HomeMy WebLinkAboutUtility Connection 16.0104 J F.
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Brad Overby
• Engineered Wood Market Manager
••IF Ask 2871 W.Service Road
• St.Paul,MN.55121
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• • (612)803-1580
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Fax
brad.overby@bluelinx
co.com
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NAME: DATE: BY:
COMPANY: ElIGINliktb PHONE NO:
LOCATION: FAX NO:
Georgia-Pacific
DATE TIME
CITY OF PRIOR
KE
INSPECTION OTICE SCHEDULED --2A, 1/! /tor p p ilA n 7 o iii. cA
ADDRESS 0 2PA-1J "h- m E. o = n
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OWNER CONTR. 4 R & 2. m b A
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PHONE NO. PERMIT NO. t qI: t .7,
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING i `A 0.1 � ►. CA .Z
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❑ FOUNDATION 0 MECH RI 0 COMPLAINT 2 �,
❑ FRAMING WATER HOOKUP 0 FIREPLACE RI D. y C v
❑ INSULATION '6`SEWER HOOKUP 0 FIREPLACE FINAL �; (')5 $.„ r 3 r (�
❑ FINAL 0 LUMBING FINAL 0 GASLINE AIR TST '•
❑ SITE INSPECTION 0 MECH FINAL 0
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❑ WORK SATISFACTORY,PROCEED -8 E I
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CORRECT ACTION AND PROCEED1 ;17
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING CGCG 0 4 , 4
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Inspector Owner/Contra
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! !' `
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04 PRI0�
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u 04646 Dakota Street SE
Prior Lake, MN 55372
4ftiznSOP
April 6, 2016
17255 Panama Ave LLC
19784 Kenrick Ave
Lakeville,MN 55044
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 I Fax 952.447.4245 I 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 atnglem le ..: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
Natte 9$1.40,9100 / Fax W..404245/XifflatEifyiifittitdakitol _
Susan Zick
From: Susan Zick
Sent: Thursday,April 07,2016 11:11 AM
To: Janet Ringberg
Subject: Individual Taxpayer Refund of 2016 Increased Utility Fees Paid for Mushtown Project
Please refund the$655.00 increased 2016 Fee paid by Safety Signs for 17255 Panama Ave LLC for address 17255 Panama
Ave.This refund is as a result of the Prior Lake City Council passage of 2015 Fee extension. The increased fee was paid
on Receipt#4156; 2/11/16; Permit#16-0104. Please send refund to:
Safety Signs
17255 Panama Ave LLC
19784 Kenrick Ave
Lakeville, Mn. 55044
Thank you
Swan,Zick
Streciapment Swaim llatiatast
CITY OF PRIOR LAKE
4646 Dakota Street SE I Prior Lake,MN 55372
952-447-9830 I !anrofpriorta ro nnr,,
1
(ciPiti CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
r� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
t. / ( - i�,
Z-.> AND UTILITY CONNECTION PERMIT '
MIHNEslYt 1. White File
2, Pink City PERMIT NO. l /C 4-
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/7Z55- 0:-/04-a4 ,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
PANAMA AVE LLC
OWNER 19784 KENRICK AVE
(Name) LAKEVILLE MN 55044 (Phone).
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Dec ,�,,Porch ❑Re-Roofing [Me-Siding ['Lower Level Finish ❑Fireplace
❑Addition ['Alteration tility 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 $
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 'mit for just cause. Furthermore,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections.
x #.,,,,,,...--—_ a-/1- /6
Signature • — //-I G Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $ 0-6//959/)
Plan Check Fee $ Water Meter Size 5/8"; 1"; $ 509* TMJ
State Surcharge $ Pressure Reducer $ /50
- 60
Penalty $ Sewer/Water Connection Fee /I. 11 c / i!
