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SANITOWNTARY SE& COUNTRY SERVICE I N V O I C E
2730 40th Street West
WEBSTER, MINNESOTA 55088
952 / 652-2923 ❖ 1-800 / 417-2718 13234
TO Ki4 'i ( ,,tL
014/ilt DATE /0^o�'/y
Justin Klepperich
Oa ' /yel 5�'� !IPkoe(.0(4 OPERATOR
`� , � av�z.
QUANTITY DESCRIPTION PRICE AMOUNT
Pump Septic ❑ HoldingTank '��
❑ Grease Trap , ',
Lift Station ❑ Excavate Manway
® Backflush /Tank Agitation ❑100+ Foot Hose Extension
❑ Install Riser
❑ Float Switch Replacement ❑ Pump Repacement
152 Scott County Permit - Dakota County Log - Rice County Log
❑ Monthly Portable Restroo s
X LA5r - 76li4 /DOD z 0
El Fuel Surcharge
❑ Clean Owner's Portable Restroom/s
❑ Regular Portable Restroom/s
❑ Handicap Portable Restroom/s
❑ Handwash Stations
❑ Extra Cleaning Services
TERMS: DUE UPON RECEIPT.
TOTAL 6t -
1-1/2 Finance Charge after 30 days.
REVISED 12/11 75c minimum £Thank puf
R'o+ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
it i(- „.r.
c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4 Z�,AND UTILITY CONNECTION PERMIT
..-..1 y "fix
"toiNESol' I. White File PERMIT NO. `/L Z�Z
2 Pink City ! `�
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS / 7037 C5(,)/145-.
` J /�, 7— e���� ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER �vgi� Detf✓ LS-W/?l Ai
(Name) (Phone)
4.666
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ['Deck ❑Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
['Addition ['Alteration ❑Utility Connection )
CODE: ❑I.R.C. ❑I.B.C. Mise. ��� �� / ?O
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
1 hereby certify that I have furnished information on this application 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•ned property and that all construe will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
o (y revoke this permit for just Eu • . more,I Zseby agree that the city official or a designee may enter upon the property to perform needed inspections.
Ilr
L .si►..._de _4,..;......,;_ I.
Signature Contractor's License No. , Date 72/ AL
Permit Valuation Park Support Fee # $ 111 J
Permit Fee $ SAC # $ Z¢3.6-'.o 0
Plan Check Fee $ Water Meter Size 5/8"; I"; $ leO 01)
State Surcharge $ Pressure Reducer $ //0 - (f!}
Penalty $ Sewer/Water Connection Fee # $ `/c?
Plumbing Permit Fee $ ..5'1,5-1) Water Tower Fee # $ </06- ) 0-)
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ J�-72.SCJ Other $
Gas Fireplace Permit Fee $ TOTAL DUE ',..R2.3 4 V 0
This Application Becomes Your Building Permit When Approved Paid 5-6 .760 ,. f) Re t No. V °
Date 1-_ a(-/4i---- B
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 Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
01 PRjp Date Ree'd
4,N1 CITY OF PRIOR LAKE PLUMBING PERMIT �. ` 14
A'NB50
1.]auy ray PERMIT NO. ( 4Ti_ rZ
2.Gold City
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ' ZONING(office use)
/W ( ‘AVI-Z �11_,e_ . 1 /04-4-75,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER �'c4. IA- C°-e-5 L,<S c.t.t ek 1 c
U v c, l cl , �1-�1,a t (Phone)
_
- -
► m � ,( •.'ss) /7 / s vt viZ •e. lk-e..
