Electrical Permit - Permit #23SP-00036 - 4527 Shoreline Drive - 5/1/23 City of Spring Park Electrical Permit
AR* 4349 Warren Ave, Spring Park, MN 55384
23SP-00036
PRING PARK
Phone:(952)471-9051 Fax:(952)471-9160
n La e.Tinneton a
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 Site 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 Inspection (Up To 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
INSPECTION CARD
4i�' City of Spring Park
SPRING PARK
On Lake 1 finnetonkp 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
1811723340
PROJECT ADDRESS: 4527 SHORELINE DRIVE,SPRING PARK,MN 55384 PARCEL NO.: 244
COLLINS ELECTRICAL
OWNER: PHS/LAKE MINNETONKA LLC CONTRACTOR: CONSTRUCTION CO CONTRACTOR PHONE: (651)224-2833
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 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
Electric Permit# L o?W O
ELECTRICAL PERMIT Datelssued: Receipt#
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
Additional Inspection trips for Reinspection/Bonding/Equipotential Plane/etc. $40.00 per
8_R IDENTIAL One and TVvo-fafiily,dweliing units' :Up to3rips.inc u eci 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 toexceed 175.00 per unit
5. New or Existing Dwelling Unit, 401 amp service or above See C&D below
� }FEES FOR NEW Oft, SERVICES,TEMP SERVICES
� .. OTHEkp'bWili UPPLY SOi1RCES OR-F EDER TO S P:ST(tUCT.URES' •^r,�; F r,
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
EESJ R CIRCUITS/FEEDERS &TRAN iD
SFORMERS;:
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-FAMILYbWE LINGS
�,,. .ar,4 a r:. ,a•a Li&f as edt.
Each dwelling unit $50.00 per unit
ALARM, COMMUN,I,CATION, SIGNALING CIRGUITS,,pF.LESS THAN;50yQLTS
Each S stem Device or Apparatus @ (jj $ .50 each 3apQ
r
State Surcharge.0005 of the permit fee(minimum of$1.00) 1.00
TOTAL AMOUNT DUE
Do not forget State Surcharge Fee
You must ca11952-442-7520 when work is ready for inspection!
Describe Proposed Work: eo+ac e n-) 1Ln+ O'� LX)S�1 r7r
75u-.5
1/,M9,
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Separate Permits are required for any building,mechanical,fire, or plumbing work.
• 1
�om�,u��1 MNSPE�7'
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I
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Job Site: Street Address: 419a7 Shpriel 1 nP D y. Spring Park,MN Zip:
OR Legal Description: Lot: Block: Subdivision:
Property ID (PIN No):
Applicant is: Contractor: Or Owner: ❑
Contractor/Company Name:b Iin',5 F)�t&I CGLI L'"5 )0&0 U. License#: 0)W 10(0
Address: _,?7(1 JL( ,71*K&L City/State:SC/,A.1 m/.) Zip:�I /U 7
Telephone: Office/Home: ( ) ) -c21 33 Mobile: C� -
E-mail: r I
P_Qj / Id7 Fax:
Builder/Owner Name: 9^'r,0,'Tb a LP— 2 L) �:)On2g`5
Address(if diff. from Site): City/State: Zip:
Telephone: Office/Home: Mobile: ( -
E-mail: Fax: L ) -
I HEREBY APPLY FOR AN ELECTRICAL PERMIT,AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE 1S 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 BOLDING/ELECTRICAL CODE.
o
Signature•
PAYMENT MUST ACCOMPANY APPLICATION(Be sure to include State Surcharge in Payment)
❑ Check attached—Check# MAKE CHECKS PAYABLE to MNSPECT
EMAIL: electrical@mnspect.com
FAX: 952442-7521
MAIL/DELIVER: MNSPECT,235 West First Street Waconia,MN 55387
Visa/Master Card �•��
. ... Expiration Date CSV $Am�o�unt to be withdrawn
Credit Card Owner Billing A c?7 ff y&(��. �T e ��,p�,�/ m/L)
Street Address City,State Zip Code
rl
aymen uthorizati n Signature(REQUIRED Print Name on credit card(REQUIRED)
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Payment Confirmation
Payer Information:
Payment Made By: Brian Colvard
Payment Made For: Collins Electrical Construction Co.
Email: permitrequests@collinsmn.com
Permit Address: 4527 Shoreline Dr
Address: 278 State Street
St. Paul, MN 55107
Payment Description: Permits
Payment Date: 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 of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING MRK
23SP-00036 I Electrical Permit On Lake Winnetonka
Receipt Number: 179
Payment Amount: $41.00 May 1,2023
Transaction Method Payer Cashier Reference Number
Credit Card Collins Electrical Jamie Hoffman 20099578
Comments
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