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Home My WebLink AboutUtility Connection 14. 1210 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd Cviir rR10TEMPORARY CERTIFICATE OF ZONING COMPLIANCEld f ¢66 M 2. Pink Cityu. AND UTILITY CONNECTION PERMIT F• L Whine File PERMIT NO. ,¢ , /zES�� 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 18 O 1 S11Drat nt. grid . 811099)ee' 1Mr] 55311 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER \ (N ) Voknol\ i MOdy-, �i�MDIC.&11V\ M (Phone) tU . ' -2D5 9155 (Address) l 9)01 \1t thi no _ .6\\O. ,S `1DPe•e' V h 5551 1 BUILDER (Company Name) (Phone) (Contact Name) • (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. • Type of Construction: I � II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: --1 2 3 4 5 I hereby certify that I have burnished information on this ation which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above-menti.• d property and ihat all constru ••will ti?rm to all existing state and local laws and-will proceed in accordance with submitted plans. I am aware that the building official ca• e this permit for just cat? irther ,,re ereby agree that the city official or a designee may enter upon the property to perform needed inspections. gnatu , / Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ 485 .00 Plan Check Fee $ Water Meter Size 5/8'0590 .00 0 $ 740 .00 State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ 1500 .00 Plumbing Permit Fee $ 54 .50 Water Tower Fee # $ 1000 .00 Mechanical Permit Fee • $ Builder's Deposit $ Sewer&Water Permit Fee $ Other 5 oo-0 0 56 .50 TOTAL DUE Gas Fireplace Permit Fee $ $5686 5/8 METER 01$ 836.00 W/ '' $47. (0 -UCS This Application Becomes Your Building Permit When Approved Paid 'i-/-_./...1( - 0�70 ceipt No. 'f�71/ Date /O 2E,/e-l— • Building Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Planning DirectorDate Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 04 P Off, Date Rec'd H CITY OFD PRIORWATER LAKEPERMIT 16 .. z',I 4-~ v SEWER AN xt. Or«saflw Nyec PERMIT NO.jc.- a"0 telt:, 3. Gobi AppIcmt (Please type or print and sign at bottom) ADDRESS ZONING(office ) 1001 Shore bile gbvo). d ei MN 5537 LEGAL DESCRIPTION(office use only) LOT • BLOCK ADDITION PID OWNER ntt1 4 MayK Macs+IJivrat (Phone) (02-2C `-9 7E5 (Address) 1?AA SYtwe,line Muck, SV'avopCZi P 5537i (Address) (City) (Zip Code) Sewer & Water Contractor MUST Sign this form * APPLICArek(Name) V`i i t 1 '� ti t (Phone) (Address) 1\\D1 e' C (Address) � (City) (Zip Code) (Contact Person) 1�o / ' (Phone) APPLICANT SIGNATURE* Pr♦ DATE Z __ /.5— APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. El ABC ❑PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out(if required)located at— feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com'l&Multi-family 1%of job cost with a$51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEB $ 51.50The Minnesota Statutes§32613.148' STATE SURCHARGE $ 5.00 SURCHARGE has been extended TOTAL PERMIT FEE $ 56 r 50 The minimum surcharge for a "fixed fee"permit is$5.00 (OfflceUseOnly) Sewer & Water Permit Fee of $56.50 .to be paid by property owr This Application Becomes Your Building Permit When Approved Paid Receipt No. T) BE PAID BY. PR)PERTY OWNER SQA& & Water CoiTractor must sigi Building Official Date ti is form 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ii tiCITY OF PRIOR LAKE PLUMBING PERMITDate Recd �Soze. I. Blue File z.Cold City PERMIT NO. 'lease A.a or Tint and si:n at bottom 3. Yellow Applicant /4/. /Z/ ADDRESS Q `f (� t " & O'd J� MN 5 ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) 1' Nark-1GIrL I N aC,�I 111/ rCX (Phone) 12- (Address) JI9 •- APPLICANT II - _ Q � the fee ' ' . It - .. . .-_ (Name) '6.C.hv. S ib k L Lc__ . _ (Phone) (Address) 2 z \ 2 F`' Av-t" LA Kt- (Address) (Contact Person) S-�- (City) (Zip Code) 1- rt "-se-• • (Phone) APPLICANT SIGNATURE # e"- .) DATE APPLICANT PLEASE COMPLETE BELOW Quanti TAp a of Fixture Bath Tub with or without shower Quanti T t e of Fixture Dishwasher Rou•h-ins Floor Drain - - Lavato Bathroom Sink Water SIIIIIIIIIIIIIIIoftener Laund Tra (1 or 2 com•artment sink Stand Pi•e Washin: Machine) Sewa:e Shower Stall E�ector Backflow Assembl Bar Sink ■- Backflow Assembl Test Water Closet Toilet Other FE Industrial,Commercial&Multi family 1%of job cost with a$49.50 C� HEDULE Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 Estimated Cost $ 49 .50 Building Permit# -1-11eLQ 7.l:dlU ICS -J-LaJD.1`Y0 PLUMBING PERMIT FEE "SURCHARGE"has been extended $ 49 ,50 The minimum surcharge for a STATE SURCHARGE $ 5.00 "fixed fee"permit is$5,00 (Office Use Only) TOTAL PERMIT FEE $ • 5 This Application Becomes Your Building Permit When Approved T> n r.• ` `` lcn 1 no �� `s_ above to IeRepaw-by Proper n Building Official �� 1 } �" j }� � � Date r rm 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 INSP OF PRIOR LAKE ECTION NOTICE DATE SCHEDULED TIME OWNER 121.4.1.. 43C) ADDRESS O • � 'Vi�'d� s� PHONE NO CONTR. 0 FOOTING PERMIT NO. + ❑ FOUNDATION 2-< ❑ FRAMING ❑ PLUMBING RI ❑ INSULATION ❑ MECH RI ❑ FINAL WATER HOOKUP ❑ COMPLAINT ❑ SITE INSPECTION EW R HOOKUP ❑ FIREPLACE EC7ION LUMBING ❑ LACE RI MECH FINAL!NAL FIREPLACE FINAL COMMENTS; GASLINE AIR TST 114111. WOR:54n15F4cToRy PROCEED CT ACTION AND PROCEED 0 CORREC 5CALL FOR CO REINSPECTION BEFORE Inspector. COVERING Owner/Contr. CALL 447-8850 FOR THE NEXT IN �— CODEREQUIREMEN INSPECTION y4 HOURS IN ADVANCE. BARE FOR YOUR PERSONAL HEALTy.f �vsivorr SAFETY/ C/TY OF OR I N EC N/NOTICE CE 44,..... ADD I SCHEDULED t l ATF TIME KESS / OW/yER I PHONE NOTCONTR. L 1%L) t z„..„. PERMIT NOT---------------------______, ❑ OOTING 0 PLUMBING RI EX/GRAD/FILLING OFOUNDATION ❑ Iwo.,RI COMPLAINT F�M/NG ATER HOOKUP ❑ FISCEFINSULATION pSEWER HOOKUP ❑ FIREPLACE HAL❑ PLUMBING FNALINAL GASL1NEgIR TST❑ NEAILNSPECT10N ❑ MECH ❑ ,lCOMMENTS: .4_ ted vs-1r (a • ❑)keCORK SATISF CORRECTgCTIDN ORY,PROCEED 1 0 CORRECT AND PROCEED o\WORK,CALL FOR REINSPECTION BEFORE C -e- C COVERING t�SPinspector: CT ALL 481.9850 F HE a"neNContr. NEXT INSPECTION 24 liot COpEREQUlREVE NTS ARE FOR IVOR PERSONAL 8 4L !N gDVANCE. TK INs•Iv'orr 'f S�IFETY! / AS-BUILT TIES PROJECT ADDRESS: / (t / /I DATE: Z ` 12- 1 NOTES: tV 1 ,..--------_____ .______.61‘1:71- Ld cl--:,1 b Q.ar- 1 \.(---------------------------- Show following items: . Dimension to property lines . Lengths of pipe,offsets in pipe,depth of pipe,size of pipe,type of pipe,offsets from house corners . Show all termination points of draintile with ties to pipe(from two house corners) . Septic tanks:length of pipe,height of risers,pump type and model,size of tanks,offsets to house/well/property lines/mound,float setting . Sewer and water:length of pipe,depth of pipe,offsets in pipe,drop sections,offset between sewer and water,pvc and copper size and type ties to curb box . Drain tile:length of pipe,depth of pipe,slope of pipe,any interesections with other utilities,size of pipe,connections at house/garage/etc. . Mount:size of rockbed/sandbed/downslope/unslope,lateral spacing,hole size and spacing,depth of sand,length of force main. TOWN & COUNTRY SANITARY SEWER SERVICE INVOICE 2730 40th Street West WEBSTER, MINNESOTA 55088 952 / 652-2923 • 1-800/ 417-2718 13235 p TO KA ta,g7( (eft% DATE /0-07 - Pt Justin Klepperich .