Electrical Permit - Permit# 23SP-00085 - 4444 Shoreline Drive - 9/12/2023' ) City of Spring Park Electrical Permit
4349 Warren Ave, Spring Paris, MN 55384
23SP-00085
n
, 17 ,"t Phone:(952) 471-9051 Fax: (952) 47'1-9160
Lake a
For inspecdons: (952) "2-7520
Date Issued: 09/12/2023 Property Owner: 4444 SHORELINE DRIVE LLC - ATTN
Explmdon Date: 03/10/2024 MIKE HART
Job SkeAddmss: 4444 Shoreline Dr, Spring Parts, Mailing Address: 2510 CASCO POINT ROAD
55438
Category: Other ORONO, MN 55391
Permit Type: Electrical Permit Phone:
Valuatlon: Email:
Description of Work:
Replace existing panel board, upgrade lighting, add receptacles
Subdivision: Required Setbacks:
Parcel ID: 18-117-23-34-0003
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary DIVISION 16 ELECTRIC LLC (763) 406-6572 Fees for Circuits/Feeders & Transformers: 0 $ 360.00
to 200 amp
State Surcharge (Fixed) $ 1.00
Total Fees: $ 361.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
09/12/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
f izz City Of
SPRANG PARK �sprang Park
on Lake 9tfinnewb 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTA ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE
AUTHORnYAND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE.IOBSrM
APPLICATION NO.: 23SP-00085 TYPE: Electrical Permit ISSUED DATE: 09/12/2023 EXPIRATION DATE: 03/10/2024
PROJECTADDRESS: 4444 Shoreline Dr, Spring Park, MN 55438 18-117-23-
p g PARCEL NO.: 34-0003
4444 SHORELINE DRIVE LLC -
OWNER: ATTN MIKE HART CONTRACTOR: DIVISION 16 ELECTRIC LLC CONTRACTOR PHONE: (763) 406-6572
DESCRIPTION OF WORK: Replace existing panel board, upgrade lighting, add receptades
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Rough -in I I I I Electrical Final
Fire Approval:
PW Approval:
To request an inspection: (952) 442-7520
Date: Engineering
Approval:
Date: Other (
Date:
Date:
Page 1 of 1
CITY OF SPRING PARK IOFFICE USE ONLY
ELECTRICAL PERMIT Electric P rm_it #'� f —OM S5
Dstc Issued9 -6Receipt # xmgs I t
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
-" DESCRIPTION OF WORK FEES subrrootai
AL MINIMUM FEE PER INSPECTION TRIP T
Includes up to 4 circuits if more than 4 see Sec. D below $ 40.00 per
Additional Inspection trips for Reinspection/BondinglEquipotential 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
i
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 S TRANSFORMERS
0 to 200 amp _ _ $ 10.00 Der circuit
Sim
_
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
. WORK BEGUN OR FINISHED WITHOUT PERMIT IS 3X THE REQUIRED PERMIT FLEE : _
State Surcharge .0005 of the permit fee (minimum of $1.00)
1.00
TOTAL AMOUNT DUE,6P
Do not for et State Surcharge Fee
You must ca11952-442-7520 when work is ready for ins ection!
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: 'N911 56rdiR` Sprint; Park, MN Zip:
OR Legal Description: Lot:
Property ID (PIN No):
Applicant is: Contractor: A
Contractor/Company Name:
Or Owner: ❑
Block:
Subdivision:
License #•
Address: 7s7r&_k . ——City/State: Zip:7-
Telephone: Office/Home: ,a - MI Mobile: ( �) Vh AF72
E-mail: 6it _ A;
Fax: (
Builder/Owner Name: 1,4 NIN, Ur —
Address (if diff. from Site):_ %04r City/State:
Telephone: Office/Home: (�) - Mobile: (41Z ) 30 -Allip
E-mail: Fax:
Zip:
I HEREBY APPLY FOR AN ELECTRICAL PERMIT, AND 1 ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; 1
UNDERSTAND WORK IS NOT TO START WITHOUT A PCBMIT. 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 ARX.&EQUISTED IN CONFORMANCE WITH THE STATE BUILDINGIELECTRICAL CODE.
Signature:
Date: y-C /2--3
PAYMENT MUST ACCOMPANY APPLICATION (Be sure to include State Surcharee in payment)
❑ Check attached — Check #
MAKE CHECKS PAYABLE to MNSPECT
EMAIL: electricai@mnspect.com
FAX: 952-442-7521
MAIUDELIVER: MNSPECT, 235 West First Street Waconia, MN 55387
❑ Visa/Master Card —
Account Number
Expiration Date CSV
Credit Card Owner Billing Address:
Street Address City, State
Payment Authorization Signature (REQUIRED)
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:
David Schroeder
David Schroeder
ds.divl 6@gmail.com
4444 Shoreline Drive
PO Box 158
Andover, MN 55304
Permits
9/7/2023 10:22:17 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park MC ****8402 32964811 $361.00 $10.65 $371.65
(Permits)
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YOU ARE HEREBY NOTIFIED THAT, IF YOU ARE NOT AN INTENDED RECIPIENT LISTED ABOVE, OR AN AUTHORIZED EMPLOYEE, OR AGENT OF AN
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RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
23SP-OW851 Electrical Permit
Payment Amount:
Transacbbn Method
Credit Card
Comments
Assessed Fee Items
$361.00
Payer
Division 16 Electric
Fee items being paid by this payment
Date Fee Item
�N� r
r �1r��+�
On Lake 3linnetonka
Receipt Number: 235
September 7, 2023
Cashier Refen3nce Number
Jamie Hoffman 32964811
Account Cade Assessed Amount Paid Ba/arxe Duce
Fees for Circuits/Feeders & Transformers: 0 to 200
09/07/23 amp $360.00 $360.00 $0.00
09/07/23 State Surcharge (Fixed)
$1.00 $1.00 $0.00
To $361.00 $361.00
Previous Payment $0.00
Remaining Balance Due $0.00
Application Info
Prop" Address Property Owner Property Owner Address Valuation
4444 Shoreline Dr 4444 SHORELINE DRIVE LLC 2510 CASCO POINT ROAD
Spring Paris, MN 55438 - ATTN MIKE HART ORONO, MN 55391
Description of Work
Replace existing panel board, upgrade lighting, add receptacles