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Home My WebLink AboutUtility Connection 15.1283 (2) MAPLE LANE, MUSHTOWN RD, PANAMA AVE WATER & SEWER CONNECTIONS Property Address: 17280 PANAMA AVE SE PID: 239110510 Property Owner Name: DANIELSON NANCY L Phone 1:(612)232-1962 Property Owner Address: 17280 PANAMA AVE SE PRIOR LAKE MN 55372 Owner Email: NLDLOL@tt H()TMAIL.COM Phone 2: tORS Building Utility/Connection Permit#: 15-1283 Date Issued: 10/19/2015 Sewer Contractor Name: Krueger Excavating Date Issued:10/15/2015 Phone:(952)447-8335 Plumber Contractor Name: Boevaag Date Issued:10/1/2415 Phone:(612)270-6872 DATE OF CONNECTION DEADLINE: 9/26/2016 Sewver/Water Install Completed: Yes Date: 10/20/2015 Plumbing Rough-In Completed: Yes Dater 10-20-1 Water Meter Install Completed: Yes Date: 10/30/2015 Plumbing Final Completed: Yes Date: 11-1-15 Septic Pump Ticket Received: ` Yes Date: 10/20/15 Septic Removed/Crushed Completed: Yes Date: 10_.20.15 Well Capped Completed: No Not Required Date: NOT REQUIRED Asbuilt/Ties Completed: Yes Date. 10/20/2015 Grading Completed: Yes Dater 10-30-15 Final Inspection Completed: Yes Date: 11-1-15 PLEASE DO THE FOLLOWING OUTSTANDING ITEMS NEEDED FOR COMPLETION: LBed Sewer 2.Insulate Lines 3.Curb Box @ Grade 4.Repair Tracer Wire 5.Box Cover Missing 6.Erosion Control 7.Clean Street 8,Grade 9.Water Hookup 10.Sewer Hookup 11,MU Hookup 12.Seal Meter 13.Pump Ticket 14.CrushIFill Septic 15.Remove Sewer Mound 16.Seal Well 17.Seed/Sod 18.Asbuilt/Ties 19.Repair Cut Line 20.Repair Driveway 21.Repair Floor 22.Install Fir Drain COMMENTS: D ' AILT/''STATUS Property in Default: NO 1-Year Letter Sent:NO Default Date: 9/26/2016 Date Default Letter Sent:N/A Additional Default Action Taken: UTILITY CONNECTION FOR THIS PROPERTY IS: CLOSED H:\MUSHTOWN SEWER&WATER CONNECTIONS RECORD.docx November 12,2015 of PR/0CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd r y` TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT . (17 4/NNEsOlP I. White File PERMIT NO. _ 3 Yellow Applicant P C (Please type or print and sign at bottom) City ADDRESS i 7 n rt ALI6 ZONING(office use) zeoLEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER NANCY L DANIELSON (Name) 17280 PANAMA AVE SE (Phone) (Address) PRIOR LAKE MN 55372 INL_OG-0L?i-ir t.coq BUILDER `QrTt l+ k d 10-161 j (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ❑Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition ❑Alteration EjUtility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc.• Type of Construction: I II III IV V A B Occupancy Group: A BE F HI MR SU PROJECT COST/VALUE $ 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 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 can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Signature Contractor's License No. Date Permit Valuation - Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water M er Size 5/8"; "; $ State Surcharge $ Pressure $ 15L7 Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ / Water Tower Fee ## $ j Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ 5z Other Gas Fireplace Permit Fee $ TOTAL DUE $ , �- This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date yA-jlefoiti r /y��j �j�� Afer This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ma �� T when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,cy,a Certificateeed as of Occupancy Thismustb document issued. p y,a of must be Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 4� PR1p� Date Rec'd { CITY OF PRIOR LAKE ��-- SEWER AND WATER PERMIT lNNES(7;� 1. CrreeYellow Fite PERMIT NO./ 2. olp 11 �C�(-�V 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 17280 Pannama ave LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name)_Nancy Danielson (Phone) 612-232-1962 (Address) _17280 Pannamna Prior Lake 55372 (Address) (City) (Zip Code) APPLICANT (Name)_Krueger Ecavating Inc (Phone) _952-447-8335 `�C CO �� . LU/'Y) (Address) P.O.Box 729 Prior Lake 55372 S(�;-- (Address) (City) (Zip Code) c``''``''lh�� 9,6- (Contact Person) Tracy (Phone) _952-447-8335 APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW Size of water service 1_inches._plastic Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC X❑ PVC ❑ Cast Iron Estimated length of sewer line 30_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# 1141"SEWER AND WATER PERMIT FEE $ $��rtrs STATE SURCHARGE $geNOt .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 0. p RIO) Date Rec'd a,,, CITY OF PRIOR LAKE PLUMBING PERMIT `61_ [5 N v ceAcia iiv ra. ad. kimasoo I. Blue File 2.Gold City PERMIT NO.is_/2 3.Yellow Applicant (Please type or print and sign at bottom) OWDRESS ZONING(office use) r 2 Z 8 ® P4-Al i-r4m Akre LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER N4—Al Q,(/J ( Gi L Ed /`/ (Phone) (Address) APPLICANT _ -��d Cr 72_ Ole) I30 t.Je-ei (fO�‘i Ac *Phone) (Address) 1 b 4_ 12 S -7 p,L . S537 Z (Address) (City) (Zip Code) (C ntact Person) � 7-c_'-• (Phone) APPLICANT SIGNATURE0,---- /2� „DATE /b h /If 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# to "' "t'`�``` '"`iuIi at�•�- ry 7 IAR!i'F"has been extended PLUMBING PERMIT FEE i'!IffrlfsiniUUff1 su (nar;c !ni a STATE SURCHARGE Ii 1 ,'«r(i ,fee.'"' penny Is" 'a TOTAL PERMIT FEE $ "' g (Office Use Only) .`.`r1MF ` r. •, ),.. ,;} This Application Becomes Your Building Permit When Approved Paid Receipt No. Date Building Official Date '' iii r 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 :4117178:77,,,,4„ 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 .'I.1. *-.7' MAPLE LANE, MUSHTOWN RD, PANAMA AVE WATER & SEWER CONNECTIONS f Property Address: 17280 PANAMA AVE SE PID: 259110510 Property Owner Name: DANIELSON NANCY L Phone 1:(612)232-1962 Property Owner Address: 17280 PANAMA AVE SE PRIOR LAKE MN 55372 Owner Email: NLDLOL@HOTMAIL.COM Phone 2: : 1 I ► /,: Building Utility/Connection Permit#: 15-1283 Date Issued: 10/19/2015 Sewer Contractor Name: Krueger Excavating Date Issued: 10/15/2015 Phone:(952)447-8335 Plumber Contractor Name: Boevaag Date Issued:10/1/2015 Phone:(612)270-6872 i rnl DATE OF CONNECTION DEADLINE: 9/26/2016 Sewer/Water Install Completed: Yes Date: 10/20/2015 Plumbing Rough-In Completed: Yes Date: 10-20-15 Water Meter Install Completed: Yes Date: 10/30/2015 Plumbing Final Completed: Yes Date: 11/1/15 Septic Pump Ticket Received: Yes Date: 10120/15 Septic Removed/Crushed Completed Yes Date: 10-20-15 Well Capped Completed: No Not Required Date: NOT REQUIRED Asbuilt/Ties Completed: Yes Date: 10/20/2015 Grading Completed: Yes Date: 10-30-15 Final Inspection Completed: Yes Date: 11-1-15 PLEASE DO THE FOLLOWING OUTSTANDING.ITEMS NEEDED FOR COMPLETION: 1.Bed Sewer 2.Insulate Lines 3.Curb Box @ Grade 4.Repair Tracer Wire 5.Box Cover Missing 6.Erosion Control 7.Clean Street 8.Grade 9.`Vtrater Hookup 10.Sewer Hookup 11.MXUHookup 12.Seal Meter 13.Pump Ticket 14.Crush/Fiil Septic 15.Remmove Sewer Mound 16.Seal Well 17.Seed/Sod 18.Asbuilt/Ties 19.Repair Cut Line 20.Repair Driveway 21.Repair Flo r 22.Install Fir Drain COMMENTS: INSULATE CEILING IN WELL ROOM. Property in Default; NO ,,/ //i f>/ ,7 y,1 A T . / /// Default Date: 9/26/2016 /A Additional Default Action Taken: UTILITY CONNECTION FOR THIS PROPERTY IS: OPEN J:\UTILITY CONNECTIONS\Maple, Mushtown, Panama Utility Connection\PANAMA AVE\17280 PANAMA AVE.docx Wednesday,October 07,2015 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ft 1 ( 1K.' ADDRESS )7 2 w OWNER CONTR. PHONE NO. PERMIT NO. ❑ FOOTING 0 PLUMBING RI 0 EJUGRAD!FILLING ❑ FOUNDATION ❑ MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP 0 FIREPLACE FINAL FINAL { PLUMBING FINAL 0 GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL 0 COMMENTS: cam. NORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Inspector. , Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! ration DATE TIME CITY OF PRIOR LAKE SCHEDULED 0 f INSPECTION NOTICE P4 '"• v‘--0--- ADDRESS OWNER CONTR. i <` i'�? 3 — PERMIT NO. PHONE NO. PLUMBING RI ❑ GRADIFILLING ❑ FOUNDATIONFOOTING 0 MECH RI 0 COMPLAINT ❑ RA0 FIREPLACE RI t•.� ATER HOOKUP ❑ FINAL ❑ FRAMING <-EWER HOOKUP 0 FIREPLACEPAIR TSL ❑ INSULATIONA0 PLUMBING FINAL 0 ❑ SITEIEL 0 MECH FINAL ❑ INSPECTION CO MEWS: All .a`r"--� _ - ' ei ?. 't tk • . -. . 4.m ❑ WORK SATISFACTORY,PROCEED ZDKCORRECT ACTION AND PROCEED 0 CORRECT , •RK,CALL FOR REINSPECTION BEFORE COVERING Inspector: _�w 14 Owner/Contra CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS�H NCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL uvswon ,vykveviorialo,614P'lrt,,, i.xrd ' •i4"1 , fr(''c45:,:rig74"44 .C. 4 4 0q4 ''',•:sii4'', ,,,,,,''-'' -' ,-). c:',4Y4Z1.441-hki 4:, '4.''''' -1-H--- if t).,reip, t3. 4; i,vi ! ID .... is -• ,',. -, - ,e. .1 N. g4., 04 t .141 r'-` '0 06 •-• , 1 / --- g" 1 al 1 . 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