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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