Electrical Permit - Permit# 23SP-00031 - 4742 West Arm Road - 4/19/2023 City of Spring Park Electrical Permit
4349 Warren Ave, Spring Park, MN 55384
23SP-00031
PR1NG PARK
Phone:(952)471-9051 Fax: (952)471-9160
)n Ga°e Yinneton°a
For Inspections: (952)442-7520
Date Issued: 04/19/2023 Property Owner: JAMES D SELLNOW
Expiration Date: 10/16/2023 Mailing Address: 4742 WEST ARM RD
Job Site Address: 4742 WEST ARM RD, SPRING PARK,
MN 55384 SPRING PARK, MN 55384
Category: Other Phone:
Permit Type: Electrical Permit Email:
Valuation:
Description of Work:
panel replace, kitchen remodel
Subdivision: SETON VILLAGE TOWNHOUSES Required Setbacks:
Parcel ID: 1811723320005
Filing:
Lot: 5 Actual Setbacks:
Block: 1
Total Sq Ft:
Contractors: Fee Items Amount
Primary JL ELECTRIC LLC (952)814-1041 State Surcharge(Fixed) $ 1.00
Existing Dwelling Unit, $ 125.00
Additions/Alterations/Repairs, up to and
Including a 200 Amp Service(1 Unit)
Total Fees: $ 126.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
04/19/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
On Lake 94innetonkp 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-00031 PERMIT TYPE: Electrical Permit ISSUED DATE: 04/19/2023 EXPIRATION DATE: 10/16/2023
1811723320
PROJECT ADDRESS: 4742 WEST ARM RD,SPRING PARK,MN 55384 PARCEL NO.: 005
OWNER: JAMES D SELLNOW CONTRACTOR: JL ELECTRIC LLC CONTRACTOR PHONE: (952)814-1041
DESCRIPTION OF WORK: panel replace,kitchen remodel
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Rough-In I I 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 ON Y 0�3
Electric] r t#
ELECTRICAL PERMIT Date Issued: 1 17 Receipt# /7�
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES Subrrotal
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, id
fees as per C & D below but not to exceed $ 125.00 per unit/2
4. Existing Dwelling Unit, additions, alterations, or repairs 201 amp to 400 amp service
fees as iper 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 RCE"R 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 CIRCUITSIFEEDERS&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
TOTAL AMOUNT DUE $
(Do not forget State Surcharge Fee)
You must call 952-442-7520 when work is ready for inspection!
Describe Proposed Work: `Nq-,V t'zr
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: ' 7 L 0 1490tk Spring Park, MN Zip: 5��3
OR Legal Description: Lot: Block: Subdivision:
Property ID(PIN No):
Applicant is: Contractor: * Or Owner: ❑
Contractor/Company Name: License#�
Address: Zkg 'Fj L2 Le-�Q ST SJtOity/State: 1KGVt1Si b V\^ Zip:S-S3(y-Y
Telephone: Office/Home: (9159-7) - I Q I{ Mobile: (M) -QY- 7qQ(
Fax:
Builder/Owner Name: Z>LkP lc—,
Address(if diff. from Site): City/State: Zip:
Telephone: Office/Home: ( ) - Mobile:Ms) -iCZy/
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 NUT 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 13)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 CONFO MANCE WITH THE STATE BUILDING/ELECTRICAL CODE.
Signature: Date: IV
PA MUST COMPANY APPLICATION Be sure to include State Surcharge in a ment
❑ Check attached—Check # MAKE CHECKS PAYABLE to MNSPECT
EMAIL: electrical ipmnspect.com
FAX: 952-442-7521
MAILMELIVER: MNSPECT,235 West First Street Waconia, MN 55387
Visa/Master Carte- _ $ t7-1a OO
AccoountNumhcr `Exxpiirration Duty CSV Annwnt to be withdrawn
Ac
Credit Card Owner Billing Address:__(.44z;(Q Vy L9� _ S-05—be J 1&
Street Address City.State Zip Code
P men uthoriza - njiAgnature(REQUIRED) Print Name on credit card(REQUIRE
Payment Confirmation
Payer Information:
Payment Made By: John C Legeros
Payment Made For: John Legeros
Email: john@jlelectriclic.net
Permit Address: 4742 W Arm Rd
Address: 2636 Westedge Boulevard
Mound, MN 55364
Payment Description: Permits
Payment Date: 4/18/2023 2:57:31 PM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****1168 41561972 $126.00 $3.72 $129.72
(Permits)
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RECEIPT
City of Spring Park •�''
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARK
23SP-00031 i Electrical Permit On Lake Winnetonka
Receipt Number: 170
Payment Amount: $126.00 April 19,2023
Transaction Method Payer Cashier Reference Number
Credit Card JL Electric Jamie Hoffman 41561972
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
04/18/23 State Surcharge(Fixed) $1.00 $1.00 $0.00
Existing Dwelling Unit,Additions/Alterations/Repairs,
04/18/23 up to and Including a 200 Amp Service(1 Unit) $125.00 $125.00 $0.00
Totals. $126.00 $126.00
Previous Payments $0.00
Remaining Balance Due $0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
4742 WEST ARM RD JAMES D SELLNOW 4742 WEST ARM RD
SPRING PARK, MN 55384 SPRING PARK, MN 55384
Description of Work
panel replace, kitchen remodel