Permits - Permit# L 22-18 - 4405 Lafayette Lane - 6/28/2022 CITY OF SPRING PARK OFFICE USE ONLY
ELECTRICAL PERMIT Electric Pe mi # L 7-1 -(A
Date Issued: Receipt#
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Wiring of furnace and AC replacement
Quantity DESCRIPTION OF WORK FEES Sub/Total
A. MINIMUM FEE PER INSPECTION TRIP
Includes up to 4 circuits if more than 4 see Sec. D below $40.00 per 40.00
Additional Inspection trips for Reinspection/Bonding/Equipotential Plane/etc. $ 40.00 per
B. RESIDENTIAL One and Two-family dwelling units Up to 3 trips included in fee
1. New Dwelling Unit, up to and including a 200 amp service $ 125.00 per unit
2. New Dwelling Unit, 201 amp to 400 amp service $ 175.00 per unit
3. Existing Dwelling Unit, additions, alterations, or repairs up to & including a 200 amp service,
fees as per C & D below but not to exceed $ 125.00 per unit
4. Existing Dwelling Unit, additions, alterations, or repairs 201 amp to 400 amp service
fees as per C & D below but not to exceed 175.00 per unit
5. New or Existing Dwelling Unit, 401 amp service or above See C & D below
C. FEES FOR NEW OR UPGRADED SERVICES, TEMP. SERVICES, GENERATORS,
OTHER POWER SUPPLY SOURCES OR FEEDERS TO SEP STRUCTURES
1. Up to and including a 200 amp service $ 50.00 each
2. 201 amp to and including 400 amp service $ 100.00 each
3. 401 amp to and including 800 amp service $ 200.00 each
4. 801 amp service and above $ 300.00 each
D. FEES FOR CIRCUITS/FEEDERS &TRANSFORMERS
0 to 200 am $ 10.00 per circuit
Above 200 am $ 15.00 per circuit
Transformers up to 10 KVA $ 20.00 each
Transformers over 10 KVA $ 30.00 each
E. MULTI-FAMILY DWELLINGS
Each dwelling unit $ 50.00 per unit
F.ALARM, COMMUNICATION, SIGNALING CIRCUITS, OF LESS THAN 50 VOLTS
Each System Device or Apparatus @ $ .50 each
G.WOR1(BtGUN OR FINISHED t� I OUT sPER IIIT IS 2X THE REQUIRED PERMIT FEE
State Surcharge .0005 of the permit fee (minimum of$1.00) 1.00
41.00
TOTAL AMOUNT DUE $
Do not forget State Surcharge Fee
You must ca11952-442-7520 when work is ready for inspection!
Describe Proposed Work' Wiring of furnace and AC replacement
Separate Permits are required for any building, mechanical, fire, or plumbing work.
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Job Site: Street Address: 4405 Lafayette Lane Spring Park, MN Zip: 55384
OR Legal Description: Lot: Block: Subdivision:
Property ID (PIN No): 19-117-23-21-0059
Applicant is: Contractor: Or Owner: ❑
Contractor/Company Name: Pronto Heating & AC License#: EA7799 2
Address:7415 Cahill Road City/State: Edina, MN Zip:55439
Telephone: Office/Home: (9528*7777 _ Mobile: ( ) -
E-mail:permits@prontoheat.com Fax: ( ) -
Builder/Owner Name:
Address(if dif£ from Site): City/State: Zip:
Telephone: Office/Home: Mobile: O -
E-mail: Fax: (� -
1 HEREBY APPLY FOR AN ELECTRICAL PERMIT,AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE;I
UNDERSTAND WORK IS NOT TO START WITHOUT A PERMIT. I UNDERSTAND AND HEREBY AGREE THAT THE WORK FOR WHICH THE
PERMIT IS ISSUED SHALL BE PERFORMED ACCORDING TO THE FOLLOWING:(1)THE CONDITIONS OF THE PERMIT,(2)THE APPROVED
PLANS AND SPECIFICATIONS,IF NEEDED(3)THE APPLICABLE CITY APPROVALS,ORDINANCES,AND CODES,AND(4)THE STATE
BUILDING/ELECTRICAL CODE. I UNDERSTAND THAT THE PERMIT WILL EXPIRE,AND BECOME NULL AND VOID IF WORK IS NOT
COMPLETED WITHIN 12 MONTHS OF VALIDATED DATE AND,THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED
INSPECTIONS ARE REQUESTED IN CONFORMANCE WITH THE STATE BUILDING/ELECTRICAL CODE.
Signature: ul)ac'� 15 Date: 5/18/2022
PAYMENT MUST ACCOMPANY APPLICATION (Be sure to include State Surcharge in payment)
❑ Check attached—Check# MAKE CHECKS PAYABLE to MNSPECT
EMAIL: electrical@mnspect.com
FAX: 952-442-7521
MAIL/DELIVER: MNSPECT, 235 West First Street Waconia, MN 55387
❑ isa/ aster Card— _ $
Account Number Expiration Date CS V Amount to be withdrawn
Credit Card Owner Billing Address:
Street Address City,State f Zip Code
( ICJ--
Payment Payment Authorization Signature(REQUIRED) Print Na on credit card(REQUIRED)
M NSPECLLc Sales Receipt
Date Sale No.
952-442-7520 Fax 952-442-7521 888-446-1801
5/24/2022 7640
Sold To
Pronto Heating&AC
Payment Method Check No.
Visa
Description Qty Rate Amount
Electrical Inspection/Permit Fee-L22-18-4405 Lafayette Ln 40.00 40.00
State Surcharge-Electrical 1.00 1.00
Total $41.00