APPLICANT: Phone: 952.758.2108
Benny's Plumbing LLC
211 2ns Avenue SE
New Prague
Contact: Ben Stienessen Phone: 952.292.8101
I (.; ( V APPLICANT PLEASE COMPLETE BELOW
Qu tity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower () Rough-ins
Dishwasher / Water Heater
Floor Drain Water Softener
1 Lavatory(Bat] •.m Sink) / Stand Pipe(Washing Machine)
1 Laun• Tra Iff r 2 com.artment sink Sewage Ejector
a Shower Stall / Backflow Assembly
Sinks ` -- Backflow Assembly Test
a Bar Sink 0 Lawn Sprinkler
/ Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residents w j,Two-Family $149.50
Residential! d iiions $49.50
BuildingPermit# �.•..<NOIN
Estimated Cost $
PLUMBING PERMIT FEE $ ��'T
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
O1. YRI�rP Date Recd
CITY OF PRIOR LAKE PLUMBING PERMIT q- .7-1 14—
U
NNSSo
1.:I' `t PERMIT NO. ( L- Z4-Q
2.Gold City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/iG16--I -----S ,V1-S ,j— 4[12-0 LW__ ' -3111-CtA5 r_Q_e. ,f4k,s5,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER l{'<Gl- v, '2.5 L ,e (.t., c,, , w t C ( —2�--
�me 0 a Kt.ci j a- II -.S �Jc, ,Q f -l.� , (Phone) L¢
L
APPLICANT / �~ -�-
(Name) /4 (nit�} � Gt�/�o r� A (Phone) q 5-2 - 7s-g--,i/of
(Address) 15-50 of,S 1- 2�'a q-- 1UG1U AO 914 0 1/
(Address) (City) ' (Zip Code)
(Contact Person) -g-P kit:(b vi A (Phone) 95 -?Sir-- 2467
APPLICANT SIGNATURE -" - DATE 44/14
APPLICANT PLEASE COMPLETE BELOW
Qu ntity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower 0 Rout -ins
Dishwasher
--7. Water Heater
Floor Drain / Water Softener
Lavatory(Bata .•m Sink) / Stand Pipe(Washing Machine)
Laundry Tra> r 2 compartment sink Sewage Ejector
a Shower Stall / Backflow Assembly
Sinks - Backflow Assembly Test
O p • k , Lawn Sprinkler
/ I Other
i 1111 ::71,1® Ji;
Industrial,Co' ' C Resident& w� wo-Family $149.50
V Residentta 7;wripi ons $49.50
s'.5--"'\ ,i> '/'tr ding Permit# G 'T
�� 0 $ .50
� $
(Office Use Only) -• (,�r
\"\---) e...c,i-.),emimi
This Applicat <---- Paid Receipt No.
'�
`
Buildin c\--) / Date $y
7-9850,fax(952)447-4245 •
• e,Minnesota 55372
04 PR119� Date Recd
CITY OF PRIOR LAKE o�
v SEWER AND WATER PERMIT `�' •2'C'
G`"tt gkty PERMIT NO.
Ydlow Ci
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
S 74-vim Mitt 37
LEGAL DESCRjPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ftp ti-- q€ s L . t _Y-q t
(N.me) 4C)c--D ek, L Z-75' /j - (Phone) 2
( ddress , 7- e- , f -At
(Address) (City) (Zip Code)
APPLICANT
(Name) J 4 fJ r 4f (4vr S 1ria (Phone) q5-2.- e- ,2/0 g.
(Address) /530 ( kc - S4- (n) Pre. iAQ, Clfa
(Address) (City) (Zip Code)
(Contact Person) a--&imi107 641 (Phone) 9 5 Z—75 70
APPLICANT SIGNATURE DATE 4/l/0///
APPLICANT PLEASE COMPLETE BELOW
Size of water service j inches.
Location of any couplings from structure )JA feet.
Type of sewer pipe. n ABC ®PVC n Cast Iron
Estimated length of sewer line 1 c)p feet.
Clean out(if required)located at 20 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 ii
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ P40
TOTAL PERMIT FEE $ 8t abir t PITH
PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4696 Dakota Street S.E.,Prior Lake,Minnesota 55372
AS-BUILT TIES
/ PROJECT ADDRESS: 1.1 c3 `) i SCL �"'"1 j ' DATE: 3 22 1 I 5
NOTES:
/(:--.)-e.W-k� (�rl Y2c✓
0 es
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.
