936.00 f ' WAIVER OF HEARING NO. 00307 Special Assessment Authorization I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Plat and Parcel No 10-00800-030-04 for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT Water Trunk Area 1.81 acre $1,380/acre $2,497.80 86-A Lateral Benefit from Trunk Water Main 350 lin. ft. 13.75/lf 4,812.50 86-A TOTAL $7.310.30 to be spread over 10 years at an annual interest rate of 9 8 against any remaining unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. Dated: - 9 Wayne A. Goldsworthy STATE OF '//" 4` S 0777 COUNTY OF P %-")G 0 T l-7 KatAryn Goldsworthy on this rF7-ldday of d Ll A"4? , 191J before me a Notary Pu13Ij wltlhi? ?7L/?Scv OKrn for said County, personally appeared}J?7,Ni_2?N 6,2L12Swvark t me personally known to be the person- described in and who executed the forgoing instrument and acknowledged that % G executed the same as T 6 free act and deed. / No ary blic APPROVED: Eagan Public Works Director ---------------------------------- %?, MARILYN L BNCMj gYp? ?s NOTARY PUBLIC -MIN?s2 DAKOTA COUMY Commission Exp FE 3 ?I ,Ta/7 s/veee fv/7 1?t ?'2J/c;7 On?-C 74 `f /v//'?q?/®?T /x 41 LdJr/?j / 4''A7?Oll r4" / !%? y ri i/? T? /7l c,?o?P,- •???f?-,-. icy -eG?FD2%-430 c y ?Iq?Lr'!? .hpmP ?T To -/7-/ ?3?? 93 ?- ares*.w.;+.*.r' ••-(f;t; NSACTION 1:]) R766 SPECIAL ASSESSMENTS SPECIAL ASSESSMENTS SE ARCH SUMMARY PROPE RTY I.D. 1'( DAYS ,DATE;; 03/ 08/B9 --_- --SPECIA=L FLAGS._. _.._.._ '.S. A. # ASSESSMENT UESCR. R R S RATE.. TOTAL ANN. P RIN., PAYOFF COMMEW 100040 .;±ai',.i SW (Ri.::: •..!. 30 6.00% 29 ;tCa CLOSED (-99999 POSTPONED ASSESSMENT 00 0 .00% ..00 .00 .00 PE ND ?. *. SUMMARY OF ACTIVE .Can .00 .00 x. .s..t # THIS YEAR' S TOT P&I .pit I JAI 'l T l- r,, iC, 3sa x y?? ? ?? i ALEXANUER CONST CO. 307 / 3078-A oz i / Oft f r' ?tlart?nrek, lY1 Slreese elt.l 4. /o .0,. / arc.oa 010-03 i /k!" j,. ?7e-rev ............ 1 ? i t< .................... Fdwin $ Elwell Jr aeua s r no oo' ??' ?7Ar. ALEXANDER € ?,` tnt` ;; i r 3 ROAD N P.. ? tip Vim' Q ?P # `'? t01 1 re ?S lilt N N-13 STRIAL RK i ,gl,ae Ir P. , l Z h o,° ' r are / t D40-oI rt. v 5 . at.o E e LATERAL BENEFIT FROM TRUNK WATERMAIN TRUNK AREA WATER I WAIVER OF HEARING NO. 00307 Special Assessment Authorization I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Plat and Parcel No. 10-00800-030-04 for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT Water Trunk Area 1.81 acre $1,380/acre $2,497.80 86-A Lateral Benefit from Trunk Water Main 350 lin. ft. 13.75/lf 4,812.50 86-A TOTAL $7.310.30 to be spread over 10 years at an annual interest rate of 9 8 against any remaining unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement.. Dated: 4-9- S91 Wayne A. Goldsworthy Kathryn Golds orthy STATE OFD///A1/11L`,?U777 COUNTY OF ?V 19'16 b -r6 On this ldday of ?1 LC N/? 19 before me a Notary Pul}1} ? i?L 4n oc DSCU aKrr4? for said County, personally appearedT!?i_:2?N 6011-'SW097A towme personally known to be the person- described in and who executed the forgoing instrument and acknowledged that % executed the same as free act and deed. No ary blic APPROVED: Eagan Public Works Director ---------------------------------- MARILYN L N!Exp, PFENNI6 ,yam i? NOTARY PUBLIC- NNESOTA DAKOTA UNTY My Commission eb. 1. 1993 / ALEXANUER CONST. CO. 3070-A 0,0- of / i ??lor?n?el• Ir1 Stropse eILJ ???', 010-03 DOW VIEW caw!" S Elwell Jr / all as i r r no oo ?? et n1 / s.ua pe ei ' _-- °• ao'e e6_ r ?__ Z AQ s ALE%AND ?b i ?t i rc ROAD--- 0 a ' t.. 0 a r . .., RAGAN- 13 NDYSTRIAL R• ^? ?; ?° PARK LOt I P? ? FS i V f ' qj /^O/? ?a7a 1 agy?a z 3 o40-ol rS. N co -?e1 i LATERAL BENEFIT FROM TRUNK WATERMAIN TRUNK AREA WATER I. City of Evan November 21, 2007 Mike Maguire MAYOR Paul Bakken Mr. Wayne A. Goldsworthy Peggy Carlson Mrs. Katheryn Goldsworthy 3083 Sibley Memorial Highway Cyndee Fields ,? Eagan, MN 55121 Meg Tilley COUNCIL MEMBERS Re: Deferment of Special Assessments-Project 928 Parcel Number 10-00800-030-04 Thomas Hedges CITY ADMINISTRATOR Dear Mr. and Mrs. Goldsworthy: In official action of the Eagan City Council at its regular meeting held on November 20, 2007 the City Council approved the enclosed assessment agreement for your parcel, 10-00800-030-04. We will process the necessary paperwork to Dakota County so your subsequent tax statements will reflect the MUNICIPAL CENTER deferment. 3830 Pilot Knob Road The deferment will remain in effect as long as the required eligibility conditions Eagan, MN 55122-1810 are met. Interest on the original assessment of $23,342.75 will accrue at 8.0% 651.675.5000 phone per annum from the date of adoption, which was February 20, 2007. 1 have 651.675.5012 fax enclosed a copy of the appropriate section of the Eagan City Code that outlines 651.454.8535 Too those conditions. I ask that you keep the City informed of the occurrence of any of the events that would trigger the deferred assessments to become due and payable per the agreement. MAINTENANCE FACILITY 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityoteagan.com Please call me at 651-675-5016 or Accountant Ryan Stevens, at 651- 675-5032, if you have any questions about the deferment or anything else related to this action. Sincerely, Gene VanOverbeke Director of Administrative cc: Ryan Stevens, Accountant I Linda Fink, Accountant II THE LONE OAK TREE The symbol of Enclosure strength and growth in our community. C APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX ON SPECIAL ASSESSMENTS FOR SENIOR CITIZENS' HOMESTEAD LAWS 1974, CHAPTER 206 STATE OF MINNESOTA) COUNTY OF DAKOTA ) DATE -3 den 7 TO: County Auditor, Dakota County, Minnesota I, the undersigned declar?yunder penalties of per'ury: That I reside at 0 , - S ,Il Me'Mor, ,• A , 0V That I am not less than 65 years o age and that the date my birth is _c?- 3 - That I am the owner of the property legally describd as:.p ht: it i`?4 -72 14 'o Property Identification No. k That my interest in the ownership of the above property was aquired on .- and is as follows: 1. Sole ownership (Enter Yes, if applicable) 2. Joint tenancy, held with 3. OTHER undivided interest That on January 2, -?or June 1, 1 homestead and such occcuppaancy began on Q ship on my be, stallments be SIGNED: (u 2i OF < en all ated against the subject 'calf and I respectfully request so deferred for the years OWNER as my SPECIAL ASSESSMENTS duly adopted in ordin- • r? AS OF Jai D? p erty would create undue personal hard- hat payment be delayed and that such in- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - ?: - - - - I V Z I V ?Te Cl k f h E0. , o_ _ 1, er o t e OF gCLVL IN a ksits- County, Stat of Minnesota, do hereb certify that a application of a L r above named, has been duly reviewed and that ' in ac: rdance with .e minutes of of cial record in said chambers was duly : APPROVED X or DENIED as of Npvew?`oee aOI JOb7 _ 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.. ASSESSMENT D/P NO. TOTAL AMOUNT YEARS INTEREST RATE rD a io3c?5 i . $a3, 34a . 95 is DATED 11- a - aoorL- That the install Aya for improvements on the ante by t he which have be 04 yyltl CL $ 90 °`I § 2.75 EAGAN CODE 1 date through December 21 of the following year, and the total amount of principal and interest shall be certified to the county auditor for collection with taxes the following year. Should the applicant plead and prove, to the satisfaction of the council, that full repayment of the deferred special assessment would cause the applicant particular undue financial hardship, the council may order that the applicant pay within 60 days a sum equal to the number of installments of deferred special assessments outstanding and unpaid to date, including principal and interest, with the balance thereafter paid according to the terms and conditions of the original special assessment. Subd. 4. The option to defer the payment of special assessments shall terminate and all amounts accumulated plus applicable interest shall become due upon the occurrence of any one of the following: A. The death of the owner when there is no spouse who is eligible for deferment. B. The sale, transfer or subdivision of all or any part of the property. C. Loss of homestead status on the property. D. Determination by the council for any reason that there would he no hardship to require immediate or partial payment. (Code 1983, § 2.75, eff. 1-1-83) State law reference-Senior citizens or retired and disabled persons hardship special assessment deferral, Minn. Stat. § 435.193. Sec. 2.76. Partial prepayment of special assessments. Subd Z. Scope. Partial prepayment of assessments in connection with any assessments adopted by the council and certified to the county auditor for collection may be made at any time. Subd. 2. Payment. The owner of any property so assessed may, within 30 days of adoption of the assessment roll by the council, prepay any or all of his assessment to the city. No interest will be charged on any portion of the assessment paid within said 30 days. The remaining unpaid balance of the assessment shall be spread at the same rate of interest and for the same term of years as the original assessment. (Code 1983, § 2.76, eff. 1-1-83) Sec. 2.77. Emergency preparedness plan. The council may, by resolution, adopt, from time to time amend, or repeal an emergency preparedness plan for the city. (Code 1983, § 2.77, eff. 1-1-83) Sec. 2.78. Building numbers. Subd I. Building numbers required. The owner or occupant of any building fronting upon any street or avenue shall place and maintain on the front thereof the proper buildingnumber % - assigned by the city. CD2:20 ADMINISTRATION AND GENERAL GOVERNMENT § 2.75 extension thereof such other and further conditions and restrictions as the council may deem proper to protect the citys interests, nor shall anything contained in this section limit any right or power possessed by the city over existing franchises. (Code 1983, § 2.72, eff. 1-1-83) State law reference-Municipal franchises, Minn. Stat. §§ 300.03, 300.04. Sec. 2.73. Absentee ballot counting board. The council hereby authorizes an absentee ballot counting board and further authorizes the election judges of such board to receive, examine, and validate absentee ballots. The further duties of such board shall be those provided by statute. (Code 1983, § 2.73, eff. 1-1-83) Sec. 2.74. Special assessment policy. The council may, by resolution, adopt, from time to time amend, or repeal a special assessment policy. (Code 1983, § 2.74, eff. 1-1-83) Sec. 2.75. Deferment of special assessments. Sub_ I. The council may defer the payment of any special assessment on homestead property owned by a person who is 65 years of age or older or who is retired by virtue of permanent and total disability, and the city clerk-treasurer is hereby authorized to record the deferment of special assessments where the following conditions are met: A. The applicant must apply for the deferment not later than 90 days after the assessment is adopted by the council. B. The applicant must be 65 years of age or older or retired by virtue of permanent and total disability. C. The applicant must be the owner of the property. D. The applicant must occupy the property as his principal place of residence. E. The average annual payment for all assessments levied against the subject property exceeds one percent of the adjusted gross income of the applicant as evidenced by the applicant's most recent federal income tax return. The average annual payment of an assessment shall be the total cost of the assessment divided by the number of years over which it is spread. Subd. 2. The deferment shall be granted for as long a period of time as the hardship exists and the conditions as aforementioned have been met. However, it shall be the duty of the applicant to notify the city clerk-treasurer of any change in his status that would affect eligibility for deferment. Subd 3. The entire amount of deferred special assessments shall be due within 60 days after loss of eligibility by the applicant. If the special assessment is not paid within 60 days, the city clerk-treasurer shall add thereto interest at eight percent per annum from the due CD2:19 Form 104 Label (see instnRrione.) Usethe IRS label. Otherwise, please print of type. Presidential Election Campaign oepertrneM of the Treasury - Internal Revenue service name spouso'sxret nenw 392-36-6117 SpouWa eoNel awurhr number Kather K Goldsworthy 477-52-1U84 Horne address (number and street). it you have a P.O. box, see instructions. AWrOnent M. You must enter your 3083 Sibley memorial h social securely city, town or poet office. If you have a foreign address, see instructlom. state ZIP code number(s) above. und. not EAGAN MN 55121-1602 chhange your tax b or a re ffund. g ?sr Check here lt you, or your spouse ltNing pindy, ward E3 to go to this fund? (see instructions).......... ? Ayer A spouse Filing Status 1 single 4 Head of household (with qualifying person). (See 2 X Married 0tingiointly (even N only one had income) Instructions.) If the qualifymg person is a child but not your dependent, enter this child's Check only 3 Monied F94 separately. Enter Spouse's SSN above & full name here ? one box. name here- ? 