--, d-il\17:1 :/".-,41.toot ixilD dervidikii OPERATOR QUANTITY DESCRIPTION PRICE AMOUNT ,s t 1 kn Purrip Septic0 Holding Tank 0 Grease Trap Ar Wil - 0 Lift Station 0 Excavate Manway Backflush/Tank Agitation 0 100+ Foot Hose Extension Li Install Riser El Float Switch Replacement 0 Pump Repacement O Scott County Permit - Dakota County Log - Rice County Log O Monthly Portable Restroom/s X1,4.1 it- 1)75Ptc,./iffi, /tbr) 6,fr .c-to .,3„ \ 0 Rid Surcharge O Clan Owner's Portable Restroom/s O R6gular VPortablei,Restroom/s O andicap Flortable flestroomis ,... 0 f-Iandwash Stations , . 0 /Extra Clea ninc Services 71 / t I E:WIL.: DUE br-ON AEUEIP I. TOTAL -.7),}(40 °(-) 1 1 2 F mance Charge after 30 days. 75c mirumurn REvisED ivir ghank your. ,,. _, t' O, PRro,. h 1 0U sdo" November 8, 2013 Janell MacGillivray 1801 Shoreline Boulevard Shakopee, Minnesota 55379 Re: CSAH 12 UTILITY IMPROVEMENTS (PID 25-490-002-0) SUBSTANTIAL COMPLETION The CSAH 12 Utility Improvements are now substantially complete. A number of cleanup items will be completed in the upcoming months and the final layer of asphalt will be completed next summer. The utilities have all been tested and approved. You may now hook up your home to the new sewer and water service stubs. In order to make the connection from the utility stubs to the home, a building permit must be obtained from the Building Department. A"Master Plumber", licensed in the state of Minnesota must sign the plumbing permit. Also, a"Master Plumber"or a sewer and water contractor licensed in the State of Minnesota for pipe laying must sign the sewer and water permit. Building permit and connection fees of$5,786 are due at the time of the building permit issuance. The connection fees are calculated as follows: 1"Meter Plumbing Permit $54.50 Sewer and Water Permit$56.50 Sewer Access Charge $2,435 (Fee to increase to$2485 in 2014) Water Meter(1") $740 Sewer/Water Connection $1,500 Water Tower Fee $1,000 $5, 86-' 2: 7 5/8"Meter ' Plumbing Permit $54.50 3 Sewer and Water Permit$56.50 Sewer Access Charge $2,435 (Fee to increase to$2485 in 2014) Water Meter(1") $590 Sewer/Water Connection $1,500 Water Tower Fee $100 z- r, yr. You will receive a$1500.00 credit toward the above connection charges per our agreement. The building permit will stipulate requirements for the connection as well as abandonment requirements for the existing septic system. Your existing well can be maintained for outside non-domestic use or can be abandoned and sealed. It should be noted that the sanitary sewer service is required to be located at least 20 feet away from any well or the well will need to be abandoned. The building permit will give further details regarding these items. Sections 704.300 and 705.400 of the Prior Lake City Code requires connection to City water and sewer within one year of availability. Section 4715.0310 of the State of Minnesota Plumbing Code also requires connection to municipal sewer and water systems once they are available. This letter serves as the beginning date for the one year time period. Attached for your convenience are copies of the building, plumbing, and sewer and water permits. If you have any questions or concerns regarding the building permit process, please contact the Building Department at 952-447-9850. Sincerely, Larry Poppler City Engineer/Inspections Director CITY OF PRIOR LAKE CC: Bob Hutchins, Building Official