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11, L'•i I
TOWN & COUNTRY INVOICE
SANITARY SEWER SERVICE
2730 40th Street West
WEBSTER, MINNESOTA 55088
952 / 652-2923 ❖ 1-800 / 417-2718 13211
TO K ' '- r [
�� ��� DATE /D -69e)-/V
Justin Klepperich
0n ' 1 513 M 5,-�; �,✓ g2.74 OPERATOR
QUANTITY DESCRIPTION PRICE AMOUNT
Pump Septic ❑ Holding Tank ❑ Grease Trap 0, Si
❑ Lift Station ❑ Excavate Manway
❑ Backflush /Tank Agitation [1100+ Foot Hose Extension
❑ Install Riser
❑ Float Switch Replacement ❑ Pump Repacement
S ott County PPM - Dakota County Log - Rice County Log
❑ Monthly Portable Restroom/s
❑ 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 ;60 t°
1-1/2°o Finance Charge after 30 days. 'n fn
REVISED 12/11 75c minimum Uhattl2 you!
MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring H 3 2 2 5 0 2
WELL OR BORING LOCATION WELL AND BORING SEALING RECORD Sealin otaoUnigue Well No. `
County NameNI
•
Minnesota Statutes,Chapter 1031 Or W series No.
t
T wns Township No. Range No.Section No. FLeFtiory!sm.'-t 4A.1 Date Sealed Date Well or Boring Constructed
.�� i1 1- , 8 w• w a v- 2.., $, 1,b1 Pf
GPS LOCATION--decimal degrees Ito four decimal places) p 81 I p
LatitudeLi.4./..° 6 9 8 j Longitude 9J e tp Depth Before Sealing Q R. Original Depth, I? fl.
AOUIFER(S) STATIC WATER LEVEL
Numerical Street Address or Fire Number and City of Well or Boring Location el Single Aquifer ❑Multlaquifer q �y–i 1�
17
S ._/ .. a^'er el ;WVBateOSuipply Well ❑Montt.Well Np Measured ❑Estimated Date Measured 1 1
Show exact location of well or boring A� Sketch map of wof ell or boring Env.Bore Hole ❑Other ' It. PA below 0 above land surface
in section grid wit X." iv
v 0`fi`locatton,showing property ❑
�y ..5.--.S%hN 7 9 ^ Imes,road'�,yarnd,.buildings. CASING TYPE(S)
y �F- 4. l Steel ❑Plastic 0Tile []Other
• 1 X t••• `t$4t l .c WELLHEAD COMPLETION
w••t ! E— k _
;_•_•_•4•-•••F t_• Ot If' % Outside: I ]Well House 0 At Grade Inside: ❑Basement Offset
"-'+ �` ❑Pitless Adapter/Unit ❑Burled ❑Well Pit
0 Burled
[.3 Well Pit ❑
S — Other •
•
I--�i,�Milee(/�-1� .—{ �: ❑Other_
P. ER N"s`.`^r'AMECOMP9!{Y NAME _.. MineCASING(S)
c. Dlam ter /� Depth jj Set In oversize hole? Annular space Initially grouted?
Property owner's mailing address if different then well location address indicated above in.from V t0__(.to ft. E]Yes No ❑Yes 0 No 0 Unknown
In.from _ to_ ft. ❑Yes ❑No 0 Yea 0 No 0 Unknown
In.from to ft. ❑Yes 0 No 0 Yea 0 No 0 Unknown
WELL OWNERS NAME/COMPANY NAME SCREEWOPEN HOLE 8
•
Well owners mailing address it different than property owner's address indicated above Screen from to ft. Open Hole from 'to I. ft:
OBSTRUCTIONS •
a.
if Rods/Drop Pipe 0 Check Valve(s) 0 Debris El Fill [Ti No Obstruction
•
Type of Obstructions(Describe)I 17 � I4.4'-A 44: ct rt-fi.
