Electrical Permit - Permit# 23SP-00028 - 4165 Shoreline Drive - 3/28/2023 City of Spring Park Electrical Permit
A1* 4349 Warren Ave, Spring Park, MN 55384
23sP-0002a
PRING PARK
n La e 94inneton a (952)471-9051 (952)471-9160
For Inspections: (952) 442-7520
Date Issued: 03/28/2023 Property Owner: THE YACHT CLUB LLP
Expiration Date: 09/24/2023 Mailing Address: 1214 YALE PL
Job Site Address: 4165 SHORELINE DRIVE, SPRING
PARK, MN 55384 MPLS, MN 55403
Category: Other Phone:
Permit Type: Electrical Permit Email:
Valuation:
Description of Work:
Remodel
Subdivision: Required Setbacks:
Parcel ID: 1811723440022
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary AID ELECTRIC CORPORATION (763)571- State Surcharge(Fixed) $ 1.00
7267 Fees for Circuits/Feeders&Transformers: 0 $500.00
to 200 amp
Total Fees: $501.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
03/28/2023
MUST BE POSTED ON JOB SITE
"r INSPECTION CARD
*Az� City of Spring Park
SPRING PARK
On Lake94innetonkq 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-00028 PERMIT TYPE: Electrical Permit ISSUED DATE: 03/28/2023 EXPIRATION DATE: 09/24/2023
1811723440
PROJECT ADDRESS: 4165 SHORELINE DRIVE,SPRING PARK,MN 55384 PARCEL NO.: 022
OWNER: THE YACHT CLUB LLP CONTRACTOR: AID ELECTRIC CORPORATION CONTRACTOR PHONE: (763)571-7267
DESCRIPTION OF WORK: Remodel
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
CITY OF SPRING PARK OFFICE USE ONLY
ELECTRICAL PERMIT Electric Permit# 1�z3 S p pry
Date Issued: Receipt# 70?3/1,7
71
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES Sub/Total
. MINIMUIUI`FEE,PE. ��=INSPECTION 'RIP.
Includes up to 4 circuits if more than 4 see Sec. D below $40.00 per —7-
Additional Inspection trips for Relnspection/Bonding/Equlpotential Plane/etc. $40.00 per d
- B:,RESIDENTIAL O'rre antl T _'sfarrillr dwelling urtiits Up to`3 trips`included
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 UP�.ZAfED'SERN�GES{TIiAI� VICE.$;GENERATORS,. -
OTH P 1NER SUP PL ;5 � RC $ _OR' .SEDER �'1"6.3E : 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 $300.00 each
Mlt$ FOR`CIRCUITS/FEEDERS ikA SFOkMiiq S
0 to 200 am $ 10.00 per circuit D(�
Above 200 am $ 15.00 per circuit
Transformers up to 10 KVA $ 20.00 each
Transformers over 10 KVA $ 30.00 each
MI1LYi�11�1l:L aw1111M,
Each dwelling unit $50.00 per unit
��` LARM,COMMUNIGATION, 31GNALING':CIRCUITS,b..F LESS;THAN 50 VOLTS
.. .
Each S stem Device or Apparatus $ .50 each
WO MR .WOMEN
State Surcharge.0005 of the permit fee (minimum of$1.00) 1.00
TOTAL AMOUNT DUE &,
Do not forget State Surcharge Fee
You must call 952-442-7520 when work is ready for inspection!
Describe Proposed Work:
a chef Chlb gemai- e-7-
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: a,(li e p Spring Park, MN Zip: 5
OR Legal Description: Lot: Block: Subdivision:
Property ID (PIN No):
Applicant is: Contractor: Or Owner: ❑
Contractor/Company Naame:.19 C Co" License#:
Address: "/ ��i City/State: &VY( /VnI Zip:
Telephone: Office/Horne: ( - ] Mobile: ..... -
E-mail: Cb 6r-,4 Pa;o1e1ir.1n*cckRP. Fax:
Builder/Owner Name:
Address(if diff, from Site): City/State: Zip:
Telephone: Office/Home: O - 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 WITI IN 12 MO HS OF VALIDATED DATE AND,THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED
INSPECTIONS A (E UES D IN CONA
NCE WITH' ESTATE BUILDING/ELECTRICAL CODE,
Signature: Date: ` Q�ar�
PAYMENT MUST ACCOM ANY 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 Wect First Street Waconia,kw 551R7
Visa/Master Card
Account Number //� f ion DatT— CSV Amount to be withdrawn
Credit Card Owner Address: I (//V ff7' / "A
Street Address City,State Zip Code
Lbeld- 4- J�Sew
Pay Authorization S ature(REQUIRED) Print Name on credit card(REQUIRED)
Payment Confirmation
Payer Information:
Payment Made By: Chelsea Jensen
Payment Made For: Chelsea Jensen
Email: chelsea@aidelectriccorp.com
Permit Address: 4165 Shoreline Drive
Address: 1622 93rd Lane NE
Blaine, MN 55449
Payment Description: Permits
Payment Date: 3/28/2023 1:18:49 PM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****6050 76931677 $501.00 $14.78 $515.78
(Permits)
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARK
23SP-00028 I Electrical Permit On Lake Winnetonka
Receipt Number: 157
Payment Amount: $501.00 March 28, 2023
Transaction Method Payer Cashier Reference Number
Credit Card Chelsea Jensen Jamie Hoffman 76931677
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
03/28/23 State Surcharge(Fixed) $1.00 $1.00 $0.00
Fees for Circuits/Feeders&Transformers:0 to 200
03/28/23 amp $500.00 $500.00 $0.00
Totals, $501.00 $501.00
Previous Payments $0.00
Remaining Balance Due $0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
4165 SHORELINE DRIVE THE YACHT CLUB LLP 1214 YALE PL
SPRING PARK, MN 55384 MPLS, MN 55403
Description of Worts
Remodel