HomeMy WebLinkAboutUtility Connection 15. 0624 ii---
PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
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AND UTILITY CONNECTION PERMIT 6 , la IS—
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U xse I. White File pERMIT NO. °--
2. Pink City I� • D6/�{ iti
3 Yellow Applicant • LLL////(((///!!`
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I goeiSuas - 4 /& W <IS-0
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION4 ��- �) a7/Z/ PID CS ea. 03(0`
OWNER j > �, } / /. (Phone)
(Name) ('(A4Qi4'ild (.>
(Address) qt-i 12 Z 5' '& ga I/ r- Z / �'�/��,ii. ... ---5-7z.:5
BUILDER
(Company Name) 4 ° Ai (Phone)
WI ,',1' - 1'
(Contact Name) , s ' (Phone)
(Address)
TYPE OF WORK CINew Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-SiEling Elower Level Finish ❑Fireplace /
['Addition ['Alteration ['Utility Connection CO") J� `/`
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.L4t
Ca
l i / ! [ a 0 /
Type of Construction: I II HI IV 1, A B PROJECT COST/V UE $
Occupancy Group: AA 2 F H I R S U
(excluding land)
Division: 1 2 - 5 l
I hereby certify that I iv ft ninform i i t 's .b '• tion which is tot f my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned pro - ty to r t I c s 't wi cont to all exist to nd local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke thi pe- - for j t u -the- ore eby Mgr `the 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 # $ A L/g & v
Plan Check Fee $ Water Meter Size0; 1"; $ //go r oc
State Surcharge $ Pressure Reducer $ / / ® CEJ
Penalty $ Sewer/Water Connection Fee # $ e
Plumbing Permit Fee $ 6—It'. j7 Water Tower Fee # $ (CC e . Do
Mechanical Permit Fee $ v Builder's Deposit $
Sewer&Water Permit Fee $ / a 0 Other $
Gas Fireplace Permit Fee $ t¢ TOTAL DUE $ 56e.60,62a
This Application Becomes Your Building Permit When Approved Paid 5--(c, Receipt No. l
Date ( Q//t--- By 3
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
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SCOTT CO
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INDIVIDUA ,SE's°�
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'' CITY OF PRIOR LAKE
SEWER AND WATER PERMIT 4 /a
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41j1'NESO�A
1. Green File
2. Yellow PERMIT NO/
3. Gold Applicant r (e.
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
If/ obi .f; —>41Le fAJ 432e0
LEGAL DESCRIPTION(office use only) yy��
LOT BLOCK ADDITION /✓ vl 2o /2_____ PID as---- X155 1612-(9
.
OWNER // /
(Name) JO/4 —it) (Phone) &. f z 0 q(r/
(Address) / 2 A A - _A___.--- _O(I. .„,
(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 ❑ 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'!&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 $ The Minnesota Statutes§326B'A148
STATE SURCHARGE $ "SURCHARGE"has been extended
TOTAL PERMIT FEE $ The minimum surcharge for a
"fixed fee"permit is$5.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid .' pke eipt No
DateB
Buildine Official Date r 0 .
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Date Rec'd
A.,& CITY OF PRIOR LAKE PLUMBING PERMIT
kovivEscio
I.Glue File PERMIT NO./6-7 D4 ?(L
2.Gold City
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS A ZONING(office use)
l 1 Dg] Sun SeZ- /S2
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITIO4/UA[ � Z /? PID - 4 z,e, i
(N°WNER K/f7Q-c--n `J l)L /f9_A (Phone) 6',S/ vi7D q i 6
(Address) 17/ ...275,4_S,$ le /4, ( ,
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 s 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
The Minnesota Statutes§326B.148 \$ Building Permit#
"SURCHARGE"has been extended
The minimum surcharge for a LUMBING PERMIT FEE $
TATE SURCHARGE $ .50 r
"fixed fee"permit is $5.00 OTAL PERMIT FEE $
. A--
This Application Becomes Your Building Permit When Approved P. d Receio.
Dat. 1111111
Buildine Official Date
24 hour notice for all inspections(952)447-9850,fax(9-')447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Lynda Allen
From: Lynda Allen
Sent: Wednesday,June 10, 2015 1:12 PM
To: Larry Poppler
Cc: Mary Lein; Bob Hutchins; Lynda Allen (fallen@cityofpriorlake.com); Dale Chard
Subject: Utility Connection Payment Received for 17081 Sunset Ave NW
Karen Julian paid the connection fees today for 17081 Sunset Avenue NW(Receipt#1692; Permit#15-
0624). She also received the Plumbing Permit Application&the Sewer&Water Permit Application so she
can have her sub-contractors complete and sign these forms. As of today, she does not have her Plumbing&
S&W contractor determined but will be deciding on these contractors shortly. (She is the new owner of this
property and said she never received any of this information in the past except for the certified letter that was
just recently sent on June 1,2015.
Thanks
Susan Zick
Lynda S.alien
City of Prior Lake Building Department
4646 Dakota Street S.E.
Prior Lake, Minnesota 55372
952.447.9850
1
Aciiii City of Prior Lake RECEIPT
4646 Dakota Street SE
tzPrior Lake MN 55372
U 11 952-447-9840
Receipt: 1692
Received Of: Date: 06/10/15
Karen M Julian
Brett A Julian Customer: Karen M Julian
4712 Isabelle Ct
Saint Paul MN 55123
`' � e O.Kg r A 3:r O a IFte�"`elpt mesa p�tibn°� 3 F� � .i f-JO,P a,"" x sr
.i.,.x �, ..,.:,,,,n as .., s�;.� ��,,.....;<r Z.�s's d ...=,r. „S ..�i;:7�. . ...-.,.: Z',«�, ..... .,,, ,,vim ...,a7�,�,..�..�- �;'� ,.,. o t =.,a.;, �' .. � .7 �� �Ta".r';t Z -• al�. i'�£.,�.y�ri,.
Utility Connection 15-0624/17081 Sunset Ave NW
SAC Fee 2,485.00
Water Meter 480.00
Pressure Reducer 110.00
Water Connection 900.00
Sewer Connection 600.00
Water Tower Fee 1,000.00
Plumbing Permit 15-0624/17081 Sunset Ave NW
Plumbing Permit 49.50
State Surcharge-Plumbing 5.00
Sewer-New Construction 15-0624/17081 Sunset Ave NW
Sewer Permit 51.50
State Surcharge-Sewer 5.00
Receipt Total 5,686.00
TENDERED: Checks 1003 5,686.00
Total:5,686.00
—,/gA-; ".-*te<J iLA/ t 'V , ,,14 ski/1 ?Wig
Please email tear-off photos to:
lallen@cityofpriorlake.com
U.S. Postal ServicerM
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4646 Dakota Street SE
+�,_ Prior Lake,MN 55372 Certified Fee MOM
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Required)
Restricted Delivery Fee Fiore
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June 1,2015
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I�- or PO Box No. _-----__--
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City,Stale.Z°- `iC S.OJ
Karen Julian
.___-
4712 Isabelle Court PS Form 3800,July 2014
Eagan MN, 55123 See Reverse for Instructions
RE: IMPORTANT ANNOUNCEMENT CONCERNING CONNECTION TO CITY SEWER AND
FOR 17081 SUNSET AVENUE NW,SHAKOPEE,MN 55379 WATER
Dear Property Owner:
Prior Lake Ordinance requires that properties with dwelling units connect
to city water and sewer) no more than one year after the services become available. Theoneyear deilities adline
for your property was March 14,2015.
Five properties on the Sunset Avenue project have not completed connection, although some are
currently in process. Some have asked the City Council for extensions to the deadline. The City Council
discussed these extension requests and all other non-connected properties. The City Council
has
provided one last opportunity for property owners to connect by following the steps below:
1. By June 12,2015, the Property Owner will need to secure a utility installation permit from
city, including payment of permit and connection fees. The cost for the permit is$5,686 for
5/8"water meter. a
2. Once the utility permit has been secured,the Property Owner will have 180 days (6 mont
from the permit date to complete the physical connections through a private contractor. I )
If
needed,the City has a listing of companies who complete this type of work. Costs for
connection will be based upon the immediate circumstances of each lot through quotes secured
by the Property Owner.
Some property owners have discussed demolition of the structure on the property. If a Property
intends to demolish the existing structure on the lot,then a demolition permit must be obtained Ower
the city and the work concluded by June 12, 2015. As long as there is no dwelling unit on the
oprom
he p
by that date, there is no need to connect to sewer and water. However,the fact that a pr
p
sale,occupied or unoccupied, will not affect the deadlines or process described herein. operty is for
Phone 952.447.9800 / Fax 952.447.4245/
www.cityofpriorlake.com
In accordance with City Code and City Council direction, if a Property Owner fails to secure a
connection permit by the deadline shown above,or if permit is secured but the work is not completed
within 180 days of the permit date,the city will be forced to take action to complete the connection.
The City will seek a court order from Scott County District Court to inspect each property and
authorize the completion of the connections. If this process is required,the City will secure quotes,
award a contract,assure the work is completed,and impose a special assessment for all the costs
associated with the connection including an additional administrative fee for the coordination efforts
toward making the connection.
We appreciate that connection is both a costly and time consuming
c safety
health reasons, prompt connection to the city facilities is critical. If ou have addiprocess, but tionalrbquest onsand
concerning this matter, please call me at(952)447-9832.
•
Sincerely,
Larry Poppler, P.E.
City Engineer/Inspections Director
CITY OF PRIOR LAKE
cc: Frank Boyles, City Manager