GEOLOGICAL MATERIAL COLOR HFORMAT ONR FROM TO Obstructions removed? 19 Yes _ ,'
'No Describe all-Li
..l� G.." 40 4`•'••,`-1
PUMP G/s%1 ''�1�c ��.r���, //�
II notknown,indicate estimated f ma;'.cn I g from nearby well orIboring• Type .. '-�.._ /�Z.. 1�.,L !(I �"r ��"4"'ar' -IL,
G/ yP ,(�C/C f /
6LU 6 0 =Removed -41L J Not Present Other
P b 1. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE:
�• .�_ Z ., 5_ .8 No Annular Space Exists ❑Annular Space Grouted with-Ramie Pipe 0 Caeing Perforation/Removal ,
� �7fi in.from to_••___ ft: 0 Perforated 0 Removed
In.from to ft. ED Perforated. • ❑.Removed
Type of Perforator____
VARIANCE
Was a variance granted from the MDH for this well? (,)Yes l No TNe
._ /_ c ce ,y GROUTING MATERIAL(S)(S (One
e bag offccement:g4 lbs.,one bag of bentonite a 50 lbs.) 4
'„ w€,ti 14_ ,�'e. i er' .-s..l� Grouting Ma!erlal "�`— '�'�"m om to I R. yards 1 bags,
P, a? ,. � "�l ai from• to ft. • ' yards • . ••bags• • .
e
_le.,t.e.,e d AA.,...eze,4.4, H, n .� _ from to ft. yards ' bags
Ara,/ _ erne de• OTHER WELLS AND BORINGS
REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING Other unsealed and unused well or boring on property? ❑Yes {Q No How many?
_
-et/ .0— ..�,�e�ti, .1-1Li(rw LICENSED OR REGISTERED CONTRACTOR CERTIFICATION •
OO �
.r� �� � This well or boring was sealed in accordance with Minnesota Rules,Chapter 4725.The Information contained In this report
.A/YI4.I ,.L4,p� Ir����-Sp r raM.l •tir7L is true to the best of my knowledge.
44. // 4 6 7 2 , .-44..-“,-a..4.-...e./..e...
Iii /
'f- it, G v- 4.4.—at , -Orta'- ..L4. -�o4 �YWIG�YVl1 i_ C.C'7y2�41...I- r{•.i.Ni j 6
/���.�s,,.�a Licensee Business Name r ./��(rp�J _ J License or Registration No.
C _ Th "- a-141.,,,�.,•ui�. 3 o r /i., 7) 14..-14 _s'• ��,' i .56 OW •
-02-i trn.4-1-1-44, ,-/S -&"-eG 3 I
0
C}eerrtifie Representative Signature,�- Certified Rep.No. Date
r.
I COPY H -) 9 r) C,- r.) A ezi`�"'v )I
t)54lvl4.d
..)L.G. +_r Name of Person Sealing Well or Boring
123
Sl13R
MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring H 3.2.2..5 0 6
County Name WELL AND BORING SEALING RECORD
WELL OR BORING LOCATION Sealing No.
Minnesota Unique Well No.• �, &
Minnesota Statutes.Cha ter 1031 or W-series No. .
p or aerx No.
T w ship•Name Township No. Range No.Section No. F tiow(sm.V ly.) Date Sealed Date Well or Boring Construcled
J �� // � - 8 14,), w �1 -2Lev—.-cs; 9-0 I t 7•- 1-5�- .1 q 77
GPS LOCATIIOONI-/decimaall degrees
s(to four decimal places) ) T� ) )
Latitude
I, 7 ` / v ! _ Longitude__3 e 88
t_ Depth Before Sealing 1 / / fl. Original Depth / ! ? ft.
AOUIFER(S) STATIC WATER LEVEL
Numerical Street Address or Fire Number and City of Well or Boring Location D Single Aquifer U Multiaquifer . 1/
3 I WELUBORING Measured 0 Estimated Date Measured�� I 174
1 7 a^yy ''e� ire,Water-Supply Well 0 Montt.Well
Show exact location of well or boring ketch map of well or boring ft. below ❑above land surface
in.section grid v�ith'Xf 2 17 location,showing property ❑Env.Bore Hole 0 Other
$-,.3 lin s,roads,and butldi s CASING TYPES)
N o'� .
I �t(J [i�Steel ❑Plastic []Tile ❑Other
•••t••----•-- f-•• WELLHEAD COMPLETION
w E
--i- k F fi Outside: (]Well House ❑At Grade Inside: ❑Basement Offset
I t
We ]%/Is'. `� Adapter;Unil Burled ❑Well Pit
;......;....;. ❑Burled
6 `•,e (J wellPltless Pit 0 Other
I•--1 Mile---( �1 � ❑Other.--
PROPERS NAjytE'COMPANY NE CASING(S)
•��/'_" Diammeterer
Depth Set In oversize hole? Annular space�•tInitially grouted?
ty=flees aT',np address if ddlerent than well location address Indicated above I" In.from 0 to /)-_ft. El Yes Yes 0 NO ❑Yee No ❑Unknown
In.from to _ft. 0 Yes ❑No ❑Yes ❑No 0 Unknown
__In.fromto_ ft. [T Yes ❑No ❑Yes 0 No ❑Unknown
WELL OWNER'S NAME COMPANY NAME SCREEWOPEN HOLE /
Wer owner's mai:.na address if d.f:erent than prcperty o'wner's address indicated above Screen from �10 1 7 ft. Open Hole from to tt.
OBSTRUCTIONS
•Rods!Drop Pipe ❑Check Valve(s) ❑Debris .❑Fill ❑No Obstruction
. Type of Obstructions(Describe) ? ` 'A" -72.-y:t / .-
GEOLOGICAL MATERIAL COLOR HARDNESS OR FROM TO Obstructions removed? IP Yes ❑No Describe
et �LGL1 ��
FORMATION ✓
PUMP e '-
If not known,Indicate estimated formation log from nearby well or boring. T e •'Z '"/-rn.9
b YP
��C-2414� �}� ?Removed 7.1 Not Present ❑Other
n��"rye 6 b 6 ,- METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE:
c J 6 P. e7 ' No Annular Space Exists (_)Annular Space Grouted with Tremle Pipe ❑Casing Perforation/Removal
Us • in.from to ft. ❑Perforated 0 Removed
in.from to ft., 0 Perforated 0 Removed
Type of Perforator____
VARIANCE
Was a variance granted from the MDH for this well? C Yes (t No TNM
GROUTING MATERIgAL''(-S)__,� (One bag of cement=94 lbs.,one bag of bentonite■60 lbs.)
Grouting Material 2`eC�-cermet rrom 3 toJ
./1 7 , It; yards 8' bags
from to ft. yards bags
from to_ ft. yards bags
OTHER WELLS AND BORINGS
REMARKS,SOURCE OF DATA,DIFFICULTIESIN SEALING Other unsealed and unused well or boring on property? []Yes gy No How many?
'4.r• "r` ✓j'L' '141 " LICENSED OR REGISTERED CONTRACTOR CERTIFICATION
-r ,�- - �:E�_R iJ_I _ This well or boring was sealed In accordance with Minnesota Rules.Chapter 4725.The Information contained In this report
LC/J 4�'Com,`' is true to the best of my knowledge.
•U .t4.er w-e-a 144.414, /6 '1. �-•
1/ `/6 979. ---4.41.4-0., a ?r% ,Zwr- I��ctn,--rh.�,.�„ �C.0 l,1 P,
c nse Business!kin? ► , _ License,or Registration No.
