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1153 Tiffany Cir NCITY OF EAGAN 3830 PH;; Kr :;b Road P. O. Box 21'i99 Eagan, MN 55121 Zoning: I Owner: ro". Add re Plu ber. i" ? WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 Const No L6 B1 Canteburv Fores r No.. ion Char I A\ ge: S e: 1` y mcoount Deposit: _ a? Reode No.: Permit Fee: 1 agree to OM* Whit the City of Eagan Surcharge: Ordiaa Misc. Charges: - Total: BY Date Paid: r T ur r-AUAN WATER SERVICE PERMIT L30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gan, MN 55121 DATE: ning: R1 No. of Units: ,ter: Sven Peterson onst Address: No.: eader No.: agree to ==ply with the City of Eagae of Insp.. CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: ^ 1 Owner: Sven( Address: Site Address: 1153 Ce g, Plumber: I agree to eosspy with the City of Eaton Ordieaaees. By Date of I nsp.: Connection Charge: ' ` W. .,w !'" Account Deposit: P I U. UU Pd Permit Fee: Surcharge: P Misc. Charges P meter Total: Date Paid: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: :le No L6 B Cants ury Forest 100.00 Pd Connection Charge: 425.00 pd Account Deposit: P Permit Fee: P .50 Surcharge: p _ Misc. Charges` _ Total: Date Paid: i CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 • EAGAN, MINNESOTA 55121 DATE 19 RCCHI V 6D FROM AMOUNT,. ' I $ ? CASH r FUND CODE AMOUNT l 1 Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt ' PLUMBING PERMIT. ` CITY OF EAGAN ` t Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address/ 4. Owner 5. Contractor 6. Address 7. City 8. Building Type: R, 9. Work Description: 10. Describe It 11. Permit No. Fee j Gt S/C fG' i Tot. s Tract , ' ? Phone ?'?• .y '? / _ ' State ..-f' Zip Commercial ? Institutional ? Add ? Alter ? Repair ? NO., K Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank - I Lavatory Softner _I Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. 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 Receipt MECHANICAL PERMIT Permit No. ?J y J` ?, c •o I oh ( 10 ? CITY OF EAGAN Fee U fill in numbered spaces S/C " Type or Print legibly Tot. 7. r U 1. Date c Z 3 y 2. Installation Cost 3. Job Address 3 ?gt Blk..,/- TiacfCf 4. Owner 5. Contractor Phone '/'-I 6. Address -7 '/ ' 7. City State Zip 5 C e '? 8. Building Type: Residential 0- Commercial ? Institutional ? 9. Work Description: New 1n- Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. 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 govemi g this type of work. Signed 2 - /%-, for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CASH RECEIPT CITY OF EAGAN P. O. BOX 21.199 EAGAN, MINNESOTA 55121 DATE 19 R[CEIVED 1 F*Om AMOUNT $ i FUND CODE AMOUNT J y - r. Than U ®v?_ 62-b V White-Payers Copy Yellow-Posting Copy Pink-File Copy DOLLARS _ goo ? CASH ? CHECK CITY OF EAGAN 9490 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt ?j To he Used 6or SF DWG/GAR Ed_ Velue $134,000 pate SEPTEMBER 1019 84 Site Adta's Lot 6 Parcel No. . Address 4701 W 110TE City MPLS Phone - Name SAME uu Address i- City Phone_ Name _ Address City - Phone I hereby acknowledge that 1 have rbod I the information is correct and/6gree t State of Minnesota Statute 4 City Signature of Peritsfttee A Building Permit is issued to: S all work shall be done in accordance wi Building Official 1153 TIFFANY CIR NO Block Sec/sub. CANTER CONST Erect LS Occupancy R3 Remodel ? Zoning Repair ? Type of Const. V Enlarge ? No. Stories Move ? Length Demolish ? Depth 50 Grade ? Sq. Ft. Apswavals Face Assessment _ Water b Sew. Police Fire Planner Council Bldg. Off. 9 6 8 4 APC Var. Date f Minnesota Permit -J i v . %#V Surcharge 6 7 . 0 0 Plan check 259. 0 0 SAC 525.00 Water Conn. 470. 0 0 Water Meter _ _-L3 . 0 0 Rood Unit 260, 0 0 Pfi*i?x(COP Y ) .50 Total $2,, 16--'.50 _ an the express condition thou City of Eagan Ordinances. ds!G .Ad AsmeS IIoAA wo!je3oj eglasop awaM GG 4-p I'-Y? ?- lew j ?VAH lould 171 4gid I-ld / uolleJnsul ! pVAH 45noa : '6gld notl AQ- r-ir s d l/ J 6?