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SCOTT COUNTY, MINNESOTA Permit# 3629\ 2
/7
INDIVIDUAL SEWAGE TREATMENT SYSTEM (ISTS) PUMPING PERMIT
Owner DO'v e ,/"i er 4 e Address ! , - a t^ to f'
Pumper IV?: SGP i•-,- No.of Tanks Pumped et Total Gallons Pumped D
occ
Check all that apply: Residential ❑ Commercial ❑Rental
❑ Septic ❑ Holding ❑ Pump Chamber ❑ Cesspool 7 Abandoned ❑ Other:
Condition of Baffles (baffles must be inspected) ❑Acceptable ❑ Unacceptable I I Replaced Baffles
Depth of sludge layer inches J `,)
Disposal Location(be specific) ij. 1-
Did you observe a surface discharge? ❑ Yes ❑ No
Pumped From: [`Maintenance Hole ❑ Removed Tank Lid(stave, for example) ❑ Inspection Pipe(see below)
I have been informed about the correct tank cleaning procedures-and understand that I risk having my system fail prematurely
if the tank is not pumped through the Maintenance Hole/Tank Lid to enable the removal of solids.
Signature of Owner/Owner's Agent Reason for not pumping through the Maintenance Hole/Tank Lid
Comments A bt'"..-r,.I)CJ1 ill r1 t i
' V��` j l� l L
Pumper/Inspector Signature L ( 1
�7'" ` ' itt Date 1
Only one permit is needed per ISTS. If th re is more thdn one ISTS on a property, submit a separate permit for each ISTS.
Submit a permit whenever a tank is pumped for abandonment. Pumping the tank does not constitute a compliance inspection.
White-County Canary-Homeowner Pink-Pumper Form#1120
AS-BUILT TIES
�
PROJECT ADDRESS: f
► t i s �� S E- DATE: 3 i t l I '-
NOTES:
R ask
\JU
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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.
•
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0.1.;to,44
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
NNES6tt. I,White File
2. NM; City PERMIT NO. (4...z.54... 1
3 Yellow Applicant
(Please te or'tint and sign at'
17351 SunsetAve —
ADDRESS SW . ZONING(office use)
25-908-003-0
Linda&David Menter
.,
LEGAL DESCRIPTION
LOT BLOCK ADDITIONPID
— .
...____ .
OWNER ,
(Name) .... N,kA.
C. ' ti I-N..141(1a., PI-1g,t 1+t i' (Phone) ei 5 a - /7D- (11 •5a.__
(Address) VI 35 i _Sti,n sat.t ill ot:no-t, 110 i`i Cpi.'‘a 01 t-..i 65 311
_ -
BUILDER
(Company Name)_ (Phone) ...
(Contact Name) (Phone) _.....
(Address) '
TYPE OF WORK 0 New Construction 0 Deck 0 Porch DRe-Roofing DRe-Siding OLowcr Level Finish D Fireplace
0 Addition DAlteration altility Connection
MIsc. Uri 111 TY UtLiov-aiod
CODE: DI.R.C. DI.B.C.
Type of Construction: I II III IV V A B PROJECT COST/VALUE S _
Occupancy Group: A B a. F HI MR SU (excluding land)
Division: 1 2 3 4 5
I hereby certify that have _......_
I flirnished 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-mentioned property and that all construction wilt conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
1 official can revoke this permitfor just cause. Furthermore.I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
..._ ,
1— X da),.4.' ' ‘,0 ... _
Signature Contractor's License No. Date
- -
Permit Valuation 1
I Park Support Fee ' # - . I $
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size;1";
.. .
State Surcharge $ Pressure Reducer _ I I 0-
Penalty $ Sewer/Water Connection Fee # ' I 5o0
.
Plumbing Permit Fee $ 54:t510 Water Tower Fee #— $ .00 o -
Mechanical Permit Fee S Builder's Deposit $
Sewer&Water Permit Fee 1 Other $ ..,....
