Permits - Permit# 23SP-00001 - 4234 West Arm Drive - 1/19/2023 A4- City of Spring Park Electrical Permit
AM 4349 Warren Ave, Spring Park, MN 55384
23SP-00001
PRING PARK
n Lake Yinneton a (952)471-9051 (952)471-9160
For Inspections: (952) 442-7520
Date Issued: 01/19/2023 Property Owner: Dennis Holbert
Expiration Date: 07/18/2023 Mailing Address: 4234 West Arm Drive
Job Site Address: 4234 West Arm Drive, Spring Park, MN
55384 Spring Park, MN 55384
Category: Other Phone:
Permit Type: Electrical Permit Email:
Valuation:
Description of Work:
furnace
Subdivision: Required Setbacks:
Parcel ID:
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary JME ELECTRIC LLC (763)498-7215 State Surcharge(Fixed) $ 1.00
Single Inspection (Up To 4 Circuits) $40.00
Total Fees: $41.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
01/19/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
*ji=zz City of Spring Park
SPRING PARK
On Lakf%finnetonkg 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION.PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE
AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY.STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE.
PERMIT NO.: 23SP-00001 PERMIT TYPE: Electrical Permit ISSUED DATE: 01/19/2023 EXPIRATION DATE: 07/18/2023
PROJECT ADDRESS: 4234 West Arm Drive,Spring Park,MN 55384 PARCEL NO.:
OWNER: Dennis Holbert CONTRACTOR: JME ELECTRIC LLC CONTRACTOR PHONE: (763)498-7215
DESCRIPTION OF WORK: furnace
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Rough-In Electrical Final
Fire Approval: Date: Engineering Date:
Approval:
PW Approval: Date: Other( ): Date:
To request an inspection:(952)442-7520
Paae 1 of 1
OFFICE USE ONLY
CITY OF SPRING PARK Electric Permit# '9 c2220 0200 I
ELECTRICAL PERMIT late Issued l I a Receipt# I I_q- -
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES Sub/Total
.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
_L New Dwelling Unit, u 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 er 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
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 _
$ 10.00 per circuit
0 to 200 amp
Above 200 amp 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
.ALARM, COMMUNICATION, SIGNALING CIRCUITS,OF LESS THAN 50 VOLTS
Each System Device or Apparatus @ $ .50 each
G. FOR INSPECTIONS NOT COVERED ON THIS FORM OR FOR REQUESTED SPECIAL
INSPECTIONS -
charge $ 57.00 per hour
COMMERCIAL PLAN REVIEW FEE(IF REQUIRED)is 26%of Total Permit Fee
411ourly
ORK BEGUN OR FINISHED WITHOUT PERMIT 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 call 952-442-7520 when work is ready for inspection!
Describe Proposed Work: FURNACE
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: 4234 WEST ARM DR Spring Park. MN Zip:
OR Legal Description: Lot: Block: Subdivision:
Property ID (PIN No):
Applicant is: Contractor: Or Owner: ❑
Contractor/Company Name:SUBURBAN ELECTRIC License#: EA677535
Address:PO BOX 188 LORETTO, MN 55357 City/State: Zip:
Telephone: Office/Home: 7( 63 ) 498 - 7215 Mobile:( ) -
E-mail:JESSICA@SUBELECT.COM Fax: U -
Builder/Owner Name:
Address(if dill. from Site): City/State: Zip:
Telephone: Office/Home: (_� - Mobile:
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 JESSICA ANFINSON THE STATE BUILDING/ELECTRICAL CODE.
Date: 11/14/22
Signature:
PAYMENT MUST ACCOMPANY APPLICATION(Be sure to include State Surcharge in payment)
Check attached—Check# rj)7 9 F 3 MAKE CHECKS PAYABLE to MNSPECT
MAIL: MNSPECT, P.O. Box 342, Waconia, MN 55387
FAX:952-442-7521
DELIVER: MNSPECT,235 West First Street Waconia, MN 55387
Routing Number Account Number Amount to be withdrawn
Payment Authorization Signature(REQUIRED) Print Name on account(REQUIRED)
❑ Visa/Master Card— SEE COVER LETTER / $
Account Number Expiration Date Amount to be withdrawn
Credit Card Owner Billing Address
Street Address City.State Zip Code
JESSICA ANFINSON JESSICA ANANSON
Payment Authorization Signature(REQUIRED) Print Name on credit card(REQUIRED)
RECEIPT
City of Spring Park �^
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARK
23SP-00001 I Electrical Permit On Lake Winnetonka
Receipt Number: 119
Payment Amount: $41.00 January 18,2023
Transaction Method Payer Cashier Reference Number
Check Contractor Jamie Hoffman 017983
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
01/04/23 State Surcharge(Fixed) $1.00 $1.00 $0.00
01/04/23 Single Inspection (Up To 4 Circuits) $40.00 $40.00 $0.00
Totals: $41.00 $41.00
Previous Payments $0.00
Remaining Balance Due $0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
4234 West Arm Drive Dennis Holbert 4234 West Arm Drive
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
furnace