Otto Associates Work Authorization FormWORK AUTHORIZATION FORM
TTO
SSOCIATES
Engineers & Land Surveyors, Inc
Name City of Chanhassen
Attn: Steve Lenz
Address 7700 Market Boulevard, P.O. Box 147
City Chanhassen State MN Zip 55317
Phone- W 952- 227 -1163 H
F M
Job No 14 -0146
Date Ordered 03 -19 -14
Date Promised
Meet Date
Ref By
Co. Name
Address
City
Phone
State
Description of Work Ordered: ALTA/ACSM Land Title Survey for part of Outlot 1 in Chanhassen Estates. Include Items
1, 2, 3, 4; 6(a), 7(a); 8, 9, 11(a), 16, and 18 of Table A options. Title Commitment to be provided by Viking Title,
Plat: CHANHASSEN ESTATES
Section: 13 Township: 116 Range: 23 County: Carver
Remarks: Email: slenz@cichanhassen.mn.us
Cost Estimate: ALTA Survey - $2,500.00 / Title Commitment - $750.00
This estimate is only for the work outlined above. Any additional work will be billed according to our hourly rate schedule.
This schedule will be furnished upon request. All invoices not paid within 30 days will be charged a 1.5% per month
finance charge.
THIS AUTHORIZATION IS TO CONFIRM THE UNDERSTANDING THAT WE ARE TO PROCEED, AND
ALSO AS TO THE SCOPE OF OUR SERVICES. IF THIS IS NOT CONSISTENT WITH YOUR
UNDERSTANDING OF THE SERVICES TO BE PROVIDED, PLEASE CONTACT OUR OFFICES
IMMEDIATELY AS WORK ON THIS PROJECT HAS ALREADY BEGUN! WHETHER YOU SIGN THIS
FORM OR NOT WILL NOT CHANGE YOUR OBLIGATION TO PAY US FOR THE WORK WE HAVE DONE
ON YOUR PROJECT TO DATE BASED UPON OTHER COMMITMENTS EITHER VERBAL OR
OTHERWISE.
Are you the owner of the property
to be worked on? ❑YES ❑NO
are not the owner, please provide the
N name and address below:
Client SignaVr—e(Person responsi le for payment)
(See reverse side for LIEN NOTICE)
How did you find us?
❑Phonebook
❑ Website
❑Referred
❑Advertisement
❑Repeat Client
❑Internet Search
❑Othe
Paul E. Otto, President
Otto Associates Engineers & Land Surveyors, Inc.
ORIGINAL –Sign and return to Otto Associates. COPY –Sign and keep for your records.
9 West Division Street, Buffalo, MN 55313 • 763 - 682 -4727 • Fax 763 - 682 -3522 • www.ottoassociates.com
PLEASE TAKE NOTICE:
(a) Any person or company supplying labor or materials for this improvement to your property may file a
lien against your property if that person or company is not paid for the contributions.
(b) Under Minnesota law, you have the right to pay persons who supplied labor or materials for this
improvement directly and deduct this amount from our contract price, or withhold the amounts due them
from us until 120 days after completion of the improvement unless we give you a lien waiver signed by
persons who supplied any labor or material for the improvement and who gave you timely notice.
ORIGINAL —Sign and return to Otto Associates. COPY— Sign and keep for your records.