Plumbing Permit Fee $ j- Water Tower Fee 1 ` �) l0 ) /da) �y"1
Mechanical Permit Fee $ �U Builder's Deposit 0 l/$ f t
Sewer&Water Permit Fee
_1_5z 50 Other $
Gas Fireplace Permit Fee $ > TOTAL DUE l(379 , 670$ ,G-
This Application Becomes Your Building Permit When Approved Paid 393 .00 Rec t No. 4/5 6
Date C(, (CO By
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
4646 Dakota Street Prior Lake,MN 55372
i r RI0 Date Reed
,% .,. CITY OF PRIOR LAKE Z_ r Z=-, I (G'
u 'ig SEWER AND WATER PERMIT
,ertiNNEscicr
Y C PERMIT NO.j(v /C0
i tits
Please 5rinLand si ,at bottn
ADDRESSZONING(office use)
' �
LEGAL DESCRIPTION(ofd use only)
LOT BLOCK ADDITION RIO
PANAMA AVE ILC
OWNER
(Name).._._ 19784 KEN MK AVE ,.. (Phone)
LAKEVILLE MN 55044
(Address) ___...._.
(City) (Zip Code)
APPLICANT(Nom& . (.Q e.,) [..,_ . C. (Phone) Z-
l!"! 1 'Ca 33
rs-
(Address) w ..., A ,, �,:. m
(Addretis) (City) (Zip Code)
(Contact Persori) V ,. � (Phone) �- ��� �"� �3�
APPLICANT SIGNATURE r :� .. DATE 7- Z. .�w. ....... _s,... .
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. [ 3 PVC ® Cast Iron length of sewer line w feet.
dean out(if required)located at feet from structure.
FEE SCHEDULE
Residential sewer and waterline connection $51.50 Industrial,Com'.&Multi-family 1%of job cost with a 551.50 minimum
Sewer connection only $2530 Water connection only $25,50
Estimated Cost $ .'51) Building Permit
SEWER AND WATER PERMIT FEE i':A ,
STATE SURCHARGE �" Inc Minnesota statutes g SGbli.l4ts
), "St1RCAARGE"has been extended
- r. "d't
TOTAL PERMIT IEEE 1177-4(7"-",$ 90 The minimum surcharge for a
0.').\'‘-.7"-' "fixed fee"permit is$A ;i' ,'
make Use Only)
This Application Becomes Your Building Permit When Approved Paid --
W j—Receipt No.
Date attnisima -
Bantling Official este
24 hour notice for all inspections(952)447-9650,fax(952)449-4245
4646 Dakota Street SL,Prior Lake,Minnesota 55372
0DateReed
°IVO%
.4c
k CITY OF PRIOR LAKE PLUMBING PERMIT 2 . (7. ib
z3 .4
4,44.00.
(1% z PERMIT NO. /6. /04_
3.Ycllow Apphont '
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
f 1 /7Z53 /04-417,911-1,4 /9-7&- s-e,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION HD
__.
OWNER '
(tIarne) PA/01,114/9- 4-1/". "---C--- (Phone)
•- t .
._,
(Address)
APPLICANT .
(Name) /21 —F
2/6 -&7ii are.-C7-- PLJP-2 al. (Phone) 6(2- 5-84- Z-165
(Address) 6,4;4 )0 /I/6H /°0/A17- 77-2-4,771— ?
(Address) (City) (Zip Code)
(Contact Person) De9 Al el-q906-77 (Phone) 6/i- - 5-4 4-, 2-
‘4,5-
LICANT SIGNATURE 1 —Asa ., DATE 2- 1 1 4,
..........000""""-- '
APPLICANT PLEASE COMPLETE BELOW
Quanti T j*e of Fixture Quanti i e of Fixture
1111111.11111111 Bath Tub with or without shower Rou:h-ins
Dishwasher Water Heater
11111111.= Floor Drain Water Softener ,
IIIIINIIIIMI Lavato Bathroom Sink 1111111111111111112MEI vy as n: v ac meillallia
Launi Tra 1 or 2 com aliment sink Sewa:e E'ector
1111111.1111111 Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink IIIIIIMEIIIIIEMEZIMEIIIIIIIIIIIIIMMIIIII
11111111111111 Water Closet Toilet Eggimmi Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%ofjob cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
Estimated Cost $ Building Permit# i lit l'>`i trines o ta statures izo 13.1,1 6
117 <1J
<--"0
----- "SUFICHARCE"has bePn eAencled
PLUMBING PERMIT FEE $
q.,. ..., The riiiiii intim surcharge for
STATE SURCHARGE $ 1 ' LI U "fixed fee"permit is
TOTAL PERMIT FEE $ .
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date ii.=m
Building Official Date ....so,...... 4
‘74)114)1114:4 *
FRAtir
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E..,Prior Lake,Minnesota 55372
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