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4500 Thomas Lake Cir
I CITY OF EAGAN ~ 9a~~ ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ' ` ~ ~ ~ ti y i To be used tor lIBEPI.ACE Est. value Date-!qS'!Y 4 ' , i s~l_ ~ Site Address Lot Block ~ Sec/Sub. S~IDN ~8 4500 THOMAS LAKE CIR Parcel No. ~~~~~~~y W Name 1~IC~/?BD SNI'1'H (Actual) Const _ B~dg. Permit _~(~Q. o Address '~S I.ArE itD ~Aiw~,at,ie) _ City ~p Phone ~?3~"31~ • 01 Stories ~ Surcharge Length Plan Review o Name H~A?-i~i~-G1A Depu, Address 3~IS0 H NfiX 13 S.F. Total - SAC, Mcwcc Clty ~gVY~.I.~ PhOf1A ~~~7~ S.F. Pootprints _ ~ On Site Sewage _ Water Conn ¢ Name W ~ W o~ s~~e wau - wa~e~ Me~er Address MWCC Syslem _ < W City Phone Cny water _ oe~wsit PRV Required _ SNV Permil I hereby acknowlege that I have read this application and stale Ihat the Booster Pump ~~~~ar~ information is correcl and agree to co ply wfth 9pplicable State of Minnesota Statutes and City~ 1 Eegan dinyMc . Treatment PI Signature of PermKee ~i 1~i APPROYALS qoad Unit A Building Permit is issued lo: T~~"C'~ Plan"er - park Ded. on the express COndition thal all work shall be done in accordance with all applicable State of Minnesota Statutes and City ol Eagan Ordmances, g~ pN _ Cop;es Building pHicial Varianoe - TO7AL ZS. ~ Psrmfl Na Parmit Hold~r Dab TeNphone x WATER SEWER PU1~ABtNIG H.Y.A.C. ELFCTFiIC 1ntp~efipe Wt~ M~sp. Comn»ntt Footingsl Foundation ~ Framing Roofinq Ragh Plbg. Rough Hig. Isul. FKepiaoe ,4 Final Htfl. Orstet Test Final Plbp. plbg. Inspector - Notify PN+mber Const. Meter ErqrJPlan Bldp. F'w~al Dedc Ftg. Dedc Final WeN Pr. Disp. ~ INSPECTIUN RECORD ~T~ CITY QF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. =~~{7'~ ~ Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 ~ i , c, ~ SITE ADDRESS: ~ , , ; ; , , ; , , ~ , , APPLICANT: „ . ~ ~ j~ ~ ! 11n~•1~ . ~ ;~td ~ ~ ~ . ~ :t`~ (fil?. ; ~ ; ' 1 . PERMIT SUBTYPE: ~~t~'-~I~RK: I ' ' ~ 4500 THOMAS LAKE CIR 'i i ~ f t: I!;~ rt ~ • I . ;.t:i i t.a,, ; ~ ~ . ~ i ,~il ,!I ~ t~ . ~ : ~~n; I ( , i•!.ti', : !1 {'ACfA i i' I'f 'ri ly I 1 I~ i:I~t I h f 13 1~~f, F'~~a1 III'ifi ! Il1~ ~ 1 I+ ! i+ 1 ~ ~tl I I~it~ f. ~ ~ I ~ ~ - ~ ~ ~ PertnR No. P~rtnk Hold~r Dst~ Telsphons ~ ELECTRIC PLUMBIN(3 '-y,,~,~,~~ /(P y 7, j 5' HVAC / / 9 - ~nsp~ctlon wte ~n~p. Commsnb FOOTINGS ~ FOUND FHAMING l~iZ !/~l ~ l~J ROOFlNG ROU(3H ~/y PLUMBING i((~~ PLBC3 ~ f AIR TEST ROUGH rla ry ~ HEATING % GAS SVC TEST INSUL g GYP BOARD FIREPLACE ~7 G~ ~lL~ ~ I FIREPLACE ~ AIR TEST FINAL PLBG FINAL HTG (r ORSAT TEST ~o~ Yz~ y/ a ~ ~ic BSMT R.I. B~ y/ ~1~' DECK FTG UECK FlNAL ~ ~ INSPECTION RECORD ~ f CITY ~F EAGAN PERMIT TYPE: ~ P+', 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55122-1897 Date Issued: ~ (612)681-4675 I SITE ADDRESS: ' ` ~ „ ~ ' APPLICANT: , , ~ } ;,i . ~ ~t, , ~ ~ i tt;~nii ~ ~ ~,N ~ „ . ~ , ~ ~ . , . ~ PERMIT SUBTYPE~ WORK: ! . ' - 4500 THOMAS LA[~ CIR - ` ~ ~ ~ ~ , . ~ : ~ ~ t~ • , ,~~~~,~t ~ r~ „ ~ ~ ~ f l I: i~~ 1.)?J UI 1/. 1'~ l l iit. ~rit{ ;+~I 1 1~! 11~ Itt 1~t; ~1~it6 ~ i• f t{ i: (~u {'f li~! 1 I r`:: . AN RtVrtFWFf1 RY MTK~ BAk~K ~ ~ ~ J Parmk No. P~nnft Holdsr DaU Telephon~ N ELECTRIC PLUMBING HVAC Inspectlon Deta Insp. Commanta FOOTINGS FOUND FRAMIN(3 ~ ¢ ,p~ ~ J ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ~I~ GYP BOARD FIREPL.I~CE FIREPLACE AIR TEST FINAL PLB(3 FINAL HTG ORSAT TEST BLDG FINAL BSMT R.1. BSMT FINAL y~~~Q DECK FTG DECK FINAL INSPECTION RECORU ~ ~ CITY OF EAGAN PERMIT TYPE: ~ i t, ? N'. 3830 Pilot Knob Road Permit Number: i•'rft~'~ Eagan, Minnesota 55122-1897 Date Issued: ~`~~s f'' f' (612) 681-4675 r ~ rs t ~ ~ - ~ ~ ~ . SITE ADDRESS: , , , ; , , APPUCANT: -i-~-~i+- ~~,i; ~ ~ r.' i ~ I . i ! tiii . F ~ ~ . ~A PERMIT SUBTYPE: TYPE OF WORK: ; . ~ , , ~ . , ~ ~ / ~ , . ' 4500 THOMAS LAKE CIR ~ ~ F I Mr11 ~ i t l~N itr ~!I t t~f (t f11 1~ ~ I 1 FyI~AM~, ~ AI.L 44~,-xi14N ktliAlitlf.N(i flEC1K1CA1 F'F:RMt1 ANU [N:~?'E.GI If.~N~,. ~ ~ ~ ~ ~ Pertnk Hold~r Date Telephone N PLUMBING HVAC Inspeetlon Date inap. Comments FOOTINGS ~ ~ VM FOUNO FRAMING I ROOFING ~ ROUGH ~ PLUMBING , PLBG I AIR TEST I ROUGH I HEATING GAS SVC TEST INSUL I GYPBOARD i FIREPLACE I I FIREPLACE AIR TEST FINAL PLBG i FINAL HTG i ORSAT I TEST BLDG FINAL ~B~ i j'J I 4N DOMESTIC i METER IRRIGATION I METER ~ FWSH I MAINS CONDUCTIVITV I TEST I HYDROSTATIC I TEST I BSMT R.I. I I BSMT FINAL i I DECK FTG ' DECK FINAI /O 6a8oo o~a 8~,^ E~?C~.~?N 'T0~11/I~i ~ F-I I P N~ j s7 BU,ILDIIVG PERMIT Owner~ _ ~ Ea9an Township Address (Present) . . Town Hell Builder Dale%J.."~j..~/ ¦ .L Address ~ 4500 THOMAS LAKE CIR [ON Siories To Be Used For rronx ev~~ -~•e-_- Est. Cosi Permi! Fee Remarks ~ yt7 ~~~'I 27? ~ LOCATION S}reet, Aoad r oiher Des~ripiion of Location I Lo! Bloek Addilion or Tract ~g°s e I~ ~ ~ ~ F~ This ' i! does noi authorise !he use of slreeis, xoads, alleps or sidewalks nor does it give !he owner or his agen! !he r~ ! fo create any siluation which is a nuisance or which presents a hazard fo !he healih, safefp, eonvenience and general welfare !o anyone in the eommunify. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS. This is lo ceriify, ihaf ....................................---------.------'----..has pezmission !o erec! a......._.....--------....------........._........_.....upon !he above descr' ed premise s ' e provisions of ihe Building Ordinance Sor Eagan Township adopfed April 11, 1955. ~ . . - _ . Per Cheirman ot To ard Building Inapecios _ r / q R¢ma~ks / ' I ~f ~ i ~ )i ~ ~ ~ .JrE'~ c4 ~ ~ " Pa~~~ 10 028 ~00 01.0 :82 ' 'Owner - ~ ' St ~ F''B'g311 ~ 55~ 22 4500 TAOMAS LAKE CIR - '3~' Improvement Date ~ ~ Receipt Oate STREETSURF. i/n : h!,rr~~ ~nr~i r.~ l STREET RESTOR. ~ ~„JGRADING ~ h J6J ~.e _ li'~i~/i! J~ ~ ~ ~ A ~a~t! SAN SEW TRUNK 9`76 1489.85 99.32 ~ 5 4~ ~ SEWER LATERAL • - ~ ~ , ~ WATERMAIN ~P ~ ~ ~I . !7i l WATER LATERAL T WATER AREA ~r I9HO ZLiH.lO LGI.ZL IS L TORM SEW TRK 7/5' .1983 '1851-r7o 123.k5 ~~SEW LA7'y"~ 1981 4~ 622. SO ~ 462.25 10 ~c//~L~. 3//7~ir/ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK S 5~ ~CrCS - .iC~'~ . 1"' ! ~ ~ ' . t. ~ ~,DI /~c.•es ~nd~~~ c..'a.Sernen'~ ~i ~ . . , ~ . ~ ,.~CFiG(P/1/..ln ? A~l7l~~-E/~:f~~- ~?LP-it<4w,~j ~~p~ ~dQ~-a..^~~1~' l/, ~d~'uLZ~t.n~rt_ Ck.~~e<u<~~ ~i~?r~L~?J~'~2/. _ CITY OF EAGAN N~ 19856 _ - 3830 Pilot Knob Ro . Box 21-199, Eagan, MN 55121 BUILDING PEFiM1T ~ 54-8100 c D'~O~ Receipt # To be used for FIREPLACE EsL Value 4'SOp Date NOV 4 ,~9y1_ Site Address 4500 THOMAS LAKE RD r~0,~ Lot 1 Block $2 SeGSub. SECTION 28 `~S L oFFiCE u5E ONLv Parcel No. ~E' FEES zon~~. IQ a Name RICHARD SMITH w (AClual) Co.. . Permil S _ (1!1 o Address 4500 THOMAS LAKE RD ~Allowa6le~ 5~ ~~~y EAGAN Phone 452-3204 ,raistodes _ Lenglh _ ~w ~o Name HEAT-N-GLO oePin _ y,, ,y Address 3850 W HWY 13 S.F rotai _ ~ City BURN VI phone A9o-0758 SF.Footprints _ SAC,MCWCC ~ On Site Sewage _ N/aler Conn w W Name o~ s~~e weii ti - WalerMeter Address nnwcCSys~em - iw City PhOf1B Gry Watar _ AccL Deposrt PRV RequireC _ S/YV PBrmii I hereby acknowlege that I na e this appl' tion antl stale that [he Boosier Pump - S~W Surcharge inbrmation is wrrect and ee co piy rth plicable State ol MmneSOta Statutes and Cit ol gan tli nce . Treatment PI Signature of Permitee APFROVALS Road Unrt A Bmiding Permit is issued to: AT-N-GLO Pianner _ ParN DeO. on tne ezpress condmon that all work shall be tlona m accordance wnh all Councn applicable Slate ot M{in~n,e,s~ota Sptatutes and Gry ol Eagan Ordinances Bidg. Ofl. Copies Ni`Ot~iciel ~XI~~1Q l~I~~ ~ Vanance TOTAI ~S.Si ~ ~ r,~~ zoo6 RESIDENTIAL MECHANICAL PExMiT nrri.icnTiorr ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleate complete for singk family daellings & townhomes?condos when permits are required for each unit Date ? / Z ~ / C~4 Site Address y~~~ LQL~{ ' Unit # Property Owner n'1.l~ ~ ,c,~,.~~ ~iaC~l Telephone # ( ) ~ '~~~1.. ~ - Contractor ~ ~ _ i / / Street Address 3 ~ '~'U ,l~ ~ City .S-•~v~~ y r,.- ~~c,~ ( State I Y! ~ Zip ,~J Telephone L) 6p~ = 3.f`b~j Bond <c`'JS 07(~ ~/I~' Expires: ~ / The Applicant is _ Owner ~Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement _ New air exchanger air conditioner heat pump ' p, ~ ~ ' ~ other flen~ r~ IZa.~, 3-~e~R.,,.,y ;:~(-~rmu? t,°.~/1~~~?•~ ~ ~ State Surcharge $ .50 Total $ I hereby appiy for a Residentia] 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 Ciry 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 nol to start wi[hout a permit; [ha[ the work will be in accordance with the approved plan in Ihe case of work which requires a review and approval of plans. ~/?'l l A c ~ - _ ApplicanPs Printed Name ApplicanYs Signature Zoo6 COMMERCIAL MECHANICAL rERMiT Arri.[CATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephooe # 651-675-5675 Please complete for. commerciaUindustrial buildings multi-family buildings when uparate pertnits are not required Cor each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contrac[or Street Address Ci[y S[a[e 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 insfalling/iemoving underground tank, call for inspection by Fire Marshal and Plumbing Inspecfor P¢t'ml[ Fees: 570.50 Underground tank installation/¢moral 550.50 Mittinmm (includes Statc Sumharge) or Con[rac[ Value $ x 1% _ $ Permi[ Fee $ State Surcharge If co rmit fee is less than 51,000, add $.50 I(permit fee is more than $1,000, surcharge is 5.50 for every $ I,000 owed. S Total Fee I hereby apply for a Commercial Mechanical Permi[ and acknowledge that [he in(ormation is complete and accurate; that [he work ' will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 understand this is not a permi[, but only an application for a permi[, and work is not [o start wi[hou[ a permih tha[ [he work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Prin[ed Name Applican['s Signature Approved By: , Inspector Date: Required Inspec[ions: _ U.G. _ R.I. _ Air Tes[ _ Gas Service Test _ Infloor Heat _ Final M ,..k>':.. ,:;n't8t$:Y,c.;Y,cY.::"';:)':,~w:Y ~ . . . ::I;; o:q~:Y,::t:~'a;;7;;., ~c:; ctrv o~ !=neAr~ cas~•irFF<: s r~F<rsznFi_ no, ~ss P~TE:: p°i/c`/99 7'IMF.- 1.6:53::'r, rp.; ':ftii!C° I_OP~E 0%11: CCPl57 CO 32'0 'dQO:! 9500 -F'OMAS LI: 60.U0 2t55 900i %=,i~n --Fiarcr-,s LI; O.SC ~ 7n`al. Rec~i.~~t 4mour.i;: 60.50 CF' i.09c,33 ~:S'~~ 7Dr Nr`~'CY n.. ~WY~A ~./~iY~~:~i~),~iA~~+i~.~~~.i ~~M1`i~:~F~rvA~I~~~~:Y~Ii}~~4:!rr . ~ n~n:I '1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) . ~ • CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~S~ 651-681-4675 New C~nstrucfion Reaulremenfs Remotlel/Reoair Rea~hemenTs ? 3 regMered sRe surveys showing sq. B. of lof, sq. ft. of house 2 copiee of plan and QII rooled areas (20% maximum lot coveraae allowed) 7 set of energy calculallons for heafed addHions D 2 coples of plans (show beam 3 window sBes; poured Ind. design; etc.) 1 sMe survey for exTerlor adtlMions 3 decks > 1 set of energy calculatlons n 3 copies ol hee presenalton plpn H lot plaMed after 7/1/93 DATE: I~I ~~ti ~1r'1 CONSTRUCTION COST: V~,BUv DESCRIPTION OF WORK: 1~1ow (Ju,L_ Cors~x~.-u-. ~ - - - - - -~L- - STREET ADDRESS i= 4500 THOMAS LAKE CIRCLE ~ LOT: ~ BLOCK~-d'-SU6D.7P:I:D.-S:~-~-~~-rt1V~ ~ Name: Gus-?~.-~s~~-. 1 cx~c.1 Phone ~k: ~o S1- 4c~S " I ~'.~`6 PROPERTY last First OWNER Street Address: ~ S S~P ~Jmw 1-u~e~ (lJ~ City `G~.~c..