Electrical Permit - Permit# 23SP-00063 - 4232 West Arm Drive - 7/11/2023 ''- City of Spring Park Electrical Permit
M* 4349 Warren Ave, Spring Park, MN 55384
23SP-00063
SPRING PARK
Phone:(952)471-9051 Fax:(952)471-9160
)n La e Ifinneton°a
For Inspections: (952) 442-7520
Date Issued: 07/11/2023 Property Owner: JUDITH H O'BRIEN TRUST
Expiration Date: 01/07/2024 Mailing Address: 4232 WEST ARM DR
Job Site Address: 4232 WEST ARM DR, Spring Park, MN
55384 Spring Park, MN 55384
Category: Other Phone: (612) 508-5854
Permit Type: Electrical Permit Email: jhob714@yahoo.com
Valuation:
Description of Work:
main level kitchen, LR, bed &2 baths, basement rec room remodel
Subdivision: Required Setbacks:
Parcel ID: 18-117-23-43-0180
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary SIERRA ELECTRIC INC (612) 532-3727 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
07/11/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
4 City of Spring Park
SPRING PARK
On Lake 9Winnetonka 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-00063 PERMIT TYPE: Electrical Permit ISSUED DATE: 07/11/2023 EXPIRATION DATE: 01/07/2024
18-117-23-
PROJECT ADDRESS: 4232 WEST ARM DR,Spring Park,MN 55384 PARCEL NO.: 43-0180
OWNER: JUDITH H O'BRIEN TRUST CONTRACTOR: SIERRA ELECTRIC INC CONTRACTOR PHONE: (612)532-3727
DESCRIPTION OF WORK: main level kitchen,LR,bed&2 baths,basement rec room 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
PaGe 1 of 1
R
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES subrrotal
A._MINIMUM FEE PER INSPECTION TRIP_
i
Includes up to 4 circuits if more than 4 see Sec.D below $40.00 per
Additional Inspection trips for ReinspectioNBonding/Equlpotential 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 SUPP%Y 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 includina 800 amp service $200.00 each
4.801 amp service and above $300.00 each
D.FEES FOR CIRCUITS/FEEDERS&TRANSFORMERS
0 to 200 am - $10,00 per dgwit l4
Above 200 am $15.00 per circuit
Transformers up to 10 KVA $20.00 each
Transformers over 10 KVA _ $30.00 each j
E.MULTI-FAMILY DWELLINGS
Each dwellin 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 j
(Do not forget State Surcharge Feed
You must eaH 952-442-752'/0 when work is ready for inspection!
Describe Proposed Work:/v I'r4 0✓P I 1/,.l�G�,r r)_T I J� 1 j 5L 8--, ffi,5 lC Z
L�1,c�+1,��p L (��inn �__.S_►tn
Job Site:Street Address: % I Spting Park,MN Zip:
OR Legal Description: Lot: Block: Subdivision:
Property ID(PIN No):
Applicant is: Contractor:X Or Owner:❑
Contractor//C�ompanyName: _(�7c rr4\ O"t1tr-14- License#:
Address: Pig J'S(LX_ City/State: LI/ 1-0/1(-1 zip:-
Telephone: Office/Home: Mobile: (c r
E-mail: ! ;tra g Fax:
/ U
Builder/Owner Name: �t�iv
Address(if diff.from Site): City/State: Zip:
Telephone: Office/Home: �c( 1 L ) Z�►!1 - �G!Z4:1 Mobile:
E-mail: Fax: C_
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/ELBCTRICAL 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�ORMANCE WITH THE STATE BUILDINGIELEcrRICAL CODE.Signature: / Date: 7-L- 2
PAYMENT MUST ACCOMPANY APPLICATION(Be sure to include State Surdiame In osv 121111
❑ Check attached—Check# MAKE CHECKS PAYABLE to MNSPECT
EMAIL:electrical@mnspect.com
FAX:952-442-7521
MAIL/I)ELIVER:MNSPECT,235 West First Street Waconia,MN 55387 CAT
lr Visa/Master Card— , . $
Accow Number rxpu....,......_/ CSV Amoum to be w�ithdnwn
czcd;t am Owner Biufoe Ad&= 3 `7Al V l f`✓r Sf G!.;Z_"r j �� iL
stma Add`m city,store zip codes
G - rI« t,-o�
Payment Confirmation
Payer Information:
Payment Made By: mitchell eggen
Payment Made For: mitchell eggen
Email: sierraelectricinc@gmail.com
Permit Address: 4232 W Arm Dr, Spring Park,MN 55384
Address: 33 N Olive St
Waconia, MN 55387
Payment Description: Permits
Payment Date: 7/11/2023 11:21:30 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****0565 10776617 $126.00 $5.97 $131.97
(Permits)
This notice confirms that the above payment was successfully submitted to our payment processor, PSN,
and is currently being processed.Thank you for using PSN.
NOTE: While credit and debit cards generally are immediately approved, the transaction is not considered
.'paid" until the credit or debit card company has"settled"the payment which occurs most often within 24
hours. If there are any issues with your payment, PSN will send an email to the address you provided. If you
would like to check the progress of this payment, log into your profile and select the Payment History option.
Contact Us
PSN Customer Support Submit your question and get a response within one business day.
Payment Processing Powered by Payment Service Network (PSN)
THIS COMMUNICATION IS INTENDED ONLY FOR THE ADDRESSEE(S)AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED AND CONFIDENTIAL.
YOU ARE HEREBY NOTIFIED THAT,IF YOU ARE NOT AN INTENDED RECIPIENT LISTED ABOVE,OR AN AUTHORIZED EMPLOYEE,OR AGENT OF AN
ADDRESSEE OF THIS COMMUNICATION RESPONSIBLE FOR DELIVERING E-MAIL MESSAGES TO AN INTENDED RECIPIENT,ANY DISSEMINATION,
DISTRIBUTION,OR REPRODUCTION OF THIS COMMUNICATION(INCLUDING ANY ATTACHMENTS HERETO)IS STRICTLY PROHIBITED.IF YOU HAVE
RECEIVED THIS COMMUNICATION IN ERROR,PLEASE NOTIFY US IMMEDIATELY BY REPLY E-MAIL ADDRESSED TO THE SENDER AND
PERMANENTLY DELETE THE ORIGINAL E-MAIL COMMUNICATION AND ANY ATTACHMENTS FROM ALL STORAGE DEVICES WITHOUT MAKING OR
OTHERWISE RETAINING A COPY.
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
SPRING PARK
23SP-00063 I Electrical Permit On Lake Minnetonka
Receipt Number:210
Payment Amount: $126.00 July 11,2023
Transaction Method Payer Cashier Reference Number
Credit Card Sierra Electric Jamie Hoffman 10776617
Comments
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item Account Code Assessed Amount Paid Balance Due
07/10/23 State Surcharge (Fixed) $1.00 $1.00 $0.00
Existing Dwelling Unit, Additions/Alterations/Repairs,
07/10/23 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
4232 WEST ARM DR JUDITH H O'BRIEN TRUST 4232 WEST ARM DR
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
main level kitchen, LR, bed & 2 baths, basement rec room remodel