Permits - Permit# L22-23 - 3837 Togo Road - 9/15/2022 s
CITY OF SPRING PARK OFFICE USE ONLY —
ELECTRICAL PERMIT Electric Permit# LZ.Z.— z 3
Date Issued: 9 1$ z.Z Receipt#
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
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
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
WORK BEGUN OR FINISHED WITHOUT PERMIT IS 2X THE REQUIRED PERMIT FEE
State Surcharge .0005 of the permit fee (minimum of$1.00) 1.00
E -- TOTAL AMOUNT DUE $ I
Do not forget State Surcharge Fee
You must ca11952-442-7520 when work is ready for inspection!
Describe Proposed Work: JOB 174428 XCEL SAVER'S SWITCH INSTALL
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: 3837 TOGO RD Spring Park,MN Zip: 55384-9602
OR Legal Description: Lot: Block: Subdivision:
Property ID (PIN No):
Applicant is: Contractor: Fl( Or Owner: ❑
Contractor/Company Name: HUNT ELECTRIC CORPORATION License#: EA000883
Address: 7900 CHICAGO AVE City/State: BLOOMINGTON Zip:55420
Telephone: Office/Home: 6( 51 ) 646 _ 2911 Mobile:
E-mail: gpatton@huntelec.com Fax:
Builder/Owner Name: ROBERT MCANINCH
Address(if dill. from Site): City/State: Zip:
Telephone: Office/Home: ( 952 ) 471-0127 Mobile: L� -
E-mail: Fax:
I 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.
Wh P+apaM
Gayle Patton 9 15 2022
Signature: Date:
PAYMENT MIDST 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
❑ is aster Card— _ $ -
—T Account Number Expiration Date �CSV Amount to be withdrawn
Credit Card Owner Billing Address: 5 Lo
Street Address City,State Zip Code
Payment Authorization Signature(REQUIRED) Print Name on credit card(REQUIRED)
M NSPECTLLc Sales Receipt
•'� v1 � ooQ
Date Sale No.
952-442-7520 Fax 952-442-7521 888-446-1801
9/22/2022 7740
Sold To
Hunt
Payment Method Check No.
Visa
Description Qty Rate Amount
Electrical Inspection/Permit Fee-L22-23 -3867 Togo Rd 40.00 40.00
State Surcharge-Electrical 1.00 1.00
Total $41.00