5 n Qualifying vmlrnv(er) with dependent child (see instrudtims) Exemptions 6a b X X Yourself. If someone can claim you as a dependent, do not check box ea......... spouse . . - - - on w and ssu?. 2 No. or nhiwren Dependents: c 1 First name Last name (2) Dependents social security number (3) Dependent's relationship to you v on ac wtw. (4) ue y 0 and ehrredl&j". Yod " war, (sea imus dW not M wnh rod F1 _ due m divorce or eeeeppeemdon If more than four de endents pee utetra) . . onnee not entered nbew . p , see instructions. Add numbem d Total number of exemptions claimed .. . ? 2 7 Wages, salaries, tips, etc. Attach Form(s) W-2 ......................... 7 20,804. Income 8a Taxable interest. Attach Schedule B if required ........................ 8a 323. b Tax-exempt interest. Do not include on line Be ....... 8 ti Attach Fom(s) 9 a Ordinary dividends. Attach Schedule B if required ...... .......... 9a W-2 here. Also b Qualified dividends (see hlstis) ................... 9 b _ attach Forms 10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) ............. d 109&R W 213 10 377. an - 0mrwas"Wreld 11 Alimony received ........................................ 11 12 Business Income or (loss). Attach Schedule C or C-EZ ............. .... 12 If you did not 13 Capital gain or (loss). Ali Sch D IT regd. if not read, ck here ............... ? 11 V a W-2 13 , see instrudkes. 14 other gains or (losses). Attach Forth 4797 ...... ................. 14 15a IRA distributions ....... 15a to Taxable amount (see instrs) .. 151b 16 a Pensions and annuities ... 16a 33,024. b Taxable amount (we instrs) .. 16b 31,285. 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E .... 17 Enclose, but do IS Farm income or (loss). Attach Schedule F .......................... . 18 not , 19 Unemployment compensation ... .......... .................. 19 no irse 20a Social security benefits..... -1 20a l 3,770. 1 to Taxable amount (see instrs) .. ease 20b 3,205. ?mm av. 21 Odle income ___ 21 _____________________ 22 Add the amounts in the far ri t column for lines 7lhrou h 21. Th ____ is is r total Incase .. ? 22 5 5 , 9 94 . 23 Archer MSA deduction. Attach Form 8853 ........... 23 Adjusted 24 Certain business expenses of reservists, performing artists, and fee-basis Gross government officials. Attach Form 2106 or 2106-EZ ........... 24 Income 25 Health savings account deduction. Attach Form 8889 . ... 25 26 Moving expenses. Attach Form 3903 .............. 26 27 One-half of self-employment tax. Attach Schedule SE ..... 27 28 Self-employed SEP, SIMPLE, and qualified plans ....... 28 29 Self-employed health insurance deduction (see instructions) . ..... 29 30 Penalty on early withdrawal of savings ............ 30 31 a Alimony paid b Recipient's SSN... ? 31 a 32 IRA deduction (see instructions) ........ ....... 32 33 Student loan interest deduction (see instructions) ...... 33 34 Jury duty pay you gave to your employer........... 34 35 Domestic production activities deduction. Attach Fun 0903........ 35 36 Add tams 23-31a and 32-35 ............... ... ............. 36 37 Subtract line 36 from line 22. This is our ad usted rose incom e .. ........... ? 97 55, 994 . BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see Instructions. FDIA0112 11/07106 Form 1040 (2006) J Fnrn tads 12(Ml Wavnp A H KathpT K r_nl Aamnrthv 392-3F-6117 Porte 2 Tax and 36 Amount from line 37 (adjusted gross income) ..... . • • • ...... . • - . 38 55,994. Credits Standard Deduction 39a Check XX You were born before January 2, 1942, 8 Blind. Total boxes if, Spouse was tom before January 2, 1942, Blind. checked ? b K your spouse itemizes on a separate return, or you were a dual-status alien, see 61shs and ck here ? 39a 1 39b for - • 40 Itemized dedixCats (from Schedule A) or your standard deduction (see left margin) ....... ..... _ 40 11,300. People who checked any box 41 Subtract line 40 from line 38 ............................. ..... 41 44, 694 . on line 39a or 42 Hurricane Katrina see If Itne 39 is over $112 875 or ro ided h in to eerrs n dis laced b 39b or who can , , , v p pp ous gg a pp o yy instructions. (ltluerwise, mId1?S3,%by the lotsl nulr?er of exemptions claimed on line 6d ..... ..... 42 6,600. be claimed as a dependent, see 43 Taxable Income. Subtract line 42 from fine 41. K line 42 B more than fine 41, enter -0 ............................ ..... 43 38,094. instructions. 44 Tax (see instrs). Check if any tax is from: a ? Form(s) 8814 b E] Form 4972 ......... ..... 44 4,956. • Ail others: 45 Alternative minimum tax (see instructions). Attach Form 6251 ........... ..... 45 Single or Marred 46 Add lines 44 and 45 ................................. ... ? 46 4,956. filing separately, 47 Foreign tax credit. Attach Form 1116 if required ....... 47 $5,150 48 Credit for child and dependent care expenses. Attach Form 2441 ..... 48 Married filing 49 Credit for the elderly or the disabled. Attach Schedule R .... 49 (Dimlyy ort ln Ouali 50 Education credits. Attach Form 8863 ............. 50 y widow(er?, 51 Retirement savings contributions credit. Attach Form 8880 .. 51 $10,300 52 Residential energy credits. Attach Form 5695 ......... 52 Head of 53 Child tax credit (see Instructions). Attach Form 8901 lf regndred ...... 53 household, 54 Credits from: a Q Form 8396 I DE] Form 8839 c Form 8859 . 54 $7,550 55 Other credits. Check applicable box(es): a Form 3800 _ C ?Form Form b ? 55 56 88 01 Add lines 47 through 55. These are your total credits ................ ..... 56 57 Subtract line 56 from line 46. If line 56 is more than line 46, enter -0 .. - . ? 57 4, 956 . 56 Self-e"ment tax. Attach Schedule SE .......................... ..... 58 Other 59 Social security and Medicare tax on Ih income not reported to employer. Attach Form 4137 ..... ..... 59 Taxes 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5M 9 required ...... ..... 60 61 Advance earned income credit payments from Form(s) W-2, box 9. - .. . . . . . . . . . . . 61 62 Household employment taxes. Attach Schedule H .................. ..... 62 63 .......................... Add fines 57-62. This is your total tat ? .. . 63 4,956. ments Pa 64 Federal income tax withheld from Forms W-2 and 1099 . - - 64 5 ,642. y 65 2OD6 estimated tax payments and amount applied from 2005 return .... 65 If you have a ualif in 66 a Earned income credit(EIC) .................. 66a y g q child, attach b Nontaxable combat pay election ... ? 66b _ Schedule EIC. 67 Excess social security and ter i RRTA tax withheld (see instructions) ... 