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TOWN & COUNTRY I N VO I C E
SANITARY SEWER SERVICE
2730 40th Street West
WEBSTER, MINNESOTA 55088
952 / 652-2923 ❖ 1-800 / 417-2718 13114
TO KA- G - DATE �'" `� y
Justin Klepperich
Lla; t� dsti . .6,,,v5-,,T- / ., 1.'/ OPERATOR
QUANTITY DESCRIPTION w PRICE AMOUNT
hl Pump Septic ❑ Holding Tank ❑ Grease Trap f
❑ Lift Station ❑ Excavate Manway
❑ Backflush /Tank Agitation ❑100+ Foot Hose Extension
0 Install Riser
0 Float Switch Replacement 0 Pump Repacement
0 Scott County Permit - Dakota County Log - Rice County Log
_ ❑ Monthly Portable Restroom/s r
❑ Fuel Surcharge
O Clean Owner's Portable Restroom/s
O Regular Portable Restroom/s
O Handicap Portable Restroom/s
O Handwash Stations
O Extra Cleaning Services
TERMS: DUE UPON RECEIPT. TOTAL *() C'b
1-1/2 Finance Charge after 30 days.
REVISED 12/11 75c minimum ghank jou!
PROJECT 4DpRESS AS
NOTES: f 1 L C1 BUILT TIES
/4TE: 3 1 9
Tx" sk. j
Or—,�
koA
SQ.__ I
cl
up�'
i(
AS-BUILT TIES
PROJECT ADDRESS: 3 Z ��,�
�-Q- 4-- DATE: -.3 ( \ I 5,
NOTES:
0--"kr,
o
nj p t--i v-c v...30,..y
Pock.cc\
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
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.
PR.t® CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
® '* i �' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I . 14--
4 t;
'074./N.
AND UTILITY CONNECTION PERMIT
,yfNNES�,it. I. white File
2. Pink City PERMIT NO. 1 //
" Yellow Applicant V i --7 �
(Please pe or Tint and 17291 Sunset Ave SW ZONING(office use)
ADDRESS 25-489-001-0
Patsy & Brian Lundquist
LEGAL DESCRIF
LOT BLOCK ADDITION PID
OWNERR,}‘N k cc Lu NC Q U t S t (Phone) "I,5) — 146 -43-06
(Address) Id--pet \ SNSti kipNUe SMito TPc Ma) 573- 379
(CompanyER
Name) N K h 7T 6ST R v i✓l( 0(' (Phone) A601 " 758 .)l be
(Contact Name) ?ROAD AD N 111 (Phone) C.S.n-1 ?5 1 a i 6
(Address) t53( �.e5—t . ,S6r44 atkal ►Vew .R ii MN 5601
TYPE OF WORK ❑New Construction ['Deck DPorch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
DAddition DAlteration Utility Connection
CODE: DI.R.C. DI.B.C. 0 Misc.
Type of Construction: I II III IV V AB PROJECT COST/VALUE $ ( t COO.
Occupancy Group: ABE F HI M R S U (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-mentioned propel and that all onstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can r o this pet it for just cote. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X Signator-1 Contractor's License No. Dat,57'
Permit Valuation Park Support Fee # $ e
Permit Fee $ SAC # $ 2 -l 15.00
Plan Check Fee $ Water Meter Size 5/8". $ tXI .00
State Surcharge $ Pressure Reducer $—(J_CSL
Penalty $ Sewer/Water Connection Fee # $ t 6 00.0
0
Plumbing Permit Fee $ 5 j 5-7.) Water Tower Fee # $ i 000 • 00
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ �'-e, Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ —--VC, 6 0
This Application Becomes Your Building Permit When Approved Paid 3-, --7 ,6,_C-(.) Rec t No. /,/ ///3
Date 4 . /e.'-/46-- 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
CITY
PRIOR
LAKE PLUMBING'
_��ry1��J��-p��{�'��T} PERMIT
ryr� Date Recd
4.1 5 i� F :y • CIT A_' OF S RIOR X L R�MBIJ♦G'1 ERMI�.A
• so -
•
• Bi Fite
z cad G PERMIT NO.
e$Se :/, py' 3 Yellow. Applicant (.
A nkEss 17291 Sunset Ave SW •
25-489 001-0
ZONING(office nsc)
Patsy&Brian Lundquist
LEGAL DES
• :LOT BLOCK ADDITION '
PID
OWNER (..)—
(Name) Nv 111A tC y LuNDQu.Sc1 AVE SHA► eE svl fv , ac37 q
APPLICANT:
Phone: 952.758.2108
Benny's Plumbing LLC
211 2ns Avenue SE
New Prague
Contact: Ben Stienessen
Phone: 952.292.8101
APPLICANT PLEASl COMVIPLETE BELOW
Quantity Type of Fijtitre Quantity r
Bath Tub with or Without shower T e of Fi fa e
Dishwasher 12ough ios
Mixt Drain Water Heater
Lavato
Water Softener
ry(Bathroom Sink) Stated Pipe e
Laundry Tray(1 or 2 compartment sinkSewage E
Ejector
(Washing Machine)
Shower Stall
SinksBackflow Assembly
Bar Sink Backflow Assembly Test
Lawn S. rinkl
Water.Closet.(Toilet) ez
nti,
The Minnesota Statutes 36B;1 $ PLUMBING FEE OF$54.50 PAID BY i
FLE SL.niElii]I,E HOMOWNR Plumbing Permit
i
"SURCHARGE"has been extended f job cost with a'$49.SO mini um Restd:
' The minimum surcharge for a . tic trust abe
c signed by Pltimbiriq.
Contac<oc
;"fixed fee"permitis.$5 MO-- iiil :u. p
`PMTMB]NGc PERMIT FEE Permit Fee 549.50 11
- STATE SURCHARGE: State sureherge s:
TOTAL $54.
i' TOTAL PERMIT FEE •
(Office Use Only)-1- /BU�� ��
This Applies Ilion Four I3uildiirg prmitV)61eu •
Iion Becomes Approved Paid Receipt No.
BWeill
afIaa Date . By
Date:
:24 hour notice for all inspections(952)447.9850,fax(952):947-4245
4646Dakota Street&g.,Prior fake,:iVIiinnesota 55372
®1 Netto,
AIS Date
: PLUMBING Ree d
ease or ,.. F„.
AbDREgg 17291 SunsetAve SW z cola c;ty PERT I� ,
3. Goi APPGran[
25-489-001-0
ZONING.(educe use)
Patsy&Brian Lundquist
LEGAL DES
LOT BLOCK .ADDITION .
o PID
WNER
(Name) ' P J �S Y
(Address) I,UN DQ Ut S-1-
a 9 �vws€�- - -___- (Phone) S� �{q`-���
Ave. SK/4
APPLxc eft M55379
(Name) A !' ,
(Address) / ! (Phone) 92C-Z"-.
(Address) < ,/ i
(Contact Person) j' r ,.fes /v (City) (Zip Code)
APPLTCAN S GNAT URE +*"` (Phone) -
DATE A/I /4
I uan6ty APPLICANT PLEASE CO
�',,a of FixtureMPLETE BELOW
Bath Tub with or without shower uantti
Dishwasher T I a e of Fixture
Floor Drain Ron• ,-ins
_�IIIM
Lavatoloor ; :att room Sink Water softener
Laun. Tra cener
1111111111.. Shower T- 1 or 2 COM I artment sinkinimin Stand-Pic ashin_Machine
Sewa.e E'ecse
® Bar Sink �_ Backflow Assernbl
11111111111111 Sinks
Water Closet Toilet L a n S' Assembl Test
_MU �_ �- Lawn S.rinkler
1.111111..- The Minnesota Statutes§>3265.�$ ��'"
"SURCHARGE"has been extended FEE SCHEDULE
PLUMBING FEE OF
-
The minimum surchar fTob cost a$49.50 minimum $54.50 PAID BY i
surcharge.for . Reid HOMEOWNER--plumbin Permit
"fixed fee"permit is- aH$>t Resit must be si rred b Plumbin t
r$ ConCon-tractor
s.0 o APrn,if-1
„ 'PI U1wIgING PE
STATE SDRC RMIT FEB PermitFee549.50 p
SURCHri
ARGE
State Surcharge 5. III
��
(Office use Onlyj' TOTAL PERMIT FEE i TOTAL $54. -
A4ppLiea ion Becomes Your Buildingeat-
This �
Permit When Approved Paid
Receipt No.
Buildia¢Official te
baDate
Y
24 hour notice for all inspections(952)4V-9850,f
.4646 Dakota Street S.E.,Prior Lake, fax(952)427 4245
e,l�tnnesofa 55372
Q 1' 10
�� ' Date Rec'd
F.,l 114 . CITY OF PRIOR LADE
` i,t w,®` SEWER AND WATER �{-, I�:: _ ( l
/7--
zit: PERMIT
,v.,
�. Green Fk PERMIT NO
Z. Gold City
'ease g' or,: t and si ---` 3. Gold Applicant
:ADDRESS 17291 Sunset Ave SW ZONING(olfice Use)
25-489-001-0
Patsy&Brian Lundquist
LEGAL DESCRIPTI
LOT BLOCK ADDITION PID
I Rt; v kQts Luob0ut — -
c eft' (Phone) 5� —4-45 45
(Address) ( 9e11l S)(' I AVE&Of iI ff� ,10 5537
(Address) (City)
(Zip Code)
APPLICANT
(Name) A rT hit (Cr?c/r G 61 s (Phone) %'.0 -7s-e-.s'"'!`
(Address) 115--- 61 e 4 , '?x' f,f �
(Address) (City) (Zip Code)
�1 ,�,-,�r,�f
(Contact Person) r° ‘11;W.
(Phone) '75-2-7Cf 0 10,
APPLICANT SIGNATURES =:—
DATE` '4
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure ,t14 feet.
Type of sewer pipe. I (ABC J.PVC I J Cast Iron
Estimated length of sewer line /of) feet.
Clean out(if required)located at 44 feel from structure.
SEWER&WATER PERMIT FEE OF
FEE SCHEDULE $56.50 PAID BY HOMEOWNER.
Residential sewer and water line connection $51.50 Industrial:Com'I&'Mul Sewer&Water Contractor MUST sign im
Sewer connection only $25.50 Water connection only Sewer&Water Permit Form
Estimated Cost $ Building Pem—,,
SEWER AND WATER PERMIT FEE ,
STALE SURCHARGE Permit Fee $51 f ,� ci<'
TOTAL PERMIT 111:E State Surcharge C.t
TOTAL $56.if ,k
((mice Use Only) ' N`
This Application Becomes Your Building rex wait Wheu A raved
�1+ Paid I{PceiPt'hln
Date By
Bufldipe Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior LaIce,Minnesota 55372
a� ��ro
�
47U
to March 14, 2014
Brian and Patsy Lundquist
17291 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 Fe1 000e $
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 TowerFee $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
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
$ 590.00
Total $ 5636.00
$ 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.