Electrical Permit - Permit# 23SP-00041 - 2400 Interlachen Road - 10/9/20231 City of Spring Park I Electrical Permit
PARK
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
23SP-00041
Date Issued:
10/09/2023
Property Owner: JEFFREY D & SANDRA K THOELE
Expiration Date:
04/06/2024
Mailing Address: 786 NORTH BARFIELD DR
Job Site Address:
2400 INTERLACHEN ROAD UNIT 111,
SPRING PARK, MN 55384
MARCO ISLAND, FL 34145
Category:
Other
Phone:
Permit Type:
Electrical Permit
Email:
Valuation:
Description of Work:
WIRING OF A MINI -SPLIT
Subdivision:
Required Setbacks:
Parcel ID: 19-117-23-12-0123
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary Dean's Professional Plumbing (763) 428-1321
State Surcharge (Fixed)
$1.00
Single Inspection (Up To 4 Circuits)
$ 40.00
Total Fees:
$ 41.00
NOTICE
Signature of Applicent/Date
Building Department Signature/Date
10/09/2023
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Park
SPRING PARK
on take 9linnetonko 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REEVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS MBE MADE AND =*ED OFF BY THE APPROPRIATE
AUTHORMAND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ONTHE .IOBSRE.
APPLICATION NO.: 23SP-00041 TYPE: Electrical Permit ISSUED DATE: 11010912023 EXPIRATION DATE: 04/06/2024
19-117-23-
PROJECTADDRESS: 2400 INTERLACHEN ROAD UNIT 111, SPRING PARK, MN 55384 PARCEL NO.: 12-0123
OWNER: JEFFREY D & SANDRA K THOELE CONTRACTOR: Dean's Professional Plumbing CONTRACTOR PHONE: (763) 428-1321
DESCRIPTION OF WORK: WIRING OF A MINISPLIT
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 OFFICE USE ONLY
ELECTRICAL PERMIT Electric Permit # A e7>��L%1D 41
Date Issued: Receipt #
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK
FEES SubITotal
A. 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 ReinspectionlBondinglEquipotential 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
$125.00
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 CIRCUITSIFEEDERS & 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
$50.00
F. ALARM, COMMUNICATION, SIGNALING CIRCUITS, OF LESS THAN 50 VOLTS
Each System Device or Apparatus @ $ .50 each
G. 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
Do not forget State Surcharge Fee
216 —
010
You must call 952-442-7520 when work is read for ins ection! y t
Describe Proposed Work: Wiring of a Mini Split
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: 2400 Interlachen Rd #111
OR Legal Description: Lot:
Property ID (PIN No):
Block:
Applicant is: Contractor: V1 Or Owner: ❑
Contractor/Company Name: Deans Home Services
Address: 6701 Parkway Circle
Telephone: Office/Home: ( 763) 428 - 1321
E-mail: is@calldeans.com
Builder/Owner Name: sandy Thoele
Address (if diff. from Site
Telephone: Office/Home: 6( 12 ) 791 - 7987
E-mail:
Spring Park, MN Zip: 55384
Subdivision:
City/State: Brooklyn Center
Mobile: (
License #: EA722396
Zip: 55430
Fax:
City/State: Zip:
Mobile:
Fast: (�
I HEREBY APPLY FOR AN ELECTRICAL PERMrr, 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 PERMrr, (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 WITTEN 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: S I®a&alc, Date:5-16-2023
PAYMENT MUST ACCOMPANY APPLICATION (Be sure to include State Surcharge in Davment
❑ Check attached — Check # MAKE CHECKS PAYABLE to MNSPECT
EMAIL: electrical@mnspect.com
FAX: 952-442-7521
MAILMELIVER: MNSPECT, 235 West First Street Waconia, MN 55387
❑ Visa/Master Card -
Amount Number
Credit Card Owner Billing Address: 6701 Parkway Circle
'' fl Street Address
Y�
Payment Authorization Signature (REQUIRED)
Expiration Date CSV T Amount to be withdrawn
Brooklyn Center MN 55430
City, State Zip Code
Vivian Xiong
Print Name on credit card (REQUIRED)
Payment Confirmation
Payer information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
ANGELA REYES
Deans Home Services
ic@calideans.com
2400 Interlachen Rd Unit 111, Spring
Park, MN 55384
6701 Parkway Cir
Brooklyn Center, MN 55430
Permits
1016I2023 2:20:22 PM
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Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park VISA ****7322 14776637 $300.49 $11.11 $311.60
(Permits)
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RECEIPT
City c f Spring Paric
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
23SP-00041 I Electrical Permit
Payment Amount: $41.00
On iakg 9dinnetonb
Receipt Number: 241
October 9, 2023
Transacdon Method Payer
Cashier
Reference Number
Credit Card Deans Home Services
Jamie Hoffman
14776637
Commence
Assessed Fee Items
Fee items being paid by this payment
Date Fee Item
Account Code
Assessed Amount Paid
Balance Due
05/16/23 State Surcharge (Fixed)
$1.00 $1.00
$0.00
05/16/23 Single Inspection (Up To 4 Circuits)
$40.00 $40.00
$0.00
T
$41.00 $41.00
Previous Payments
$0.00
Remaining Balance Due
$0.00
Application Info
Property Address Property Owner Property Owner Address Valuation
2400 INTERLACHEN ROAD JEFFREY D & SANDRA K 786 NORTH BARFIELD DR
UNIT 111 THOELE MARCO ISLAND, FL 34145
SPRING PARK, MN 55384
Description of Work
WIRING OF A MINI -SPLIT