Gas Fireplace Permit Fee I $ TOTAL DUE
This 1 Alilic,:on '., o lour Building Permit When Approv i Paid . j. ' ,. b Receipt N 74/47
/LI) ,4 :
,____C---
_Date . By ,
A ' 4/PL._ 4111 __ 4a 2-4- i
Building' fticii '11111.11k.. Lte '
This is to certify that the request in the above application and accompanying documents is in accordance 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 continence. 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 53372
j® Date Rec'd
.F CITY OF PRIOR LAKE
7 i.7.1 SEWER AND WATER PERMIT
4'rNvEso'c'
il. Grecs i 1 PERMIT NO-Yellow City t
. v� Y �_
3. Ocld .Applicant
Please ty e or tint and
17351 Sunset Ave SW ZONING(office use)
ADDRESS 25-908-003-0
Linda&David Menter _
LEGAL DESCRIF
LOT BLOCK ADDITION Pit)
OBER<..' Ll U� �# Undo,.do,. P(I ti—e k- (phone) ri 5'3,- r� (' --("('7 3 _
(Address)
(Name} -
1135 I jt4Y15 ' iwyLt::,- StZcat4icwt' t`l``lti 5531 9
(Address) (City) (Zip Code)
APPLICANT ,_ - C r`xcx
(Name) t. ..- _ _ (Phone) --
Address x., (City) (Zip )
(Address) Zt Codi
(Address)
.---"./ ,
tr, i '9 „ .m
(Contact Person) 1,'/..,/,'7i,
-_. (Phone) '
.r>.,/ / / e
APPLICANT SIGNATURE [.: °
- _ DATE ' ' ', t
APPLICANT T 1 LEASE COMPLETw•. BELOW
Size of water service ) inches.
Location of any couplings from structure___'JA feet.
Type of sewer pipe. I I ABC / PVC I I Cast Iron
Estimated length of sewer line 7. '___feet.
Clean out(if required)located at /'it": feet from structure.
FEE SCHEDULE : SEWER&WATER PERMIT FEE OF
X56.50 PAiD BY HOMEOWNER.Residential sewer and water line connection $51.50 Industrial,Com'l&Multi-Pa Sewer&Water Contractor MUST s
Sewer connection only $25.50 Water connection only Sewer&Water Permit Form
Estimated Cost $ Building Permit i
SEWER AND WATER PERMIT FEE PAID WITH
STATE SURCHARGE Permit Fee $51.50
State Surcharge 7
Dp GPERMIT
TOTAL PERMIT FEE TOTA $5.. . --
(Office Use Only)
This Appl' at' u Becomes Your Building Permit When pproved Paid - - Receipt No.
A-at.4 (4 [ Date By
Buil me Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
4 VRIp Date Reed
A ,.W
1 t,„,..
,_..
CITY OF PRIOR LAKE PLUMBING PERMIT
v,,,
Q,..:_.,,„. ..., .
4,-...soo . L cult File PERMIT
N® /2/-L /
2.Gold City Y L�i�l .lY
3.Yellow Applicant
(Please type o-----`--'.__.,.._..
ADDRESt 17351 Sunset Ave SW ZONING(office use)
25-908-003-0
Linda&David Menter
LEGAL'D
'- LOT BLOCK ADDITION PIO
OWNER _
(Name) -12')Wit �t)1{.lit E�'�LI•t~e el 5� `t
i:. — ._ (Phone) N —
(Address) f l Y / Jo,risxf I b i s it t,;,x Shaiil 5}2,-, iT?hi - 553'71
APPLICANT: Phone: 952.758.2108
Benny's Plumbing LLC
211 2ns Avenue SE
New Prague
Contact: Ben Stienessen Phone: 952.292.8101
APPLIC• T SIGNATURE C <>. '<..-_ 1JA1 l; ."11'L!-.F i`l I
-
A 'PLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture _ I Quantity Type of Fixture
Bath Tub with or without shower _
Dishwasher Water Heater
Floor Drain _ _ Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washin; Machine)
Laundry Tray(I or 2 compartment sink _ - Sewage Ejector
Shower Stall _ ( Backflow Assembly
Sinks Backflow Assembl Test
Bar Sink _ Lawn Sprinkler __
Water Closet(Toilet) _ I
I - .,./yte`t, f.' `r.- .e v PLUMBING FEE OF$54.50 PAID BY
Tile Minnesota Statutes§:326B.148 1I FEE SCHEDULE HOMEOWNER—Plumbing Permit
• "SURCHARGE"has been extended . fjob cost with a$49.50 minimum Resic must be signed by Plumbing
. . The minimum surcharge,for a . Resil Contractor, �n
,"fixed fee"permit is-$5.00'. . , $ Buitding PPrm�f tr.. _PAID WITH -..-
- PLUMBING PERMIT FEE Permit Fee $49.50 BUILDING P � Irt
STATE SURCHARGE state Surcharge 5.00
TOTAL $54.50
TOTAL PERMIT FEE
(Office Use Only)
This Ap lication Becomes Your Building P rmit hen Approved r Paid Receipt No.
