Electrical Permit - Permit# 23SP-00069 - 4428 West Arm Road - 7/19/2023City of Spring Park
Electrical Permit
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
23SP-00069
Date Issued:
07/19/2023
Property Owner: Edward Tripet
Expiratlon Date:
01/15/2024
Mailing Address: 4428 West Arm Road
Job Slte Address:
4428 West Arm Road, Spring Park, MN
55384
Spring Park, MN 55384
Category:
Other
Phone:
Permit Type:
Electrical Permit
Email:
Valuation:
Description of Work:
Wire Daiken Furnace
and AC
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
State Surcharge (Fixed)
$1.00
Single Inspection (Up To 4 Circuits)
$ 40.00
Total Fees:
$ 41.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
07/19/2023
MUST BE POSTED ON JOB SITE
IL ;) -,
INSPECTION CARD
1 �2k City c f Spring Park
,TPJRf VG PARK
On Lake9winnetonk¢ 4349 Warren Ave, Spring Park, MN 55384
POST THAT 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 18 APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE
PERMITNO.: 23SP-00069 PERMIT TYPE: Electrical Permit
PROJECT ADDRESS: 4428 West AnII Road, Spring Park, MN 55384
OWNER: Edward Tripet CONTRACTOR:
DESCRIPTION OF WORK: Wire Daiken Furnace and AC
ISSUED DATE: 07/19/2023 EXPIRATION DATE: V2024
PARCEL NO.:
CONTRACTOR PHONE:
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Rough -In IElectrical Final
Fire Approval:
PW Approval:
To request an Inspection: (952) 442-7520
Date: Engineering
Approval:
Date: Other (
Date:
Date:
Paae 1 of 1
CITY OF SPRING PARK
ELECTRICAL PERMIT
OFFICE USE ONLY
Electric Pqrmit # & p•
Date Issued; 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
40.00
Additional Inspection trips for Reinspection/Bonding/Equ i potential Plane/etc. $ 40.00 per
S. RESIDENTIAL One and Two4amlly dwelling units UP10 3 trips mcladed 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 ver 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 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 -FAMILY DWELLINGS
Each dwelling unit $ 50.00 per unit
F. ALARM, COMMUNICATION, SIGNALING_ CIRCUITS, OF LESS THAN 50 VOLTS
Each System Device or Apparatus @ $ .50 each
13i S C lia1#ED_fN17 i 1T -ERI i '?T PM
State Surcharge .0005 of the permit fee (minimum of $1.00)
1.00
TOTAL AMOUNT DUE
Do not for et State Surchar a Fee
r4l.00
You must call 952442-7520 when work is ready for ins ection!
Describe Proposed Work: WIRE/ RECONNECT DAIKIN FURNACE AND AIR CONDITIONER
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: 4428 W ARM ROAD
spring Park, MN Zip: 55384
OR Legal Description: Lot: Block: Subdivision:
Property ID (PIN No): 18-117-23-34-0044
Applicant is: Contractor: 16 Or Owner: ❑
Contractor/Company Name: CENTERPOINT ENERGY License #: EA001796
Address:6161 GOLDEN VALLEY RD City/State: GOLDEN VALLEY Zip: 55422
Telephone: Office/Home: 7{ 63 ) 512 - 2765 mobile: ( -
E-mail: HSP-Permits@centerpointenergy.com Fax: �}
Builder/Owner Name: EDWARD TRIPET
Address (if diff. from Site): 4428 W ARM RD City/State: SPRING PARK Zip. 55384
Telephone: Office/Home: 6( 12 ) 910 - 7731 Mobile:
E-mail: Fax:
I HEREBY APPLY FOR AN ELECTRICAL PERMIT, AND I ACKNOWLEDGE THAT THE INFORMATION A30VE 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
FLANS 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 BUILDING/ELECTRICAL CODE.
Signature: w *op Z_ Date: 07/13/2023
PAYMENT MUST ACCOMPANY APPLICATION (Be sure to include State Surcharge in payment)
i, 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
o Visa/Master Card —
Credit Card Owner Billing Address:
Account Number
Street Address
Payment Authorization Signature (REQUIRED)
1
Expiration Date CSV
City, State
Print Name on credit card (REQUIRED)
Amount to be withdrawn
Zip Code
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
JOANN L ZINKEN
CENTERPOINT ENERGY
HSP-
PERMITS@CENTERPOINTENERGY.COM
4428 WEST ARM ROAD
6161 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Permits
7/19/2023 11:16:43 AM
Business Name Payment Payment Confirmation Convenience
Method Account Number Amount Fee Total
City of Spring Park MC ****9294 53507997 $27.00 $1.55 $28.55
(Permits)
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
23SP-00069 I Electrical Permit
Payment Amount: $41.00
0,
SPRING PARK
On LakV Winnetonkg
Receipt Number. 216
July 19, 2023
Transaction Method Payer
Cashier
Reference Number
Credit Card Centerpoint Energy
Jamie Hoffman
70818753, 53507997
Comments
Assessed Pee Items
Fee items being paid by this payment
Date Fee Item
Account Code
Assessed Amount Paid
Balance Due
07/19/23 State Surcharge (Fixed)
$1.00 $1.00
$0.00
07/19/23 Single Inspection (Up To 4 Circuits)
$40.00 $40.00
$0.00
TOM'
$41.00 $41.00
Previous Payments
$0.00
Remaining Balance Due
$0.00
Permit Info
Property Address Property Owner Property Owner Address Valuation
4428 West Arm Road Edward Tripet 4428 West Arm Road
Spring Park, MN 55384 Spring Park, MN 55384
Description of Work
Wire Daiken Furnace and AC