~ State: Mni Zip: S~ ~ J.a- Company: ~o~- C~N 1~ Co~~-? Phone L~ ~ ~3- l~ 1`~ (area code) CONTRACTOR Sireet Address: ~~3 ~ S S~~ License # d01 `1 ~~4 Exp. City ~ C-. ~ State: N Zip: 'r~~~~ ARCHITECi/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registratton ik: City State: Zip: Sewer 3 water Ilcensed plum6er (reauired tor new conshuctlon onlv): Penalty applies when address change and lot change Is requested once permH Is Issued. . I hereby acknowledge that I have reod this applicatlon, state ihat fhe informatlon is conect, and agree to comply with all applicabl Stafe of Mlnnesota StaTUtes and Cify of Eagan Ordinances. Signalure of Applicant: \ i i ; OFFICE USE ONL ~ ' ' ~ ~ f-- Certificates of Survey Received _ Yes _ No ~ ~ ~ ~v,~;~ ~ ~ Tree Preservation Plan Received _ Yes _ No _ Not Required~~_ . ( - - OFFICE USE ONLY . , , BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.} ? 02 SF Dwelling ~ 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ~ 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE J~ 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove O 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actuap 'S-t Basement sq. ft. Census Code Y' (Allowable) ~i Main level sq. ft. SAC Code ~ UBC Occupancy Q• 3 sq. ft. No. of Units ~ Zoning sq. ft. No. of Bldgs o # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS . Planning Building ~ Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. . Park Ded. Trails Ded. Other ' Copies Total: SAC Units % SAC ~ ~ i ' ~ idOC CLGttCNT ~T /~i _ E . MCNDOTd ~i4JT~ ~n:l ~ SSne U 1V E E T=, (6i2) dso-i9?o =~c qs7-o339 ~ ~`Y~ MN UC n8ou ESIC,N/~WLD I~IC. I I I o O ~ y ~ ~ o . / L f,~ t 1 v~Ct~ e I ` ~ e ` i i ~J I`~ ~ _ J 3 ~ ~ ~ ' \ , i k I ! _N ~ J ~b~~ ~ i ' 1 c ` ~ / ~ 1 `I I i ~G ' 1 / ~ ~ hGa ' I~ i ' 4d' y N !i~ ~ 0 ~ ~ { I - i ~ ~ ~ ~ F ~ ~ ~ I. ~ ~ a b~~ ~ ~ ~ ~ ~a, b ~ Z ay~ f~~ ~ ~'4~ S ~o ~ ~ G ~ O~ ~ ~ ~ ~ < ~ r . " V C~~ J, ~ ~m~~~~~~~~~m~~~~~~~~~~~~~~~~~~~~~~~~~~ CITY OF FAGAN CASHTEF: S TERMINAL N0: 6i5 DR'~Ee OS/11/38 TIM[: 15:~4:32 IL~: NAME: LLIRABII_T ASSOCIATES INC. 3210 9001. 4500 THOMAS LAt: 143.r5 2155 3U01 4500 THOMl~S LAY, 4.50 i Y To+,~Z Receipt, ARIOVT\+: ~J~F.4J Ck036123 IJSER IL~: NANCY ~%#~~XX~~%k~%~rt rxX~~k~c%~~k%c~~X ~k~k#%~~k~kX~~#~k~~k~Xc~XX~~%%~%c~~k , PERMIT ~~CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: g U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 8 0 4 (612) 681-4675 _ Date Issued: 0 8/ 10 / 9 8 - - SITE ADDRESS: ° 4500 THOMAS Lt~s cixcLE ° ~ ~ui: lm BLOCK: 82 SECTION 28 ~i P.I.N.: 10-02800-610-82 DESCRIPTION: DETACHED BuildSng',Permit Type GAR'~AGE/ACCESSORY Building Work Type MEW ~Census Code ~ 438 ALT. GARAGE ~ ~~~~~~t~-..,;- ' _ ~ ~ . _ REMARKS: ~ PLAN REVIEWED BY BILL ADAMS. CALL 445-2840 REGARDING ELECTRICAL pERMIT AND INSPECTIONS. FEE SUMMARY: VALUATION $9,000 Base Fee $149.75 5urcharge ~4.50 Total Fee $154.25 CONTRACTOR: - Applicant - sT. ~zC. OWNER: ou~qez~r ASSOCIA7ES 19389350 0003004 GU3TAFSON TODD 7343 ANN COURT 4500 THOMAS LAKE RD EDEN.PRAIRIE MN 55346 EAGAN MN 55122 (612~) 938-9350 (657.)405-1138 I hereby anknowledge that S have read this application and state that the information is correct and agree to comply with all applicable 5tate af Mn. Statutes and City ofi Eagen Ordinances. I a ~ '~CT~ ~ I ~ APPLICANT/PERMITEE SI NATURE -~SUED BY: SIGNATURE , J ~ ~ i 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN f~ ~ 3830 PII.OT KN~O 7 RD - 55122 aS `'~3 ~ I S y ~ New Construaion Reauirements RemodeUReoair Reauirements C~ G, f~ 9~ O ? 3 registered site surveys ? 2 copbg p{ p~a~ • 2 coDies of plans (inUude beam 8 window saes; poured fnd. 0esign; etc.) ? 2 ske surveys (extenor atldRions 8 decks) • 1 energy calwlations ? 1 energy ~alwlaGons for heated add'Rions • 3 copies of tree Droservation plan if lot platted after 717l93 required: _Yes _ No DATE: d 1 SI ~IX CONSTRUCTION COST; (~l ~O(~-~ DESP~I~TION OF WORK: ~ X' 2~ ~~~~~C~1Z4 ~ lL}~/Y~ y,Qi STREET ADDRESS: '~l S~ l ~`L/r`'k45 L/~ ~-Z ~CJ~A/) LOT: _ BLOCK: g a SUBD./P.I.D. S~ C-~ ~ V~ Name: ~aQt~ ~o U.~,{~~'rr,J ~tqM ~n7~Ow Phone ~-f. QS ~~.3 8 PROPERTY ~t First OWNER rr ~7 Street Address: `C S~ ! ~10/V'4S ~A~~f Ild~ City ~~9~ State: ~~I~ Zip: SS~o2~, Company:_ ~U/A'~ I-iSSOC- ~ Phone 7J g-"~~~ ~o~~~TOR ~3 ~ 3 coy / Street Address: 3 License # i Ciry Co(~ ~/R?IQ State: ~In/n~~ Zip: S.S3~~ ARCHITECT/ ENGINEER Company: Phone Na-ne: R~el~k~ri~r, Street Address: City Stare: Zip: Sewer & water licensed plumber (new construction ony): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this appliqtion and state that the infortnaGon is correct and agree to comply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. SignatureofApplicant: ~«~~~~-'l7'~"J~ p~c~~oM~~ OFFICE USE ONLY Certificates of Survey Received ~ Yes _ No ~ ~ Tree Preservation Plan Reeeived _ Yes _ No _ Not Required ~q~~r,:~..: ~ J ` 7 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ~ 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Muiti RepaidRem. O 17 Swim Pool ? 03 SF Addition ? 08 8-plex ~ 13 Garage/Accessory ? 20 Public Facility O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 1~ 31 New ~ 33 Atterations ? 36 Move 32 Addition i7 s4 Repair G 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MClWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code d Census Bldg ~ Census Unit APPROVALS Planning Building ~ Engineering Variance Permit Fee ~ S Valuation: $ 1(/Q ~ ~v v Surcharge ~ Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ idOOCLEM~-~T~T v vO7~ O :E~:Y M~~~~~~~~~~~~~:,.ss~~8 j~ A E E"T (6i21 d5o-i979 ~ r ox 937-0339 'y MN LIC a8on ~E.SIC,~I/6L11LD I~1C. D~ 0 O ~ y ~ o . / L L - ~ ~ ~a~J ° ~ f ~ ~ I ~ ` ; \ (Ti - ' ~ 1 _ Z ~ . ~ ~ = ~v- ~ " I o~ ~ ~ m 3 ~ ~ I F n ~ • ~ ~ ~ ~~o~~c ~ ~ ~ N ~ ` ~ Z~ ~ ~o ~~Q ~ b ~ ay~ ~ . ~ ~ ~4' I S-~ ~ ~ ~ o~ ~ ~ i w~ ~ ~ i ~ i i ~ ~ ~ ~ ' Permit l0~ _1 a Receipt Date: t ' ,J~ ~nS , ~ nn~ ~1 ~sJ a~ v ~e,~ I I~l 5~-~- c~~~x.~ / CITY OF EAGAN ~9A4SEWER Ai~1D WATER CONNECTION AND AVAILABILITY CHARGES c7L~p'j EXISTING RESIDENTIAL PROPERTY Address ~ S ~ ~ l?~-o~rn.cc O( ~M- L.t~..GCA.. OFFICE USE ONLY Property Owner ~ `'14,N~.~~O.rO-rv ~~-a_e~~ No PRV required Telephone # Plumber /L(o City /~/o County R-O-W Permit Date of Inquiry ~ ~ l~ I Contact Name ~-4~e~ ~'~M-a~~ so, - ay 9L9~ Sewer Water 4" Sewer Service 600.00 1" Water Se 'ce 670.00 Lateral charge @$24. ff Lateral charge 524.85/ff Trunk @ $I,000/connecti Trunk @ ~1,040/co ection City SAC 100.00 Water supply & storag 930.00 MCES SAC 1,350.00 Receipt # Receipt # , Da Treatment plant 588.00 Septic abandonment 50.00 Permit Fee 50.00 Permit Fee 50.00 State Surc ge .50 State Surcharge .50 Plumbi a permit required - wa[er met r to be acquired with plbg permit Total g Total $ Sewer and Water O ~ 4" Sewer Service ~ l ~D? ~ 1" Water Service ~6~ . L o~ fl 2n?/ c/~/ Sewer lateral charge @ $24.60/ff ~ Water lateral charge @ $24.85/ff ~ ~{~e1? Sewer trunk @ $1,000/connection ~ Water trunk @ $1,040/connection ~ c~ry sac ioo.oo ~1i~`~~y MCES SAC 1,350.00 ~N ~ Receipt # , Date Water supply & srorage 930.00 j~~ y' ~ Receipt # , Date 6 ° Treatment plant 588.00 la l a Septic abandonment 50.00 Permit Fee 100.00 State Surcharge .50 Total $ 3 I 1$. ~ Plumbing pemtit required ~ ~ ~ 1 . ~ Water meter to be acquired wi[h plbg perrrtit 1 cc: Carol}m Krech, Finance Department , ` l ~ WAIVER OF HEARING NO. 711 SPECIAL ASSESSMENT AUTHORIZATION FOR UNPAID PERMIT FEES UWe hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Property Identification Number 10-72925-020-O1 Legal Description: Lot 2, Block l, Sugaz Bluffs and interest attributable to Common Area known as Outlot A for the following unpaid fees(s): Item Use Quantity Rate Amount City SAC S. F. 1 ea. $100.00 ea $100.00 MCES SAC S. F. 1 ea. 1,450.OOea 1,450.00 Water supply and storage S.F. 1 ea 1,009.00 ea 1,009.00 Treatment plant S.F. 1 ea 612.00 ea 612.00 Septic abandonment S. F. 1 ea. 50.00 ea 50.00 Sewer permit and surchazge S. F. 1 ea. 100.50 ea 100.50 Total $3,321.50 to be spread for a term of 5 years at an annual interest rate of 4.50% against any retnaining unpaid balances. You may pay any poRion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period but before December 31, 2005 interest will be chazged from the signing date to the date of payment.. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these unpaid permit fees, 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: ~ 7- O~ Michael J. Stack Karen . tack ~ s ~~~J t Notary Fee Owner ee Owner JULIE A. STRID NOTARY WBLIC ~ MINNESOTA My Gommisvon Exp~es Jan 31 21110 , ~v`~~ hov 15 04 09:22a Parrott Contracting, Inc. 507-248-9697 p.2 c~~oy ( ~ t 1 ~ ~ b ~ ~ U r ~ ~ ~ ~ -4- c~ ~ ~ ~ , ~ ~r ~~1'„~ .'1 " ~~~~-GO ~ ~ r"~ • r7 4 ~y ~ ,~"~S N , ~ x y,t~ r t ~ ~ ~ ~ 1~~ i 4 ? Q~ ,,w,~Q~ ~ ~ ~ ~~S ~ ~ ~ ~.s"~3 : 4 r ~ - - - ~ '~~I~ ~ ~ ~ f a~ , . ~3~` a~47 ~ . n.k `~r~ cro-~~o,,~i_ fy '~~7~~~ n~, ~z.3 ~ 2006 RESIDENTIAL BUILDING Pc.RMIT APPLICATION , . City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslmchon Reomrements RemodeUReoair Reouirements ~ Office Use Onlv 3 regislered sile surveys showing sq fl of lol, sq, fl of house, and all roofed areas 2 copies of plan showing footings, beams, ~oisis Cerl,of Survey Recd',;;:! ;-Y ;"_N (20% mauimum lot wverage allowed) 1 set of Energy Calculatlons for heatedadditions ? TrOe Fres PIBn RECtl;~ ~j°~ ~[_Y~'~_ N_ 2 copies of plan showing beam & window sizes, poured found design, elc 1 sile survey for additions 8 decks - Tree,Pres Requiied.~.; ,_Y IJ isetofEnergyCalculatrons Addrtion-indicatedon-sifesepficsysfem On-sileSepl~cSyslem:;;_~~_Y,~N 3 copies of Tree Presewahon Pian if lot platled aNer 7li~J3 Rim Joisl Detail Options seleclion sheet (bwldings wtlh 3 or less uni~s) Mmnegasco mechanical ventilation focm Date 3 / 1 S/ OG Construction Cost J~1 Site Address h'S~ Y~itrm o~ C I IQ C,L ~ Unit/Ste # Descriptian of Work ~ A~B - k'~~~Kc S.tP«'J Multi-Famil~ Bldg _ Y~ N Fireplace(s) ~ 0 _ 1 _ 2 Property Owner ~91~e ~ l~p'dd S{"'~ Telephane 6Sl' ) Contractor Reuuc(A ~ CoN•G ~{a ~~~^"'y L'JC- Address 3i~Li 6~ Sf~ E City SiJ~c6ut/~{~• State /?ll~ Zip SJa76 Telephone#(~~L) 6AS-3J'bS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mmnesota Rules 7670 Cate~orv 1 _ Minnesola Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (Jsubmissiantype) Submitled Submiried . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber r' ' ~ Telephone ) I Mechanical Contractor i' I Telephone ~ i Sewer/WaterContractor ~ Telephone#~ J ~ I I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. ~~~~~,F~ Appli t sac n Printed Name Appiicant's Signature DO NOT WRITE BELOW THIS LINE : . _ - . Sub Tvaes ? 01 Foundation O 07 OS-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 ot_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea ) ? 33 Ext. Alt-SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous workTVaes / ~O~LT~w~ ~i~~~ `~G~~i~`~j ~ G~f~IG-~~c,A~ ? 31 New / ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition % ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~ 33 Alterationl ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant DBSC~iptlOfl: Water Damage _ Yes Valuation ~f~ Occupancy MCES System i Plan Review 100% or 25% Census Code N 3 N Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Shectrock 1C Footings (deck) Fi~~aUC.O. ~C Footings (addition) FinaUNo C.O. Foundation _ HVAC Drain Tile OUicr Roof Icc & Watcr Final Pool Ftgs Air/Gas Tcsts Fiml ~ Framing _ Siding _ Swcco Latl~ _ Stonc Latli _Brick ~C Fireplace ~ R.1. AirTest f Final Windows ~ Insulation _ Rctaining Wall Approved By: ~ , Building Inspector _ Base Fee Surcharge ~L~~~g~ ~ 9 ~ X~ / gS Plan Review Q`~ ? MC/ES SAC G~~ SP"~~ Q CitySAC 7~/V~~~r1 3~ ~ ~ ~ ~ ~7 ~ Utility Connection Charge ~ S&W Permit 8 Surcharge S~~Y a/ Iv^ J Treatment Plant F License Search ~ COpieS J r - ' ~yp~,/ Other ~"f 1~ Total < ' Permit # Pertnit Date REScheck Software Version 3.7 Release 1 a Compliance Certificate Project Title: #06-115 Report Date: 01/18/06 Energy Code: 2000 Minnesota Energy Code Location: Dakota County, Minnesota Construction Type: Single Family Glazing Area Percentage: 16% Construction Site: Owner/Agent: DesignedContractor: MICHAEL 8 KAREN STACK ! Ceiling 1: Flat Ceiling or Scissor Truss: 406 45.0 0.0 11 Wall 1: Wood Frame, 76" o.c.: 940 79.0 0 40 Window 1: Above-Grade:Above Grade, Wood Frame, Double 14E 0.310 46 Pane with Low-E Door 4: Solitl: 80 0.330 2F Furnace 1: Forced Hot Air: 90 AFUE _ Compliance Statement: Statement of Compliance: The prbp:~R~~J building des~gn at~3r.ribed here is cons~stent with the building plans, specifcations, and other calculations submitted with tY,e permit applicafior~. 1Ff~ proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3 7 Release 1 a and to comply with the mandatory requiremenls listetl in the REScheck Inspection Checkhst. ~ ,4- u~~i~,. ~.a G~~r 3-•r-a6 Builder/Designer Company Name Dale Project Notes: Previously saved notes: #06-175 Page 1 of 1 ~ ~S~ ~ ~ /~s, so 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ I ! d.~ \ Site Street Address U~ b'~O YY~e~S ~C~,'1_'~'. C l`~ Unit # Property Owner ~C2 S-i-a c!~ Telephone ) Contrector u0 ~Yer ~~U M~i ~'~J A Telephone G«) o?go 23~/~ Address ~55 ~ 16 City /~'Ia~~B 7"~Ri~2 State T'~~ Zip .J5_~ The Applicant is: _ Owner Contractor _Other Alteretions to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). Septic System Abandonment I ~Water Turnaround (add $125.00 if a 5!8" meter is required) 1 as Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _re6uild $ 30.00 State Surcharge $ 50 Total $ S ~ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is t' permit, but only an application for a permit, work is not to start without a permit and work v~ri /e acco c with the approved plan in the even a plan is require to be reviewed and appr v G~~J~ ~ ' " i C'r ~G G? Appl~ n' rP~ te Narpe App~anYs S/,/q~c7 r~,~Ftu,~re u~~r~ ~ f~GCfli IAl .JC'~lr~'~ di~ ~ fr;-i~~ 1kiaa L_L gL p oZ CITY USE ONLY RECEIPT ~`5~`51S SUBD. iJ'.('~'~ ~ L ~ v DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permRs are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = 3 ;iO Water Closet 3.00 x = Bath Tub 3.00 x ~ _ Lavatory 3.00 x ~ Kitchen Sink 3.00 x ~ = 3.Di° Laundry Tray 3.00 x / Hot Tub/Spa 3.00 x = Water Heater 3.00 x f = 3=' Floor Drain 3.00 x / _ Gas Piping Outlet ' minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ~ Dakota Cty. license 20.00 = U.G. Sprinkler ' home under const. 3.00 = ~D !Alterations;"`~aezi~ting 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL ~ ao = SITE ADDRES~ 4500 THOMAS LAKE CIRCLE ~'h~ ' OWNER NAME: ~ o INSTALLER NAME: ~1~~`~~' / l°'rn 6i^--{ Cfl - STREET ADDRESS: 7~~~ ~fr`llW~ ~ '~l`~~ CITY: (~1~~ STATE:~ ZIP: -~-~Z~ PHONE ( G/Z) ~7 ~ S7Y0 OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ~ all commerciaUndustrial buildings. ~ multi-family buildings when separate pertnits are p~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% oi contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL • ~ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: ~ CITY USE ONLY LOT I BL 0` RECEIPT o/~~/ SUBD--,!],!L['~itits"!V ~ ~ RECEIPT DATE: /d//~'/9' / ~ S, ~ aa~ 1997 MECHANICAL PERMIT (RESIDENTIAL> CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: I a- I I' q~ (612) 681-4675 Complete this section onlv if vou are installin~ HVAC in sinele familv, townhome, or condos that are under construction and are not owner /occupied. . HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 00 • Gas outlets ( minimum of one required @$3.00 ea.) • State Surchazge: .50 S~ • TOTAL: ~ , Complete this section oniv if you are remodeliag, adding to, or renairinQ eaistine sin¢le family dwellines, townhomes, or condos. _ Add-on furnace _ Add on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge .50 Totai: $ 20.50 ~ SITE ADDRESS: ~SL 4500 THOMAS LAKE CIRCLE OWNER NAME: ~ - - - YHONE INSTALLER NAME: T I'~ Wl e~ Cc~ ~ P PHONE ~I ~ a"C~ l~U~ STREET ADDRESS: 3 S a~ 2c~ ~-e.~~ ti S. CITY: V~ I~ ~ S STATE: ZtP: S S~I I~F~ ~01~ ~,~4-/~ SIGNATURE OF PERMITTEE CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681~675 Please complete for: ? all commerciaVindustrial buildings. ? mutti-family buildings when separate pertnits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (iMPROVenneNTS oN~v) INSTALLER: ADDRESS: C~7Y; STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR S 6 ~ S / RESIDENTIAL ~ ~ ~ ~ BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651•681-4675 New Canatruction Reauiremend RemodeVReoair Reouiremenb . 3 registered site surveys showing sq. IL o11oL sq. R of house; and all ~oofed areas • 2 capies of plan ~ (20% mazimum lat coverage allowed) . 7 set of Eneqy CalcWations for heated additions • 2 copies ot plan stwwing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterbr additions & decks • 7 set of Eneryy Calculatiore . Indicate if hane served by septic system lor additiore • 3 copies of Tree Preserva6an Plan il lol platted afler 771193 . Rim Joist Oetad OpGons seleGion sheel (bldgs with 3 ar less unAS) OB SITE ADDR `S _~~i, ~ ' VALU~TION ~~~-~`~~S - 450 TH - - - - - - OMAS LAKE CIRCLE _ IF MULTI-FAMILY BUILDI._ PROPERTY OWNER e l/ C/ C_K - - J ~ ~ u~ TYPE OF WORK~i~ S~Gt 1~n u C~as rQiV'/~~Y`V~'~fitaS2Y't~,~hr~VuN FIREPLACE(S) _ 0 ~ 2 APPLICANT ~i ~e~'jrl/ PV ~Oy`~'IPr^ / ~~/~P('D/~/~"eSilXP PHONE# ~/S~-/~~D-O~S~j ADDRESS 3j~"S`('~ G~, ~1..~ , s,,h~~sr~i/~~ 1~~,/~f~ZIPCODE S_s~'3~ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINIVFSOTA RUL.ES 7670 CA'1'GGORY 1 (check one) - ResidenGal Ventilation Category 1 Workshe - Energy Envelope Calculations Submitted D ~ ~ ~ ~ ~ ~ lUJ _ MINNESOTA RULES 7672 MAY 2 4 2002 - New Energy Code Worksheet Submitted Plumbing Contraetor: Pho~e Plumbing System Includes: _ Water Softener _ Lawn Sprinklcr cc: $90.00 _ Water Heatcr _ No. of R.I. Baths No. of Baths MechanicalConkactor. I~tl^L~Si(l[p ~(~~~/~I~ U~(~fel~~Phonelk gJra~-~1 z~~~~S~, Mcchar~ical System Includes: _ Air Condiuon ni g Fee: $70.00 _ Heat Rccovery System Sewer/Water Contractor. Phone ~k All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Cify of Eagan O anc Stgnature of Applicant ~~~D~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ' ? 01 Foundation ? 07 OSpiex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-ptex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? O6 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) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. af Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insula[ion _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage SSW Permit 8 Surcharge ~ Treatment Plant Plumbing Permit . Mechariical Permit License Search Copies Other Total ~ RESIDENTIAL ~~j ~ ~ S33 ~S BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construaion Reuuirementa RemodeVReoair Reauiremenb • 3 registered site surveys showing sq. ft. of lot, sa. fl. of house; and all roofed areas • 2 coDies ot plan (20°~ maximum lol coverage allowed) . 1 set of Energy Calalations for heated additions • 2 coDies of plan showing beam 8 window s¢es; poured found desgn, etc ) • 1 site suney for exterior additbns 8 decks • 7 sel of Eneyy Calculations . Intlicate if Mme served by sepEc system for additlons . 3 copies of Tree Preurvation Plan if lot platted afler 711I93 . Rim Joist ~etail Options selection s~eet (bldgs with 3 or less units) DATE ~ g~(~ Da VALUATION ~ ~ a/ S~ f--~ ' ~ ~ 4500 THOMAS LAKE CIRCLE ~ SITE ADDRESS ~ MULTI-FAMILY BLDG _Y _N TYPE OF WORK ~~Qf'o{~~! ('f (bD-E~ FIREPLACE(S) _ 0_ 1_ 2 ~edar Valley Exterbrs, nc. APPLICANT 3920 Zilla Street STREETADDRESS CITY STATE_ZIP TELEPHONE #{T(~3~~S5-a-2a ( CELL PHONE # Fax #(~c~3~ ~SS-S3qp PROPERTYOWNER M~K-~ QYlO~ KQ(`FY1 Jl'aCI~ TELEPHONE~ft~SI)lp-1S-OCo03 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINIYl:SO"I:~ RULLS 7670 CA"CF.CORY l YIINY ~ " ' i 7` (J submission type) • Residential Ventilation Category 7 Worksheet Submitted • q~elg ~ ~s ~ mitted • Energy Envelope Calculations Submitted ~ .Illl 1 9 2002 Piumbing Contractor: Phone # Plumbing system includes: _ Water Soltener _ Lawn Sprinklcr BY ..._~.--Fc~ Water Heater No. of R.I. 13alhs No. of Badu Mechanical Contractor: Phone # ~Icch.mical syslcm includcs: :1ir Condiuoning Fcc: $70.00 Hca~ Rccovery~ Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correcf, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnafureofApplicant `~~~~1 - OFFICE USE ONLY CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 72-plex Pibg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new btdg) _ FinaVC.O. _ Footings (deck) _ FinaWi o C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice 3c \Varer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement) _ [nsula[ion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~'~MY(,~'(1FXCX:Y'r1X%<~)X ~M~Ni~'XfX(1X~i T~C1k$(K(~i ~i ~%C)XWX(7XXCX(~'~~~ GITY OF F_F1GAN CA'.3H7:ER: MG Tr.F~MINAI.. N~~; H67 LiATE~ 03/:LQ/9H T:f.~fF: I.i:00a5t, tz~: r~axr_:: F;o~e. swr_r:r Hanc 3c 10 90~:L 4~00 THOMAS t_F: J.E37.?5 34'r..!2 `3C101 4'3UfJ 7NDi`fF4Fi 'I_K li i., i'i 21:i5 9f:1Q1. ~fSDO 71-IOP1A5 t.lt 6.OD J i Takal. I'iecei. ~1, Art~o~enC~ 3i.4.9E~ F (:Fi0E3 i 13'1 ~ U5[=fi II'~: MARI...YNN f.c~CYF~(ki~tY,:~t~(Xt~C~~t~C~C~t~c~C~ ~~t~:>XY<kcYt~;>Y~~~tY~Y,c~~tY~~CY,tXtY,~ PERMIT ' ~~ITJ OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u i ~ o i N e Eagan, Minnesota 55122-1897 Permit Number: 031526 (612) 681-4675 Date Issued: 0 3/ 10 / 9 8 ~ SITE ADDRESS: _ - 4500 THOMAS LAKE CIRCLE LOT: 1 BLOCK: 82 SECTION 28 P.I.N.: 10-02800-010-82 DESCRIPTION: Building Permit Type SF (MISC.) Building Wor.k Type ALTERATION Census Code ~ 434 ALT. RESIDENTIAL ~ 1 ~ ~ < ~ : - r / ~ /i-^:'~ _ \l,. ~,A ; ~ l, 7.~ ' ~I C ~ 1 ii ~ ' ~ ~ _i _ ^ ~2: . . . . REMARKS: ALTERATION OF EXISTING GARAGE INTO BEDROOM (REFER TO PERMIT 30879 - 9/97) PLAN REVIEWED BY MIKE BARCK ' FEE SUMMARY: VALUATION $12,000 Base Fee $187.25 Plan Review $121.71 Surcharge $6.00 Total Fee $314.96 CONTRACTOR: OWNER: - Applicant - ST. LIC. H~OME SWEET HOME~ DESIGN 18999712 0008911 GUSTAFSON TODO 1400 CLEMENT ST 4500 THOMAS LAKE RD MENDOTA HEI6HTS MN 55118 EAGAN MN 55122 (612) 899-9712 (6]:2)571-6894 I hereby acknowledge that I have read this application and state Chat the infiormation is correct and agree to comply with all applicable State of Mn. L Statutes and City ofi Ea Ordinances. J ~ ~ . APPLICAN /PE ITEE SIGNATURE I UED B SIGNAT ,~.a~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~J ~ `f • ~ ~ CITY OF EAGAN ,I ' 3830 PII.OT KNOB RD - 65122 "I 681-4676 r, + New Construction Reouirements RemoCeUReoeir Reauiroments J`~ ? 3 registered a8e surveys ? 2 wpies of plan ? 2 copies of plans (InUude beam 6 window saes; poured fnd. 0esign; etc.) ? 2 site surveys (exterior addkions & decks) • 1 energy ealeulations ? t energy calwlations for healed add'Rions ? 3 wpies of tree prcxrvation plan H lot platted aRer 7/t/93 reQuired: _ Yes _ No DATE: 2 r~ ~ CONSTRUCTION COST~ I I~ ~ C Z~ DESCRIPTION OF WORK: 1~-`~/LD-'0"t-L_ ~-X/~ST1N~~ I v~~" ~^~'~1'~f2 G~~ ~'~~~e STREET ADDRESS: ~ ~ ~ ~ ~-Y ~ ~'r°-`L ~ A ' LOT: X~ BLOCK: g2- SUBD./P.I.D.#: ~C~~~IM ~ ~ ~ ~7 Name: ~ v ~-F''~~ ( ~ a;l Phone ~ ~ ~ ~ ~ ~ PROPERTY Lest First OWNER L, Street Address: ~1 ~l~'~ ~-1'~'~L`c ~ City ~~~v State: M~ Zip: ~ ~ ~2 Company: ~ ~ ~'L ~'~t 1 1. O~! Phone O / ! ' / ~ 1 Z CONTRAC7'OR ~ ~ O ~ ~ ~ ~ StreetAddress: ~ ~'~`n`''~~ + License# TO~~~ City '~ti~~0~"~`1 ~r~n13~7 State: ~'N Zip: ~ ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction onN): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowiedge that I have read this applieation and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. . 9 Signature of Applicant: ~ Q~ ~0e~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ~ 2~ Tree Preservation Plan Received Yes No Not - - - . . OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? OS 8-plex O 13 Garage/Accessory ? 