ti 4' Z4 Date By
Building Official ate
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
R,Ip Date Rec'd
4,34,W'IVC„. CITY OF PRIOR LAKE PLUMBING PERMIT
E--,• I 'on;
d'i-ivivEsol'' —
i.Mae File
2.Gold City PERMIT NO.
3.Yellow Applicant
(Please type cr---"--`—'--'----
ADDRESS 17351 Sunset Ave SW ZONING(office use)
25-908-003-0
Linda&David Menter
LEGAL D
' LOT BLOCK ADDITION PID
- .
---
OWNER i
(Name) „.1:)c,k,V. i, t,..tilat.,, I'll I th r C c 1 3r i C ji 3 1
— (Phone) t )1, - f.A i CI , 't,'•
_
(Address) n 35/ )u o.s..k4 il lit. Stitli)Opct,s.. IT?i\J 55 3'7 9
APPLICANT
(Name) ,,,":1 ,- „, — (Phone) 4 45 Z - 7(:
(Address)
. ''7•Vr[:..^L l
(Address) (City) (Zip Code)
(Contact Person) )..4,>‘9t'e,v,/ ._...< ".. (Phone) !. - 7
-- ,,, ,
4---1,, i , .
- APPLICANT SIGNATURE t"'$ :' -'-e--- ._ Ai l',
DATE -.1-f 1 '11‘.-f
_
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without showerRough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink) I Stand Pia e Washin• Machine)
Laundry Tray(1 or 2 compartment sink .I _ Sewa:e Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembl Test
Bar Sink Lawn S ninkler
Water Closet Toilet
, _
,' -'- PLUMBING FEE OF $54.50 PAID BY
The Minnesota Statutes§.326B.148 i FEE SCHEDULE HOMEOWNER—Plumbinq Permit
'SURCHARGE”has been extended fjob cost with a$49.50 minimum Resic must be signed by Plumbing
• The minimum surcharge for a . • Resit Contractor
.."fixed fee"permit is$5.00 , $ Buildina Pen-nit ft __PAID WITH
'PLUMBING PERMIT FEE Permit Fee $49.50 BUILDING PERMIT
STATE SURCHARGE State Surcharge_51[2Q
TOTAL $54.50
TOTAL PERMIT FEE
(Office Use Only)
This i Ap lication Becomes Your Building P rmit en Approved I Paid
4- z ,
Date[ Receipt No.
By
Bulkily&Official ate
24 hour notice for all Inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
buildcounter
From: Lynda Allen
Sent: Wednesday, October 08, 2014 11:40 AM
buildcounter
To:
Subject: 17351 Sunset Avenue
(e(..„
Has an inspection tomorrow (Thursday) at 1:30 p.m. —10. q.
1
111144
u m
4! NNfSO
March 14, 2014
David and Linda Menter
17351 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 $1,000
$5,636*
J:\UTILITY CONNECTIONS\Sunset Avenue Utility Connection Letter(3).doc
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
OIC 1?
LI ra
XXXXXXX, 2013
David& Linda Menter
17351 Sunset Avenue
Shakopee, Minnesota 55379
Re: SUNSET AVENUE UTILITY IMPROVEMENTS 17351 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\17351 Sunset Avenue Utility Connection Letter.doc
4
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
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.