`0 bulwe. j uoilepunod sbuliood 4e410 •dsul wep uol3oedsul aeue40S ap gig ?-V ,,a t ter . f ?, o 9 V A H Buiqwnid woo "PIoH 3lwHd 'ON Mwwd This request void 1 U5 ( C/ i c ?' g y 18 months from A n74206 L (P l5-1 ?4--) Y . (p .?, Request Dr to D_' (y 1 ! Fire No. Rough-id? inspection ?''? Required? ?PeadY Now plyrill Notify InsPec- Wh ?? R N I - V ?a or en eady Yes ?No 1 W ? Licensed Electrical Contractor 1 hereby request inspection of above ? ner electrical work installed at: St I Address. Box or Route N Cit 4 - i; 7 coon No. Township or o. Range No. Coumy Occupant INT) - 70A AP_?' Ph Nn? `/y?,t ('?i S `?"/ war S er Address ricel oalr or (Company Name) -? C 'actor's tense No. ?` d D 3 &911 mail in Address 1 o ractor or Owner Ma i g Ira 'lallon) Auth ized Signature r ctor VO ltar ki Installation) W Phan umber ?D I -? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT . BE ACCEPTED BY THE STATE BOARD Griggs-Midway Bldg. - Room N-191 UNLESS PROPER INSPECTION FEE IS 1821 University Ave., Se Paul, MN 55104 Phone (872) 297-2111 ENCLOSED. ?51 q REQUEST FOR ELECTRICAL INSPECTION EB-00001-()4 77 ''Sea inec uetiw9 }or cornpletim this form Ml back tlf VellnW'cooV. r?? I y A n 7 n 7 n - X' a@'dtr Work Covered by This Request PIw4AdCl Rep•1 Typo of Build ina I Appliances Wired I Equipment Wired 0 Fee Servi trance Si.. k Fee FeedersJSubfeedere Fee Circuits 12A VI 0 to(200 s 0 12 AS 30 to 30 Am Above 0 _Am - 1 PS 3to 1 0 0 Amps d 1 to 100 Amps Swimming Pool Above 100-Am s Above 100_Am "Transformers Irrigation Booms P i . her Fee Signs Special Inspection s ?''' TOTgL FEE Ren¢rks / 1 J/tom -, j l'? o "A. i. the Electrical Inspector, hereby certify that the above inspection hes been made. Tltle repueW Vold 18 CITY OF EAGAN N? 9490 y 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ?1` r 6122 To be used for SF DWG/GAR Est. Value $134,000 Date SEPTEMBER 1019 84 Site Address 1153 TIFFANY CIR NO Erect [ Occupancy R3 Lot 6 Block 1 sec/Sub, CANTERBURY FOR Remodel ? zoning R U- Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories W Name SVEND PETERSON CONST Move ? Length 56 Address 4701 W 110TH ST Demolish ? Depth 50 City MPLS Phone 884-5144 Grade ? Sq. Ft. SAME o Approvals Fees Name OU Assessment Permit $ 518 • 00 Address City Phone Water 8 Sew. Surcharge 67.00 Police Plan check 259.00 GW Name Fire SAC 525.00 1! Address Eng. Water Conn. 470.00 <W City Phone Planner Water Meter 63.00 ' Council Road Unit 260-N0 I hereby acknowledge that I have ad th' application and state that Off 9/6/84 m*xx (Copy) Bldg 50 the information is correct. and gre comply iH all p Cable . . . APC Total $2.162 50 State of Minnesota Statutes ity of E r¢b . ? r. Date Signature of Pe ??? A ,Building Permit Is Issued to: S. P ERSON C NST on the express condition that all work shall be done in accordance wlJlt pplicpble otS o Mifn deta Statures and City of Eagan Ordinances. Building Official ?' . o•* 518.00+ 6 7 0 U + 259.00+ 525.00+ 470.00+ 6 3 0 0 + 2 6 0 0 0+ 0.50+ 2162.50* CITY OFEAGAN Remarks DI J Ig LZf Addition CANTERBURY FOREST Lot 6 Blk 1 Parce Owner " f Street 1153 TIFFANY CIRCLE NO. State MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. tre 1979 Paid under original p rcel STREET RESTOR. GRADING 1981 106.78 5.34 20 85.46 A013446 1-12-84 SAN SEW TRUNK 7i_1 1973 Paid unde original rcel * SEWER LATERAL 1981 439.42 21.97 20 51,54 A 13446 1-12-94 WATERMAIN * WATER LATERAL 1981 20 WATER-AREA -,, 1979 Paid unde r on i;nali arce STORM SEW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit 260.00 1146130 9-10-84 WATER CONN. 470.00 BUILDING PER. 119 SAC 19 1; - 00 PARK 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date (, _ / _Lcc / 0 1; (}f, t r [ ? Add Unit # - Site ress Property Owner (Sd f Telephone # )J ?-- ?2c ?? Contractor Street Addre3WDARD HEATING & AIR CONDITIONING CO City 410 WEST LAKE STREET State MINNEAPOLIS, MN 55408-2996 Zip Telephone # ( ) 612-824-2656 Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 X furnace -Additional Replacement air exchanger X air conditioner -New Replacement other State Surcharge $ .50 T l $ ota I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes t I understand this is not a permit, but only an application for a permit, and work is` not to start witho a p r 't; that the w w 1] b in accordance with the appr d plan in the case of ch requires a review and approval o tans. Applicant's Printed Name ?T Applicant's Signatur 7 - I 1 n 201,5 i I 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction - Underground Tank _ Install -Remove **see below Interior Improvement - Install Piping - Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: 570.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% = $ Permit Fee • If Permit fee is $1,000 or less, add $.50 => $ State Surcharge If eo rmit fee is over $1,000, add $.50 for every $1,000 pe rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: ,Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of fol. sq. q. of house: and all roofed areas (200o maximum lot coverage allowed) • 2 copes of plan showing beam 3 window sizes: poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot called after 7/1/93 • Rim Joist Detail Options selection she,el )bldgs with 3 or less units) DATE- -7/1 ?/? k SITEADDRESS 1153 5 CP-cle N1 G-woman, MN 5$1'73 MULTI-FAMILY BLDG _Y TYPE OF WORK FIREPLACE(S) _ 0 _ 1 APPLICANT STREET ADDRESS SOL-m f TELEPHONE # 65!"K5L•58'L? ?N -2 CITY -STATE ZIP CELL PHONE # 4 FAX # 15611 b'Sg79 PROPERTY OWNER Grtia TELEPHONE# -- ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ yIIVNES01-.1 RULES 7670 GV"[EGORY I _ MINNESOTA Rf "LYS 76 2 (J submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcclumic.d ststcm includes: Sewer/Water Contractor: Air Conditioning Heat Rccovcn System Phone Phone # F]SO 7 FBy -- ---------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Applicant ------------ - - --- - ---- - --------------------------- - -- - - - - ------- - --- - ----------------- - - ---------------- - ------- - -------- - - ------ - -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated dl02 Water Softener XVater HCater No. of Baths i?5> % RemodelfReoair Requirements • 2 copies of plan • I set of Energy Calculations for heated additions 1 site survey'cr exterior additions & decks • ;ndicate f heree served by septic system for additions VALUATION SaUCa?o1? Pltone Y Lawn Sprinkler No. of R.I. Batt OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ FinaWi o C.O. - Footings (addition) _ Plumbing Foundation HVAC Drain Tile _ Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air, Gas Tests _ Final _ Framing - Siding _ Stucco Stone _ Fireplace _ R.I. -Air Test - Final - _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector (.11"(' ('irato for: Pe'.ern,on We ll?ti: lt::'C:f±t , ? ?.1GC1 :l.*I;;tPII, Iiri. 7 . 1.17 DELMAR H. SCHWANZ LAND SURVEYOR %f IML, Registered Under Laws of The Stale of Minnesota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 65068 PHONE 612 423.1769 SURVEYOR'S CERTIFICATE 7;> 17 ti's 7 ?- 2`'- SCALE: 1 inch - 39 feet Elevatinna shown are existing -t D Denotes net wood h1b \ Proposed garage floor \ elevation.- ___ • _ _? \ aSep• F ? F.asctlent 1 / Drainage & utility easement z S: r \ S) a? rpf?/ ,fv ?r f41'. t i F-\X?, ?` 1 \ I hereby certify ttls.t this is a true: and correct representLt?.on of Lot 5; Block 1, 7A'17:FL'IFY FL`f. T, j according to t%tc recorded plat thereof, Lakota Co:jnty, hinncsotA° 114 \ Alec) chowln!? the location of a proponed ho.lse as stiked thercon. ' 943 Dater.: Au+,uat 28, 1984 ?? n p 9 \ V/ ti. t.a•i ?Fti Vy??I r ,. ?J1?. Al V MINNESOTA REGISTRATION NO. 8625 E TERIOR ENVELOPE AVERAGE "U' COMPUTATION OMTNER -1 % aFR 6T0 /(/j -it-'_ /N ,SITE ADDRESS_ TE/?f'??/! I? Foti°?f` CONTRACTOR DATE SHONE ??'4?-S/f?? Determine working square footage of each.ll 1. Total exposed wall area sq. ft. X."A9 _ 2. Total roof/ceiling area .... ?s O sq. ft. x y9 _ Total exposed wall area above floor = Z.Z d 8 ?ZG a. Total wall window area ................ / 7 6 b. Total door area ...................... 5S c. Total sliding glass area .... ....... R d. Total fireplace wall area ....... e3 e. Total wall framing area (average 10%)..: .Z-28' f. Total net wall area above floor ........ /,P-Z 7 g. Total rim joist area .................. _ 1G.8 Total exposed foundation area = _A.LC> h. Total foundation window area .......... to i. Total net foundation area above grade Determine "U' value of each wall segment. aa. /76 x IV: 0,,17-6 = s3- X „U', 5 D. X IV! m e. .Z 18 X `U" f . X '; U;: 0 0 4 = 3. /6 g• SAS X "U" 0, ©47 = 7 4n h. ( X "U' 3.30 i. 236 X "U', 4 33,011 k d13 2-5I (' x 3.... ........................................Total 9 2.37 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = _ 16 3 O ?. Total skylight area .. ...... k. Total roof/ceiling framing area (average 107,) Total net insulated roof/ceiling area ........ Determine IV value for each roof/ceiling segment. J ./X IVT D. S3 = (?. (V C) IM k. /S3 X ,:U" ©. 04/9 I 9 _ ? qSO ?; 11 'C t (?IV 1. ?n S X ,.U, ® O a 5 / rq Jr ? 4 .........................................Total = 7 gD If total of #4 is the same as, or less than f2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Desirn To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum,of items #1 and #2. 1. + 2. - 3. + 4. I , I 2/84 CITY OF EAGAN l APPLICATION FOR PERMIT r SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: ?1 j 3 T?G/4fU } (? 1- )e ,e 1-7v 2 L.Ff;Ar• DESCRIPTION: LOTCJ 40eK I ? ?tiT?7??//iZs ?` 1IeEST (I t:/Block/ ubdivision or Tax Parcel Z.D. Ntmiber) IF EiIS =::G ST,^-d;CP[RE, DATE OF ORIGINAL BUITz=Z- =:•ST ISSUP,NG: - GL? PRES- ':'TD,:(:/`PROPOSED USE: 1 T<R-1 S=' V FP. _T%' ? R-2 DUPLE{ (TG? I,TTITS) ? R-3 TOWNHOUSE (THREE + UNITS)( UNITS) ? R-4 APAR2=/C0NDOMINI1M ( UNITS) ? CCMMERCIAL/RETAII,/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GO=NMENT 2) APPLICANT (PLEASE PRINT) NAME: ?SUt7?D .4 X725; < ? n rz7/1c?G 7>o? ADDRESS: </7Q/ LtJt?T //!7 STf? ?T CITY, STATE, ZIP: ZT PHONE: 3) PEumBER PYLEAySE- )PRINT) NAME: FOR CITY USE ONLY ADDRESS: 64- 1 PLUMBERS LICENSE: 7) 1- - Active CITY, STATE, ZIP: Expired . S PHONE: PLUMBER LICENSE N 19C1gytj 0 Not. of Record z,tarr initial 4) OCCUPANT/OWNER NAME: (PLEASE PRINT) ADDRESS: CITY, PIIONE: S) 6) INDICATE ONE: INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER (PLEASE DESCRIBE) PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,0 4 ABOVE (Circle one) 7) SIGNATURE: e ?ye`? DATE: 7 F O R C I T Y U S E O N L Y PERMIT # ISSUED . s FEES: $ Z4 .5' o SEWER PERMIT (INCLUDE SURCHARGE) $ Z4 -gd WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ i/ 7,1- e-e WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE:__fl. DATE: J - _ 50 maw""w"o mm--m Mw,wwwmmm wwrwwmwim w w?ra??lw?wine?iew?waw?rawww. 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 DATE: November 27, 1984 SPECIAL ASSESSMENT SEARCH SEA BLOMQUIST Nova THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER Coup l Memners THOMAS HEDGES ON AaMmS"Orar EUGENE VAN OVERBEKE Gav Clem Requested by: DAKOTA COUNTY ABSTRACT CO. RE: 1153 Tiffany Circle North 1250 Highway 55-P.O.Box 456 Lot 6, Block 1 Hastings, MN 55033 Canterbury Forest Enclosed herein.is the search which you requested made on the above described property. Kind of Improvement Runs Beginning Original Amount Balance Due NONE I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved and are now in the process of planning or completion. Kind of Improvement Approximate Date of Completion Approximate Cost NONE WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the above infor- mation which was requested by the person or persons indicated. Nor does the City or it employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form and for all other consideratio of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob Road, P. 0. Bix 21199, Eagan, MN 55121. Very truly yours, SPECIAL ASSESSMENT DIVISION THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY