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HomeMy WebLinkAboutUtility Connection 14. 0592 — 0 0 n CIO 00E 1 0 > En ) n n 0 Ca11E71II � § $ § '4 ) § a 22 2 E m > c _ co m m m § o b .- _ ■ 73 x r ■ z 4 U) g m r m_ m cn m z -I0o � cn % t \ b - m cn § ® qQ P Zk ro (n Cl) q z z § » G 2tki > 0 § - # -^ 0 / § m m \ 2 § § 7 0 ! -I -n -0 \ m R 0 _ 0 0000 • m m m m ■ a * 31 k x z0 § r m > mr cn 0 roc _ ■ mI ■ -0 n ■ k \ ƒ ) Ezix z m 0 ? ~ m 6 § r -nRR \ § p !� § $ e \ z zmm 2 C 2 \ § �� � P r m � 0 % ZsAr [ � } m R § § i 000020 --- ., :._S.. 2 2 21I § § - R. 0 ® UmmC ® A K \ 0 „ \ \ § q - � M M ® _ m - _ r ■ —1z - m qr B N - 000 00 o - 72 Z 0 cg / p q o \ \ = z � o � zm /mo / z \n n \ r9 m 9 � § 77 k \ m m w� o m r n ® a0 z 73 � § w § 2/ Z k ® © 2 ; . o w za mAq ^ � k $ \ $ ii ° > 0 7 2 § 3 \ / ] X � 1 -'- OOOgOO tt% _ RR . 2cn * E � \ m $ m m � b § c § � c) k z v § = ■ mX3 n \ 0 2 ® / m2 � � 27 0 x k 0 k i J > § 0 0 ® 3 -I F § C.f.), 2 § rn00 z • 0 ~ % - \ 0 7 no \ g § \ z 7 \ 4. ps,4. o z 7 c \ I0OSCO0ic QTI3nm -4 \ 0 t > m70 § C in 2 z r 0 13 -0 � 5 . �. 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Li,\ m w q 0 } % / . - ' : B § § } § a 0 } o ' 1 ii E 2 § § � -J 0 0 0p 44 X Z & 2 _ ? ? 2k % § R a \ k § § � � § / k 2 ( cn J no , 2 � 7ma � I § / 2 § 4. 000000 0 0 Z s re § § u I / ■ = u e LU w ( 0 & $ :-.1i § ( P 0 4 0 U- § ƒ 0 ddJ cc 0 $ 0 eco O S § \ L 0Z < 0 a. 0000 0 UA0 0to Mike's Septic Service Sales Receipt 16961 Mushtown Road Prior Lake, MN 55372 Date Sale No. 952-440-1800 8/19/2014 10304 Sold To Ship To Allied Excavating Allied Excavating P 0 Box 486 1725 Shoreline Blvd Prior Lake,MN 55372 Prior Lake,MN 33372 Check No. Payment Method Project VISA Description Qty Rate Amount Pumping Septic System 3 Tanks Manhole 1 230.00 230.00 Metropolitan Waste Dumping Charge 1 175.00 175.00 Permit 4 35693 sent to Scott County Fee 1 20.00 20.00 Thank you for your business! Mike Rein Total S425.00 1,------, -) N.._() (A.) 11 0- S ,\:: Aruitc4:1A I ____...... -....,,. c ----7 ) L-----1 c _ 6 C,gtet,„0-Lf ---,,,, \ , \ Y l 8 Li l't - \ \ WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring WELL AND BORING SEALING RECORD Sealing No.MH 3 2 4 7 2 9 ta 1A Minnesota Statutes,Chapter 1031ili orl W ser es No.ue WelNo. ' 0,10e dank s„a known) - Township No. Range No Section No. Fraction(am.-.I 7. ,� g.) Date Sealed Date Well or Boring Constructed ~• IMb • P" r:i?•- i ' N- :,.>1 Latitude Longitude Depth Before Sealing ✓� ft. Original Depth Numerical Street Address or Fire Number and City • IFER(S) R. of Well or Boring Location r4 ingle Aquifer STATIC WATER LEVEL ❑Multiaquifer Prior W :ORING Measured S ow ex. lova i.n o we or',,ring Lake ,,ater-Su I Well El Estimated Date Measured �,',a/ section grid with•)(" C 7 pp Y ❑Monit.Wel! J 'w+�r wen or boring P 9locatio ,,showin.pope r ■Env.Bore Hole N lines,.roads,amt. Idi ., El Other ft N11111111111S, _i,_ CASING TYPE(S) I'`'below Q above land surface NO !.Steel ❑Plastic [Tile ❑Other w�mu � T J e WELLHEAD COMPLETION rE 111111111 ! Outside: ❑Well House �M;� Q At Grade Inside: Q Basement Offset ;OrPitless Adapter/Unit ❑Buried ❑Well Pit • 5 —1 Mile--.-4 0 Other El Well Pit ❑Buried ❑Other PROPERTYr' OWNER'S NAME/COMPANY NAME Lisa Houston CASING(S)��9@ggg��� Property owner's mailing address d different than well location address indicated above Dl rnete� ♦ Depth CO ♦ Set in oversize hole? Annular space initially grouted? ln.from to ft. ❑Yes 4X10 ❑Yes ❑No (]Unknown in.from to ft. ❑Yes ❑No ❑Yes ❑No D Unknown WELL OWNER'S NAME/COMPANY in.from to ft. ❑Yes Q No ❑Yes U No 0 Unknown SCREEN/OPEN HOLE I II • Well owner's mailing address if different than property owner's address indicated above Screen from to ft. Open Hole trom____�__ Z to _ff OBSTRUCTIONS •. Rods/Drop Pipe ❑Check Valve(s) ❑Debris ❑Fill Li No Obstruction TYPO of Obstructions(Describe) / � GEOLOGICAL MATERIAL COLOR HARDNESS OR r FORMATION 11:• TO Obstructions removed? ►i es If not awn,Indicate estimated formation logfrom nearby ❑No Describe well or boring. PUMP allMTYPe. B PVMQ =pipRemoved ❑Not Present ❑Other METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: ..........m1111111111111111111111.1111111111111111111111111.7 o Annular Space Exists Q Annular Space Grouted with Tremie Pipe all_�. in.from ❑Casing PerforatioNRemoval 111111111111111 in. to__________H. ❑Perforated . ❑Removed n.from mill-mil_ to ft. ❑Perforated �]Removed TYpe of Perforator _. VARIANCE IIII Was a variance granted from the MDR for this well? El Yes ►. o TN# amommili.GROUTING MATERIAL(S) (One bag of cement=94 lbs.,one bag of bentonite=50 lbs.) ■Grouting Material from Q+ to.21141_ ft. . 11.111111111111111111 .. Yards bags 11111111111111 �� from to ff. yards bags from to ft. .1111111111111111111111 OTHER WELLS AND BORINGS yards bags REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING • Other unsealed and unused well or boring on property? ❑Yes 1-No How many? LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules,Chapter 4725.The information contained in this report is true to the best of my knowledge. Don Stodola Well Drilling Co., Inc, 1691 Licensee Business Name fr.' license or Registration No. • i•.:1"..'. 'Sentative ,moi - �/ Certified Rep.No. Date MINN.DEPT OF HEALTH COPY H 3 2 [/1( "y e^= 4 i 2�..r Name of Person Sealing Well or Bon HE-01434-14 IC*140-0423 ■ 511m OF PR,1p/P CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd .� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT 30. �� ��A'NESo�� I. While File 2. Pink city PERMIT NO. iii 3 Yellow Applicant ")" (Please type or print and sign at bottom) ADDRESS ZONING(office use) izs- grortth, bo\.) IsPVO(c) , S cJz- frr� _Sr-139-91Sb LEGAL DESCRIPTION(office use only) l LOT BLOCK ADDITION PID t75 — 4'` 7— 00,2- 0 OWNER (011.)-1)4c41 � ``�q (Name) SQ 4G)(k l v� (Phone) (011.Zd)4 S 4I (Address) C mi. OSS 0.100 �- . ) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK El New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish El Fireplace ['Addition ['Alteration ❑Utility Connectionf._._ CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU Division: 1 2 3 4 5 (excluding land) 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 )eabo c-m o property and that a. construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offi i.�, .t is.er . for ju ause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x or I r ignature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC ## $ az/.3 .- no Plan Check Fee $ Water Meter Size 5/8"G $ 7i oC 2 State Surcharge $ Pressure Reducer $ C' Penalty $ Sewer/Water Connection Fee # $ /5700 4� Plumbing Permit Fee $ 5-171SO Water Tower Fee # $ /6140- Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ ,5 /�C� Other $ Gas Fireplace Permit Fee $ TOTAL DUE $37g-.6 3 7'g `(70 This Application Becomes Your Building Permit When Approved i?-'-. J j ', k Receipt No. t ' Date (E; 0— ii 1Lk- By k - '. 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 p� I'R 0 Date Rec'd A CITY OF PRIOR LAKE PLUMBING PERMIT //`)' 73 4 soo I. Blue File PERMIT NO. 2. cola City r/ +'� 3. Yellow Applicant �` !L„.. (Please type or print and sign at bottom) ADDRESS ZONING(office use) il ..40eit‘IlAk. R\ t4 INAkeief OIN 57 V35:) ') ') ill) 1 5 CI LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID A" '/7- ry��-0 OWNER ,(/� ` ' �C� (Name) / ' / '�� Li s���'i��� t J'(�,t,�to (Phone) 1pIL-23z- 7�� c gPhone (Address) I.1 Zc �,,l�r,,ti 1� p,\V c ,,,k.,1,_,, , fY)Iv s- . 1.- 1 APPLICANT +_ (Name) ./v// m 'l�� to 4 L (Phone) / Z _ L/S p 7 1 7 (Address) %f1S / Z w w C ' (Address) (City) (Zip Code) (Contact Person) ..,e4L _ (Phone) / C4 S F ' Z (------,-- APPLICANT SIGNATURE ,f/er . —.L., DATEAl2_ 2 2 / t 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 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 Estimated Cost $ Building Permit# The Minnesota Statutes 326I3.1413 PLUMBING PERMIT FEE $ "SURCHARGE" has been extended STATE SURCHARGE $ The minimum surcharge for a TOTAL PERMIT FEE $ "fixed fee" permit is$5.00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date PAID TI I Buildine Official Date BUILDIN PERMIT 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 c) '� CITY OF PRIOR LA Date Rec'd v KE SEWER AND WATER PERMIT ' ,t�`' ' .ff�\.ti rsoi' 1. Green File Z. Yello„ City PERMIT NO. / Please .c or print and soil at bottom) 3. Gold Applicant ADDRESS la©Y e., 1 y.,,Q,_ \V ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION 21-1 _... PID 2 ._ e l;C2 OWNER _.__—__ " -[.= (Name) �1 q, . r' (Phone) ( 1a -aba^ 1571 (Address) laa_. In-Or e....1;\,..8t...\,..8t... �n 1 V 1!YCi \( , 'y�,- (Address) "�-'!est, Y t�lJ '553)9 _53�� — (City) (Zip Code) APPLICAN___ g... s_ A (Phone) .5_15__ _ (Address) C)ti _ c-{ '3_u__ Pi 104 �...0 I1'l(/J r (Address) (City) J (Contact Person) 7e., (Zip Code) (Phone) �9 - 3. _7 ,____ APPLICANT SIGNATURE__MI ♦kilt -- -,r-_,... - DATE CQ C9(0-1 y r — APPLICANT PLEASE COMPLETE BELOW Size of water service _ i inches. Location of any couplings from structure da feet. Type of sewer pipe. ABC 2 'VC Estimated length of sewer line�- o feet. Cast Iron Clean out(if required) located at feet from structure. FEE SCHEDULE Residential sewer and waterii e connection 551.50 Industrial,Com'l&Multi-family 1%of job cost with a$51.50 minimum Sewer connection only 525.50 Water connection only 525.50 Estimated Cost S Building Permit# SEWER AND WATER PERMIT FEE S STATE SURCHARGE ) TOTAL PERMIT FEE $ 50 '>!• (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Ruildint Official Date By Date 24 hour notice for all inspections(952)447-9850,` Y ) RR 6� , 4646 Dakota Street S.E.,Prior Lake,Minnesota 5 �2` "'-f nu,„, MT 1'810 March 14, 2014 Mark Houston 1725 Shoreline Boulevard Prior Lake, MN 55372 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 sewerand 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 water and sewer within one year of availability. Section 4715.0310 of the Stateto of City 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 PR1p 411/infESc cr' Wednesday, November 6, 2013 No letter can be sent until Sunset Ave connection. Send letter with Sunset Mark H. Houston 1725 Shoreline Boulevard Shakopee, Minnesota 55379 Re: CSAH 12 UTILITY IMPROVEMENTS (PID 25-487-002-0) SUBSTANTIAL COMPLETION The CSAH 12 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 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(1") $590 Sewer/Water Connection $1,500 Water Tower Fee $1,000 $5,636 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 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 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.