13Rib
�IIVNES��P. _
October 16, 2014
Frances & Donald Swain
17051 Sunset Avenue
Shakopee, Mn . 55379
ACTION REQUIRED: 17051 Sunset Ave Permit # 14 . 242
Re: PROJECT# 13011; SUNSET AVENUE UTILITY HOOK UP
Thank you for applying for and receiving your Building Permitj4 .2 42and paying your fees for your utility
connection. However, at this time, we do not show any record of work progressing any further on this utility
hookup. Please contact this office within the next 7 days of receipt of this letter to communicate your
intentions to complete your utility connection (952 447 9850).
If we do not hear from you, it's possible the City may issue citations and/or you'll receive an on-site visit
from a building inspector. 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. Your utility
connection needs to be completed by March 14, 2015.
Again, please contact this office within the next 7 days with your intentions.
Sincerely,
U.S. Postal Service''
• CERTIFIED MAIL° RECEIFT
u1 Domestic Mail Only
Larry Poppler For delivery information,visit our website at www.usps.com®.
City Engineer/ Inspections Director
CITY OF PRIOR LAKE R'
Postage $
f` 10
0/Certified Fee I
CC: Bob Hutchins, Building Official Postmark
In Return Receipt Fee Here
Lynda Allen, Building/Inspections Assistant O (Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
(Letter of intentions permit issued sunset ave;j/utility connections) ru
Total Postage&Fees
r-q
SentfTo��/�'f�' /] ��/ /
t 'Q •//f , -# J?1V 1 CY A/2
2
Q Street&Apt.Np.�D
or
ED PO Box N
City, 4, Zip+'
rr ice
PS Form 3800,July 20,4 See Reverse for Instructions
Phone 952.447.9800 /Fax 952.447.4245/www.cityofpriorlake.com
CERTIFIED MAID-Tall 1 11111 I
�-
Dakota Street SE
Lake,MN 55372 Co
J SERVICE REQUESTED 7014 1820 0001 7038 7135
Frances & Donald Swain icon
17051 Sunset Avenue --�
Shakopee, Mn , 55379
U �
October 16, 2014
Frances & Donald Swain
17051 Sunset Avenue
Shakopee, Mn . 55379
ACTION REQUIRED: 17051 Sunset Ave Permit # 14 . 242
Re: PROJECT# 13011; SUNSET AVENUE UTILITY HOOK UP
Thank you for applying for and receiving your Building Permitj4 ,242and paying your fees for your utility
connection. However, at this time, we do not show any record of work progressing any further on this utility
hookup. Please contact this office within the next 7 days of receipt of this letter to communicate your
intentions to complete your utility connection (952 447 9850).
If we do not hear from you, it's possible the City may issue citations and/or you'll receive an on-site visit
from a building inspector. 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. Your utility
connection needs to be completed by March 14, 2015.
Again, please contact this office within the next 7 days with your intentions.
Sincerely,
Larry Poppler
City Engineer/Inspections Director
CITY OF PRIOR LAKE
CC: Bob Hutchins, Building Official
Lynda Allen, Building/Inspections Assistant
(Letter of intentions permit issued sunset ave;j/utility connections)
Phone 952.447.9800 / Fax 952.447.4245(www.cityofpriorlake.com
P1O4P
U �
�INNESD�A
October 8, 2014
Francis & Donald Swain
17051 Sunset Avenue
Shakopee, Minnesota 55372
REMINDER: 1 YEAR DEADLINE FOR UTILITY HOOK UP IS MARCH 14, 2015
17051 Sunset Avenue
Re: PROJECT# 13-011; SUNSET AVENUE UTILITY IMPROVEMENT COMPLETION
Thank you for applying for and receiving your Building Permit(14..0242) and paying your fees for your
utility connection. However, at this time, we do not show any record of work progressing any further on this
utility hookup.
You were sent an initial letter on March 14, 2014 regarding the hookup requirements. This is a reminder
letter, per City Code, that your utility connection needs to be completed by March 14, 2015.
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
reminder of the upcoming one year time period which ends on March 14, 2015. Your utility connection
needs to be completed by March 14, 2015.