67 68 Additional child tax credit. Attach Form 8812 .......... 68 69 Amount paid with request for extension to file (see instructions) ...... 69 70 Payments from: a ? Form 2439 It ? Form 4136 c []Form 8885 70 71 Credit for federal telephone excise tax paid. Attach Forth 8913 if requfred - . 71 40 . 72 Add linees 8you4, 6rte6, 6al6a, and 67 through 71. These re . .. ....... .. p"me . . . . . . . .. . . . . . . . . . . - ? 72 5,682. R nd f 73 . If One 72 is more than line 63, subtract line 63 from line 72. This is the amount you overpaid ..... .. - 73 726. e u Di t d it? 74 a Amount of line 73 you want refunded to u. If Form 86(38 is attached, check here - ? El 74a 726. rec epos See instructions and fill in 74b, 74c, and 74d or Forth 8888. ? 75 b Routing number .....291070001 c T e: FX] Checking ? savings dAccount number .....4658001735 Amount of line 73 u want lied to yaw 2007 estimated tax . . . ? 75 Amount 76 Amami you ova. Subtract line 72 from line 63. For dllfs on how to pay, see Instnxtiorls . . . . . . . . ? 76 YOU Owe 77 Estimated tax penalty see instructions -n Third Party OD you want to allow another person to discuss this return with the IRS (see instructions)? .... • Yes. Complete the following. X No Designee's Phone Personal Idemifketpn ' Designee name M. ? mrnee,(PIN) Under ponel6ea of perjury, I declare that f have examined this realm and accommenyIng schedules and Sarernenle, and to the beat of my knowledge and Sign belle[. they are two, correct, and complete. Declaredon of preparer (other than Taxpayer) is based on all Information of which preparar has any knowledge. Here Your signature Date Your occupation Daydme phone number Joint return? See Instructions. / RETIRED GROUNDSKEEPER (651) 452-5585 Keep a copy Spouse's signature. If a joint retum, both must sign. Date Spouse's occupation for your records. RETIRED Date Preparers SSN or PTIN Prepamras Paid ? nature Chedt'd selr-empl co 21 Preparer's Firm's name Self-Prepared Use Only sencmphoyedL? Elm address, end ZIP code Phone no. Forth 1040 (2006) FDIA0112 11ro7106 Agenda Information Memo November 20, 2007 Eagan City Council Meeting G. APPROVE SENIOR CITIZEN SPECIAL ASSESSMENT DEFERMENT APPLICATION PARCEL 10-00800-030-04 WROJECT 928 MEADOWVIEW ROAD I ALEXANDER ROAD - STREET IMPROVEMENTS) ACTION TO BE CONSIDERED: To approve an application for a senior citizen deferment of special assessments. FACTS: Section 2.75 of the Eagan City Code allows for the deferment of special assessments for senior citizens, if certain conditions are met. The City has received a request for a deferment from a property owner at 3083 Sibley Memorial Highway. • The assessment was levied for street improvements related to project 928. L? The completed application was not received within 90 days of the certification; however, no installments are due with the property taxes until • 2008, so the delay has not affected the processing of the application. Interest on the original assessment of $23,342.75 will accrue at 8.0% per annum from the date of adoption, which was February 20; 2007. Staff has reviewed the application and determined that the eligibility requirements are met. ATTACHMENTS: Enclosed without page number is a copy of the application for deferment. 0 W El term is ten years, which is for equipmehtcertifcates. A tax levy est? atc proposed to prA certificates as well renewal and reola, at approximately for the debt servi s to provide addit tfund. Eves certificates are retired, th full I and replacement fund. o The full tax levy of $400,000 1 2009. o All fire vehicles and eq Equipment Revolving I and replacement fund. subject to the same cri funding source. Equip purchase vehicles and o The long-term plan i?: the assumptions a ne maximum allowable >ft00,000 annually is 6 on the equipment mal cash toward creating the jally, after all equipment be directed to the renewal to be certified for payable be removed from the and fna'ed through this new renewal lacement a d new purchases are to be but will be financed from this new certificates will??QQt be used to >ment costing less than $100,000. :t to periodic review1krevise and adjust o Replacement of all apparatus will be subject to spe replacements a i upgrades will be justified before criteria and are . actually allocaterd for expenditure. o The plan refleAs operating a volunteer paid on-call department with the same nur ber of stations as exist today. ATTACHMENTS: (None) 0 Report Name: City of Eagan Printed: 11/14/2007 Assessment Search Page: 1 Special Assessments Search Property ID Lot Block Addition Addition Name/Leeal 10-00800-030-04 003 004 10 00800 Section 8 8 2723 PT OF S 1/2 OF NE 1 /4 OF NE 1/4 LYfNG E OF Property Address Property Status - - - - - Special Fla gs - - - - - 2007 P&I Cert: 3083 Sibley Memorial Hwy Active 1 2 3 4 5 6 7 8 9 10 $0.00 Eagan, MN 55121 N N N N N N N N N N SA Nbr Description Year Term Rate Total Curr Prin Payoff Status 100040 SAN SW TRK 1967 30 6.0000 $294.00 $0.00 $0.00 Closed 101887 WTK W307 1989 10 9.0000 $2,000.00 $0.00 $0.00 Closed 101888 WLTK W307 1989 10 9.0000 $4,812.50 $0.00 $0.00 Prepaid 102861 SL 615R 1998 15 7.0000 $14,060.43 $0.00 $0.00 Prepaid 103651 ST928-MEADOW VIEW/AL1 2008 15 5.5000 $23,342.75 $0.00 $23,342.75 Levied Summary of Levied: $23,342.75 $0.00 $23,342.75 Summary of Deferred: $0.00 $0.00 Summary of Closed: $21,166.93 Pending Estimate: $0.00 Future Estimate: $0.00 Hookup Fee Estimate: $0.00 dam City of EaEdu .I Pat Geagan MAYOR Peggy Carlson Cyndee Fields Mike Maguire Meg Tilley COUNCIL MEMBERS Thomas Hedges CITY ADMINISTRATOR MUNICIPAL CENTER 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD MAINTENANCE FACILITY 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our community. December 5, 2006 O? ? Vc 45?