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Pumping ticket for Jim Walsh Sent from my iPhone Begin forwarded message: From: Greg Czywczynski <greg@cbico.com> Date: April 26, 2016 at 7:45:02 PM CDT To: "dchard@cityofpriorlake.com" <dchard@cityofpriorlake.com> Subject: CBI Excavating Inc. Pumping ticket for Jim Walsh HI dale, Attached is the tank pumping ticket from Hennes Pumping for Jim Walsh's property 17156 Maple Ln. Did you get any info for the sewers I sent you yet, let me know- I'm waiting to send some bids just in case something is off. Thanks, Greg CBI Excavating Inc. greg@cbico.com 952-292-1395 1 ( Ø ) Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 2. 4,geg„. 1.cold city PERMIT NO. /6, i2�C�> 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ( G6 ZONING(orrice use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER JAMES P & LYNETTE M (Name) WALSH (Phone) (Address) 17156 MAPLE LN SE PRIOR LAKE MN 55372 APPLICANT CrlY(T _ L^� (Name) / ZD - , (Phone) ,5ge6 5-� 73 (Address) 1'6. /� Pyr 4` ,[�i( - .----,---s-.7)__ (Address) y� (City) (Zip Code) (Contact Person) e� _ 6,: 0, 1 (Phone) '' r - APPLICANT SIGNATURE 1 DATE 9 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 I Lavatory(Bathroom Sink) I Stand Pipe(Washing Machine) I Laundry Tray(1 or 2 compartment sink Sewage Ejector I 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# PLUMBING PERMIT FEE $ D WITH STATE SURCHARGE $ J a( r') 'a 56'"7-F H'H TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date WITH Buildint?Official Date WILDING PcriM _ 24 hour notice for all inspections(952)447-9850,fax(952)447- 4 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIo Date Rec'd O dotVi Ec CITY OF PRIOR LAKE 44e SEWER AND WATER PERMIT /6 jNNESvcP I. Green City il 2Yellow PERMIT NO/61 /WV. 3. Gold Atlicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) I "7156 M/k-PZ LN LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER JAMES P & LYNETTE M (Name) WALSH (Phone) (Address) 17156 MAPLE LN SE PRIOR LAKE MN 55372 (City) (Zip Code) APPLICANT ( cYt�j �C 4 /Q.. /> 2-12 13C''- (Name) �� (Phone) 7 Address ( ) ° dr (City) (Zip Code) (Contact Person /A 4 (Phone) 95'3 - 7 /39,< APPLICANT SIGNAT DATE I - � - 11(0 APPLICANT PLEASE COMPLETE BELOW Size of water service I " inches. Location of any couplings from structure ./1/4 feet. Type of sewer pipe. ❑ ABC PVC ❑ Cast Iron nT Estimated length of sewer line (p5 feet. - �, l.�ss� '�G C om^ c, -� QS Clean out(if required) located at feet from structure. G1.44-^"`^ Ps. SI fop I-T 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 $ i Lie JldLut,es g 3L013.1'FO STATE SURCHARGE a irk - "SURCHARGE" has been extended TOTAL PERMIT FEE _ The minimum surcharge for a sr.' § 3' "fixed fee" permit is $5.00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4(10 mkt" PSR 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • ., Brad Overby •• • Engineered Wood Market Manager •• 2871 W.Service Road • • St Paul,MN.55121 • (612)803-1580 B I I_i •enx brad Overby 291 F inxco com 1 / .7 1 LC • ) l I ia St wi // � a-1e ' / 1 I : i ,--„,...„,,,,,.,..„„ ) NAME: '� DATE: BY: COMPANY: iN rNuE RED PHONE NO: LOCATION: FAX NO: Atk Georgia-Pacific (,(PRN CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd l TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �T` O � /c7 Q�AND UTILITY CONNECTION PERMIT .�NNESO I. White File PERMIT NO. /(� 3 PinkllCity �� (" J(lC 3 Yellow Applicant (/V (Please type or print and sign at bottom) ADDRESS ZONING(office use) iiisb MApZ6LAi LEGAL DESCRIPTION(office use only) �c, LOT BLOCK ADDITION &�� 204 PID ✓ -Y20.