If you have any questions or concerns, please contact the Building Department at 952 447 9850. Also,
please contact this office within 30 days (by November 10, 2014) to communicate your plan to complete
your utility connection.
Sincerely,
Larry Poppler
City Engineer/Inspections Director
CITY OF PRIOR LAKE
CC: Bob Hutchins, Building Official
Lynda Allen, Building/Inspections Assistant
(reminder letter.progress for sunset avenue;j/utility connections)
Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.com
emp
E•4h
U
M1Ninso*
March 14, 2014
Frances &Donald Swain
17051 Sunset Avenue
Shakopee, Minnesota 55379
Re: SUNSET AVENUE UTILITY IMPROVEMENTS
SUBSTANTIAL COMPLETION(Project# 13-011)
The Sunset Avenue 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 this 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 or$5,636* are due at
the time of the building permit issuance. The fee amounts are 2013 rates and will apply
for all building permit and connection fees obtained within the calendar year 2014. Fees
for permits obtained after December 31, 2014 will be calculated based on the City's
adopted fee schedule. The connection fees for permits obtained in 2014 are calculated as
follows:
1"Meter
Plumbing Permit $54.50
Sewer and Water Permit $56.50
Sewer Access Charge $2,435
Water Meter(1") $740
Sewer/Water Connection $1,500
Water Tower Fee $1,000
$5,786
5/8"Meter
Plumbing Permit $54.50
Sewer and Water Permit $56.50
Sewer Access Charge $2,435
Water Meter(5/8") $590
Sewer/Water Connection $1,500
Water Tower Fee $1 I I0
$5,636*
J:\UTILITY CONNECTIONS\Sunset Avenue Utility Connectio - • _.,.
Page 1 of 2
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: Robert D. Hutchins, Building Official
Page 2 of 2
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
V R 10,,
,,
f-. " �`
t,
V r—i .
XXXXXXX, 2013
Frances &Donald Swain
17051 Sunset Avenue
Shakopee, MN 55379
Re: SUNSET AVENUE UTILITY IMPROVEMENTS 17051 Sunset Avenue
SUBSTANTIAL COMPLETION (Project# 13-011)
The Sunset Avenue 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 or$5,636* 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
$5,786
5/8" 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(5/8") $590
Sewer/Water Connection $1,500
Water Tower Fee $1,000
$5,636*
Page 1 of 2
J:\UTILITY CONNECTIONS\17051 Sunset Avenue Utility Connection Letter.doc
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
Page 2 of 2
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PROCESS FOR NEW SEWER & WATER HOOK-UP (Building Department) 10/21/13
sz
1. Have Homeowner sign the Building Permit Application
2. Before any payment, Homeowner needs to know if they will have a 5/8"
Water Meter or a 1" Water Meter (the prices are different---5/8" = $480.00
+ $110.00 for water reducer= total of $590.00 or 1" Meter = $590.00 +
$150.00 = $740.00). Building Permit #, Sewer & Water Permit # & Plumbing
Permit # will all have same PERMIT NUMBER. Assign the # in next sequence
in Building Permit Roster.
3. For 2013* Fees are:
a. SAC Charge $2435.00
b. Sewer & Water Connect Fee $1500.00
c. Water Tower Fee $1000.00
i. Total $4935.00
d. Sewer/Water Permit Fee $ 56.50
e. Plumbing Permit Fee $ 54.50
i. Total $5046.00 $5046.00
f. Water Meter & Reducer
5/8" $ 590.00
Total $ 5636.00
OR
$ 740.00
Total $5786.00
4. Complete a receipt for monies paid by Homeowner & give a copy to
Homeowner.
5. Make sure Homeowner understands that the Sewer & Water Contractor &
the Plumbing Contractor MUST sign the respective form even though the
Homeowner is paying the fee. PERMIT # CANNOT BE ASSIGNED UNTIL
HOMEOWNER AND BOTH CONTRACTORS HAVE SIGNED THE RESPECTIVE
FORMS.
*2014 Fees will increase by $50.00 for the SAC Charge. Other potential fee
increases are not yet known.