- s 3?5$ e.? Mr. Wayne A. Goldsworthy Mrs. K. Goldsworthy 3083 Sibley Memorial Highway Eagan, MN 55121 Re: Deferment of Special Assessments-Project 928 Parcel Number 10-00800-030-04 Dear Mr. & Mrs. Goldsworthy: Per our conversation of last evening, please find enclosed an application for a senior citizen deferment of special assessments. I have also enclosed a copy of the City Code section 2.75 which explains the parameters by which the application will be considered by the City Council. If you would like to pursue a deferment in this manner, please return to me the completed application along with a copy of your most recent federal income tax return which will be used to determine eligibility. Please also note the other conditions included in the Code section including the requirement to apply for the deferment not later than 90 days after the assessment is adopted by the Council. I can be reached at 651-675-5016, if you have questions or if you would like to discus this process in more detail. Sincerely, E. J. VanOverbeke Director of Administrative Services cc: City Administrator Hedges Director of Public Works Colbert Enclosures • ADMINISTRATION AND GENERAL GOVERNMENT § 2.75 extension thereof such other and further conditions and restrictions as the council may deem proper to protect the city's interests, nor shall anything contained in this section limit any right or power possessed by the city over existing franchises. (Code 1983, § 2.72, eff. 1-1-83) State law reference-Municipal franchises, Minn. Stat. §§ 300.03, 300.04. Sec. 2.73. Absentee ballot counting board. The council hereby authorizes an absentee ballot counting board and further authorizes the election judges of such board to receive, examine, and validate absentee ballots. The further duties of such board shall be those provided by statute. (Code 1983, § 2.73, eff. 1-1-83) Sec. 2.74. Special assessment policy. The council may, by resolution, adopt, from time to time amend, or repeal a special assessment policy. (Code 1983, § 2.74, eff. 1-1-83) Sec. 2.75. Deferment of special assessments. Subd 1. The council may defer the payment of any special assessment on homestead property owned by a person who is 65 years of age or older or who is retired by virtue of permanent and total disability, and the city clerk-treasurer is hereby authorized to record the deferment of special assessments where the following conditions are met: A. The applicant must apply for the deferment not later than 90 days after the assessment is adopted by the council. B. The applicant must be 65 years of age or older or retired by virtue of permanent and total disability. C. The applicant must be the owner of the property. D. The applicant must occupy the property as his principal place of residence. E. The average annual payment for all assessments levied against the subject property exceeds one percent of the adjusted gross income of the applicant as evidenced by the applicant's most recent federal income tax returrn. The average annual payment of an assessment shall be the total cost of the assessment divided by the number of years over which it is spread. Subd. 2. The deferment shall be granted for as long a period of time as the hardship exists and the conditions as aforementioned have been met. However, it shall be the duty of the applicant to notify the city clerk-treasurer of any change in his status that would affect eligibility for deferment. Subd 3. The entire amount of deferred special assessments shall be due within 60 days after loss of eligibility by the applicant. If the special assessment is not paid within 60 days, the city clerk-treasurer shall add thereto interest at eight percent per annum from the due CD2:19 4 § 2.75 EAGAN CODE date through December 21 of the following year, and the total amount of principal and interest shall be certified to the county auditor for collection with taxes the following year. Should the applicant plead and prove, to the satisfaction of the council, that full repayment of the deferred special assessment would cause the applicant particular undue financial hardship, the council may order that the applicant pay within 60 days a sum equal to the number of installments of deferred special assessments outstanding and unpaid to date, including principal and interest, with the balance thereafter paid according to the terms and conditions of the original special assessment. Subd 4. The option to defer the payment of special assessments shall terminate and all amounts accumulated plus applicable interest shall become due upon the occurrence of any one of the following: A. The death of the owner when there is no spouse who is eligible for deferment. B. The sale, transfer or subdivision of all or any part of the property. C. Loss of homestead status on the property. D. Determination by the council for any reason that there would be no hardship to require immediate or partial payment. (Code 1983, § 2.75, eff. 1-1-83) State law reference-Senior citizens or retired and disabled persons hardship special assessment deferral, Minn. Stat. § 435.193. Sec. 2.76. Partial prepayment of special assessments. Subd 1. Scope. Partial prepayment of assessments in connection with any assessments adopted by the council and certified to the county auditor for collection may be made at any time. Subd 2. Payment. The owner of any property so assessed may, within 30 days of adoption of the assessment roll by the council, prepay any or all of his assessment to the city. No interest will be charged on any portion of the assessment paid within said 30 days. The remaining unpaid balance of the assessment shall be spread at the same rate of interest and for the same term of years as the original assessment. (Code 1983, § 2.76, eff. 1-1-83) Sea 2.77. Emergency preparedness plan. The council may, by resolution, adopt, from time to time amend, or repeal an emergency preparedness plan for the city. (Code 1983, § 2.77, eff. 1-1-83) Sec. 2.78. Building numbers. Subd 1. Building numbers required. The owner or occupant of any building fronting upon any street or avenue shall place and maintain on the front thereof the proper building number assigned by the city. CD2:20 e APPLICATION AND AUTHORIZATION FOR DELAYED PAYMENT OF TAX ON SPECIAL ASSESSMENTS FOR SENIOR CITIZENS" HOMESTEAD LAMS 1974, CHAPTER 206 STATE OF MINNESOTA) COUNTY OF DAKOTA ) -DATE. TO: County Auditor, Dakota County, Minnesota I, the undersigned, declare under penalties of perjury: That I reside at That I am not less than 65 years of age and that the date o my birth is That I am the owner of the property legally described as: Property Identification No. That my interest in the ownership of the above property was aquired on and is as follows: 1. Sole ownership (Enter Yes, if applicable) 2. Joint tenancy, held with 3. OTHER undivided interest (Specify) That on January 2, or June 1, I owned and occupied the above Property as my homestead and such occupancy began on That the installments for improvements on the SPECIAL ASSESSMENTS duly adopted in ordin- ance by the OF AS OF 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 to SIGNED: OWNER SPOUSE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Clerk of the OF .IN County, State of Minnesota, do hereby certi€y'that the application of above named, has been duly