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Home My WebLink About2016-03-14-F01C Westown-R22 Intersectio - Real Estate Transfer - Johnson. AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: March 14, 2016 AGENDA ITEM: Consideration of approval of a resolution approving Real Estate Transfer in the amount of $1,131.00 (Mark and Lisa Johnson) FORMAT: Resolution SYNOPSIS INCLUDING PRO & CON: Due to the realignment of Westown Parkway 0.032 acres need to be acquired from the Johnson property. The parcel was appraised at $1,131.00. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS: $1,131.00 COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve the resolution. ATTACHMENTS: I. Real Estate Transfer-Declaration of Value PREPARED BY: Beth Richardson REVIEWED BY: John Gibson PUBLIC NOTICE INFORMATION – NAME OF PUBLICATION: DATE OF PUBLICATION: THE CITY OF WAUKEE, IOWA RESOLUTION 16- APPROVING REAL ESTATE TRANSFER RELATED TO THE WESTOWN PARKWAY/R-22 INTERSECTION IMPROVEMENT PROJECT [MARK A. AND LISA E. JOHNSON] IN THE NAME AND BY THE AUTHORITY OF THE CITY OF WAUKEE, IOWA WHEREAS, the City of Waukee, Dallas County, State of Iowa, is a duly organized Municipal Organization; AND, WHEREAS, it has been determined that acquisition by the City of Waukee of a portion of property owned by Mark A. and Lisa E. Johnson is necessary for the purpose of construction of the Westown Parkway/R-22 Intersection Improvement Project; AND, WHEREAS, a Real Estate Transfer is proposed for the property legally described in Exhibit A of the Real Estate Transfer which is attached hereto. NOW THEREFORE BE IT RESOLVED by the City of Waukee City Council in session this 14th day of March, 2016, that it hereby approves the Real Estate Transfer related to the Westown Parkway/R-22 Intersection Improvement Project, with payment made by the City to property owner(s) Mark A. and Lisa E. Johnson in the amount of $1,131.00. ____________________________ William F. Peard, Mayor Attest: ________________________________________ Rebecca D. Schuett, City Clerk ROLL CALL VOTE AYE NAY ABSENT ABSTAIN Shane Blanchard Brian Harrison Shelly Hughes Larry R. Lyon Rick Peterson BUYER: Phone:_______________________________________ Buyer Address: e-mail: Address of Property Conveyed: Type of Sale: Sale between related parties/family Sale of partial interest Trade Quit Claim Deed Auction DECLARATION OF VALUE STATEMENT Effective On or Before 09/01/14 Iowa Department of Revenue 57006a (07/23/14) Buyer or Seller or Agent or Attorney PART II - TO BE COMPLETED BY THE ASSESSOR 1. Total Amount Paid 2. Amount Paid for Personal Property (see instructions) 3. Amount Paid for Real Property Only (1 minus 2) $____________________________ $____________________________ $____________________________ I HEREBY DECLARE THAT THE INFORMATION CONTAINED IN PART I OF THIS FORM IS TRUE AND CORRECT AS DETAILED ON THE BACK OF THIS FORM . Printed Name: Phone #: Signature Corporation Trust Alien Non-Resident Alien Limited Partnership REAL ESTATE TRANSFER - DECLARATION OF VALUE Please read the instructions on the reverse side BEFORE completing and filing this form. Part I - TO BE COMPLETED BY BUYER, SELLER OR AGENT Date of Instrument: Deed _1 Contract _ 2 SELLER: Phone: Seller Address: Legal Description: e-mail: Was this a sale of AG LAND to: Primary Parcel Number _______________________________________________ YearBlt ____________ Occ ___________ NUTC Primary Classification: Res _4_ Com _5_ Ind _2_ Ag _ 1_ MultiRes _7_ City/Township____________________ Comments: Classification Land Building Dwelling Total Residential Commercial Industrial Agricultural Multi Residential *IDRDOV* ISBA (515) 978-7900 See Attached Acquisition Plat 1,131.00 1,131.00 Mark A. Johnson Mark A. Johnson 31028 Ute Avenue, Waukee, IA 50263 City of Waukee, Iowa 230 W. Hickman Road, Waukee, IA 50263 See Attached Acquisition Plat X X FILE WITH RECORDER DNR form 542-0960 (July 18, 2012) REAL ESTATE TRANSFER - GROUNDWATER HAZARD STATEMENT TO BE COMPLETED BY TRANSFEROR TRANSFEROR: Name Address Number and Street or RR City, Town or P.O. State Zip TRANSFEREE: Name Address Number and Street or RR City, Town or P.O. State Zip Address of Property Transferred: Number and Street or RR City, Town or P.O. State Zip Legal Description of Property: (Attach if necessary) _________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 1. Wells (check one) There are no known wells situated on this property. There is a well or wells situated on this property. The type(s), location(s) and legal status are stated below or set forth on an attached separate sheet, as necessary. 2. Solid Waste Disposal (check one) There is no known solid waste disposal site on this property. There is a solid waste disposal site on this property and information related thereto is provided in Attachment #1, attached to this document. 3. Hazardous Wastes (check one) There is no known hazardous waste on this property. There is hazardous waste on this property and information related thereto is provided in Attachment #1, attached to this document. 