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Utility Connection 14. 0186
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White File PERMIT NO. f 2. Pink City / ._ / 06, 3 Yellow Applicant / / (Please type or print and sign at be ADDRESS 1900 Shoreline Blvd ZONING(office use) 25-905-013-0 Gary Dahlman LEGAL DESCRIPTION(< LOT BLOCK ADDITION PID OWNER // (Name) (Phone) 1112—531/—G.Cs (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace DAddition DAlteration ❑Utility Connection CODE: DLR.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR 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-mentioned property and 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 ke this permit for jt t ause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X CVLAt D -0--, 3 -31--1 (( Contractor's License No. Permit Valuation Park Support Fee # $ 2 Permit Fee $ SAC '20 13 # $ a'�3$00���1 Plan Check Fee $ Water Meter Size 5/8"; 1"; $ 4-661 W State Surcharge $ Pressure Reducer $ //0. 00 Penalty $ Sewer/Water Connection Fee # $ /560.0 0 Plumbing Permit Fee $ 44. 5 d Water Tower Fee # $ /0019• 8 t_'2 Mechanical Permit Fee $ _ Builder's Deposit $ Sewer&Water Permit Fee $ S Other $ ----- Gas Fireplace Permit Fee $ (2. 00— TOTAL DUE $5 , 3& 06 i This Application Becomes Your Building Permit When Approved Paid 6 ...-11 Re ipt No. 170/615 Date _ 3.i.(if' 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 O*PRIoh Date Rec'd Aye CITY OF PRIOR LAKE PLUMBING PERMIT V x', 37. /9 +NNEsoit- i.a s c y I PERMIT NO. 7 i/� /g J., I lease 3.Yellow Applicant • (� type or print and sign at bottom) ADDRESS ZONING(office use) 110° Si tiv o —Etat 8Lsi) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PM °?-ti'_(® y„ 6)/310 OWNER ! (Name) �pJ- �VAvv\a",k, (Phone) (Address) i I Ol) gtAiti1z-2 'i 1/,2 '71„A. APPLICANT ` \\ t iy (Name) it ISI l b� . 1 (Address)3 1 Ock. f.ot-- >'C--r 3 ©o '.\`bO,)r"1 `"N l , JJ--ii (Add ss) (City) (Zip Code) X (Contact Person) - ' . ';'r-%\ (Phone) Z.5)--??,5---)S--q) 1 APPLICANT SIGNA • 401111P �9• DA !2- h Lf 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 1 k s HadR., d 1.44.11 FEE SCHEDULE Industrial,Commercial&Multi-family I%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 R,i4 W;g,.,, ;th, 'er4k Estimated Cost $ U Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 (Office Use Only) TOTAL PERMIT FEE $ PAID WITH This Application Becomes Your Building Permit When Approved Paid BU ILDING1f1PRMIT 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 1 Ip Date Rec'd �..a, CITY OF PRIOR LAKE SEWER AND WATER PERMIT 4111Vh F.5 `. YellGreeo°w File ty PERMIT NO. 2. 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) Ito© U\are.l;Y. 1( 1 vd LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER e) C-?Q✓y t r:..1 �rvv) vA (Phone) (Address) 1Ql 00 'v6YQ 1;v,A_ 1 v ci S Inc VAI pei.. 0113 .5S 3i9 (Address) (City) / (Zip Code) APPLICANT (Name) I � 1 e .l 1 ^t EY dA a.v l^h 5,)" 9�- �3 y PO �oX ybLQ ,(� i 0 (Address) 1"Y � �f L C,1�2. 5J 37 p� '('' (Address) (City) 1 (Zip Code) (Contact Person) -J 2. e l.3\J (Phone) (.0 I P 9 1 b° 3x07 APPLICANT SIGNAT l _�� - . I \--.. � 1.=�' � DATE 3"3� ��'1 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC D PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out(if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com'l&Multi-family 1%of job 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 $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (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 Bob Hutchins From: Bob Hutchins Sent: Thursday, May 22, 2014 3:53 PM To: 'Jeremy Gylland'; Larry Poppler; Laxen, Len Subject: RE: Dahlman Service All, City staff Kevin Kleist spoke with Darin Evavold with Bolten&Menk today and he explained to Kevin the materials used in the installation of the sewer and water services to the Dahlman residence. The only noncomplying State of Minnesota Plumbing Code item installed was the SDR 26 sewer pipe. Code states Schedule 40 should be used. We will accept the SDR 26 installed pipe. City staff will work with the homeowner to ensure that the septic tank is pumped and crushed, water meter installed,well-sealed or separated from the city water supply. At the next out of the ordinary situation involving city jurisdiction,please call for a city staff inspection. Thank you Robert D. Hutchins Building Official City of Prior Lake 4646 Dakota Street SE Prior Lake,MN 55372 952.447.9851 Fax 952.440.4263 City Email Updates. Sign up now. From: Jeremy Gylland [mailto:JGylland(&nwasphalt.net] Sent: Thursday, May 22, 2014 1:17 PM To: Larry Poppler; Laxen, Len Cc: Bob Hutchins Subject: RE: Dahlman Service I will take the blame for that one. Len had told me to call, and I forgot. Bob, what do we need to do? Len was on site inspecting most of the work, but now we need to go to plan B. Let me know. thanks ASPHALT I INC.h E-mail JGy//ands nwaspha/t.net Cell:952-292-8368 Main Office: 952-445-1003 Facsimile: 952-445-1056 1451 Stagecoach Road Shakopee, MN. 55379 NWA's CONFIDENTIALITY NOTICE: The information contained in this e-mail communication and any attached documentation may contain privileged and confidential information, including information that is protected under the HIPAA privacy rules, and is intended only for the use of the designated recipient(s). This e-mail is not intended for the transmission to, or receipt by, any unauthorized person. The use, distribution, transmittal or re-transmittal by an unintended recipient of this communication is strictly prohibited without our express approval in writing or by e-mail. If you are not the intended recipient of this e-mail, please delete it from your 1 NWA had Jason's Pipe crew on site today to perform the extra work at 1900 Shoreline (Gary Dahlmans) which includes connecting the Sanitary sewer service to where the existing sewer comes out of the house, running a 1" copper water service up through the southeast corner of the basement floor, and run a 6" PVC Perforated drain tile line out of DS5 to the area of the sanitary sewer service connection. Jason had his crew of 5 men start by running a 6" PVC drain tile line out of DS5 to the north and then turn east along the north edge of the 8'trail. When they got to the Water Service curb stop they connected a 1"copper line and ran it along the drain tile line until they were straight out from the Southeast corner of the house. They decided to dig a trench to the corner of the house and install the water service under the footing and up through a hole in the floor that Gary had made.They backfilled the water service trench and then began digging to locate the septic tank and connection point for the sewer line. They found the septic tank and connection point and found that the connection could be made without removing the tank. Len w/Scott County said we would only remove the tank if needed to make the connection so the tank was left in place. They made the connection and then ran the sewer line and drain tile line to the south and made the connections. They backfilled the trench and graded the disturbed areas and restored driveway access. When finished, all the water and sewer issues appeared to be resolved. Jason's crew also added a new Drainage Structure to the north of DS3A in order to get a flatter slope from the back of the trail to the ditch bottom. They laid an 8" PVC pipe between the two structures and installed a solid cover casting on DS3A and installed the removed Beehive inlet grate on the new DS. They backfilled and graded the area. They also installed the area drain to the low area west of 1966 Shoreline's driveway that new road and trail was holding back water. They ran an 8" PVC pipe out of DS1 and ran it to the low area just inside the R/W and installed a 27" MH and Beehive grate. They backfilled and graded the area. Hours Worked: 7:00 AM to 9:00 PM with a 1/2 hour lunch break. Foreman- 13.5 Hours 8 men -13.5 Hours each Equipment: Foreman Pickup -13.5 Hours Komatsu 200 Excavator- 13.5 Hours Komatsu 250 Loader -5.0 Hours Bobcat T650 -8.0 Hours Pull type Air Compressor-3.0 Hours Quantities: Solid Cover Casting - 1 Ea. Beehive Grate -1 Ea. 27" Concrete CB 2.5' -2 Ea. Concrete Adjusting Rings -5 Ea. 1"Type K Copper Pipe -90 LF 8" PVC SDR 26 Pipe -55 LF 4" PVC SDR 26 Pipe Sewer -50 LF 4" PVC Cap - 1 Ea. 4" PVC 45 Deg Bend -3 Ea. 4" Fernco -2 Ea. 6" PVC Perf Drain Tile w/sock - 170 LF 1 1/2"Washed Filter Rock -24.31 Ton 3/8" Round Buckshot -16.51 Ton o� RrO41 Date Rec'd N CITY OF PRIOR LAKE SEWER AND WATER PERMIT ,,, -ti'NEse�P 2. I. GYelreenlow FileCityPERMIT NO. 3. Gold Applicant 'lease J.e or .Tint and":R...,4""",.—' ADDRESS 1900 Shoreline Blvd ZONING(officeuse)25-905-013-0 Gary Dahlman LEGAL DESCRIP LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT (Name) (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW Size of water service inches. ' Location of any couplings from structure feet. Type of sewer pipe. ❑ABC U PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out(if required) located at feet from structure. SEWER &WATER PERMIT FEE OF FEE SCHEDULE V $56.50 PAID BY HOMEOWNER. Residential sewer and water line connection $51.50 Industrial,Com'!&Multi-family d Sewer&Water Contractor MUST sign Sewer connection only $25.50 Water connection only Sewer&Water Permit Form Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE $ 5/ 5V STATE SURCHARGE $ ,5--,6O', TOTAL PERMIT FEE $ 56,55 (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 1'I -4) Date Rec'd a�. CITY OF PRIOR LAKE PLUMBING PERMIT • 411)'NESoS� 2.Gold city PERMIT NO. (Please type or print and sign at both 3.Yellow Applicant ADDRESS 1900 Shoreline Blvd 25-905-013-0 ZONING(office use) Gary Dahlman LEGAL DESCRIPTION(offi LOT BLOCK ADDITION pm OWNER (Name) (Phone) (Address) APPLICANT (Name) (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE DATE 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 The Minnesota Statutes§.326B.148 ' FEE SCHEDULE PLUMBING FEE OF$54.50 PAID BY "SURCHARGE"has been extended >fjob cost with a$49.50 minimum Residen HOMEOWNER—Plumbing Permit The minimum surcharge for a . Residen must be signed by Plumbing :"fixed fee"permit is$5.00 is Building Permit# Contractor 'PLUMBING PERMIT FEE $ /-/F'N STATE SURCHARGE $ b 0 TOTAL PERMIT FEE $ ,53/. 5'0 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date Buildiue Official Date By 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 F� � m� t /f b Checklist-Utility Connection (Project# 12-002, CR 12) ❑ 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 o1 PRI-% 0ti u r� 4r1Nsol __._ November 8, 2013 Gary Dahlman 1900 Shoreline Boulevard Shakopee, Minnesota 55379 Re: CSAH 12 UTILITY IMPROVEMENTS (PID 25-905-013-0) 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, 2 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 5/8" $ 590.00 Total $ 5636.00 OR " $ 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. system, without copying it and notify the above sender so that our e-mail address may be corrected. Receipt by anyone other than the intended recipient is not a waiver of any attorney-client or work-product privilege. Thank you for your cooperation. From: Larry Poppler [mailto:Ipoppler©cityofpriorlake.com] Sent: Thursday, May 22, 2014 1:15 PM To: Laxen, Len; Jeremy Gylland Cc: Bob Hutchins Subject: Dahlman Service I know last week NW Asphalt connected Mr. Dahlman to City Sewer. Unfortunately,the City Building Department was never called to perform the inspection. Please contact Bob Hutchins at 952-447-9851 to discuss this matter. It may involve the re-excavation of the pipe to review the work. Larry Poppler City Engineer/ Inspections Director City of Prior Lake 4646 Dakota Street SE Prior Lake, MN 55372 952-447-9832 2 f I f 1 A d i 1 1 9 1 , q i i • `" s• "rtc "trrrr ` ''3,.,,, a., x ; r qata ) � ti:. ,l''''''''''''';'°'. ' �@a,y a, L ¢ia ';'...1 ' h ,z 4ne r a' ,4,::,'1,wPrp4yau. s4r ,� �'"` k a ''51":1.-‘,'' Jrxlyt :14'' ''r t F n ,R. } ''r° hr-�y.v .L"} 7 �� i i �ai'"'''''' a§ 3" � '' s E E p b , w.If° Y ,� $w ' �S 'Y { .ry„ } .g ��➢� 1, *� t Att.CITY M. > FDA d 1 :w � ,�� �,s H�1 tTI 2 1D a. oy m p �7 m ( Co m 2 b � ti z Z O P w r- � y4 ,��� Ln CO i • ' oD o CO I:7 N UNIT S Ar jte2~ l -;:l i,'',. 4 Z tri rW rO cn g� -,b t- 277 N-t) g VI 13 `r, '�r.. z..§. r,'r .f ,+`wY'; ,• G()CD ,