Permits - Permit# 23SP-00036 - 4601 Shoreline Drive - 5/1/2023City of Spring Park Electrical Permit
_ter 4349 Warren Ave, Spring Park, MN 55384
23SP-00036
PR.1,_N99 PARK
Phone:(952) 471-9051 Fax: (952) 471-9160
n Lake Winnetonfia
For Inspections: (952) 442-7520
Date Issued: 05/01/2023 Property Owner: PHS/LAKE MINNETONKA LLC
Expiration Date: 10/28/2023 Mailing Address: 2845 HAMLINE AVE N
Job She Address: 4527 SHORELINE DRIVE, SPRING
PARK, MN 55384
ROSEVILLE, MN 55113
Category Other
Phone:
Permit Type: Electrical Permit Email:
Valuation:
Description of Work:
replacement of existing fire alarm system in the Villa
Subdivision: Required Setbacks:
Parcel ID: 1811723340244
Filing:
Lot: 1 Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items
Amount
Primary COLLINS ELECTRICAL CONSTRUCTION State Surcharge (Fixed)
$ 1.00
CO (651) 224-2833
Single Inspec 4 Circuits)
$ 40.00
Total Fees:
$ 41.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
05/01/2023
MUST BE POSTED ON JOB SITE
f4u]�i INSPECTION CARD
City of Spring Park
SPRING PARK
On Lake9blinneton4q 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-00036 PERMIT TYPE: Electrical Permit ISSUED DATE: 05/01/2023 EXPIRATION DATE: 10/28/2023
PROJECT ADDRESS: 4527 SHORELINE DRIVE, SPRING PARK, MN 55384 1811723340
PARCEL NO.: 244
OWNER: PHS/LAKE MINNETONKA LLC CONTRACTOR: COLLINS ELECTRICAL
CONSTRUCTION CO CONTRACTOR PHONE: (651) 224-2$33
DESCRIPTION OF WORK: replacement of existing fire alarm system in the Villa
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Rough -In Electrical Final
Fire Approval: Date: Engineering
Approval:
PW Approval: Date: Other (
To request an Inspection: (952) "2-7520
Date. -
Date:
Page 1 of 1
CITY OF SPRING PARK
ELECTRICAL PERMIT
OFFICE USE ONLY
Electric Permit # L 07W p
Date Issued: 4112fReceipt #
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES suWTotai
-�-
.;. INIMI) FBE', R IISP.EXibN Ti�IP. I
__
Includes up to 4 circuits if more than 4 see Sec. D below $ 40.00 per
Additional inspection trips for Relnspection/Bonding/Equipotendal Plane/etc. $ 40.00 per
' nd i.wo'Fai11ywlCliigunll
1, New Dweillng Unit, up to and Including a 200 amp service $ 125.00 ner 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 Der-Q & D below but not 175,00 per unit
5. New or Existing Dwelling Unit, 401 amp service or above See C & D below
ED E?riViES,;1rP. SERVLC 5„dEFq'r0(i5
F - J3 N aR UPG&ki
fir E=XO.S P5' U T
1. Up to and Including a 200 amp service $ 50.00 each
2.201 amp to and Including 400 amD service $100.00 each
3.401 amp to and Including 800 amp service $ 200.00 each
4.801 amR service and above $ 300.00 each
NSFORMR ,
0 to 200 amp $ 10.00 er circxiit
Above 200 am $ 15.00 per circuit
Transformers up to 10 KVA $ 20.00 each
Transformers over 10 KVA 30.00 each
E MULTI=Ail
—
Each dwelling unit — $ 50.00 per unit
,
RARM,'C�DMML i R-i TION, S1taNALIh1Q II CUITS, Q.F LE 3S THAN VQh7S
Each System Device or Apparatus C� $ .508
Wft-
y
State Surcharge .0005 of the permit be (minimum of $1.00)
1,00
TOTAL AMOUNT DUE
Do not forget State Surcharge Fee
d.D0
You must call 952-442-7524 when work is ready for inspection!
Describe Proposed Work:
r,
Separate Permits are required for any building, mechanical, fire, or plumbing work.
.crrU4ltaL�h A4+vs0Par
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Job Site: Street Address: 41�5qr7 5hDrR-ljnP oy. Spring Park. MN Zip: f �5,Wzl
OR Legal Description: Lot: Block:
Property ID (PIN No):
Applicant is: Contractor: 0 Or Owner: ❑
Subdivision:
Contractor/Copmpany Name:C0 i C s G License #: L 1 O(P
Address: -/ L "�� City/State: Zip � Q
Telephone: Office/Home: ((05 ) M '/ _ ,33 Mobile:(
Fax:
Builder/Owner Name:
Address (if diff. from Site): City/State: Zip:
Telephone: Office/Home: C___) Mobile: ( -
E-mail- Fax: ( _)
I HEREBY APPLY FOR AN ELECTRICAL PERMIT, AND I ACKNOWLEDGE THAT TM INFORMATION ABOVE IS COMPLETE AND ACCURATE: I
UNDERSTAND WORK L4 NOT TO START i jiHo T A PERMIT. I UNDERSTAND AND HEREBY AORBB THAT THE WORK FOR WHICH THE
PERMrr IS ISSUED SHALL BE PERFORMED ,ACCORDING TO THE FOLLOWING: (I) 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
BUILDI GIELECIRICAL CODS. 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
INS PBCTIONS ARE REQUESTED IN CONFORMANCE WITH THE STATE B INGSLECTRICAL CODE.
Signatm+e- Date: c
PAYMENT MUST ACCOMPANY APPLICATION (Be sure to Include State Surcharee in naxment),
o Check attached — Check #
MAKE CHECKS PAYABLE to MNSPECT
EMAIL: elecWcal@mnspect.com
FAX: 952- 42-7521
MAIL/DELWF,R: MNSPECT, 235 West First Street Waconia, MN 55387
Visa/Master Card $ V.00
^ • •,� Expiration Date CSV Amount to be wiithdmwn
Credit Card Owner SiflinB : �7 ff M6 � ,- a i — J th
$treat AddIC88 City, state Zip Code
Sri QA 1 '01 161
aymen thorizati u Signature {RE CiIR);D Print Name on credit card (REQUMED)
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
Brian Coivard
Collins Electrical Construction Co.
permitrequests@collinsmn.com
4527 Shoreline Dr
278 State Street
St. Paul, MN 55107
Permits
5/1/2023 9:28:41 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park MC ****8862 20099578 $41.00 $1.96 $42.96
(Permits)
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RECEIPT
City c f Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
23SP-00036 i Electrical Permit
Payment Amount: $41.00
Transaction Method Payer
Credit Card Collins Electrical
Comments
SPRING PARK
On Case Minnetonka
Receipt Number: 179
Cashier Reference Alumbeer
Jamie Hoffma 20099578
May 1, 2023
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
04/28/23 State Surcharge (Fixed)
$1.00 $1.00 $0.00
04/28/23 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
4527 SHORELINE DRIVE PHS/LAKE MINNETONKA 2845 HAMLINE AVE N
SPRING PARK, MN 55384 LLC ROSEVILLE, MN 55113
Description of Work
replacement of existing fire alarm system in the Villa