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TOWN & COUNTRY INVOICE
SANITARY SEWER SERVICE
2730 40th Street West
WEBSTER, MINNESOTA 55088
952 / 652-2923 ❖ 1-800 / 417-2718 13027
TO DATE 5:::`1 %q
Ar,/
.< Justin Kie erich
� �'�l/I ��s,� r OPERATOR
rdk-44t- Aida.
QUANTITY DESCRIPTION PRICE AMOUNT
Pump Septic ❑ Holding Tank ❑ Grease Trap -=--
❑ Lift Station ❑ Excavate Manway
Backflush /Tank Agitation ❑100+ Foot Hose Extension
❑ Install Riser
❑ Float Switch Replacement ❑ Pump Repacement
El Scott County Permit - 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
Ha-►dwash Stations
❑ Extra Cleaning Services
TERMS: DUE UPON RECEIPT. TOTAL
1-1/2°o Finance Charge after 30 days.
REVISED 12/11 75C minimum gawk IfOu!
e7R\,,,i,94>,si
CITY OF PRIOR LAKE PLUMBING PERMITERMIT 4-DBlue NO. /3 /3/
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESSZONING(office use)
1 �� � Svc I
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name)
(Phone)
(Address)
APPLICANT: i
Phone: 952.758.2108
Benny's Plumbing LLC
211 2ns Avenue SE
New Prague
Contact: Ben Stienessen Phone: 952.292.8101
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 SCHEDULE
minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
Estimated Cost $ i aw Building Permit#
PLUMBING PERMIT FEE $ AID ,
STATE SURCHARGE $ ��I ����
(Office use Only) TOTAL PERMIT FEE $ PERMIT
This Application Becomes Your Building Permit When Approved Paid
Receipt No.
Building Official Date By
Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
04 PR/04, Date Rec'd
F., CITY OF PRIOR LAKE PLUMBING PERMIT
U txl
`llI �
`iN H SO
1. $:,e Fik PERMIT NO /3 /3/
z. rola city
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS / —7 ( (7 s /U-S j ZONING(office )
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT ,/,
(Name)(Name) /if bVt`1 i (64'7 S' "v+*c-177-) I/ (Phone) / ' .a,
(Address) 1 S-3 U c v•E+-{ ,;Z
(Address) —
(City)' (Zip Code)
(Contact Person) i''t C/4e" 1 (Phone) 9S-"Z- 7 -,-_ ?/ '
APPLICANT SIGNATURE / . DATE 4/0//4
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink) _ Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other _
,,,/,/,.,41,.1, . .e to i-- /h ,ertif g
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
°?d
Estimated Cost $ 4700 Building Permit#
PLUMBING PERMIT FEE $
STATE SURCHARGE $ g�DI�VCa
�Io �,'
BUILDING TOTAL PERMIT FEE $ 11 PERMIT
(Office Use Onh)
This Application Becomes Your Building Permit When Approved I Paid Receipt No.
I
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
PR/04, Date Rec'd
CITY OF PRIOR LAKE 4-,
v ? SEWER AND WATER PERMIT
�rNE50
I. GreenzllanFile
City
2. YPERMIT NO. /3 /3
�
3. (31114 Applicant
(Please type or print and sign at bottom)
ADDRESS / / ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT -
(Name) iH (�t-l1 (Phone) 9c2' " "75(
(Address) /5 2 '1 < fi 7' r�°r e( ( (4,7;7447 liZed 7/
(Address) (City) (Zip Code)
(Contact Person) 614 le4 (Phone) 75-e /1-
APPLICANT SIGNATURE _ DATE - /io/4
APPLICANT PLEASE COMPLETE BELOW
Size of water service / '' inches.
Location of any couplings from structure / feet.
Type of sewer pipe. ABC E PVC Cast Iron
Estimated length of sewer line Psa) feet.
Clean out(if required)located at /"/1 feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial,Com'l&Multi-family 1%ofjob cost with a$51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit#
SEWER AND WATER PERMIT FEE S
STATE SURCHARGE $ .50 PAID WITH
TOTAL PERMIT FEE $ BUILDING 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
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
As-Built
Project Address /1 /1/ Date
Home Builder Work Performed
North
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Show following items:
• Dimensions 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 settings
• 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 intersections with other utilities,size of pipe,connections at house/garage/etc.
• Mound:size of rockbed/sandbed/downslope/upslope,lateral spacing,lateral size,hole size and spacing,depth of sand,length of force main
Ov PRIp� RECEIPT# 7045 ` r
LAKE
CITY OF PRIOR L4
4646 DAKOTA STREET S.E.
U , Z PRIOR LAKE, MN 55372
(952)447-9800,FAX(952)447-4245 DATE: l'- Z Z 13
..: 2 . .
. .,:., .
4fINNESo �
,-.....7
Received of
f -' t�GCi G'
for the purpose of sP (3. /3 /'4
Or
'ayment
etc* 302_332-(p
Sash
IffCheck 3 7 06. OQ Invoi,e#
0 ACHE
Total5706- OV 4 i,
Receipt Cle for the City of Prior-oke
r
111'0,t RC1
XXXXXXX, 2013
Jesse T Loudon
17111 Sunset Avenue
Shakopee, Minnesota 55379
Re: SUNSET AVENUE UTILITY IMPROVEMENTS 17111 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*
**Escrow Check is at City of Prior Lake Building Dept 11/18/13 for$5786.00
Page 1 of 2
J:\UTILITY CONNECTIONS\17111 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
roF;Qn�o�
XXXXXXXXXXXX, 2013
Checklist-Utility Connection (Project # 13-011; Sunset Avenue)
❑ Homeowner complete and sign the Building Permit Application (City of Prior Lake
Building Permit-Temporary Certificate of Zoning Compliance and Utility Connection
Permit).
❑ Homeowner to have their Plumbing Contractor complete and sign the Plumbing Permit
application Ask your Plumber which size Water Meter you will need; either 5/8" or 1".
The cost of the Water Meter & Reducer is different depending upon which size you get.
Circle the appropriate size Water Meter on your Building Permit Application. The
Plumbing Permit Application Fee ($54.50) will be paid by the Homeowner as part of your
Building Permit Fees. (See letter)
❑ Have your Sewer and Water Contractor complete and sign the Sewer and Water Permit.
❑ Have your Sewer and Water Contractor locate any wells on your property and any wells
on each adjacent property to yours (the lot on either side of your property). Have the
Sewer & Water Contractor mark the well locations on your property and on each
adjacent property on the enclosed Aerial Photo Map.
❑ Sewer and Water Contractor also must mark, on the same aerial photo map, the layout
plan for the Sewer & Water lines coming into your house. All Sewer lines must be a
minimum of 20 feet from any active well. The Sewer and Water Permit Fee ($56.50)
will be paid by the Homeowner as part of your Building Permit Fees. (See Letter)
❑ Bring or mail the completed & signed (1) Building Permit Application, (2) Plumbing
Permit Application and (3) Sewer and Water Permit Application along with (4) the
properly marked well locations and marked sewer/water lines into your house on the
enclosed Aerial Photo Map of your property to: City of Prior Lake Building/Inspections
Dept. 4646 Dakota Street, Prior Lake, Minnesota 55372 (952 447 9850).
❑ Please bring or mail, with all the above information and Permit Applications, the correct
dollar amount of fees required as shown on your letter from Larry Poppler/City
Engineer-Inspections Director.
❑ Once the City of Prior Lake Building/Inspections Dept. has received all of the above
information, the applications submitted will be reviewed and if approved, a Building
Permit Number will be issued and work can begin. If not approved, you will be
contacted.
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
(;,./4,t,& W/415,-- ,. 2 j/
PROCESS FOR NEW SEWER & WATER HOOK-UP (Building Department) 10/21/13
sz
� 4
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
$ 590.00
Total $ 5636.00
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.
Run Date: 12/02/13 12:07 CITY OF PRIOR LAKE - Page: 2
GLRECR 5.1 97.02 Receipt Register Ini: Janet
Seq Post Date Rec Typ Document Source Reference FUND ACCOUNT OBJECT Debit Amount
#13-1309 101-34104-000 10100 1,105.98
#13-1309 502-37750-000 10100 900.00
#13-1309 502-37760-000 10100 600.00
#13-1309 505-36104-000 10100 1,000.00
Total For Document 7,846.48
0015 11/30/13 LIC 0070451 ALLIED EXCAVATING sw#13-1312 101-20203-000 - 10100 5.00
sw#13-1312 101-32231-000 10100 51.50
Total For Document 56.50
0021 11/30/13 LIC 0070453 JAMES BARTON DESIGNS pp#13-1313 101-20203-000 10100 5.00
#13-1313 101-20203-000 10100 17.00
#13-1313 101-32210-000 10100 512.50
C&66(e-r
pp#13-1313 101-32230-000 10100 49.50#13-1313 101-34104-000 10100 333.13 Total For Document 917.13
0022 11/30/13 LIC 0070454 JESSE LOUDON #13-1314 101-20202-000 10100 2,435.00
sw#13-1314 101-20203-000 10100 5.00
pp#13-1314 101-20203-000 10100 5.00
pp#13-1314 101-32230-000 10100 49.50
sw#13-1314 101-32231-000 10100 51.50
#13-1314 502-37750-000 10100 900.00
#13-1314 502-37760-000 10100 600.00
#13-1314 505-36104-000 10100 1,000.00
#13-1314 601-37170-000 10100 590.00
#13-1314 601-37175-000 10100 150.00
Total For Document 5,786.00
0026 11/30/13 LIC 0070455 DR HORTON #13-1266 101-20202-000 10100 2,435.00
pp#13-1266 101-20203-000 10100 5.00
#13-1266 101-20203-000 10100 198.00
fp#13-1266 101-20203-000 ' 10100 5.00
sw#13-1266 101-20203-000 10100 5.00
hp#13-1266 101-20203-000 10100 5.00
#13-1266 101-32210-000 10100 2,829.50
fp#13-1266 101-32215-000 10100 49.50
hp#13-1266 101-32215-000 10100 149.50
pp#13-1266 101-32230-000 10100 149.50
sw#13-1266 101-32231-000 10100 51.50
#13-1266 101-34104-000 10100 1,839.18
#13-1266 502-37750-000 10100 900.00
#13-1266 502-37760-000 10100 600.00
#13-1266 505-36104-000 10100 1,000.00
#13-1266 601-37170-000 10100 590.00.
#13-1266 601-37175-000 10100 150.00
#13-1266 801-20204-000 10100 2,500.00.
Total For Document 13,461.68
0018 11/30/13 LIC 0070456 WATER DRS pp#13-1315 101-20203-000 10100 5.00
pp#13-1315 101-32230-000 10100 49.50
Total For Document - 54.50 -
0019 11/30/13 LIC 0070457 HUEPENBECKER CONST #13-1316 101-20203-000 10100 5.00
#13-1316 101-32215-000 10100 74.75 -
Total For Document 79.75.
0012 11/30/13 LIC 0070458 BOB SABLE SVCS pp#13-1316 101-20203-000 10100 5.00 -
pp#13-1316 101-32230-000 10100 49.50
Edina Realty Title
www.edinarealtytitle.com
An affiliate of Edina Realty Home Services, a complete real estate services company
November 20, 2013
City of Prior Lake
Attn: Bob Hutchins
4646 Dakota Street SE
Prior Lake, MN 55372
Re: Edina Realty Title Reference: 1054636
17111 Sunset Avenue SW
Please find enclosed Edina Realty Title's check in the amount of$5786.00 payable to the City of
Prior Lake, This check represents the permit fees for hookup to water/sewer for the above-
referenced property.
We are now closing our file on this matter. If you have any questions, please do not hesitate to
contact me at 952-928-5216 or email:titleclaims@edinarealtv.com.
Very truly yours,
Dawn T. Searles
Claims Administrator
Enc.
Claims New Construction Escrow Release
6800 France Ave S, Suite 410 Edina MN 55435 Phone: 952.928.5200 Fax: 952.928.5529
1 vi to x
(.1
(D
r
°'INNEsoi`>'
March 14, 2014
Jesse LouAon
17111 Sunset Av- ue
Shakopee, i 'esota 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
5/8"Meter $5,786
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
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