- a�K 0 JAMES P & LYNETTE M OWNER (Name) WA LS H (Phone) (Address) 17156 MAPLE LN SE PRIOR LAKE MN 55372 BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B • Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ (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 tuilding 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. I X .... •.d�..re Its 'l;A ' Signature Contractor's License No. I to Permit Valuation Park Support Fee # $ .11 Permit Fee $ SAC # $ 2-‘74g5- Plan Check Fee $ Water Meter Size 5/8" 1"; 560 $ W' State Surcharge $ Pressure Reducer J0° $ '� Penalty $ _ Sewer/Water Connection Fee # $ / f-jj�� Plumbing Permit Fee $ `� Water Tower Fee # $ / �-' Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ S Other $ 412) Gas Fireplace Permit Fee $ TOTAL DUE §0.061 $ This Application Becomes Your Building Permit When Approved Paid/ 52-r• V Receipt No. (37 Date �iBy „; !r, — Building Official Date Qe 2z1Sf - - a 4 9)zs'-l(© 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 4646 Dakota Street Prior Lake,MN 55372 i , , City of Prior Lake RECEIPT 4646 Dakota Street SE 7, Prior Lake MN 55372 M' 952-447-9840 At �,. r o Receipt: 4839 Received Of: Date: 04/08/16 James& Lynette Walsh Customer: James& Lynette Walsh 17156 Maple Ln SE Prior Lake MN 55372 Receipt Item Receipt Description GL Number Total Utility Connection 16-0288/17156 Maple Ln SE SAC Fee 2,485.00 Water Meter 560.00 Pressure Reducer 180.00 Water Connection 900.00 Sewer Connection 600.00 Water Tower Fee 1,000.00 Plumbing Permit 16-0288/17156 Maple Ln SE Plumbing Permit 49.50 State Surcharge-Plumbing 1.00 Sewer-New Construction 16-0288/17156 Maple Ln SE Sewer Permit 51.50 State Surcharge-Sewer 1.00 Receipt Total 5,828.00 TENDERED: Checks 5156 5,828.00 Total:5,828.00 p4 PRI0 ra 4646 Dakota Street SE Prior Lake, MN 55372 AnstEso April 6, 2016 James &Lynette Walsh 17156 Maple LN SE Prior Lake,MN 55372 2015 Sewer &Water Utility Connection Fee Extended to 9/25/16 At the Prior Lake City Council Meeting on 3/28/16,a motion was carried to charge 2015 connection fees for the Mushtown Road,Maple Lane &Panama Avenue Sewer &Water Project Connection. Now you may connect to the services at the 2015 fee rate until 9/25/16. 9/25/16 is also the one year deadline for connection to City utility services per City Code. Permit fees for a 1" Water Meter is as follows: Plumbing Permit $ 50.50 Sewer &Water Permit $ 52.50 Sewer Access Charge $2485.00 Water Meter (1") $ 740.00 Sewer/Water Connection $1500.00 Water Tower Fee $1000.00 Total $5828.00 ($6483.00 after 9/25/16) 5/8" Water Meter Plumbing Permit $ 50.50 Sewer &Water Permit $ 52.50 Sewer Access Charge $2485.00 Water Meter (5/8") $ 650.00 Sewer&Water Connection $1500.00 Water Tower Fee $1000.00 Total $5738.00 ($6393.00 after 9/25/16) For those who signed the assessment waiver &rolled the connection fees into their assessment, there is no additional fee for 2016 as fees will remain at the 2015 level until 9/25/16. Additional fee increases are also expected in 2017. Page 1 of 2 Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.com • 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&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. Please contact Jon Hess at 952 492 5425 or by email at Awarageottaullm for more information. Sections 704.300 and 705.400 of the Prior Lake City Code requires connection to City water and sewer within one year of availability (by 9/25/16). Section 4715.0310 of the State of Minnesota Plumbing Code also requires connection to municipal sewer&water systems once they are available. If you have 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 Lynda Allen,Building/Inspections Assistant Susan Zick,Engineering Assistant Dale Chard,Building Inspector Seng Thongvanh,Project Engineer Page 2 of 2 Insate951.40.9800 / Fax 021,4-471424-5 l 1 711:! ::SE•5 :L