-w-e144. ..tti e,, • ce -6t4:.ti •a c5�` r . I.ec*�w r ''t-d- / ?-wr S6 0-7/ .
r Certilie Representative Signature Certified Rep.No. ' Dare
-a.e =-�(,ct.e tf uh,+.G erz,.ca., /l s 3 4
2- '1.- 09%
i COPY H "N!': 'A) ice'' foYV 2 ate �V
l._L. I_J t_) I Name of Person Sealing Well or Boring
.423 -t 5/13R
- PRio+ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
, 6-,`, 3. c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
r,.
.„.
7,0 Ve is AND UTILITY CONNECTION PERMIT /�
�iNNEs�1r L White File PERMIT NO.
2. Pink City
(Please a or riot and 3 Yellow Applicant / !
ADDRESS 17321 Sunset Ave SW
25-489-013-0 ZONING(office use)
Michael& Louann Dvorak
LEGAL DESCRIF
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ORe-Roofing ORe-Siding ❑Lower Level Finish D Fireplace
DAddition ❑Alteration ❑Utility Connection
CODE: ❑LR.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F H I M R SU (excluding land)
Division: 1 2 3 4 5
I 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-mens• ed pro:.ty rid that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official c. re • ns.^ ilkfor se. Fu thereto-e,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X Illif S -- s
` ignature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter S e 5/ '; 1"; $ z 4-60
¢ S.
O 0
�O . oO
State Surcharge $ Pressure Reducer $
if
O
Penalty $ Sewer/Water Connection Fee # $ /SO 0 '0 O
Plumbing Permit Fee $ Water Tower Fee # $
0 0
Mechanical Permit Fee $ BuiIder's Deposit $
Sewer&Water Permit Fee $ ,5-70, 7, Other $
Gas Fireplace Permit Fee $ ✓v TOTAL DUE 7 $ 63 e% 00
This Application Becomes Your Building Permit When Approved Paid .370S& re) ceipt No. '7/1 d�
Date i.
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
Date Ree'c.i
, di•.;,!:,:,v,..94p
C'ITV:OF PRIOR LAKE PLUMBING PERMIT
Z -,--, 4
4;;;;i.,,,,,
- 1,.•r, `,:t PERMIT NO.
3 Yel!mv Appliont
,Sgleascype ox print and sien at bnitiaril
ADDE 17321 Sunset Ave SW ZONING(office u$e)
25-489-013-0
Michael&Louann Dvorak
LEGA.. 1
LOT BLOCK ADDITION
OWNER
(Phone)
(Add'ess)
APPLICANT ' ----1
(Name)
'. 14 I II/ I Ili, '' ''I." ' (Phone) II- : :' '
(i-Vichess) , i,;',.,,, ,,:'. ;:c ' ( „.,, ,,, , , „
(A hiss) (thy) ' (Zip Code)
„.-- •
(Contact Person) . i :. • •,,,. (Phone) 7".
„ . ,
a i /,
APPLICANT SIGNATURE . .. I',,r-,t-:: DATE ',/,.":"..,LA–
,
lAtr'\/ ACIII"I\J APPLICAN'l PLEASE COMPLETE BELOW
Quanhsy Type of Fixture Quantity L Type of Fixturei
I-- Bath Tub with or without shower Rout.:01-ins
r Dishwasher Water heater
----,
Floor Drain Water Softener
Lavatory(Bathroom Sink) , Stand P.120(Washing Machine)
Laundry Tray(l or)eormartment sink I SewaLe Ejector
Shower Stall 1 Back-flow Assembly
r I
Sias 1 Backflow Assembly'rest Bar Sink SEinIder
_
water Closet(Toilet) I °Met
PLUMBING FEE OF$54.50 PAID
The Minnesota Statutes§,326B."149 1 FEE SCHEDULE BY
CH
HOMEOWNER—Plumbing Permit
"S iI IT H AR "has heel)eXt0Dded Itr(job cost with a 5,49.50 minna iiin Resides
Residen most be signed by Plonting
TLu minimum suit lim go lei a
Contractor
"iixed fee"permit is$ Lee, ,$ Buildirw,Permit 4
PLUMBING PFBMIT FEE Permit Oe 549.50
STATE STROH ARGII State Surcharge 5.5(1 PAID WITH
TOTAL PERNLVI FEE letTai_ $54.50
(Mai Usv Only) i BUILDING PERMIT
__,.. —
This Applicat
ion Becomes Your t3itilciing Permit When Approved ! , L.ILu Receipt No.