4. Underground Storage Tanks (check one) There are no known underground storage tanks on this property. (Note exclusions such as small farm and residential motor fuel tanks, most heating oil tanks, cisterns and septic tanks, in instructions.) There is an underground storage tank on this property. The type(s), size(s) and any known substance(s) contained are listed below or on an attached separate sheet, as necessary. Mark A. Johnson 31028 Ute Avenue, Waukee, IA 50263 City of Waukee, Iowa 230 W. Hickman Road, Waukee, IA 50263 See Attached Acquisition Plat See Attached Acquisition Plat FILE WITH RECORDER DNR form 542-0960 (July 18, 2012) 5. Private Burial Site (check one) There are no known private burial sites on this property. There is a private burial site on this property. The location(s) of the site(s) and known identifying information of the decedent(s) is stated below or on an attached separate sheet, as necessary. 6. Private Sewage Disposal System (check one) All buildings on this property are served by a public or semi-public sewage disposal system. This transaction does not involve the transfer of any building which has or is required by law to have a sewage disposal system. There is a building served by private sewage disposal system on this property or a building without any lawful sewage disposal system. A certified inspector’s report is attached which documents the condition of the private sewage disposal system and whether any modifications are required to conform to standards adopted by the Department of Natural Resources. A certified inspection report must be accompanied by this form when recording. There is a building served by private sewage disposal system on this property. Weather or other temporary physical conditions prevent the certified inspection of the private sewage disposal system from being conducted. The buyer has executed a binding acknowledgment with the county board of health to conduct a certified inspection of the private sewage disposal system at the earliest practicable time and to be responsible for any required modifications to the private sewage disposal system as identified by the certified inspection. A copy of the binding acknowledgment is attached to this form. There is a building served by private sewage disposal system on this property. The buyer has executed a binding acknowledgment with the county board of health to install a new private sewage disposal system on this property within an agreed upon time period. A copy of the binding acknowledgment is provided with this form. There is a building served by private sewage disposal system on this property. The building to which the sewage disposal system is connected will be demolished without being occupied. The buyer has executed a binding acknowledgment with the county board of health to demolish the building within an agreed upon time period. A copy of the binding acknowledgment is provided with this form. [Exemption #9] This property is exempt from the private sewage disposal inspection requirements pursuant to the following exemption [Note: for exemption #9 use prior check box]: ___________________. The private sewage disposal system has been installed within the past two years pursuant to permit number ______________________________________________. Information required by statements checked above should be provided here or on separate sheets attached hereto: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ I HEREBY DECLARE THAT I HAVE REVIEWED THE INSTRUCTIONS FOR THIS FORM AND THAT THE INFORMATION STATED ABOVE IS TRUE AND CORRECT. Signature: _______________________________________ Telephone No.: _________________ (Transferor or Agent) FILE WITH RECORDER DNR form 542-0960 – Attachment #1 (July 18, 2012) GROUNDWATER HAZARD STATEMENT ATTACHMENT #1 NOTICE OF W ASTE DISPOSAL SITE a. Solid Waste Disposal (check one) There is a solid waste disposal site on this property, but no notice has been received from the Department of Natural Resources that the site is deemed to be potentially hazardous. There is a solid waste disposal site on this property which has been deemed to be potentially hazardous by the Department of Natural Resources. The location(s) of the site(s) is stated below or on an attached separate sheet, as necessary. b.. Hazardous Wastes (check one) There is hazardous waste on this property and it is being managed in accordance with Department of Natural Resources rules. There is hazardous waste on this property and the appropriate response or remediation actions, or the need therefore, have not yet been determined. Further descriptive information: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ I HEREBY DECLARE THAT I HAVE REVIEWED THE INSTRUCTIONS FOR THIS FORM AND THAT THE INFORMATION STATED ABOVE IS TRUE AND CORRECT. Signature: _______________________________________ Telephone No.: _________________ (Transferor or Agent)