20 Public Facility O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous `~05 SF Misc. ? 10 = plex ~ 15 Deck WORKTYPE /~It~ e-x~sf-,~ c~,"a~j~ ;.~,~-o bi~DUv,,. - ~r~r -I~ 7.,-y..~~- ? 31 New :0'33 Alterations ? 36 Move 3o~~Q iss~e. 5ep+. q7 ? 32 Addition O 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ~ (Allowable) Main level sq. ft. City Water ~ UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code ~L .Census Bidg ~ Census Unit a APPROVALS ~ Planning Building ~R- Engineering Variance Permit Fee Valuation: $ ~ Z, v~sv.--- Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter • Acct. Deposit ~ S/W Pertnit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ' ~ ~ Total: t:~f~J._.,~( ~ { ~ % SAC ~ ~;o - ~r `'i SAC Unit u~ i . . .,.;IO .....q:`..., ..~.;:Y":. .7t ~ :.7,:Y,... c rTV ~r- ~ r-c,~~ ~:4'i1-~TIF:~~f !i fL;~'M''NAL ~4",i ~nrc,. i r~ m ~yTVi-.~ - _ 'I . / i' / ~ r c _..t ~ ~.3 'r., ~l~"i''• hOM"i ~P7=.e'' H~'"'~ ~ f) 'l[)0' f,500 T~-'~~i F1~~ I_I.' '.:!:~i: ~r4?? ~)i1p:L F'-_OQ ''FbiM~1S I_~: i't~.c?,_^,(-~ ~~[,~ii .~un• ng ~ , va Y~)'~:~' I~n~P7.~rl; ~.R~Oi./~4; :~.~~:-?~'~~r'~ r-.~q ~ _„~2 l~~cn 'I::':, . ....,;~.w,.,.. ,..,..'~,;,.,:cC.::r:.,o,,..,,:1".. PERMIT ~ GIT~ OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z N c Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 6 7 9 (612) 681-4675 Date Issued: l e/ 0 7/ 9 7 SITE ADDRESS: ° 4500 THOMAS LAKE CIRCLE ^ J° LOT: 1 BLOCK: 82 SECTION 28 P.I.N.: 10-02600-010-82 DESCRIPTION: 8ui1d3ng Permit Type SF (MISC.) Building Work Type ALTERATION ~ ~ Census Code ~ 434 ALT. RESIDENTIAL \ i ~ ~ ~ ~ \ , / . ~ . ~ ~ ~ , ~V 1~.~=~A/ ~.y,~~ _ ~_..C _ /s ~ .uwJ t~''! ~~'ir1 ~i~,~~. / REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAI WORK FEE SUMMARY: VALUATION $145,000 Base Fee $1,112.25 Plan Review $722.96 Surcharge $72.50 Total Fee $1,907.71 CONTRACTOR: - qpplicant - ST. ~IC OWNER: HOME SWEET HOME'DESIGN 18999712 0008911 GUSTAFSON T000 1.900 CLEMENT ST 4500 THOMAS LAKE RD MENDOTA HEIGHTS MN 55118 EAGAN MN 55122 (¢12) 899-9712 (612)571-6894 I hereby acknowledge that I have read this epplication and state that the information is correct and agree to comply with all applicable 5tate of Mn. ~ Statutes and City of Eagan Ordinances. J A~ ERMITE~TURI E ISSUED Y: IG ~ OI ~ I~ L~ D 997 BUILDING PERMITAPPLICATION (RESIDENTIAL) ~~1~~~, •~s ~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 , q~ D 681 ~675 New Construction Reauirements RemodeUReoair Reaunements ? 3 registered srte surveys ? 2 copies of plan • 2 copies of Dlans (include beam 8 wintlow sizes; pouretl fiC. design, etc.) • 2 site suneys (exterior addiGOns 8 decks) ? 1 energy calwlations • 1 anergy calwlahons for heated adddions ? 3 wpies ot tree preservation plan it ~ot platted after 7!1l93 required: _Yes No ~ DATE: / " 3 ~ / ~ CONSTRUCTION COST: ~ ~DO , G~7 DESCRIPTION OF WORK: ~'`R-' I~"V1. °ZM/t t} 'Q 2L~ ~ I~ Cll STREET ADDRESS: ~~I~'~1~ ~ I~' 1`1~-~L 1~--Q LOT ~ BIOCK ~ SUBD./P.I.D.#: PROPERTY Name: ~ ~~d Vi~~~~S01~ Phone#: S~ OWMER . Street Address: ~ ~5~~ ~L-`Z l~ City: C~ ?~-'J State: ~ Iv Zip: 1~ ~ 22 CONTRACTOR Company: ~v.) ~ -~^r~ phone ~ ~9 ~ `7~ z Street Address: ~~vl ~nFt ST. License ~ 1 City: M`+~``~aaA`'4 ~~l (~T1~ 5tate: Zip: ~ tP ARCHITECTI Company: ~ ~~tr- Phone ENGINEER Name: Registration Street Address: City: State: Zip; Sewer 8 water licer~ed plumber (new construction only): Penalty applies when address change and lot change arc ~ equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. r_ , `Y-' i ~ , Signature of Applicant: OFFICE USE ONLY D ~ ~ Certificates of Survey Received _ Yes _ No SEP 2 6 gg? Tree Preservation Plan Received _ Yes _ No ` Not Required OFFICE USE ONLY ~ r ; ~ ~4 : T' ~ ~ . . - . BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dweliing o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory ? 2Q Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace 21 Miscellaneous ? 05 SF Misc. a 10 = plex ? 15 Deck WORK TYPE ? 31 New ~ 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION I^I(~1OlG ~(~21NLh ~1}~J~ Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump i_ I Length sq. ft. Census Code. ~3~ Depth Footprint sq. ft. SAC Code ~r ~ Census Bldg 1 Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 1~.~0 Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies T,ptae -:i'~..i ` ` `4*A..~,°-". % SAC SAC, Units , ; . ~ ~..n..~.. L ~x-~ ~ ~ r r ~~,u.L ` v Q~ F x~ i r i N~~ ~,-I-s.s g'Z ~ ~ 4' ~I O~~vw C"7 ~~k Y' e'~ ~ ~opirreu ' ~ m ~ ~ r'Z'.~:. ~ ~~~E~~ ro ~ , N ~ ~ ~ , ~ a~ " ~ _ a , . = v ~ BY r,N n W J ~ S~ O rn N~ DATBUILDING INSPE TION~ ~~P~ ~z ~ ~ z ° ~o ~ ~ - x ~ ~ ~3. ~-~-~-.,-,M~ L~-~~~ f2 d - ° N~ ~ . • • ' EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION To be submitted wdh bwldm ermR e Ilcation . • ~ One or Twa femil dwellin one Owner Todd Gustafson & Pem Conlow All other REMODEL Slte adCrese 4500 Thomas Lake Rtl,Eaoan Contrector Home Swaet Hame Date 9/22/97 Phone Exposed wall Totel Exposed Wall Area 5q. Ft. 2406.00 Opeque Wali Consiruchon~ "U" velue x araa Wall area & furred "U" .047 x eq ft 1047.92 = 48.98 (U~ (A) Wall ~ stud "U" 107 z sq.R. 118,44 = 12.48 (U) (A) Rlm araa "U" 044 x sq.ft. 166 00 = 7.26 (U) (A) Detalf Block "U" 076 x sq.ft. 578 00 = 43.87 (UJ (A) from Black ~ stud "U" 154 x sq.R. 84.08 = 8.88 (U) (A) aection "U" x sq.ft. _ (U) (A) sheet "U" x sq.tt = (U) (A) ^u,~ x sq.n. _ ~ui cAy x ~.h. = t~i ~A~ "U" x sq.ft. _ (U)(A} WINDOWS: "U" va~ue x eree Marvin low•e wood caE "U" 320 x sq.R. 184 83 = 59.15 (U) (A) Exieting wood insul csi "U" 470 x aq.ft. 137.24 = 64.50 (U) (A) "U" x sq.ft. _ (U) (A) x sq ft. _ (A) ,~v~~ x sq.R. = Nl laf DOORS: "U" value x area butflen door "U" 250 x sq.ft. 35 75 = 8.94 (U) (A) steel ins door "U" .087 x e4.ft 37.81 = 2.53 (U) (A) PATtO DOORS "U" 330 x sq.ft. 40 02 = 13.21 (U) (A) "U" x eq.ft. _ (U) (A) TOTAL (U) (A) UALUES Totals 2406.00 S,f. 270.70 (U) (A) DIVIDEO 8Y TOTA~ WGLL AREA 270.9962 - 113 Avg..'l1" 2406 ROOFICEILING: TOTALAREA Cedinp Area "U" 022 x eq.ft 1645.85 = 38 24 (U) (Al Celllnq Area ~ trusa "U" 028 x sq.ft 182.85 = 5.11 (U) (A) Misc ceilinp "U" x sq.tt. = 0,00 (U) (A) "U" x sq.ft. - 0.00 (U) (A) "U" x sq.h. = O.OD (U) (A) TOTAL (U) (A) VALUES Totals 1828.5 S.F. 41.35 (U) (A) DIVIDED 8V TOTAL WALL AREA 41.35307 = 023 Avg "U" 1828.5 MINNESOTA ENERGV CODE MAXIMUM BTU ~~SS THIS BUI~DING THIS BLDG 2408.00 5.F. Opaque wall ~ 0.11 264 660 270 886 1828.50 S,F. Ceitinp 0.026 47.541 41.353 Total BTU loss per hr. per Degree of Temp diKerential 312201 > 312.049 = PASS , • WINDOW fl pOOR WbRK5MEET • ~ WINOOWS ~ J lVpB: Marvin lav~ wood caeemant "U = 0.32 OTY DESCRIPTION S.K.IVNIT T07ALS.F 1 wcm 2040-4 ~7 Z~ 1 wam 20d0~2 14 14 1 wcm 2856-1658 ~uatom hpt 18.88 ~8.68 1 wcm 2958 " " 10 B9 ~ 0 88 1 wCm 2656 spec pct 2858 cuatom 46.67 46.87 2 wcm 2846 ~Z 18.64 3 wem 2058-2 tuetom hpf 76.32 db.98 0 0 0 0 T07AL 184.B3 TYpE: ExIBNnO wOCd inaul Camt wckn = _ 0.47 pN DESCRIPTION S.FIUNIT TOTALS.F ~ B•3x4•8 camt•{zcl~eemt 36.52 38_92 1 6-Ox4-0 3-wlde camt 2a za 4 4~4-8 3-wide camt 18.88 74 72 0 0 0 70TA1 13724 7VPE aTV DESCRIFTION 8 F lUNIT TOTAL S F D 0 0 0 0 0 TOTAL ~ OOORS TYPE: bUHIBn doOr "U"= D 25 p7V ~HSCRIPTION 9F/UNIT TOTALS.F. 1 3lOx818 20.01 20.01 2 14'k8l8 eidelipM 7 87 15 74 0 0 0 D TOTAI. 35.75 TY E. oteel Ina tloor 'U"= 0.067 pTY OEBCRIPTIdN 8 FlUNIT TOTAL 9 F. ~ 3/Oa6lB 10.01 10 01 1 2;8x61B 17 8 17.8 TOTAL 37 81 P: P fi5 Marvin "~„6 0~ q7Y D85CRIG~ION SFIUNIT TOTAL8.F 1 wrtyd6085 40.02 40 02 0 D TOTqL 40.02 - _ , /D oa ~oo a/o ~ ~ ,y . 1 PAUL H. HAUGE & ASSOCIATES, P.A. ATTORNEVS AT LAW ~ 3908 SIBLEY MEMORIAL HIGHWAV EAGAN IST. PAULI, MINNESOTA 55122 AREA CODE 612 ~ PAUL H. HAUGE t{grCh Z6, 1979 TELEPHONE 454-6226 BRADLEY SMITH . . Mr. Richard Smith-- 4500 THOMAS LAKE CIRCLE - ~l'4--'u~ nL6"~-' L2, Bl, SUGAR BLUFFS ~Fagan, PiN 55122 Dear Dick: I talked with you on March 20th about the easement for Thomas Lake Road and you indicated that you are basically in agreement wi.th the letter that I sent you on Diarch 16th ~oith two exceptions: ' ~1 That as to paragraph 6 in that letter, the City ~aill defer assessments for road improvements against your property but caill be assessed at the then existing rate at such time as you or your assigns shall acquire a change in zon- • ing of the property, request a building permit for an additional major structure for the pronerty, convert the use of the property to another purpose or subdivide the land. The total amount of deferred assessments for 430 feet of frontage will be the amount in effect at the time of the actual levy of the assessments. 2. You have a barn that is located possibly within the temporary easement area and the City will, through its contractor, undertake to avoid the barn dur- ing the construction of the roadcaay. If there is any damage to the barn, the City will be responsiblc for payin~ the reasonable value for the damage. I am sending you a copy of the road layout sho~aing the location of the permanent easement and the temporary easement for your information. I understand you will be gone during the week of March 26th, but will return the first week in April. I would appreciate if you would call me when you get back and I will then let you know whether we have completed our agreement with the Barkers. Thank you vcry much and I would aporcciate if you would sign a copy of this le[ter as well as a copy of the letter that I originally sent to you when you ' send the signed easement back to me. ery truly yours, ~ ' Paul H. Hauge ~ PHH:me enc. APPROVED: 7 ~C~~~y~9 0 " G~ , - - " - - _ _ . ~a~oo o~o F~~ . ~ _ ~ - ~ PAUL H. HAUGE & ASSOCIATES, P.A. ATTORNf VS AT LAW 390851~LEY MEMORIAL HIGHWAV EAG~1N (ST. PAULI, MINNESOTA 55722 AREA CODE 612 ~ PAUL H. HAUGE ~rch 26 , 1979 TELEPHONE 454~4224 BRADLEY SMITN . Mr. Richard Smith- 4500 THOMAS LAKE CIRCLE - - L2, B1, SUGAR $LUFFS ~~agan, PiN 55122 Dear Dick: I talked with you on March 20th about the easement for Thomas Lake Road and you indicated that you are basically in agreement with the letter that I sent you on March 16th ~aith two exceptions: ' ~1 That as to paragraph 6 in that letter, the City caill defer assessments for road improvements against your property but will be assessed at the then existing rate at such time as you or your assigns shall acquire a change in zon- • ing of the property, request a building permit for an additional major structure for the pronerty, convert the use of the property to another purpose or subdivide the land. The total amount of deferred assessments for 430 feet of frontage will be the amount in effect at the time of the actual levy of the assessments. 2. You have a barn that is located possibly ~vithin the temporary easem2nt area and the City will, through its contractor, undertake to avoid the barn dur- ing the construction of the roadway. If there is any damage to the barn, the City will be responsible for paying the reasonabl.e value for the damage. I am sending you a copy of the road layout showing the location of the permanent easement and the temporary easement for your information. I understand you will be gone during the coeek of March 26th, but will return the first week in April. I would appreciate if you would call me when you get b2ck and I will then let you know whether we have completed our agreement with the Barkers. 1'hank you vcrv much and I would apnrcciate if you would sign a copy of this r• le[ter as well as a copy of the letter that I originally sent to you when you send the signed easement back to me. ery truly yours, ~ ~ Paul FI. Hauge ~ PHH:me enc. APPROVED: 7 lC~~ ~y~9 ° G , , _ , _ . . _ ; PAUL H. HAUGE & ASSOCiATES, P.A. ATTORNEVS AT LAW 3908 SIBLEY MEMORIAL HIGHWAY EAGAN (ST. PAUL), MINNE507A 55122 PAUL H. HAUGE ' BRADLEV SMIiH Pfarch 1( ~ 1979 AREA CODE 612 TEIEPHON[ 954~4224 Dfr. and Mrs. Richard E. Smith 1550 Cliff Road Eagan, Diinnesota 55122 ItE: Thomas Lake Road easements Dear PIr. and hirs. Smith: We have now come ro an understanding with Mr. and Mrs. Barker concerning the acquisition of easements for Thoma~ Lal;e P.cad a.id I am, tnerefore, giving you a resume of the settlement covering the Bar';ers' property that taould com- pare with yours and how it would apply to your property. Under the terms of the agreement with the Barkers, the folloiaing would be done in your situation also: 1. The City will replace any permanent fencing with equal fencing along the ed~c of the right-of-way of the new Thomas Lake Road. 2. In addition, it will place a tempor.ary fence during construction in the event that you have horses that need to be fenced. 3. You will grant a 30 foot permanent easement and necessary slope ease- ment according to the survey done for the improvement of Thomas Lake Road by the City of Eagan. 4. The City will install 10 Russian Olive trees to replace trees that wi].l be taken during the construction process, which would not exceed $30 each and would be planted 10 feet apart, approximately 10 feet East of the new West property line. The new trees would be six to eight Leet in height. 5• The City will install a 12 foot wide blacktop drive, including grading and fill, from the edge of the right-of-way of Thomas Lzke Rcad tc tne exist- ~ag oiacxtop entry road to your property of about 100 feet with a cost of abouC $1,400 to the City. ~6 The City caill defer the assessments for road improvements against your property, but will 6e assessed at the then existing rate at such time as you or your assigns shall acquire a change in zoning of the property, request an additional building permit for the property, convert the use of the property to another purpose or subdivide the land. The total amount of deferred assess- ments for 430 feet of frontage is $5,676.00. 7. The City of Eagan will pay $2,ppp per net acre for permanent easement right-of-way and $1,000 per net acre for tenmorary easement right-of-way upon execution and delivery of the necessary permanent and temporary easements to the City. 1'he approximate amounts are $600 for permanent and $610 for tem- porary, for a total of $1,210. . . _ Mr. and Pfrs. Richard E, Smith Page 2. - March 16, 1979 If this understanding meets your approval, I woul.d appreciate if you would arrangc to sign the original easement together with your wife and forward it back [o me or let me know aad I eoould be hapny to arrange to pick it uo. We ~oill then order a check from the City covering the payment and the trees will be installed by the City after completion of the construction. Very tXu~l~ yours, i / PAUL H. HAUGG & ASSO P TLS, P. A. j L' ~ ' ' ' c Pau1 H. Hauge ~ PkIH : mc ' ~.,p ~~1.~r~r~C ~e-A~ ~so~c~ ~ ..~~~cc.~ /~-~r,e ~G /~/~~~P /9~9 - 7~~ ~~ap . `9 .l ~ ir ~ ~~~~6~,fi C I T Y O F E A G A N C~RTIFIED LISTING OF POSTPONED ~ SPECIAL ASSESSMENTS LEGAL DESCRIPTION: Section 28 Twn 27 Range 23 N 430 Ft of W 565 Ft of SWZ of SE'-~ /.r' . N,.. .-Y'V;e= :`S;n~.. ) ~ 71 ~ P.- - 4500 THOMAS LAKE CIRCLE ~ L2, B1, SUGAR BLUFFS COUNTY IDENTIFICATION NUMBER: 10 02800 O10 82 POSTPONED SPECIAL ASSESSMENTc 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 ~ T 1} day of ~~nQ~ 1984 EXEMPT FROM STATE DEED TAX STAMPS Exempt from State Deed Tax This Document Drafted By: ~ City of Eagan oakna Counry rr ~ 3830 Pilot Knob Road Eagan, MN 55122 ` O w E . VanOverbeke Ci y Clerk/Finance Director • ' .~y;, . , Certificate I, ;:E.'J_.,:VanOverbeke, City Clerk of the City of Ea an, do Hereby cei`t~i.~y,~~ha£~:£tie foregoing is a true d co ect copy . , * . ; S.:,L: ~ ~ ~ . ~ E . VanOver eke, City Clerk ,'?1 < ~ , . ~ \ i ~ STATE OF MINNESOTA ss. County of Daketa Office of County Recorder This is ;o ~ tiiy that the within instrc;ne t v as filed for recor i~ this o`tic a asei g, on the day c A. D. 19 ~ o~cloclc t:+i., and :hat the same was duly recorded in L`zlcota County Records. J Es . Do~t~ o Recorder gy } ` ~ Deputy I. S ~ ~ ' e2~2 ,~5 - ~ 0 ~ February 26, 2001 Mark A Jones Coldwell Banker, BurneC 201 East Lake Street Wayzata, Mn 55391 D E (Ed) Samuelson 9757 123RD St East Nastings, Mn 55033 651-437-6310 RE: Septic.~ystem~_Water--Qua.Li:ty-@, ~ The Conlow-Gustafson Property_J - . _ - ~ 4500 THOMAS LAKE CIRCLE ~ L2, B1, SUGAR BLUFFS To Whom It May Concer.n: The septic system at the above address was inspecT.ed by mysel.f on Febr.uary 23rd. The well was sampled on February ' 19th. The inspecT,ion of the septic system shows a septic thaT, is NOT IN COMPL7ANCE. This system will need to be upgraded according to Dakota County Ordinance 113. See MPCA attachments. The well water sample was sent to a state certified lab for analysis. The sample rescs were f.or Nitr.ates & Bacteria. The test shows chat the well is deliveri.ng water that PASSES state quality guidelines. See attached lab sheet. IF YOU HAVE FURTHER QUESTIONS REGARDING THIS SUBJECT PLEASE FERL~E TOi6QNTACT ME. ) - • ~/`i v`^*-'C D E SAMUF.LSON MPCA 1k276 j~~ Compliance Inspection Form for Eaisting Individual Sewage Treatmeat Systems 77~is jorm reflectr rhe r~~ntr ojrhe 1996 verrinn oj MNRuler Chapra 7080 Mlnnesota Pollution Control Ageocy Note: [.ocal inspection standerds msY be morc m less ~qtriclive than the stme uuemeats. Unit of Govmimrnl. ~9 TLac ditiavtocs musi 6e myde availebk yy ~he Local Date otlnspection: '3 O Property Owner(s) (,,o W„~-p D~ G~ S.~ ~ Person requesting inspection (ifditferrnt than ow~r qR q p ~ Telephoce Reasoa for iaspection: Q'~,a,p ~ TNephone ~s~ c/ ~p _ Z o a o S ite A ddress S b p o . ZipCodeSg 12-Z UuitofGov C'~~~~"AN Fire No. e~°ot Reg°Vb°g thiy proP~Y C ParcelNo. bba:8ono v3a~,yhjpName Towmhlp cr~ a w,~ ~ ~0°-- ~Q Qoartcr (Check eppropriate sewa rystem campoeent and indieate bcation on site ~cpey} " ~~C ~oll Tr~r...~ ~ c._.__. - . . _ SepGc tank ~her lbrieflv _ Roclc aeneb A~~~~~~ Flow Meter _ Auobic taak Gravelless - ~ MP~ tfrnrnch " ~~rn~ ~ _ PumP tenk Charnyc aeach _ werrena~ Yes No Holding tank S e~ ~QO If es, ~ Othu Cf f[ P., , l _ Mound ~P~ Date: Y _ Otha _ At-B~ade ~ ~ System Built Prior to April 1, 1996 and uot Located in Any System located in Shoreland or Wellhead Shoreland or Wellhead Protection Area or Serving a Protection Area or Semng a Food, Beverage or Food, Bevecage or Lodging Estab~LShment ~8~~8 E~blishment, plus ali sysiems Built after April 1, 1996 1. Disehe~ge of sewoge to the ground surfeceT y~ ~~Yatem an iPH7'v 2. Discharge of sewage to draintile 10 mo I. Diseherge of sewage to thc ground surfaee? YES NO 10 mo or surfsce cva[ers? 2 Discharge of sewage to dreintile or 3. S-wage bxkuE, iaW dwelling2 101OO W8~ YES T!O 10 mo ~ 4. Situation with the potrntiai ~o immediatcly end ~`9 In ma.._ 3. Rswage backupinW dwellin8T .BS N(~ I ~ mo advaselY impect or Uur~qi pubtic health or 1. Sid~ation witfi the potential immediatefy md ~ 1'~ ~ 10 mo ly impa~t or threetcn public heelth or Is thc systcm fa111noT ' ~ ~ ~ YFS NO 10 mo S. Less then TWO f of vectical ~~e system faping? S~P~~ between S. Leu than THREE foet of vrstital upuatian between sYstem 6ottom end saNrated wil or bedrock? NO LGU~• SY~ bottom and seturaied soil or bed~ock7 YES NO LGU•• 6• A~P88~ P~t ~aspool, drywelf, or leaching pit7 NO I.C~U•• 6. A sapage pi4 asspool , drywell, or Iwching pit? YES NO LGU•• LGU = L,ocal Unit of Govunmen~ ordinance must spaify Uu time period wiU~in whieh the systwn mus~ be upgraded. STATUS OF THE SYSTEM B~sed on the complisnee erileris ebove the syctem statu~ b(check e~~) p in complianee (functioning)~failing ~ en imminent thieat thereforq thb eocument is ~(check one) O Cenificate oCCampliance~'Notia of Noncomplience. Page I of 2 What ethods were used to maice the dcterminatjqns fqr fhe compliance inspection~ C,O Gp c.o r1. Q S C~s~~. Z~t-~. !L J~ 6 vJ ~P.,, n,, e.a ~ >~~r ~ I F~ i!e s~, (,A'1~ao~ -r-A G u, o b t~a ia e. ,D n (Z, ~3 t., Ta ~.1 1<- ~leese ~ttacA tAe following: ~ Site sketch. Suggcaed items for dwwing ioduda Wc71, arell sGba[k to sysOdo, dwctliug or atha eunbtishmwy unk(sx aoi! treahncnt rysfem, resmed soil ueeunrnt eiee., wrtaia dreia Propary li~, ~rtuw~•y, md buried lines (thox NOT insrolled by the utiliry~ Include sizss and Irngth end epproximato distu~ca Som fixed rcfaena poinn wch as stroels eod buitdings 17J~ Soil boring Iog; showing each horimn. fndicete the tacMe, shucture, color, dept6 of each diHarnt soil rype, evidena of mottling, bedrock md standing watu end whethtt the mataial is f ll. Lowh exh boring oo a~ site skUeh. 3) A list of my and all requiranentt of the locel ordineoa thr ve different than Ihe mtc «quiremmts rcferted to an this fam. CRRTIFICATiON A. t hereby certify that ell the in[ommtion I have provideA aganting the i~ividual sewage tratmmt rystem is we, eccurnte, and wmpktc_ Properry Ovma Date B. I hercby certify as a stale of MinMSma licensed lnspector end/m Designa ! or Qwlified Fmplayec Inspeetor end/or Qualified Employtt Daigna I the~ I conducted an inves~igation in eocordanm with applicable requiremmts that aavtetely detertnined the compliance status of this rystem and Ihat my observations raorded erc ecw~ate as of this date. No daetmination of futurc hyd~aul(c paformance has been nor can be made due to unknown conditions diaing rystem consUVaio4 ebuse oCthe systan, inadequate mniotenence, or futurc weter usage. Inspector's name (print) ~ . E= . S .d tin v~ + Lr,o ~l Phone J' ~ ~ - ~'S ~ Licaise end/or Registration Numbcr ~ 7 ~ Address ~ ~ ~ 7 - ! a ~ n n ~ ~ ~ . ~rl ~ "i ~ ~5 S~11n ~ Employed by . . pdd~uS Valid until unless tt~c syslem buomes nn immi~uat tlurat to pubtic Aullh or sefety as defined at Minn. R 7080.0020, subp. 19a before Nat time. Signam~ . ~ 1 Datc _t~ r~l \ ~ ~ U~grade Crlteda Minnesota Statutes § 116.65 (°law") Upgrade Requlrements ~ My siiuation wiTh the potertfiaf lo immediately end edvsrsely al/ecf orthreaten public heallh w sefety, must be upgrade0, ieplaced, or ifs use d'isaontinued within ten monfhs ol receipt o/ tleis rtotir.~e w wilhin e shoRer period of time iI ieyuired by Jocal ordinance. fhe local uni! ol govemmertt wilA Jtufsdiction over tl~e sysfem has adopted an ordinance containtng affemative foca! standards, the exis6ng sysfem must comply with the ortlinartoe. l/the system does nof comp/y with the oidinance, it musf be upgraded, repfeced, or its use disconUnued accordirtg to the ordinance. !1 a seepage pit drywell, cesspool, orleaching pif exists and the loca/ unlt o/govemmenf wifh jurrsdiction over fhe system has nof adopted local sfandafds ro the aonbary, the sysfem is /aAing and must ba upgraded, rep/aced, orits use disconGnued within fAe fime requlred by loce! ortiinertce. !I the system /erfs to provide sufiaent gioundwaterprotection, lhen fha loca/ unif o/govemment orifs egent sball order that !he sysfem be upgraded, replaced, or ifs use disconlinued wifhin the time required by rule or fhe locel ordinance. I/en axisfing sysfem is not /arling as defined Jn law, and has ef least Avo feet ol design so11 sepaiation, then fhe system need no[ be upgraded, repaired, ~ep/aced, orifs use disconfinued, nohvithstanding eny /xaf adinance thef is mae stncf. This does no~ appry to sysfems in shoiefantl a~eas, weNhead pro(eGion areas, or fhose used rn conrtedion with /ood, beve~age, and lodging establishmenfs as defined in law. p:\ists~prog devlexinp9.doc • 6/99 Page 2 Of 2 ' . c,l / ~ / ( , , i i ~ ~ ~~UO ~ Tl?v:,*,,~ Ga ~'e .~a.o 0 , L~- c k ~j F i 2 / I~M,a.~ , ~ f~ ~~1~t ~ ; _ - 1 _ I 1 ~ ° ` lr~i I 9~' I ~J.~ I ~ ; } ~ ' ~ 1 ; ! ; ; ~ ; ~ J ~j.~ ~J- `Q p~8D0 D/D cY2--- 2g . . . ~ F~AY'iL H. HAUGE R A6SOCIATE6, P. A. ATTORNEYS AT LAW ]DOB 91BLEY MEMORIAL HIGHWAY EAGAN (ST. PAUL), MINNESOTA 46112 PAVL M. HAUOE Mu Coo[ !12 BRADLEY ~AITH TnoHOh¢ 45~-4224 KEVIH W. EIDE DAVID G. KELLER , j~f3rCY1 ZO~ 1981 . ¦ - 4500 THOMAS LAKE CIRCLE - L2, B1, SUGAR BLUFFS Mr. Howard S. Myers, III THOMPSON, NIELSEN, KLAVERKAMP b JAMES 4444 IDS Center Minneapolis, MN 55402 Re: James M. Barker and Richard Smith v. City of Eagan Dear Sam: The Eagan City Council on March 17 did approve the terms for dismissal of the assessment appeals both by Mr. and Mrs. James Barker and Mr. and Mrs. Richard Smith in the Dakota County District Court. I have_arranged for signature of the two original letters that you sent me and have retained the originals, forwarding the fully signed copies of the originals to you for your files. In addition, I am enclosing a Stipulation of Dismissal and would ask that you er.ecute and return the original and a ful].y signed copy of each to me. I will then file the originals with the Clerk of District Court. I am al'so sending a copy of the letter to Tom Colbert, the Eagan Public Works Director, and would ask that he instruct the'.Assessment Clerk-to mark the~ ~assessment cards to comply with the cancellation of the assessment's. ~.A copy of~ •the letter sfiould be held in-each of the parceI;files and in ~dition [he Dakota ;County Auditor should be notified of the cancellation of the.assessments.'~~~ :.,^-~d-J-~-~ .~.u...~.v- .'~.qc ~.,^s'-"~ • ~ Very truly yours, Paul H. Hauge ~ ~ skk 3i~ ~n~N enclosure C Tom Colbert w ~ LAW OFFICES THOMPSON, NIELSEN, KLAVERKAMP 6 JAMES A PROFESSIOHAL A590CIATION BaUCCC.iwOn~o30H 44441D5 CENTER O.Jl~MES NIELSEN BaucEW.BLACKeuRH 80 SOUTH EIGHTH STREET P~u~ M. ~tLI.VERNAMP MINNEAPpL15. MINNESOTA 55402 BPUCE B~JAMES GRANT J. MERRITT TELEPNONE RICMRRO J. KEENAN 1912) 339-43~6 R.D ESTE9 ROGER A.JOHNSON JOMN D. P.~RSINEN DONPLD P. NORWICM RIGMRRD MASSOPUST, JR. RICNARO 4. GOODMAN JAMES M.CMRISTENSON ROBERTA.LEVY March 3~ ~JO1 PATRICK J. McLAUGMIIN HOw.~.pD 3. MYERS.IQ ILOYD G.NEPPLE ROGER A.ZAMN LAVERN A. PRITCNApD Mr. Paul H. Hauge Paul H. Hauge & Associates, P.A. 3908 Sibley Memorial Highway Eagan, MN 55122 Re: James M. Barker v. City of Eagan (District Court File #90828) Richard E. Smith v. City of Eagan (District Court File #90827) Assessment Appeals Dear Mr. Hauge: I have received your February 24, 1981, correspondence and have had the opportunity to review it with the Barkers and the Smiths. They agree with the contents of your proposal, however, both couples requested that, consistent with our original agree- ment, we include a provision similar to the one which we agreed to in my March 29, 1979, correspondence. I have redrafted the substance of the agreement and have included it in this letter as paragraphs numbered 1 and 2 below. 1. The staff will recommend to the City Council the following action regarding Richard E. Smith, •ParceT-No. 10-02800-010-82~:, The assessment for lateral benefits from trunk sanitary sewer assessment, the water main lateral assessment, and the storm sewer lateral be canceled, but will be assessed at the then existing rate at such time as the Smiths or their assigns shall acquire a change in zoning of the property, request an additional building permit for the property, convert the use of the property to another purpose or subdivide the land; provided, however, the limitation upon building contained herein shall not prohibit the Smiths, or their assigns, from building additions or improvements to the present residential structure or £rom building or imoroving separate structures, (such as.garage or utility structures), which do not change the single-family residential character of the property. The assessment was based upon 430 front feet. THOMPSON, NIELSEN, KLAVERKAMP S JAMES Mr. Paul H. Hauge March 3, 1981 Page 2 2. It will be recommended as to Mr..and Mrs. James M. Barker, Parcel No. 10-02800-010-83: That the lateral benefit from trunk sanitary sewer, the water main lateral and the storm sewer lateral assessments be canceled with the understanding that the assessments against the property will be assessed at the then existing rate for each purpose as soon as the Barkers or their assigns shall acquire a change in zoninq of the property, request additional building permits for the property, convert the use of the property to another purpose or subdivide the land; provided, however, that the limitation upon building contained herein shall not pronibit the Barkers, or their assigns from building additions or improvements to the present residential structure or from building or improving separate structures, (such as garage or utility structures), which do not change the single-family residential character o£ the property. I am assuming that the added lanquage above will present no problem to you since it was language which was earlier agreed to us in connection with the environmental litigation. The Barkers' and Smiths' appeals will be dismissed upon the favorable action of the City Council approving the staff recommendations. If the City Council does not plan on meeting until after the court hearing dates are scheduled, I would ' have no disagreement with the continuance of the hearings. One final note, both the Smiths and the Barkers received property tax statements which appear to contain figures representing the canceled assessments. I think that it would be a good idea if you were to ask the Dakota County Treasurer to reissue property tax statements less the canceled assessment. Very uly yours, Howard S. Mye s, III Counsel for ichard E. Smith, Dolores G. Smith, James M. Barker, and Barbara H. Barker HSM/ps The above terms have been reviewed by us and we agree to them in settlement of the existing assessment appeals. G1'~~~-~ ~//s. RiL'ti rd E. Smith James M. Barker . , Dolores G. ~h Barbara H. Barker . , THOMPSON, NIELSEN, KLAVERKAMP S JAMES Mr. Paul H. Hauge March ~3<, 1981 Page 3 CITY OF EAGAN~ B,~jc~~~.GUt//JVw'i~ :nf~Ge~2~ PAUL Fi A GE & ASSOCIATES, P.A. B ' Paul H. Hauge ~ 1991 SUILDING P T P CA ON CZTY OF EAGAN SINGLE FAMILY DWELLINGS lNLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - fi STRUCTURAL PIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ~~//IUb<~'^-~"'"~~Valuation: I/~~ •Z~ Date: Site Address ~~J ~~~~}~(~lij (1cAp_ 2Q~ OFFICE USE ONLY Lot ~ Block ~ FEES Occupancy Bldg. Permit '~r;.~~ Zoning Surcharge F~ Parcel/Sub ~ Actual Const Plan Review ' Allowable SAC, City Owner # of stories SAC, MWCC ~ ~ Length Water Conn. Address 'y~~~ /~(!~~(./lQ Depth Water Meter S.F. Total Acct. Deposit City/Zip Code Footprint S.F. S/w Permit S/W Surcharge Phone ~~J~ --3 Z~ On site sewage_ Treatment P1. / p, On site well Road Unit Contractor ~L*'/!/' L~~ MWCC System _ Park Ded. ~~yl City water _ Trail Ded. Address / ~l/~(/'liJ PRV _ Copies ~ /ry Booster Pump City/Zip Code f7 SUBTOTAL G>/' / APPROVALS Penalty Phone ~///~Q ~7p Planner _ Lot Change Council TOTAL 7_~,~i~ Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone ~ agrees that all work shall be done in accordance with ~i (Sig ature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. BEA BLOMO~IST ~ TMOMASMEDGES MAYOR , ~ CRY RONINISINAtOR THOM45EGAN CITY OF EAGAN EUGENEVaNOVEROEKE JAMES A. SMITH . CIiY CIERR IERRV TMOMAS ~ TMEO~ORE WACNTER '~),}»05 PILOT KNOB ROAD " COUNCII AIEMBERS P,O. BOX 31Ht ""~EAGAN,MINNESOTA ~ . ssixx Fd~ruazy 24~ 19HZ . PMONE 4$4-8~~~ . MR & MRS RIQ-I~1RI) SMITEi - - ~50 ~ ~ 4500 THOMAS LAKE CIRCLE ° EAGAN NYV 55122 L2~ B1, SUGAR BLUFFS RP: Pmject 257 Final AssessmPnt (Febn~rv 16, 1982 liearing) ;Paroel No: 10-02800-010-82 Dear Mr. & Mxs. SYnith: REC~ntly, you received a notioe regazding the assessment pertaining to the final re- assessment roll that was officially adopted by the City Cotmcil on February 16, 1982. You will noti~ that the final assessnent amount of $1,851.7Q was reduoed fren the Deo~nber 1, ]981 figure of $1,972.96 as a result of infoanation that you presented to the Council at the oontinueci public hearing on Januarv 12, 1982. After listening to your reasons and objections pertaining to this assessment, the City Coimcil deteri mined tl~at your assessresit should be reduced by $121.26. ~erefore, this letter is to inform you that based on your o~mPnts and input, the City Coimcil has reoonsider- ed the amoimt of your assessmPnt and adjusted it accordingly. It is hoped that this letter will eliminate any oonfusion regarding the final assessment amoimt fr~n what you wem told at the Deo~!+ber 1, 1981 and Januaiy 12, 1982 public hearings. if you have any questions, or would like further explanation, please feel free to oontact me. Sincesel s~~~~~ p~. ~~~'~+~-~L}~y.-Y ~a!as A. Colbert, P.E. Di.rectnr of Public 4+~orks TAC/jadi cc - Ann Goers, Special Assessmnt Clerk TNE LONE OAK TREE TNE SYMBOL OF STRENGTN AND GROWTM IN OUR COMMUNITY. /~~Dr~c~s C~Gc~ : . . ^ ~ . y . . . •'f . . . . . _ ::ji; `.,`„~,a~;. . '..(d,,. ~.r' a . : r.. .Lii= ~ ' , ' z . . . . . - ' ' ia'' l:t''r . yJ i~, .ytl4y..~}~ : ~ ~~y4~~ • . . . . ' . . , . .:1~~~ •`rl : ~er.'tt~~; ' . . 2.~. . 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'-0 ~ a. . . . ' ,,i'' ' ~t. i ? e a'i' ':xi. ~ y. fe+., . ^ i.~ ~ _ ,+'r . . . , ~yl. . ' :.,k~ .l '~~1-' ~r, ~~s_.. i~ .f~ '^i.,q~'~~i.._•-= \'.n . _ : ' ` ' . . . . ,J~~k~':fl' " ' :1 ' ' ~~;G:f_ . • ' ~/}yyY~~~ • 1~• ~~.M,~~k.v+1'.-~r.`•R!1`~ :~r.t:..:lriy`.~V"-.iNi.' .'."1~3t,^ _ ,v ~~~s'~~~'.:.r;~ 4 1,~a~~.t':' , =,f.:.' '~:n;..a: ".~-a~q:,.'... :~m' _•ti. `~,~Si'_i-;'~r••.~te^'<:t:'•'"~ ~y,5,' ~ ~ ~ ~ ' ~ ' ..t;~ : ~ . . ~ -a , ~.rt':„,~~:•-~.:a R'. ~..J ':1'-'. - * ~ , . ~ ~ ~ ~ • ' ``:i:~Q~• ' li:°t``~: ai~y:1''ci{<1,' ~'r, "~`~~.~'O~ . ~ . ' .-i , s ` . . : f • ~ . ~ S?~~,'• .i.~~ f :~„M~,., w~ 4 : ;r.<,~ • ~ t ~a:,7 , ' 't• . . ' .rv. t~ .I'. : •.•aG. . _,,1~'w.:- 3ylil' '.`n~;°..~~~~ ~ " " - 'l.'' ~.1'F"#}•y.:'~ J ,r• ` ~ 'J i ~~~~1. y~' ~~11-tI•.•• . . ' " ..T- ' , " : i>.. s"3, i n ~ n., ~ . , c ~ . . J,~.' 'e,f ~ .1 ,aStl'- .n';~[.,: ~ :-C~. . ' ' .~.r... . - ~ ~ . ' . . . , ..~7' . .i.; . _ - . ' ~ , - _ . , . : , ' . , ' . . . _ , . • ' . ' ~ . ` . _ . . . . ' i. _ ::i • • . ~ _ . . - . ~ ' . ~ ~",r`C"4'' •'fO' .i<`~;s}'.~;5=~ ' '~x-'.ry'-.:~ dl. it~^ ' k~ i. 'i~... - ' . . • ~ .~F `:n~ r <~.q.., -r:i.~ic^~:~.f{~.~ w :ew •o; ~t.;.- r, , _ . ..i ~ --ti+a,j~y~~'. . . ' ~ . . ' ~J~ . . '•a';°:. . _ . . - . . '-t a ::s ' . , ~ i. . . •i ;;i:" .'~.u• ' '.`;;~y'~s:~.Ny.. . • . . . - ~t'.' - -r~: • - ~~..~.-~:.;Y - . ~ • . . - - _ _ 'l-~ , ~:ti - • ~ ~ ~ - . . , , . . , : . . . . . ~i • ,;r._ ~ si'% ~ ' . .''1 ` , a . . . . . ~~F '.~S,.II,Y .RT'Ski.95~ ' ' 4 ' . _ 4~ ~ . -~•Ln' ~ _.a.~.r'f-A. .1b'..:~.u. , 1421'726 C I T Y O F E A G A N CERTIFIED LISTING OF POSTPONED SPECIAL ASSESSMENTS LEGAL DESCRIPTION: SE~fION 28 7t~WNSHIP 27 RANGE 23 ~ N 430 FT OF W 565 FT OF SW 1/4 OF SE 1/4 ~ ' ~ 4500 THOMAS LAKE CIRCLE ~ L2, B1, SUGAR BLUFFS CUUNTY IDENTIFICATION NUMBER: 10-02800-010-82 POSTPONED SPECIAL ASSESSMENT: STREET (THOMAS LAKE ROAD), WATERMAIN, SANITARY SEWER, STORM SEWII2 LA2'~F~I. Pursuant to M.S.A. 429.061, Subd. 2, as amended by the 1960 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 2nd day of M1~Y 1997 EXEMPT FROM STATE DEED TAX STAMPS This Document Drafted By: City of Eagan 3830 Pilot Rnob Road Eagan, MN 55122 • ~l$- E.J ~ anOverbeke City C erk/Finance Director Certificate I, E.J. VanOvezbeke, City Cler~ketif,~~hec~rity of Ea9an, d Hereby ~ ~ _e~' 0. certify that the foregoing is;;~a• tr.~~~a~ ~c~~zr ct cop ~ , _ =,~~~.J. Var~verbeke, City Clerk RECEIVED ~~~1;~~~, ~o~'-~ ~~~~~,,,;,,,:<<:~,. . M~,Y 9 ~a 9997 1421~26 o~ oF ~ courrrr R~o~ DAKOTA COUNTY, III~~OdESOTA CERTIFIED THAT THE WITHIN INSTRUMEM WAS RECORDED IN 7HIS OFFICE ON AND AT ~ 1991 MAY 2 I A 8~ 31 DOC. NO. 1421'~26 JAMES N. DOLA~C,9UNTY RECORDER BY:~ DeP~Y ~ FEE 1~L~ SURCHARGE~ • - CASH O CHECK ? ESCRO1W ? ~ WELL ? CHARGE Uil CHARGE TO: ~ ~ ~ O/R DO NOT REMOVE RETURN T0: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 I~~ CLAlN VOUCIIFR - REFl1ND RCQUF.ST CITY OF FACAti ~ i ~ CLAIPfANT B~RNSVTT t F HEATTNC' t arR rnianTTrnnTr_ TAT~ ADDRESS 124$I RHODE ISTAHD AVFNitF Snttru ' SAVAGE , MN 55378-1179 ~ ~ 4500 THOMAS LAKE CIRCLE - T.ocation iLl, B82, SECTION 28 _ Receip[ ~7o./Date ]03558-10/24/41 Reascn fcr Refund PERMIT WAS NOT REOUIRED FOR WOUx PFRFl1RMFn rnurnerr~n . REQUESTED REFUND Tcre o[ P.efund Electric~l Fermit 01-3211 $ Flumbing Permit 01-3212 S 1lechanical fermit 01-1213 S I5.00 Surcharge ' 01-2155 S Qj~`~j~'~ W~ter Connrr H ~n Permit 20-3713 S ~ewer Cnnnrction Fermit 20-3743 ~ S (f ~ ~ Account Depnsit 20-2252 , $ Utility Account Over-?'~yment 2D-2250 $ Other: S $ ?0'IAL 15.00 i decl~rr undet the ppnnltie~ o( law th~t this accnunt, claim or demand is just and . th~t no part of it h s been naid. 8/]4/92 gnature Date 3~Sy 3830 PIY ~~AG R0~ FOR CITY USE ONLY EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # U. 5 5 ~JECHANTCATi'~PEEIMI'x DATE: /O a'~ 9/ RESTDENTTAT.'C PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM ~15.00 ADD ON ~ HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M 8TU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: RtG K a}R17 ~ Srn[T/'f o= SUBTOTAL: $ ~'S SITE ADDRESS; ~~GO' % C,F crrir~S GR-Kz /~D STATE SURCHARGE: .50 ~ LOT:~_ B.T.OCK .g~ SLiRD, ~a Tf~TAi: $ INSTALLER: O_~j /z-. ADDRESS: il"'Jiiiv F'C9tlilb & A~,~i~ IRO~ IS GNATURE OF PERMITTEE _ , ~'e san V8• o. CITY: '::;d3;;~, P,~N 5537 5~122 ~rf9'S L ~•vC ditJL~ PHONE TG ~<RC PLs4G~ iNSc4Y ~ ~ -1 COMMERCIAL%INDUSTRIAL~: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL EUZLDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ~~-----°---~°°~---------a°~~_°~-//~-~~~~~ ~~~G~"l CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOF. SI?E ADDF.ESS: e.e~GH $i,000 OF PERM1'P FEE. PROCESSED PIPING - $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ~'Sa i`~ Su S~ zoas RESIDENTIAL PLUMBING PERnniTaPP~icaTioN J;SA CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ 1 I ~ 1 / / Site Street Address cS ~l~oW!/~ 5"'" T~~ (l L l Unit # Property Owner Telephone # ( ) Contractor~'7~~ lJ fl~5~la1n^ {~/lJ~'?'~J' / ~ Telephone # ' Address `"t ~ (~Q ~ ~ ~ ~ AcJ F'V City / oo~~fi~~'?7FlState~~ Zip The Applicant is: _ Owner ~Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-6uilt $ 10.00 Alterations to existing dwelling $ 50.00 ~ Add plumbing fxtures. This fee includes installation of a water softener and/or water heater at the same time. If you are insfalling onlv a water sokener and/or•water ~ heater, do not complete this section; move to the next section and check the appliance(s) you are installing. ~ _Septic System Abandonment , ~ _Water Tumaround (add $130.00 rf a 5/8" meter is required) - other: ~~,t~ rc-~ ~ti A-J-.~,~'~`u^ d ~-ar s~H k ' Water Softener Water Heater $ 15.00 _ new _ replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 i ~ State Surcharge $ 50 i i Total $ Sp~ S~ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is requir e reviewed a app ^ ed. ~ ~~er`~~7/'bM Applic Ys~me Ap lic s ignature PERMIT City of Eagan Permit Type:Building Permit Number:EA116481 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4500 Thomas Lake Cir Lot:2 Block: 1 Addition: Sugar Bluffs PID:10-72925-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Sandi Bauers Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Michael J Stack 4500 Thomas Lake Cir Eagan MN 55122 Chuba Company 19276 Vernon St NW, Suite 100 Elk River MN 55330 (763) 441-4488 Applicant/Permitee: Signature Issued By: Signature -1_TJ<E NE) = i HARDI SIDING REMOVE SRICK. AIDED HARGI SIGIN 4 WRAP a � wIND O J ENTIRE HOUSE NORT ELEVATION 118" = 1'—On � REMO ✓E i Or I it EXISITING ROOF ii EXISTING STR [-ION Ex, IN2, ST<JCTU�E PITCH NEL =; HARGI SIDING Ex. 1ST STFUCTU<E NE.0 ADDITION SOUTk ELEVATION 1/S" = TRtJ�:, MFR. 'O VERIFY A__ F ITCHES ANC OVER HANGS ANC HEE_ HEIGHTS 15/12t PITCH (VERIFY) 12 I5± (VERIFY) 1 RE-INSTA_- PICTURE wCw ICOM:: -INA -ION SA_v- EG FROM E/IS-ING _OJER 11 JI I L 2.-0" .2,TONE FIREPI_ACE H ,RDI SOFFIT s FACIA RGI SIDING- - O MATCH E/IS-ING EY ^NG Copyright for these drawn gs is owned by Planco, Inc. Upon payment of all tees due to Planco, a limited license is granted to use these plans to build one structure. Planco reserves all rights. These plans may not be re -used for any additional structures, may not be assigned or copied, and may not be modified or used in any redesign without the prior written consent of Planco, Inc. Planco Inc. 2006 •ALL DOOR 4 WINDOW HEADERS TO BE S.P.F. '2 OR BETTER 4 -OUSE TO BE BUILT TO I.R.C. STANDARDS EXISTING ,--7c� ION REAR LEYATION 1;' +I' = �I_OII PRELIM. 1-17-0 FINAL RE`iISE 3-1-C *0&-115 FFM 1 6 Job Name: 310 2-10C 29.'44.7 0416 260'0 a 0-2-12 14444 5.61r 5.96. 2 2!- 3- 1 19446 22.80" 9.50. NIG aeatrinme its a90aam ash bmaed oa12 am the tram notuciat at tact ea.aatrg 7c 1,4603 A9G 1'19 092 -2 -20612 0.29 4_61 0-Q6 - -3 -12225. 0.09 4.13 0.22 3-.4 -12125 0.09 4.13 0.22 1- -20412 0.24 4.02 0.06 r 1.01133 t6o. 2210 010 19073 6,21 4..34 4.44 r, -2 11931 1..16 0.22 4.46 -9 14231 4.24 0.11 4.40 .j -10 14331 4.26 0.22 4.64 - -11 19073 4.23 0.28 9.60 03. S. 1.00 0.20 0.20 Ca It 0.00 0.20 0.20 4oa Ka= C11 400 2D7C1 041 2-2 4414 4.” 0-4 -[4!S 4.45 2-1 -1945 4.,3 4.-00 4330 4-99 3 9 14226 4,94 _ (.7 s s��Y is iG 11C R'sit Tines ID: FAN 226 .2 EP el630 '*.SI 02*ttrag swop a > IITot - 4909 2arl Pp Picar-2.pT THIS DSIMI 19 YDS p0P06.11Z3 2 m= fF 244 207 Y2n12- cur 19LE420'0 /AM 43 3. 2x! EPP t43ID-747 7-2. 19-4132rJjBc tmai p1al1i value ars biped 002 Lsreba0: shear sllaxehtas axe p®9 9030. bas leaPBl334 ea °e�uirei by IDC 1703 Loaded for 39 497 A030-0.0,0Cu per,. In � �a damaaonba asaM as IOW 166'4 _ 31St! 1Qi1 1 B - 1 atagge*A Et0 4081 aaa_ !� 2 1[?- 4 ifCBS- ] 4!)0g I�D'ia ar Qty: PacwwstL bmsoaay it regait.d (by otlaesa) to �d BCC 2 aal 0t 0A(tow.11ia7. SUG ICS: 1-03 3- 141.1 ih layers 0X from pot room. x 9.3-15 8147-1(7,1S44 --, (3, 166 1 84.11 6-430 1444_ 2 1-5110- 6 24 -5.10 624 6-2 1410 20-5.4 14.10 3 4 6.61 2040 5 14.110 /1:741 34 241:0 Diwg: al13,.14T astacraedial aaapark Mame Wad 34x1 -Thad 1 -207 lb 2 -347 1L ?Ms 1xuss is clarispaed lIltag the Aec87-08 1:4411 apse 3 44 ,.t-isa ll1�g T1ttt•lnaad a: Yea. Tatport nee. mama = 1.40 Strums 7owti.ou =Set Sod Sons fl rzitanafoca,e Labe o AO Bey C."1oy 1 Aldo !magi* = 99.59 St,. Wag width = 34 .L• ft !sear come b/i.iatt o Z3-13 €1, =3111 90 y3t.at S 1.4.2paf DaRaptt saa Selo seslag y430r0A last i tea Chaaptaal stttaa arta Cam#11 4 Tributary /.eta a: 395 soft Lo30 O7LSe N1 11e9D�( L44D2 air L.412 &leo 1.711 R - Lou Vaet. 14.05 5- 5- a 06.00 29- 6- 4 C IC Skeet 636.62 4- 0- 0 434.42 20- 6- i 0 T 44-15 9 132 fo CU 14-10 1 81110 7 444 t 1454 4 9 10 2444 11 iii ! 866'rt 41221 DaneaCStla v 6199! Pax 4-3 (LIMB) i.0 1. k -4.32" 11, -0_14" 2= -0. ---- Arai 1642actioss 1 4- 0- 0 7 *- 0-10 2 8-010 B 16-3-0 A 14-3-n _ 4 24- 5- 4 20 2C- 5- 6 s 28- 6- 4 It 21- 4- 0 6 0-0-0 i 14.)1414 COX} L v ) It :dam 4ia1l�T1Y3Wil i 3121/2006 piioJadby'Si X' ice 0("fasiSiaaliap00atinodDaeJoiatCata4f32pagparaLaldefirmWatatgi4.> s,adses2014010000 sera1- WARNING Road all nota: on this sheet and give a cop, at it to Frecting Caatintd >< IIS I els 110091(06141199 :oD CUM DUE lakiM OltF,tl VILLAUME iwiniri es 114 LEtlagai1ta4a4 Si, swami 70121 i sots hires .tum ad444largtayr,tOweawillow saeltmtnBumf Vie1104le110aa Hod May itenap 4a3tnpeauarne 2222224250aa1aa6w set asam itmasaser241ram A/FA wtatigawiat 4i--_2ammo istiamaimanataninsp. iaaamats atlalls- 11 131.I&atisans salmis w �ialikafa L nnaWia4Aa4r+�ammtatsaetaeaet aata�NllaseJ *ta 40ta11Wae1 mom ietaw aar>matram >i Innotrlaced Memtel Swromai teled141110am Mata Ma*tt4sMirj sdlja tlestYy Mani Pm* sgatK e4ss4M9shos 1001 emits a.swat tar ter* ewe a Rwagarnb cantons a...rearm tacissifmak i '7va'ltaia9it Mian6Ma44 essexcmussaysi um eaaala r/tamo4uwaaa 3Ksailim as amnia Irta,a0aai3l. iatiue9,aa.eabale ens time ae4 eaa a. as ae.aa at 0112140 »0 Pima 11014 Urstronall2=21. ata/L/.a'sneMa ra a.yuee.lwabd molts atw, 1Vils�a t .9wcA t .1110 Talmo. oda 0.1010411 s 01,011 as400003 llll1136a0pFt31aap SJstT.9aFaiYmar 81814114111'41815aralekoffrataturvymtitasa714 TleTam alla laMI la(W4 Ulmsaaae51014rm14ab00..604a.e, litameshsrs%isaAmniaaFame 911.1 Isaatits«411019 saaaaar at *11111P 001=4.1e9, a.00$,0seaossylaC>baiE iC lie. iie®pt( TC Dead Mimi eC ilia Ott pat BIC Daae! 1041 ref TOTAL 52 08 p11 Oafs= Latl5 F3I.15 Dai Italia a 240 11C34401041 21.04 Psalm Spa KC Sagn31Bi,4 - 4 1 a I dlDndas W I >t : WOei S 0 z m z 0 ESi2SSb ET9 Ed Wb22:01 900E VE =AT 3'-3" 14'-0" fr-4" / ' < -,. / '<'' \ tam DIA x 42" '-, ,:-,bEEF, FROST . ..• , :.,. 'PAYERS ./,',.,.. ..- , _ FTG, 4.44# ..4 v= -F &Ai . , 'PAYERS • \ 1 PENDANT LIGHT z",. FIX ABOVE , . '' , ,--t:...r.--.r.=..--.1.7 7.'.---.1-7:-... .',1.. ', • , 1 , ,1'4EW ' SWING DOOR . . .'.2-2x10 '„'„' • • 2-g 1/2 LYL illEUJ 2 56-2 4.4, • 46. .4.1kr _ . - 1111111111111--11. 3 6-9" t POOL ROOM *CARPET *OPT. 1N -FLOOR ELEC. I© Plana) Inc. 2006 11 GAS F.P. 0 14-0' 3-6 NEU) CASED 0/='ENING VERIFY LOCATION t SIZE PAYER CONT7c- TO ,ALLOW SPACE PLANTS TO BE FOEC AROUND EACI-IFC'..-`," 3-43' 1/2" LVL) EXIST. FAMILY ROOM .CARPET • " • • "'"-'." x 1 2xS TREAlt1.) 24" O.C. 6x6 PCS - IS" DIA x 4;. DEEP 11 *PAVERS 6x6. 24' DIA, x FTG. 4S" F \-217 OPN. sOPT, 1N -FLOOR ELEC, 24" LIN 0- / WET BAR N, AEC'/E- CPT. BASEMENT PLAN 1/4" = 11-0" PAD TO 13E INSTALLED :c) 111 t 1t -.t EXIST. \16.1'EDIROOM) CARPET ,CT GLASS BLOCK WDW IN EXIST, OPN. RELOCATE EXIST, REFIG FROM KITCHEN EXIST, STORAGE °06,-115 FPM 2 20.-2" 8' 10-1' 2 0' - 6. 2-11 1)E3 LVL' 10'-3" •. • _ • ___-- Tr : THAT . SPH7 ittif NOT 3-10 3-10" x I RE -INSTALL PICTURE LUDO.; COMBINATION S.4LYAGED FROM LOWER LEVEL SUNROOM .WOOD RE -INSTALL TRIPLE WW SALVAGED FROM LIVING ROOM GrRDER RE -INSTALL WDW SALVAGED FROM KITCNEN TRUSSES 24" O.C. 2-9 1/2" pRoP_F'ED 6'-o" 511JING„ DOOR (2--e 3 GRANITE TOP REMOVE EXIST, WDW'e 4 WALL SALVAGE AND STORE FOR RE -USE pcs- - _ - FIRST FLOOR FLAN 1/4" = „iFiq 4_7141 tiANCIRAi! . - (AV -t_.:t_T• 5 3/4" EXISTING COUNTER70.1= TO WINDOW FRAME J /7/ STONE ON FIREPLACE `'2 REMOVE EXIST, WDW'e SALVAGE AND STORE FOR RE -SUE IN SUNROOM EXIST. LIVING ROOM •CARPET REMOVE EXIST, WDW, DOOR, 4 WALLA SALVAGE AND STORE FOR RE -USE J C) Planco Inc. 2006 EXIST. DINING "WOOD a Ui \ 1 2 VE /Z17" GRANITE TOP EXIST. KITCHEN •LIJCOD ' 41.± NEW APPLIANCES 36" COOKT IRECOATE IN L.L. STCE C C's1 Z CUT DOWN TO FIT NEW COOKTOP 0/ 6 0 VERIF-r--" \ is \ SIZE PANT rf REFuG / 30" OVEN f °06-11 FPM 3 6 12 5i I Planco Inc. 2006 1 12 J 3/12± PITCH SADDLE ROOF FLAN 1/4" = 11-011 TRUSS MFR, TO VERIFY ALL PITCHES AND OVERHANGS AND HEEL HEIGHTS 5± I 12 ICE 4 IUATL:R 5±l 12 12 *06-115 FPM 4 6 MARDI FASCIA -+ARDI SOFFIT 15'-6" 24-0" TRUSS MFR, TO VERIFY ALL PITCI-IES AND OVER -TANGS AND HEEL HEIGHTS SHINGLES 15• FELT 1/2" 5I-•1TG. ROOF VENTS • 11300 ATTIC 50% ROOF 50% SOFFIT 3 1/2" ENERGY HEEL SHEATHING SIDING GRADE — 2X6- 16" 0.G. R-19 INSUL. VB 1/2" GYP. BD. INSUL. s RIM 12 TRUSSES • 24" 0.C. (DESIGNED BY MFR) 5/8" GYP. BD . 3/4" T 4 G FLOOR F'EMQ E E v" N".3 2x4 4R ,a< EXISTING 2x4 WALL 91/2" IJTS•16"0.G. EXISTING 2x10 2X6- 16" 0.G. R-19 INSUL. VB 1/2" GYP. BD. I/2C- 6" BLK. 41 3 1/2" CONC. F00R 3-'3 1/2" LYS DROPPED REMOVE Ex BLOC< e BRICK FACE FOR CASED CFE EXISTING GRADE BLOCK WALL WATER PROOFING DRAIN TILE AS REQUIRED Planco Inc. 2006 20X8 5C- BLOCK RIGID INSUL. CROSS SECTION 3/811 = 11-011 .0es-115 FPM ii Use BLUE or BLACK Ink r For Office Use City of Eapn iii,) FA Permit Fee$ -/ 341 3830 Pilot Knob Road -' —,,,-)ai,/ .7k0 Eagan MN 55122 RECEIVED Date Received , - _ y Phone.(61/51)675-5675 (-db buildinoinspectionsacityofeagen.com AUG 3 0 2017 Staff: - , -yr _ ., 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: c,.)I,-__zkJ,' --)I Site Address: LW50,31-ko\ Ail.L. - „, ft---&-A.--'4_,,, Unit#: NITA' NL h Name: I \,.INN)i IN1 ,-, cc) i. o ,,..‘, 1 ',...,--r.ic,- Tt15:,,S.Si...( Phone: Li2•••? ,----)1•L,' -1(4:1--1 f i, a Resident/ : . ., Owner : Address/City I Zip: lA•--)t: i JL;; - t ''''' ' ' i 1 S' ''' AN ' , : ',,,,• w.--, Applicant is: Owner h Contractor , • Description of work: lN:12...-03 (2,01\i&ILO Gil°tN.) 1-X112441-11.12) 6-; , -'L, -- - Type of Work ,- ; Construction Cost 'T.," (3 4,'"'" . Multi-Family Building: (Yes /No XO Company: ArvAbi-440 1.'1 1,ti----) VAAL 1-0E,C! ,. Contact: 1.13tki. i 1 Contractor Address: i13k 1 t Uri ertjtj A" ,, 5,.„ City ( —:z- CA-G i , % . . ,. State: .1\1\r" Zip: r:,`' k..,7i 15 Phone: (Cf::-;t--7v14,72-;? .;tenriail: Aitie-ft'*A-t'e., ('-'-'- 164\JUL12--C1°),N1 V IXf Licensei)' t4,4.-- #: LA- .4.:, , -, Lead Certificate#: - , If the project is exempt from lead certification, please explain why: \le kt, - ect,:ig- v c.-1 -- ---i i--, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ',. _ Yes .")(Na If yes,date and address of master plan: .-• Licensed Plumber: A' lit\ Phone: 1 ,o S ,A..,1/4 f"; Mechanical Contractor: c,,...c,coil':,...( At:3 -- aft.t 424 1-_,. i-,2:„.4",,L3t,vsi,vv-141,hone: '',„.‘,:'„)- Sewer&Water Contractor: 1 '"it-', Phone: ,,, 11, ,, Fire Suppression Contractor: i'4 I' Phone: i NOTE:Plans and supporting documents that you submit are considered to be public information- Portions of the i information may be classified as nonpublic if you provide specific reasons that would permit the City to conclude that they aretradesecrets.______v ‘s.‘,,,,,,,_,„_„,„, _____,,,,,,,,„„,„,,,,,,,,,„,,,,„_,„„__,„,„,,,,,,„,,,,„„ „,,„,,,,,,,„„,„.„..,...,,, „„„.....,. .. ,-- ..-— ,• , You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building CDoe must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wwwoopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, arid 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. x 1\1‘.i e,--tAt-tir-A,` \101.4N.2-5Sx , ,....., Applicant's Printed Name Applicant's Signature Page I of 3 � / <2 � ~ k/�0A `-lr�/ '� �� /.d�- / 0m� . " - , --NOT �' " DO �BELO0�THIS LINE - SUBTYPES Foundation Fireplace __ Pmrch(3-Semmon) ___ Exterior Alteration(Single Family) __ S]nQ|eramUy n ___ Po�h (4'Seoeon) Exterior Alteration(Multi) ___ Multi Deck pnroh (Scnomn/Gmoeuo/Pe,go|a) Miscellaneous ___ V� oy__P/ox ___ Lower Level Pool ___ Accessory Building WORK TYPES New Interior|np,ovwmwn� Siding -- Demolish Building*- -__ *Addition Move Building ReroofDemolish___ ___ AlterationAlteration Fire Repair __ Windows Demolish Foundation ---Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation «�m" 914 OccupancyJ88��ESSyetnnmplan Rev/ew f Co�a11.1A. 1___ Edition SAC Units (25961OO96�� } �nnin8 «�'t-~-~--» CityVVa�ar ------ Census Code ' Stories -- Booster Pump #of Units Square Feet PRV ---- #of Buildings Length --- RequiredFire Suppression — K � Type of Construction �� Width -- -----' �� ��-- REQUIRED INSPECTIONS Footings(New Building) ___ Meter Footings(Deck) -- Final I C.O. Required P�m�hm0mNkdd���'n> �� Final/No C.O. Required �� Foundation )( Founda�onBefore Backfill « HVAC—Gas Service Test Gas Line Air Test ____ Roof: Ice&Water Final Pool: Footings Air/Gas Final ~�� FnanninQ ��3Vx4inutoo1Hour Drain Tile --- --- ____ Fireplace: Rough In Air Test Final X Siding: Stucco Lath Stone Lath Brick EF|S Insulation --- --' --- �� Windows �� Sheathing «~ _ « ' Retaining Wall: Footings Backfill Final Sheetrock --' --- RmdmnCon*n»l Fire Walls Fire Suppression: Rough In Final � Braced Walls --- ^ Erosion Control ShowerPan ---- Other: __ Reviewed By: ^�- Y , Bmi|din@|nmpechor RESIDENTIAL FEES Base Fee Surcharge 9-40/1° Plan Review � ) V \' MCES SAC �� 0400 ��city� C Utility Connection Charge ' ��� S&VKPerm� & Surcharge 2� 69�~ - :7/ç' >( Treatment Plant Copies . ^J�" /�� ��� u� �v`, :11 3 q TOTAL � \v° ��^ � 0 � � itTall/-- 1 � ~~ �� ~` ^ ��� '«�aor����� �� � . • I ' 1 a - lidoo c:LLMC,NIT, .1* .E „.. , PAC.N1PoTa L;c1(.;1.1T rAti•55118 esCi 0 ., - #E ET- J Ys-soo 7-hoht.e,s &ice 4(. 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Attachments: 4500 Thomas Lake - setbacks with scale.pdf;4500 Thomas Lake -Wall Bracing.pdf;4500 Thomas Lake - addl engineering.pdf Follow Up Flag: Follow up Flag Status: Flagged Categories: Red Category 1.) See attachment. Photo has scale dimensions for setbacks listed. (Done by my sister in law who is a city GIS specialist). 2.) The property square footage is 79,275 sq ft and the impervious surfaces are only 6108 sq ft, so it's well below the 25%threshhold. Here are the impervious calculations: • House foundation size-2052 sq ft • New garage- 1088 sq ft • Parking pad- 288 sq ft • Driveway- 2160 sq ft • Rear walkway- 120 sq ft • Rear patio (pavers) - 400 sq ft • TOTAL=6108 SQ FT IMPERVIOUS SURFACES 3.)Not an issue. House foundation square footage is 2052 sq ft and the garage is only 1088 sq ft. 4.)We will not be removing egress windows. 5.) See attached document for additional engineering. 6.) 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'ti C3 O NO 7- 0 33 Terry Zelenka From: Nick Hanson <nick.hanson@hansongroupmn.com> Sent: Wednesday, October 25, 2017 12:09 PM / I To: Louis Anderson; Nick Hanson;Terry Zelenka; Mike Anderson ,/7A"/' % Subject: Re:4500 Thomas Lk cir, "underpin" If any soil was disturbed beneath the existing footing it will need to have concrete vibrated below and underpinned. If no soil has been disturbed, we are not requiring a minimum distance of underpin. Nick Hanson Structural Engineer The Hanson Group LLC Cell: (612) 708-3572 www.hansoncgroupmn.com 3407 Kilmer Lane North Suite#4 Plymouth, MN 55441 On 10/25/2017 12:03 PM, Louis Anderson wrote: Hello, Nick can you please provide Terry from the city of Eagan a short sentence telling him that we in fact do not need to dig under or undermine or underpin that existing footing? Terry is meeting us back out at the site at 3 o'clock to give us the final go ahead. Louis Anderson Anderson Pro Builders LLC General Contractor 651-775-8180 License # BC652737 Fully Insured 1 ./ !----, "t//17e.5—ga• ... : #E E-T•= mcmogra i.:LIC,LIT. mrl•55ii8 3 0 E' OM1 (612)450-1979•FAX 937-0339 J cyloo 7h ihtiLs LA162 / ('. ......m.—. MN LIC#89Il )G-31(NI/bUILD INC. fil-6 2/ '4 6 00 _,. o a -' Z. 1/ V 7c rs----------- I s Ai I Dkm 6: 1 I e• 1 , ---------_____ I% '' i . 1 ,• i 0 i ill 1 i; k s k -t V_ 17I 14 ..g — 1 e/C0 i N . s _...L c ; 1 7 ...r.. 4 1. Pr = cri > -< —4 II—, 1 1 r--- = , ..? <1 ,/ t _ 1K , . , va... .., „ _ M I 72-- ( 1 , ; b, 0• . q7 . , allielik cl.:#) V ,..../ I; .C. . - , ,.. , c...., . 7 , C-9 ---5 ••'-`-. . , , C7 ..)e, ...., c.1 .7-.4...„ _.... .- C-- --4S--• •--‘-\. t <6 -2_ ci\ 11-:— PERMIT City of Eagan Permit Type:Building Permit Number:EA166723 Date Issued:01/29/2021 Permit Category:ePermit Site Address: 4500 Thomas Lake Cir Lot:2 Block: 1 Addition: Sugar Bluffs PID:10-72925-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott & Cynthia Petersen 4500 Thomas Lake Cir Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature Receipt:# 866486 AGREE $46.00 Return to: SIMPLIFILE 5072 NORTH 300 W PROVO UT84604 3562564 11111111111111111111111 Recorded on: 10113/2022 3:02 PM By: LMF, Deputy Office of the County Recorder Dakota County, Minnesota Amy A. Koethe, County Recorder ENCROACHMENT AGREEMENT This Encroachment Agreement ("Agreement") is made and entered into this i day of October, 2022, by and between Scott Petersen and Cynthia Petersen, husband and wife (hereinafter "Landowners"), and the City of Eagan, a Minnesota municipal corporation (hereinafter the "City"). (The City and the Landowners are collectively referred to as the "Parties"). WHEREAS, Landowners are the fee owners of Lot 2, Block 1, SUGAR BLUFFS and their address is 4500 Thomas Lake Circle, Eagan, Minnesota 55123 (hereinafter the "Property"); and WHEREAS, the Property is subject to a Conservation Easement in favor of the City dated August 19, 2004, and recorded in the office of the Dakota County Recorder as Document No. 2239344 (hereinafter the "Conservation Easement"); and WHEREAS, under the terms of the Conservation Easement, the Landowners were prohibited from altering the easement area covered by the Conservation Easement without the prior written consent of the City; and WHEREAS, the City discovered that there was a man-made structure (stairway) (the "Encroachment") within the easement area; and WHEREAS, the Landowners requested that the City allow the Encroachment to remain within the Conservation Easement; and WHEREAS, the City Council of the City agreed that the Encroachment could remain, but that non-native invasive plant species (buckthorn) would be eradicated within the Conservation Easement area and restored with a diverse mix of native plant species, wildlife habitat would be enhanced with the installation of two Wood Duck houses and two pollinator houses, and that the Landowners would need to enter into this Agreement to allow the man-made structure to remain. NOW, WHEREFORE, in consideration of the foregoing and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Parties agree as follows: 1 1. ENCROACHMENT WITHIN THE CONSERVATION EASEMENT AREA. The Landowners shall be permitted to allow and maintain the Encroachment to remain within the Conservation Easement area as it currently exists to date. 2. RESTORATION PLAN. The Landowners shall complete the Conservation Easement restoration plan approved in conjunction with this Encroachment Agreement including the eradication of non-native invasive plant species (buckthorn), restoration by planting of identified native plant species, wildlife habitat enhancement and associated restoration efforts within the Conservation Easement. 3. NO MODIFICATION. Except for the encroachment referenced in paragraph 1 above and the approved restoration plan in paragraph 2, all other terms of the Conservation Easement remain in full force and effect and no other modifications to the easement area may be made by Landowners without the express written consent to the City. [Signature pages to follow] 2 Encroachment Agreement Signature page for City CITY OF EAGAN: By: Mike Ma ire Its:, Mayor.f ,y i a ,V use it Cleik.t- ��.,1 STATE OF MINNESOTA ) )ss. COUNTY OF DAKOTA ) The foregoing instrument was acknowledged before me this q day of a s 20229 by Mike Maguire and Elizabeth VanHoose, the Mayor and Clerk of the City of Eagan, a Minnesota municipal corporation, on behalf of the municipal corporation. JANGELA D. FAI ON t4OTARY PUi3LjC-M1NNESV1rA C�AA&Qkq RMy Comm, Exp. Jan.31, 2G25Notary Ablic Encroachment Agreement Signature page for Owner OWNERS: en l bC nthia Petersen STATE OF MINNESOTA ) COUNTY OF ) ss. The foregoing instrument was acknowledged before me this 744, J-day of O 2022 by Scott Petersen, married to Cynthia Petersen. nnnnvvwu. dzf5-yr MICHELLE CAMPBELL LUTOVSKY 1 Notary Public -Minnesota My O mmisslon Expires Jan 31, 2024 STATE OF MINNESOTA ) ) ss. COUNTY OF QQLY -F0L, ) Notary Public The foregoing instrument was acknowledged before me this day of 2022 by Cynthia Petersen, married to Scott Petersen. MICHELLE CAMPBELL LUTOVSKY 1.Notary Pubiic-Minnesota My Commission Expires Jan 31, 2024 THIS INSTRUMENT WAS DRAFTED BY: City of Eagan Engineering Department 3830 Pilot Knob Road Eagan, MN 551122 (651)675-5646 q�-k,Ajtj Notary Public 4