reviewed and that in accordance with the minutes of official record in said chambers was duly APPROVED or DENIED as of 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. ASSESSMENT D/P NO. ' TOTAL AMOUNT YEARS INTEREST RATE DATED Clerk or Authorized Deputy (over) CITY OF EAGAN NOTICE OF SPECIAL ASSESSMENT HEARING Project #IOP928 November 17, 2006 The EAGAN CITY COUNCIL will meet at 6:30 PM on the 4th day of December, 2006, at the Eagan City Hall, 3830 Pilot Knob Road, Eagan MN, to approve and adopt the listed special assessments against the following described property: 10-00800-030-04 Wayne A Goldsworthy K Goldsworthy 3083 Sibley Memorial Hwy Eagan, MN 55121 The special assessments are: Type of Improvement SA No. STREET UPGRADE 103651 Special Annual First Year First Year Assessment Principal Interest Installment $23,342.75 $1,556.18 $1,390.84 $2,947.02 The City of Eagan will accept payment for any portion of these special assessments free of interest charges for a period of 30 (thirty) days. The interest free period begins December 5 and ends January 3, 2007. If you choose to pay after January 3, 2007, interest will be charged from December 5 to the date of payment. The First Year Interest is calculated from the date of the assessment hearing through December 31 of the following year. Please make your check payable to "City of Eagan". Mail your payment to, or pay in person at, the Eagan Municipal Center, 3830 Pilot Knob Road, Eagan, MN 55122. Any unpaid portion will be collected in annual installments of principal and interest for the next 15 YEARS on your future property tax statements, which will be issued through the Dakota County Auditor's office. The annual installments include interest at the rate of 5.50 PER CENT per year on the unpaid balance. (Over) Notice of Special Assessment Page 2 The proposed assessment roll is on file with the City Clerk. The assessments related to this project total $380,000.00 and the area is as follows: The area within the NE'/4 of Section 8 and the NW'/4 of Section 9, West of State Highway 13 in the City of Eagan, Dakota County, Minnesota. Written or oral objections will be considered; no appeal may be taken as to the amount of any assessment unless a signed, written objection is filed with the Clerk prior to the hearing or presented to the presiding officer at the hearing. An appeal to district court may be made by serving notice upon the Mayor or Clerk of the City within 30 days after adoption of the assessment and filing such notice with the district court within ten days after service upon the Mayor or Clerk. Under Section 2.75 of the Eagan Code of Ordinances, adopted pursuant to Sections 435.193-195 of the Minnesota Statutes, the Council may, in its discretion, defer the payment of this special assessment for any homestead property owned by a person 65 years of age or older or retired by virtue of a permanent and total disability for whom it would be a hardship to make payments. Any homeowner meeting the requirements of the ordinance must apply for the deferment not later than 30 days after the adoption of the assessment. The City of Eagan is committed to the policy that all persons have equal access to its programs, services, activities, facilities, and employment without regard to race, color, creed, religion, national origin, sex, disability, age, marital status, or status with regard to public assistance. Auxiliary aids for persons with disabilities will be provided upon advance notice of at least 96 hours. If a notice of less than 96 hours is received the City will attempt to provide such aid. Please note that you will receive additional notice on this matter only if the amount due is amended. If you have any questions about this statement, please call Special Assessments at 651-675-5020 or TDD at 651-454-8535. /S/Maria Petersen City Clerk 3830 Pilot Knob Road Eagan, Minnesota 55122 Combined Assessment Roll Project Number IOP928 PID Addition Name House Nhr Street Name 10-00800-010-04 Section 8 3087 Sibley Memorial 10-00800-030-04 Section 8 3083 Sibley Memorial 10-00900-010-26 Section 9 3045 Hwy 13 10-22480-010-01 Eagan-13 Industrial 10-22480-020-01 Eagan-13 Industrial 10-39900-010-02 R L Johnson 1st 1048100-050-00 Meadow View 3105 Sibley Memorial 10-68050-010-01 Sibley Terminal Indu 1710 Alexander Rd 10-78500-010-01 Tyler Jay Addition 1725 Meadow View R 10-80220-010-01 United Stationers Ad 1720 Alexander Rd Summary for 'SA_Nbr' = 1OP928 (10 detail records) Sum Proposed Pending Assessment Assessment Variance $29,466.36 $8,738.00 ($20,728.36) $23,342.75 $31,263.00 $7,920.25 $59,133.83 $52,668.00 ($6,465.83) $65,747.43 $45,769.00 ($19,978.43) $76,917.66 $36,828.00 ($40,089.66) $32,167.59 $26,445.00 ($5,722.59) $23,723.15 $12,783.00 ($10,940.15) $19,068.85 $12,330.00 ($6,738.85) $27,850.50 $25,741.00 ($2,109.50) $21,595.46 $23,092.00 $1,496.54 $379,013.58 $275,657.00 ($103,356.58) Wednesday, March 14, 2007 Page 1 of I r1. CITY OF EAGAN NOTICE OF SPECIAL ASSESSMENT HEARING Project #10P928 October 26, 2006 The EAGAN CITY COUNCIL will meet at 6:30 PM on the 91h day of November 2006, at the Eagan City Hall, 3830 Pilot Knob Road, Eagan MN, to approve and adopt the listed special assessments against the following described property: 10-00800-030-04 Wayne A Goldsworthy K Goldsworthy 3083 Sibley Memorial Hwy Eagan, MN 55121 The special assessments are: Special Annual First Year First Year Type of Improvement SA No. Assessment Principal Interest Installment STREET UPGRADE 103651 $34,380.00 $2,292.00 $2,048.47 $4,340.47 The City of Eagan will accept payment for any portion of these special assessments free of interest charges for a period of 30 (thirty) days. The interest free period begins November 10 and ends December 9, 2006. If you choose to pay after December 9, 2006, interest will be charged from November 10 to the date of payment. The First Year Interest is calculated from the date of the assessment hearing through December 31 of the following year. Please make your check payable to "City of Eagan". Mail your payment to, or pay in person at, the Eagan Municipal Center, 3830 Pilot Knob Road, Eagan, MN 55122. Any unpaid portion will be collected in annual installments of principal and interest for the next 15 YEARS on your future property tax statements, which will be issued through the Dakota County Auditor's office. The annual installments include interest at the rate of 5.50 PER CENT per year on the unpaid balance. (Over) Notice of Special Assessment Page 2 The proposed assessment roll is on file with the City Clerk. The assessments related to this project total $322,000.00 and the area is as follows: The area within the NE'/4 of Section 8 and the NW '/4 of Section 9, West of State Highway 13 in the City of Eagan, Dakota County, Minnesota. Written or oral objections will be considered; no appeal may be taken as to the amount of any assessment unless a signed, written objection is filed with the Clerk prior to the bearing or presented to the presiding officer at the hearing. An appeal to district court may be made by serving notice upon the Mayor or Clerk of the City within 30 days after adoption of the assessment and filing such notice with the district court within ten days after service upon the Mayor or Clerk. Under Section 2.75 of the Eagan Code of Ordinances, adopted pursuant to Sections 435.193-195 of the Minnesota Statutes, the Council may, in its discretion, defer the payment of this special assessment for any homestead property owned by a person 65 years of age or older or retired by virtue of a permanent and total disability for whom it would be a hardship to make payments. Any homeowner meeting the requirements of the ordinance must apply for the deferment not later than 30 days after the adoption of the assessment. The City of Eagan is committed to the policy that all persons have equal access to its programs, services, activities, facilities, and employment without regard to race, color, creed, religion, national origin, sex, disability, age, marital status, or status with regard to public assistance. Auxiliary aids for persons with disabilities will be provided upon advance notice of at least 96 hours. If a notice of less than 96 hours is received the City will attempt to provide such aid. Please note that you will receive additional notice on this matter only if the amount due is amended. If you have any questions about this statement, please. call Special Assessments at 651-675-5020 or TDD at 651-454-8535. /S/Maria Petersen City Clerk 3830 Pilot Knob Road Eagan, Minnesota 55122 -ntt 0 AGENDA PUBLIC WORKS COMMITTEE MEETING FEBRUARY 6, 2007 4:30 P.M. EAGAN CITY HALL ENGINEERING CONFERENCE ROOMS I A/B 0 1. ADOPT AGENDA II. NEW BUSINESS A. Project 928, Meadowview & Alexander. Rd. (Final Assessment Roll) III. OTHER BUSINESS IV. ADJOURNMENT • PUBLIC WORKS COMMITTEE FEBRUARY 6, 2007 1. NEW BUSINESS A. CITY PROJECT 928 - MEADOW VIEW/ ALEXANDER ROADS FINAL ASSESSMENT ROLL ISSUE: At the public hearing held on December 4, the City Council passed a motion to continue consideration of the Final Assessment Roll for Project 928 (Meadowview Road / Alexander Road - Street Improvements) to February 20, 2007, and directed the Public Works Committee to review the proposed Final Assessment Roll (FAR). BACKGROUND: The upgrade of Meadowview Road to current City street standards, along with the re-alignment and overlay of Alexander Road, (under Project 928) have been completed under Contract 06-02, all related costs tabulated and a Final Assessment Roll was prepared. On October S, 2006 the City Council received the FAR and scheduled a formal public hearing to be held on November 9. As a result of questions raised by an affected property owner (Jay Tyler) prior to and at the November 2 neighborhood informational meeting regarding the final assessments and allocation methodology, staff reviewed the proposed Final Assessment Roll with the City Attorney's office for sustainability and subsequently revised it. The Final Assessment hearing was rescheduled to December 4, 2006 to insure proper re-notification of the proposed new assessment amounts. As a result of questions raised during the December 4 Public Hearing, the City Council continued the hearing to February 20 and referred the matter to the Public Works Committee for review and recommendations. ATTACHMENTS: • Final Assessment Report- City Project 928 • Background Informational Memo from Assistant City Engineer (1-30-07) o Project Timeline/ Costs/ Assessment Methodology o Comparisons of Assessment Methods o Map of the Proposed Assessment Area COMMITTEE RECOMMENDATION OPTIONS: 1. Approve the Final Assessment Roll as presented to the Council on December 4, 2006. 2. Recommend Revisions to the Final Assessment Roll for Council consideration. 3. Other: To: Tom Colbert, Director of Public Works 0 From: John Gorder, Assistant City Engineer Date: January 30, 2007 Subject: Meadowview/ Alexander Road Final Assessments City Project No. 928 Public Works Committee Meeting -February 6, 2007 This memo is to provide background information for February 6, 2007 meeting with the Public Works Committee regarding the Final Assessment Roll for the above-referenced project. PROJECT TIMELINE 1995/ 1999 • June 7, 2005 January 17, 2006 • February 15,`06 • February 21, '06 • August, '06 • November 2, '06 • November 9, '06 • November 30, `06 • December 4, '06 • February 6, 2007 February 20, `07 Projects First Identified In 5 Year Capital Imp. Program City Council Authorized Feasibility Report City Council Ordered Public Hearing Project Informational Meeting Public Hearing - Council Ordered Project (Front Foot Assessment Methodology) Construction Completed Initial Final Assessment Neighborhood Meeting City Council Re-schedules Public Hearing (Driveway Unit Assessment Methodology) Informational Neighborhood Meeting Final Assessment Public Hearing/ Hearing Continued Public Works Cmte Mtg Continuation of Final Assessment Public Hearing PROJECT/ CONTRACT COSTS A comparison of the costs presented in the feasibility report for Project 928 to the final project costs for assessment is shown on the attached table. Detailed plans and specifications for Citywide Street Improvements (Contract 06-02, including Project 928 and Projects 786, 926, and 933) were approved by the City Council and a contract awarded on April 4, 2006. While the bid prices received for Project 928 were approximately 17% over the feasibility report cost estimate, the overall bid prices received in April for Contract 06-02 were approximately 7% under the estimates presented at the projects' respective public hearings. Increases in bid costs for Project 928 were mainly due to increased grading and subgrade preparation quantities in the final design that were not anticipated in the preliminary feasibility report. The final costs for Contract 06-02, including construction and overhead, was approximately 14% under the cumulative feasibility report cost estimates. The breakdown of costs, per street improvement project, is as follows: Feasibility Report Final Cost Project 786 $400,100 $251,397 Project 926 $610,730 $464,807 Project 928 $363,720 $451,708 Proiect933 $300.650 $276,445 06-02 Totals $1,675,200 $1,444,357 It should be noted that Project 928 was the only project that exceeded the feasibility report cost estimate. FINAL ASSESSMENT ROLL METHODOLOGY In accordance with the City's Special Assessment Policy, all street improvement costs for the urban upgrade of Meadowview Road, the mill & overlay of Alexander Road, and installation of commercial concrete driveway aprons on both Meadowview Road and Alexander Road are 100% assessable to adjacent benefiting properties. The Policy provides for various methods in determining benefit for adjacent properties. The feasibility report presented at the project public hearing (Feb. 21, 2006) estimated the special assessments based on the front foot method for both Meadowview Road and Alexander Road, and the actual quantity of concrete entrance aprons installed (See Attachment A). The Final Assessment Roll presented to the City Council at the December 4 City Council meeting utilized the per driveway method (Attachment B) for all assessments for Meadowview Rd. based on existing or potential driveway access to every lot and the front foot method for the Alexander Road overlay. The use of the per driveway method, rather than the front footage method for Meadowview Rd is due to the significant variances in individual lot frontage, and the recognizable similarity in access benefits to each property based on their existing (or potential) driveway connections. Another optional method of computing assessments is based on a parcel area method. However, due to the large variations in parcel sizes (0.9 acre to 23.7 acres) in relation to their access, this method was also deemed not equitable. A comparison of the potential assessment resulting from the.three alternative methods is provided in the Attachment C (for information purposes only) 0 0 • City Project No. 928 Final Assessment Roll Totals - Front Foot Method Meadowview Road/ Alexander Road Street Improvements 0 I 'MeadoWAe*tO FF, ethod'-?` - '-?Concrete Entrance R &?,R t! -% Ale xander-FFl Method - : ° Total Assmt. - Prelim. Assmt Rate Street Ent. Rate Ent. Rate P.I.N./Parcel FF /FF Assmt. S.P. X.F. Assmt. F.F. /F.F. Assmt. Total Assmt. Total 10-00800-010.04 • ,'•v Vacant 73 $116.00 ` 38,468' .00 - 88.3 $69.35 $6123 61'."-- .' $14'591.61 $8,738 10-00800-030-04 3083 Sibley Memorial Highway 382 $116.00 $44 3=12 00 ,,, $31,263 10-00900-010-26 , x` -'- '? '•!Fy; a„: 3045 Highway 13 576 $116.00 $?6,816i00 ', 179.5 $69.35 $12;448 33 ! 8 .nr,°, i $79 264.33. $52,668 10-22480-010-01 5 R * 3103 Sibley Memorial Highway* 230 $116.00 ' :$26,680:00 341 $69.35 $23;648.355; 447.00 $15.85 ,'=$77[84x95' `'? $57;4Y 5 30 d'`' • $45,769 10-22480-020-01 .. '•( ?`;7 s. r t , ,y, ',,?i 3107 Sibley Memorial Highway* 336 $116.00 $38 976:00 ,:' 226.5 $69.35 $15,707me',,x' 180 $15.85 $2;853' 0." 457;5 6 78 ,, `: $36,828 10.39900.010-02 ' -' ,'•? s;'S rttic t Vacant* 190 $116.00 - $22 040.00 56.4 $69.35 0;9l%1-.3` 385 $15-85 „ ,S6,102'.25';1 $32,053 59"'Y' . $26,445 10-48100-050-00 3105 Sibley Memorial Highway* 150 $116.00 $17400t00.'<y 24.00 $1585 x$380140ti':I $1.7,78040 $12,873 10-78500-010-01 I 3085 Highway 13** 277 $116.00 ? t2,13 00v'' 65 $69.35 $4,507.75 m e , $36,639.75 1' $25,741 TOTALS 2214 - $256,770.26 957 - $66,347 1,036.00 - $16,421 $339,592 $240,325 - * Also have direct D/W access to Alexander Road ** Based on average frontage of other properties with frontage on Meadowview Road (1,93717 = 277) ATTACHMENT A G: PROJCGNTRACTSM281FINAL ASSMT INF0/Pina1Ro1lC=padson E 0 City Project No. 928 Final Assessment Roll Totals - Drivetvmr Method Meadowview Road/ Alexander Road Street Improvements • Also have direct D/W access to Alexander Road A Y T ACHMA- Eli 1 GRROXONTRACTSM281FINAL ASSMT INFO/FinalROllComparison • City Project No. 928 Final Assessment Roll Totals -Area (Acreaee) Method Meadowview Road/ Alexander Road Street Improvements Area Me thod Concrete Entrance R &iR '% 1 ? Alexander Rdt Assmt. > . , Total •AssmC, ,.. Prelim. Assmt s Rate Street Ent. Rate Rate `•_' • s P.I.N. / Parcel Ac /Ae Assail. S.V. /F.F. Assmt. F.F. /F.F. Assail. Total Assmt. Prelim. Assmt 10-00800-010.04 r Vacant 3.68 $6,631.46 $24,403.77r 883 $69.35 $6,123.61 ^$30,52738. $8,738 ' 10-00800-030-041 4; 3083 Sibley Memorial Highway 2.09 $6,631.46 ' $13;859.75"' 1 $13,859.75 $31;263-:? _' ' 10-00900-010-26 l - ; 3045 Highway 13 23.65 $61631.46 $156,834.03 •'- 179.5 $69.35 $12,448.33 $169,28235 F $52,66841 10-22480-010-01? x ' 3103 Sibley Memorial Highway* 2.6 $6,631 46 $17,241:80' 341 $69.35 $23,648.35 447.00 $] 5.85 $7,084.95- ?` $47;97310 r t - $45,769Y? t lo-zzaso-ozo-ol? f A ! 3107 Sibley Memorial Highway* 3.55 $6,63146 $23,54168- -' 226.5 $69.35 $15,707.78 180 $15.85 $2,853.00 $42,10246 $36,828.`1 10-39900-010-021 - - Vacant* 1.02 $6,631.46 :146',7611,09' 56.4 $69-35 $3,911.34 385 $15.85 $6,102.25 $16777 68 $26445 ?- 10-48100-050-00 3105 Sibley = a „ € Memorial Highway" 0.9 $6,631.46 24.00 $15.85 $380.40 $6,34$:71 '!' 10-78500-070-O1? -• ? -`;` ?ti 3085 Highway l3. 1.23 $6,631.46 ?a $8j156.70 65 $69-35 $4,507.75 ` $1266445 ,.$25,741 TOTALS 38.72 - $256,770.26 957 - $66,347 1,036.00 - $16,421 $339,538 $240,32.5 *-Also have direct 1)/W access to Alexander Road ATTACHMENT C G: PROXONTRACTS/9201FINAL ASSMT INFO/FInalRollComparison I Pv Q? P~ 10-78500-010-01 1.23 AC P 1 , .;y V~ #3085 10-00800-010-04 2,09 AC F.F O V / i 10-00900-010-26 10-00800-030-04 23.65 AC #3045 #3083 2.09 AC \ r i / 576' F.F. CID 382'F.F. --- ' MEADOWVIEW 2-ROAD ------`;,' % P7TF.F: -' 230' F.F. .... \ ?O / VACATED --- F.F. '., X36' F. / #3105 f - -J ----_---? 0-39900-010-02 /' x 10-22480-010-01 1,02 AC J=?:/? #3107 I,i i ?• / A, ONA 2 ?O?N? S #3103 1 8 10-22480-02 Ol --- ?? POD` L ' i ; ? (r OJ90 AC I 3.55 AC / -- 10-48100-050-00_J 2.60 Ac ?gTR1A?pARK I J EAGAN 13Ji h? ?I tv / I , T xgNOF r,, , / /4O I l LEGEND ------ XX.X------ FRONT FOOTAGE - $ 116.00 / F.F. DRIVEWAY - $ 23,342.75 / DWY AREA - $6,631-46/ACRE j NORTH City of 6011 Engheadng Department Meadowview Road Street Improvements Project No. 928 - Assessment Roll Map Jan.22.2007 • 0 PERMIT City of Eagan Permit Type:Building Permit Number:EA165576 Date Issued:11/06/2020 Permit Category:ePermit Site Address: 3083 Sibley Memorial Hwy Lot:003 Block: 004 Addition: Section 8 PID:10-00800-04-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Katheryn K Goldsworthy 3083 Sibley Memorial Hwy Eagan MN 55121 (651) 308-2961 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature