4853 Wellington Ct
CI'ii "AGAN PermitNo: Date: f-~g=F7
3830.Piwt Knob Road Meter No: 7 Size_
PLG. Box 21199 Reader No: Date: ^ 3 D.-g]
Eagan, MN 55121 •
Owner. Taklefson Blc'rs.
SiteAddress: ~~53 4fe11ingtan Court L2 B2 l:riteanv ~~ti,
Plumber. Take S ide S~`.'
Conn. Chg: 52 ~onin~~~
15
2w~}: d,'Utii
Acct Dep:
PermitFee: t _
Surcharge: I~ t~~i~ with the City of Eayan
Tr. Plant ' r ncss.
fi7.00 a I
M scr ln. [)Ond Penaltv gy •
WATER SERVICE PERMIT
CITIr vr EAOAN SEWER SERVICE PERMIT
3830,pNo4 Knob Road 99F.4
P.O. Box 21199 PERMIT NO.:
Eayan, MN 55121 DATE:
Zoning: y1 No. of Units: 1
Owner. Tollefson Bldrs.
Address:
SiteAddress: 4853AWellington ~',ourt L2 ??2 Brittany 9th
Plumber. °Lake Side S E W/C;enz F.van
4-I7-E7 7'8165 100.00pd
I agroe to comply with the CNy d Eagsn Connection Charge: 515 011P3
Ordfnancest Account Oeposit: ~ 4. oLi.$d
Permit Fee:
Surcharge: .-5o.p',
gy Misc. Charges: l ^ ,
Date of Insp.: ToteL•
Insp.: Date Pald:
.
. • ; - t CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est Value Date ,19
Site Address OFFICE USE ONLY
Lot Block Sec/Sub. On Site Sewage Occupancy
MWCC System _ Zoning
Parcel No. On Site Well _ Type of Conat
City Wafer _ (Actuaq
¢ Name (Aliowable)
_ # of Stories
; Address Length
0 City Phone ' Depth
S.F. Total
, o Name Footprint S.F.
~ ~ Address APPROVALS FEES
~
~ City Phone Assessments _ Permit
F Q Water/Sewer _ Surcharge
v W NBme Police _ Plan Review
WW
Addre33 Fire _ SAC. City
~ = Engr. _ SAC, MWCC
~W City Phone Planner _ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheintormationisconectandagreetocomplywithallapplicable APC - TreatmentPt
5tate of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued ta on the express condition that
all work shall be done in accordance wlth all applicable State of Minnesota Statutes and Ciry of Eagan Ordinancea
Building Official
1- Parmlt No. Parmlt Holder Opta Telephone #
Piumbing y/
H.V.A.C.
Electric ccJ
Softener
Inspectfon Date Insp. Comments
Footings 1
Footings II
Framin
Foundatiot./o,
g Roofing
Rough PibRough HtgISUI. C.~/. W I~ I
Fireplace
Final Htg.
Final Plbg. ~ . ~
Bldg. Final
Cert OCC. /,e- C,/ xt ct .~i r
Temp. l P a!' tc . ~cv?e 4( S
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
. I CITY OF EAGAN N° 13 518,
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8700
Receipt# o
Tobeusedfor SF DWG/GAR Est.Value $144,000 Date APRIL 27 1987
Site Address 4853 WELLINGTON CT OFFICE USE ONLY
Lot 2 Block 2 Sec/Su6. BRITTANY 9TH On Site Sewage _ Occupancy R3
MWCCSystem _ Zoning R }
Parcel No. On Site Well _ Type of Const
Ciry Water _ (AC[ual) V
a Name TOLLEFSON BLDRS (Ailowable) V
m # of Stories
z Address 12617 FAIRGREEN AVE
Length !a7
~ City A• V• Phone 431-1100 oeom 45
S.F. Total
, p Name SAME Footprint S.F.
~a Address APPROVAIS FEES
0~ City Phone Assessments _ Permit $ 635.50
WateNSewer Surcharge 72.00
W W Name Police _ Plan Review 71 7- 7 5
t i Fire _ SA0. City -~OQ,_00
Address
~cf Engr. _ SAC.MWCC 525 00
a W City Phone Plenner _ Water Conn. 529, pp
Council _ WaterMeter 67.00
I here6y acknowledge that I have read this application and state BItlg.Oft. _ Road Unit 305 _(lp
thattheinformationiscorcectendagreetocomplywithallapplicable APC _ 7reatmentPl 180_00
State of Minnesota Statutesnd City of Eagan rdiJJJ~~~ an s. Variance _ Parks
/ Copiea
Signature of Permittee ~U'L-C~wct_ I - TOTAL 5
A Building Permit is issued to: TOLLEFSON BLDRS on the express condition that
all work shall be done in eccordance with all app ab_~ E/ St~ate of Minnes~o~a Statutes and City of Eagan Ordinancea
BuildingOfficial ~ 1
; y
j 37 ~ 2 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructian Reauirements RemodellReoair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ff. of house; and all roofed areas . 2 topies of plan
(20% maximum lot coverage alloweE) . 1 set of Energy Calculations tor heated additions
• 2 copies of plan showing beam 8 window sizes: poured found desgn, etc.) . 1 site survey for exterbr additions 8 decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 7 copies of Tree Preservation Plan if lot plattetl afler 717193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE ~4 02 VALUATION g 1_ 60
SITE ADDRESS 4P..~5J U ~t'~l~_~(lG Ct . MULTI-FAMILY BLDG _Y _N
TYPE OF WORK ~EIn-cOfl FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 'Sull.L7C,l.YFZan, EK}&jrl CYS
STREETADDRESS ~Q_WIrIIrlQhCA:::j -Ai/e_ CITY~STATE~ZIP~4
TELEPHONE #W -$232CE HLL P ONE # FAX ft-,2-_ ~~j5i)
PROPERTYOWNER 00" 4fhhn (_bhl'l5cl'1 TELEPHONE# 51 U - 2~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNESU'CA RULL:S 7670 CA'CI:GORY 1 iNIIVAk:SOT:1 RIJLCS 7672
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submiried
• Energy Envelope Calculalions Submitted
Plumbing Contractor: Pkionc #
PlutnUing syslcm incluclcs: Watcr Softcncr _ Iawn Sprinkler Pee: $90.00
Watcr Hca[cr No. of R.I. Bat}is
No. of 13atlis
Mechanical Contractor: Phone #
N/Icchauic.il syslcm includrs: Air Condiuoning ~~ct{~ f' 7~ 0
- Hcat Rccovciti' Sqstcm
sewer/water Contractor: Phone Illl 3 0 2002
I hereby acknowledge that I have read this application, state that ihe information iseArrect, an agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc s.
Signature of Applicanf ~
OFFICE iJSE ONLY
Certiticates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4l02
RESIDENTIAL 70,90
BUILDING PERMIT APPLICATION
V~ CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651•681-4675 /~n (IYIL~Ir
New Conatruetion Reauiremenh RemodellReoair Reauiremenb
• 3 registered sde surveys showing sq. ft of lot, sq. fl. of house; and all mofed a2as • 2 coDies of plan
(20%maximum lot coverage allowed) . 7 set of Eneryy Calculations for heated additions
. 2 copies of plan showing beam & window s¢es; poured found desgn, etc.) . 1 site survey for extenor additions & decks
• 1 set o( Errergy CalculaGons . Indiwte if Mme served by septic system for additions
• 3 copies of Tree PreservaGon PWn if lot platled after 711193
• Rim Joisl Detail OpUOns selecUan sheet (61dgs vrith 3 arless units)
- zv - 2ooz A 3 j00~
DATE VALUATION ~
q$ 53
SITE ADDRESS Clr MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK DLCil' AW'1W FIREPLACE(S) _ 0_ 1_ 2
APPLICANT `l_H_E DtcL Wn/D no~ic Cc-,
STREET ADDRESS ~ I C32 Allill uW MW is CITY IOjt r'~C64 MS"f STATE 'I'W ZIP R;c
TELEPHONE # CSI-322-450 CELL PHONE # FAX #
PROPERTYOWNER Aw9 ~ctiN j'L~ E# 525?,
COMPLETE THIS SECTION FOR °NEW" RE TIAL BUI GS ONLY
Energy Code Category
_ MTnn(ESO'1'A RULES 7670 CATEGORY 1 INNCSOTA NUI.ES 767l
(J submission type) • Residential Ventilation Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: _ _ Phone #
Plumbing sysfem includes: _ Water SoRener _ Lawn Sprinkler Fee: $90.00
Water Heater tio. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Vicchanical system includes: Air Condiuoning ree: $70.00
Heat Recovery Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
'
Stgnature of Applicant 4
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY ,
? 01 Foundation ? 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 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex 0 10 OS-plex ' 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation It /?(JV Occupancy (L 4q- MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ! Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
Y Footings (deck) y FinaVNo C.O.
rr Footings (addirion) _ Plumbing
Founda[ion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacement)
_ Insulation _ Retaining Wall
Approved By Building Inspector
- - - - -
V v
Base Fee
Surchar9e
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~
~ROBE ~DHSUlTIHO EH6IH~EAS
~ ENGINEfA1NG PLANHEAS ned lAHO SIIRVEYOBS
COMPANY, INC.
~ 1000 EllST 146L1 STAEET, BUANSY(LLE, YINHE!OiA S.`.337 pH 412-5000
Ce°T~Z~Z CLZi~~ S~7"Ye l.~
Z-a~cl 17cJCr~,o2ion- Le~ z, +'3Loc.4 z
f~fzi7'-rf4NY Q-r~1 /~oD i i ioti~
'Da,to---~n c~.~ ~.-r ;-J r~` rJC s o--~•
5 8p°os• ~iD ~
~7~n~ N 25• E.
153.03 ~l
C• n o'~ j ~ l
NJ ~ 1 1
C~ ~~P - Vio ~ ~ al
m I _(\p ~'~q f ~ CC`~g r t~y ^1
m i 7,
3 ~Y'% w L:.B3
N YoSS~ ' ~ i
O = ( S'7-L30 i 4.e '
/ A
~ / i P ~ .D f1 ~1
c ';~aro4e y C VC~~E u1 ~l
0
Oo
~777 10_
~tol`0
S 88•26'42' E 135.96
7enote3 E-X15Elevafior-,
( ^!~r~ DenofeS ~~oPose.d Elevafion.
~-=ndic.afes `Dfrec-f-,on of Surpce Drol,nate
'S•~'~ _ `t-op e~' Tini5he~ Gara7 e F(oor.
heriby eartify that thia ia a t:ue and correct repreaentat3an of ~tract of
#nd aa aho+.n' and deacribed hernon.• l~a prapared by me on this ZZi day ol
~G~~ L. • 19 3? . .
Rinn.._
----a
13 5AP .
1987 BQILDING PERMIT APPLICAYION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLDDS 2 SEfS OF PLANS, 3 CBRTIFICASSS OF SOROEY, 1 SET OF ENERGY CALCOLAYI09S
HOTE: ADDRESSES FOB COENER LOTS - COHYHACTOR/HOHEOSiNER HQST DESIGHAYE pHICH ADDRESS
IS DESIRED. NO CHANGES i1ILL BE ALLOiiSD ONCB BDILDING PERHIT IS ZSSOSD.
MOLTIPLE DiiELLINGS - RFSIDENTIAL RfiNT9L OAITS FOR S9LE OHITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9RE OF Sl1RVEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
144,~
To Be Used For: Valuation: ~/~R&2021' Date: /s' -23 -S2
Site Address 0 3 OFFICE QSE ONLY
Lot ,2 Block g-,l On Site Sewage_ Occupancy 3
- ~e MWCC System ? Zoning ~
Parcel/Sub On Site Well Type of Const
City Water ? (Actual) ~
Owner ~ (Allowable)
4 of Stories
Address Length
Depth ~
City/Zip Code S.F. Total.
Footprint S.F.
Phone APPROVALS FSBS
Contracto ovo . ii Assessments Permit
, Water/Sewer Surcharge 21
Address uv , Police Plan Review 311. 7~-7'
Fire SAC, City ItY~.
City/Zip Code 1 Engr SAC, MWCC Z$•
Planner Water Conn ~25•
Phone - Couneil Water Meter l0'7.
Bldg Off Road Unit ~5.
Arch./Engr. APC Treatment P1 180.
Variance Parks
Address Copies TOTAL -7, ~
City/Zip Code
Phone b
Tb~..LEFSo~-~ ao^rU`.
aosE ~
ENGiNEEIi1NG `PLAHHEAS and6lAHD Sg1IRVEYOfIS
COMPANY, INC.
~ 1000 EAST 1461n 57REE7, BURNSYILLE. YIHNESOiA 55337 p4i 432-30p0
Cer~z~`z cczZe Su~Ye c~
Z.e~al 1714cr4P2ion- Lo 71- z, 13c.oc.F'- z
f3fz,TTi4r-AY q`r'-I AoD i i io--\
S BQs
~i
OS'25 • E 153. 03
o ~.CpC~q~ r N C~'g. ta~~ol
i
ro5s~ 1
N ~ ~b~s~ ~~^'~,1 w L
o I ~ i41
c
Z o i ~raQe p
, .
~
- !K.o O
7
~j
FAD IrQL> OJ "Vi~.'
~ W
s ee•z
s'az• e 1as.ss
1'~enofes Exisfiin9 Elevaf~o~_
~R~~(,.~~ ~enofeS ProPose.d Elevnf"ion.
~-1'ndicafes 'l~irec-I-(bn of SOrp e2 ~rolna~e
-mP ~J ~iniS~e4 (aarQ 7 e F(oor,
I her:by eartify that thia ia a t:ue and correct repraeent:tioe of &)tTae! of
1 nd aa •ho++n':nd deacribed hereon.- Aa prapared by tnn on thia Zz day ot
19 8-7.
Hinn.__Eea'• .;No•~_
~ . .
_ _ . . .
CITY OF
BUILDIN(i UF.PAR'1RIENT
EXTERIOR ENVII,OPE AVEfZAQE ipUio C014pUTATION
(To be subro3tted with building perroit application)
one cr Two Family Dwelling Owner~L-C5M2f72,j;ljW:;
All other Site Addrese •
Conti•actor Date Phone
LI[IF,AL FEE:T OF
EXPOSEU GlALL 6y~ite above grade
TOTAL EXPOSED WpLL ARe,A Sc2. F'1`.
OPA tUL kUl.LL CUf:S'PRU .'PIUII: "U" Value x Area
itUll .3 7C Fi(Z. FT 00-0 U A
i•e1'erence °
ult x S , FT. )
Crom ~ upu ./).4O x SQ. FT. ~U) (A)
`
attacited x $Q. FT. _ ~~)(A)
slteete liull X SQ. FT. _ (U)(A)
npn x 8Q. FT. _ (U)(A)
'11I11U0'NS: "Ull Value x Area
tinice & Tyre flpff .4
n n P2~X SQ. FT. .S/ =~~(U)(A)
n „ npn x Sq. FT. _ (U)(A)
uUn x yQ. FT. _ (U)(A)
u n npu
x 8@. FT. _
_ (U)(A)
A7oRS: "Ull Value x Area
;•Ir-'ce & Tyoe upn x $Q. FT.4 .p (~)(A)
n n
it ilull , x sQ. FT. 42.r0 _ - (u)(n)
itull ~~un s aR. FT. = (U)(A)
x 3Q. FT. _
TOTAI,S _~,CJ-~j,i~SQ. r'T._ /~.C1.?7 (U)(A)
A1TER DE IJUJI
TOTAL (U)(A) vai,nES ~ .q3 =
UIVIDP:ll BY TOTAL 17pLL AREfl Z~:&-/
AVk;12A4E "Ulf .115 or lese for 1&2 family dwellinge
RoOF/CFILIPIa s
'I'o'fAL AREA: '
Uetail reference Q]r x SQ. FT. r ~(p)(n)
Trom x 8Q. FT. . (U)(A)
nttlclied sfieete. x 3Q. FT. ~ (U)(p)
llescTibe ooeninge "Ufl x 8Q, FT. (U)(A)
in roof. nUII x 3Q. FT. _ (p)(A)
'PO'1'AL (u)(A) VALllEB DIVIDED HY lq•53 N,ft CUAA>
a
'1'o'PAL R00F/CEII.IN4 AREA 9,3o ~ Qz
AVERAQE "Ull ,025 for ventilnted roofe.
i~
I ~O~ ? 1 , ? ,
~
~
9~0
~
~ ~83 x (dl +,31 { ~o +.919
~Of C •
I
I - 67 X (3g t334 -3~ g6
i
3LM 16(6,r
~
~ -
24 xtab = io. oo X 3 = 30-0
7AX36 15-D
z4x~ = 6~o x. 1= ti. o
oo ~
3 5TL vi1151, = Z8-Ob . .
2 0 G~t"~ = Z I. D(~ ~
-4Z. ov
cb7v,-
I
.
I~7" -~XPoS~D W~1G~ ~GUr~S
~YVSs Wall z,4~~~
Lei5~ Oo-,vic . qG, zlg
,er'M /87.50
- -~Z~• D(~
OW110WS .51.06
,r /~oPS 9i. 00
~,D~D• 60-~Z--
~31 x30 = 936-~
• , i
. ,
,
,
~0° ISQO'8 - C?a0-Oa
SPECIAL ASSESSMENT AGREEMENT
THIS AGREEMENT dated this bTN day of October, 1988, between THE
CITY OF EAGAN (hereinafter called "THE CITY") and GARY W. and JOY L.
SYMES (hereinafter called "CIWNER") of 4853 Wellington Court, Eagan,
Minnesota.
WHEREAS, THE CITY had by public project planned, developed and
constructed local improvements through Public improvement Project No.
45R, benefiting the property held by the OWNER; and
WHEREAS, upon the completion of the improvements, THE CITY
levied assessments based on a five-year assessment spread against the
property; and
WHEREAS, the OWNER, in the process of purchasing his home
located on the above-described address, did pay through the purchase
price an amount sufficient to pay the levied special assessments; anu
WHEREAS, through a set of circumstances still under
investigation by the County Attorney's Office, the closer involved in
the sale and purchase of the above-noted acidress collected funds in
escrow but has failed to pay the special assessments as they became
due; and
WHEREAS, the OWNER in conjunction with six other property owners
have filed suit in the District Court in the County of Dakota, State
of Minnesota styled James M. Bratulich and Nancy J. Bratulich, et al,
nlaintiffs v Valley closings et al Defendants, Court File No.
C7-88-3195, wherein the Plaintiffs have been awarded a Summary
Judgment in the amount of $75,394.97 against the closer, Valley
Closings, an assumed name; Valley Closings and Develop9nent, inc., a
Minnesota corporation; and Valerie A. Connor, aka Valerie A.
Connor-Johnson; and
WHEREAS, on October 6, 1988, the Eagan City Council did take
action whereby the Council approved a 20-year assessment respread for
the assessment against the OWNER's property with the understanding
that this Agreement be executed by the OWNER.
NOW, THEREFORE, in consideration of the foregoing facts, the
parties hereby agree as follows:
1. The OWNER, for themselves, their successors and assigns, does
hereby covenant with THE CITY that should it recover any amount of
money from the litigation commenced in the District Court of Dakota
County, styled James M Bratulich, et al v Valley Closinas et al,
Court File No. C7-88-3195, that it will remit any and all sums
received to THE CITY as a prepayment of the special assessments.
2. The OWNER, for themselves, their successors and assigns,
waives any and all objections to THE CITY's tight to re-assess the
property for Public Improvement Project 45R including any further
notice which may be required in the future xegarding the assessments,
if for whatever reason the OwNER's payments thereof do not remain
current. Further, the OWNER waives any and all objections to the
present re-assessments agreed to herein and the proceedings related
thereto.
3. By execution hereof, THE CITY does agree to re-assess, over a
20-year spread, the assessments due against the OWNER's property,
pursuant to Public Improvement Project No. 45R at the same interest
rate originally set out in the adopting Resolution.
-2-
4, The (7WNER hereby agrees that this Agreement may be recorded
at the Dakota County Recorder's Office and the OWNER shall execute
any and all documents necessary to implement the recording of this
Agreement.
5. The OWNER hereby agrees that this Agreement shall run with
the affected land and binds the heirs, successors and assigns of such
land.
The undersigned have read and understand the above Agreement ana
hereby bind themselves to it in all respects.
OWN~R: THE ITY OF EAGAN
~ ~ G!/,
GARY W. SYMES
Its: Mavor
JO L. YMES
ATT 4Its: :
Clerk
STATE OF MINNESOTA)
) ss.
COUNTY OF VhV-oi A
On this sTw day of NAobev- , 1988, before me a Notary Public
within and for said County, personally appeared VICTOR L. ELLISON and
E. J. VanOVERBEKE to me personally known, who being each by me duly'
sworn, each did say that they are respectively the Mayor and Clerk of
the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed in behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
NIAAIIYN 4 WIICNERPFENMI6 ~
~
~i{~. NOTAPY PUBLIC - A7INNESOTA ~
DAKOTA COUNTY NO ary Ub11C.
`Y1rr 51y Cominission Ex0 Fe6 8, 19'SS
-3-
,
STATE OF MINNESOTA)
) ss.
COUNTY OF DAKOTA )
On the,9d- day of October, 1988, appeared before me, a Notary
Public, GARY W. SYMES, husband of JOY L. SYMES, who did sign the
foxegoing instrument. Notary Public
.
s
sAc.saa
%i7A
ri-e
STATE OF MINNESOTA)
~i2;iCf'm!5
ruv. 2s. i9vo
ss. w'
COUNTY OF DAKOTA )
On the Lt!LC-' day of October, 1988, appeared before me, a Notary
Public, JOY L. SYMES, wife oi GARY W. SYMES, who did sign the
foregoing instrument. Notary Public
THIS INSTRUMENT DRAFTED BY: '^F^" 1 r sEvEQSay p
i n N, Pi tt r:±
McMENOMY & SEVERSON, P.A. 3577A
7300 West 147th Street 1RYCdMGi apIRi$ql;G 25, 1990
P.O. Box 24329
Apple Valley, Minnesota 55124
(612) 432-3136
MG D
-4-
! .
~ + -
F
4
E
INSTANT TESTING CQMPANY
~ IT 4000 BEAU D' RUE DRIVE
EAGAN, MINNESOTA 55122
I ~ ~ CEDAR AVE. et T.H. 13 ~j z U~-
i y. f~-
! ?ORTA6lE TESTINO OF M161iWAY COMfT11UCT10N MATEIIIAIi
I G.J.NOPACEK,PFOFESSIOHALENGINEER
CALI 454•35I4
' INSPECTIifN REFORT
i"
~ Tollefson Ruilder=_. Inc.
' 12167 Fairgreen Avenue
Appie Va.lley, Minnesota 55124
F.E_ .Y.r'ittan= EstatES,
fioq5iPaG -inFPer±iOn
4853 Wellinctom Court
DF;TE INSFECTEL!: 30 kprzl 1987 REPpRTEP: 1 Mru 1487
a 1E:30
Inspected hCiu=epad loccted at 4853 Weilin5ton Court, Eaga.n,
Minnesota. AIi organic= hnd Geen rerooved from excavation. Easal
soil is a dar4:: greu =_.andu loam, 9oing to a. mo'.tled arey clay,
sligh±ly s?.ndg, firrt„ quite wet. E>:crva:ion is a.para>:irtiately
12' below natural surface. At least 4' to 5' of fill below
feotinqs is required. Contractor will fill with granular tyP2
rtiaterial.
?hreE hand au9er berings uiere done 2' to 3' belon, erca.va.-
tiori, soil rerne.ined constant LLiitt, no unsuitat+le seiis vi=ible.
Pa.d appeared to t+e properly oversized. Will cali n:hen ready for
den=_.ity testing.
ipJSPECTiiR: Larry Petersen
INS?ANT TESTIN6 COMPANY
CHAR6E CODE= Hrly - 300:: (1)
MILEAGE 10 - #61:
CUPIES T0: Tol2efson P,Lkilders
I~~ 0 INSTANT TESTING COMPANY i NPLacE DENS I TY
4000 BEAU D' RUE DRIVE
EAGAN, MINNESOTA 55122 TEST REPORT
Phone 454-3544
PRUJECT: Erittany Estates
Housepad, 4853 Wellington Ct
FnR: Ti]Ll.EFSON YUILDERS
Dr;TE TESTED: 1 May 1987
7ollefison Euilders a 8 AM
' 12167 Fairgreen Avenue REPOR7ED: 5 May 1987
ApFle Vailey, MN 55124
AUTHORIZED $Y: customer
AREA TESTED: ,Housepad bacE;fill, 4853 Weilington Court
I^!P:.ACE P,EIJ517"Y RESULT't
TEST NUMRER: i
L.
LOC:ATION: center ef 10' west of
sauth fnotina center of pnd
1 irie
DEPTH RELOW GRHDE: 3' 1+
PROCTC>R CURVE NUMP,ER: 87-05 g7-05
UISUAL 50IL CLASS: Sand & Gravel---
% MOISTURE: 5.5 4.4
OPTIMUt1 MUISTURE, 11.2 11.2
RELATIVE MOISTURE, i:: qq 39
FIELD DENSITY, PCF: 119.8 120.8
STANDARU MA};IhYUP1 DFiY
iictvSI'(Y, PCF: 118.9 118.9
RELATIVE DENSITY, 1-01 102
REQUIRED: -95+ 95+
Tests meet density requirements.
Relative den=ity results hased on standard proctor.
proctor sanipled witFi fieid te=_t #1, Lab. No. TB87-05.
CHARGE CUDE: 2 - #306
+ HRLY - #601 (-1-)
MILEAGE 10 - #612
COPIES TO: 7ollefson Ruilders
. ~?~~f ~ ' `~"'~'rf~f ~ • ~
Signed
.
V
G. J. Kopacek Professional Engineer - Registration No. 7254
INSTANT TESTING COMPANY MOTSTURE/DENSITY
_ CO 4000 BEAU D' RUE DRIVE
_ EAGAN, MINNESOTA 55122 TEST REPORT
Phone 454-3544
FOR: TOiLLEFSON P.UILDEP,S LAD. N0, TP87-05
5UEMITTED PY: Larry Petersen, ITCO LOCATIUN: Housepad,
4953 Wellingtan CaUrt
DATE SAMPLED: 1 May 1987 REPORTEU: 5 Fiay 1487
PFiOGTUR RESULT5
MOISTURE/DENSITY TESTS ASTh1 U698-70, METHOD C(STANDARD PROCTOR)
CURVE NUMRERe 5
VISUAL. SOIL CLASS: Sand & 6ravel
STANDRRD MAXIt•t1.7M DRY DENSITY: 118.9 Pi,F
CtPTIMUI" MOISTURE: 11.2 'l.
SAMPLEL FROM: center af so<<th footine line
at housepad
SAMPLE REPRESENTAFIVE C3F: test #1
CHAR6E CODE: i - #303, 1 - #302,
i
Signed
V
G. J. Kopacek Protessional Engineer - Registration No. 7254
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146658
Date Issued:11/06/2017
Permit Category:ePermit
Site Address: 4853 Wellington Ct
Lot:2 Block: 2 Addition: Brittany 9th
PID:10-15008-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Joan T Johnson
4853 Wellington Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170345
Date Issued:06/28/2021
Permit Category:ePermit
Site Address: 4853 Wellington Ct
Lot:2 Block: 2 Addition: Brittany 9th
PID:10-15008-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael R Dahl
4853 Wellington Ct
Eagan MN 55122
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175213
Date Issued:03/21/2022
Permit Category:ePermit
Site Address: 4853 Wellington Ct
Lot:2 Block: 2 Addition: Brittany 9th
PID:10-15008-02-020
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 -
Michael R Dahl
4853 Wellington Ct
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177823
Date Issued:07/20/2022
Permit Category:ePermit
Site Address: 4853 Wellington Ct
Lot:2 Block: 2 Addition: Brittany 9th
PID:10-15008-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael R Dahl
4853 Wellington Ct
Eagan MN 55122
(952) 300-7742
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature