Electrical Permit - Permit# 23SP-00053 - 3842 Northern Avenue - 6/28/2023 - City of Spring Park Electrical Permit
4349 Warren Ave0�4_ , Spring Park, MN 55384
���� ���� 23SP-00053
Phone:(952)471-9051 Fax:(952)471-9160
/1 Lake 9fimwtonlia
For Inspections: (952) 442-7520
Date Issued: 06/28/2023 Property Owner: ERIC ROBERT TISCHLER
Expiration Date: 12/25/2023 Mailing Address: 3842 NORTHERN AVE
Job Site Address: 3842 NORTHERN AVE, SPRING
PARK, MN 53384 SPRING PARK, MN 53384
Category: Other Phone:
Permit Type: Electrical Permit Email:
Valuation:
Description of Work:
NEW PANEL
Subdivision: SKARP AND LINDQUISTIs Required Setbacks:
HAZELDELL ADDITION TO MTKA
Parcel ID: 17-117-23-33-0016
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
State Surcharge(Fixed) $ 1.00
Non-Dwelling Unit, New or Upgrded $ 50.00
Service/Temp. Service/Generators/Other
Power Supply/Feeders to Other Structures
Total Fees: $ 51.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
06/28/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
MR19 PR20K
on L al"' u1111wl nll a 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-00053 PERMIT TYPE: Electrical Permit ISSUED DATE: 06/28/2023 EXPIRATION DATE: 12/25/2023
PROJECT AD PARCEL NO.: 33-0016
DRESS: 3842 NORTHERN AVE,SPRING PARK,MN 53384 17-11
OWNER: ERIC ROBERT TISCHLER CONTRACTOR: CONTRACTOR PHONE:
DESCRIPTION OF WORK: NEW PANEL
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
� aI Yt A4Jj oea:Z G/aa
CITY OF SPRING PARK OFFICE USE ONLY
Electric Permit# "Sp. 0009
ELECTRICAL PERMIT Date Issued:�a 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
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,
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 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
0 to 200 amp _ $ 10.00 per circuit
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
State Surcharge .0005 of the permit fee(minimum of$1.00) 1.00
TOTAL AMOUNT DUE
(Do not forget State Surcharge Fee
You must call 952-442-7520 when work is ready for inspection!
Describe Proposed Work: 2LI5.Z442 4�t • Alc-L(.,f 0oc7-h cq
)-vs,p 13 r1-a � `' ��� /��,D ^ L evu
Separate Permits are required for any building, mechanical, fire, or plumbing work.
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Job Site: Street Address: 3 �2d- 1/o rI ✓AJ)} V P Spring Park,MN Zip:
OR Legal Description: Lot: Block: Subdivision:
Property ID (PIN No):
Applicant is: Contractor: ❑ Or Owner:f$�
Contractor/Company Name: License#:
Address: City/State: Zip.--
Telephone: Office/Home: Mobile:
E-mail: Fax: O -
Builder/Owner Name: ,E r/C SC`1���
Address(if diff. from Site): City/State: Zip:
Telephone: Office/Home: c 76 3 - / E—Mobile:
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 IN C-ON/F�ORMANCE WITH THE STATE BUILDING/ELECTRICAL CODE.
Signature: Date: Z
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: 952-442-7521
MAIL/DELIVER: MNSPECT,235 West First Street Waconia,MN 55387
❑ Visa/Master Card— / $
Account Number Expiration Date CSV Amount to be withdrawn
Credit Card Owner Billing Address:
Street Address City,State Zip Code
Pavment 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-00053 i Electrical Permit On Lake %finnetonkg
Receipt Number:201
Payment Amount: $51.00 June 28,2023
Transaction Method Payer Cashier Reference Number
Cash Homeowner Jamie Hoffman Cash
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
06/23/23 State Surcharge(Fixed) $1.00 $1.00 $0.00
Non-Dwelling Unit, New or Upgrded Service/Temp.
06/23/23 Service/Generators/Other Power Supply/Feeders to $50.00 $50.00 $0.00
Other Structures
Totals: $51.00 $51.00
Previous Payments $0.00
Remaining Balance Due $0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
3842 NORTHERN AVE ERIC ROBERT TISCHLER 3842 NORTHERN AVE
SPRING PARK, MN 53384 SPRING PARK, MN 53384
Description of Work
NEW PANEL