I I
I Date By
loitidirity.Official Date
24 hour notice for all inspections(952)447-9550,fax(952)447-4245
4646 Dakota Street S.It.,Prior lake Minnesota 55372
q' O.Q Date Ree'at
'' / P
r\ CITY OF PRIOR LAKEa•
,`i ( . __) r r SE��SEER AND D WATERIPFRN FF
my r °‘1.
lI IE .I§'II T NO i
J
[Tease type orpriza crud 17321 Sunset Ave SW
I ADDRESS 25-489-013-0 — � f ZONING(ofticeusei
Michael&Louann Dvorak
LEGAL DESCRIP'
�
I LOT BLOCK ADDITION Pm
OWNER
(Name) _-,-----____ ---..---_—..__ (Phone)
(Address)
I rad,ri , (City)
i APP'.IC.AN f _ —
1I n . " lr rr� .,
(Nacre:)
(Address) - x - '11
s) Ci "ode
'`1 (Addres ( tY) ---- (Zip Gude)
(Contact Person) -.,. ..,:14,-: I4,.-/-r 7 (Photic) .`> _
T i
APPLICANT SIGNATURE i .!,°- -"-- DAfC I
APPLUCANT PLEASE COMPLETE BELOW
Size of wateservice inches
Location of any couplings from structure til` feet.
1
Type of sewer pipe. (-1 ABC [T]PVC ❑ Cast Iron
Estimated length of sewer lux feet.
-------- n out
(if required)located at feet from stntcture.
t'E;f :CHL:t)U&,E SEWER&WATER PERMIT FEE OF
Residential sower and water line connection S51 50 Industrial,Conel&Multi-t1 $56 50 PAID BY HOMEOWNER_
Seg:_;r :oonection only $25 50 Water connection only Sewer&Water Contractor MUST sign
Sewer&Water Permit Form
Estimated Cost 't; _ Building Permit
SEWER AND WATER PERMIT'PEE
S FATE SURCHARGE Permit Fee 551.50 Pi
State Surcharge j,00 ��'.Uf� �
1'O'1'AL PERMIT FEE TOTAL 556.50
''17144/r
(Office Use Only)
This Application Becomes Your 3uildi1),2 Permit when Approved Paid Receipt No.
Date Fly
I Building Official _ pate
24 how-notice(or all inspections(952)447-9850,las(952)447-4245
11646 Dakota Street S.F.,Prior 1,ake,Minnesota 55372
o� P�O4
ti
October 8, 2014
Louann Dvorak& Michael Routt
3261 Fox Tail Trail
Prior Lake, Minnesota 55372
REMINDER: 1 YEAR DEADLINE FOR UTILITY HOOK UP IS MARCH 14, 2015
17321 Sunset Avenue
Re: PROJECT# 13-011; SUNSET AVENUE UTILITY IMPROVEMENT COMPLETION
Thank you for applying for and receiving your Building Permit(14.309) 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
h �
z
XXXXXXX, 2013
Louann Dvorak&Michael Routt
3261 Fox Tail Trail NW
Prior Lake, Minnesota 55379
Re: SUNSET AVENUE UTILITY IMPROVEMENTS 17321 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*
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J:\UTILITY CONNECTIONS\17321 Sunset Avenue Utility Connection Letter.doe
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
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4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PROCESS FOR NEW SEWER & WATER HOOK-UP (Building Department) 10/21/13
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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
1„ $ 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.