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Electrical Permit - Permit# 23SP-00099 - 4658 Shoreline Drive - 11/13/2023Awl I City of Spring Park I Electrical Permit AAar 4349 Warren Ave, Spring Park, MN 55384 Phone:(952) 471-9051 Fax: (952) 471-9160 For inspections: (952) 442-7520 23SP-00099 Date Issued: 11/13/2023 Property Owner: DAVID C BENNYHOFF Expiration Date: 05/11/2024 Mailing Address: 5680 GRANDVIEW BLVD ,fob Site Address: 4658 SHORELINE DRIVE, SPRING PARK, MN 55384 Category: Other MOUND, MN 55364 Phone: Permit Type: Electrical Permit Email: Valuation: Description of Work: wiring for ansul fire suppression system Subdivision: Required Setbacks: Parcel ID: 1811723330004 Filing: Lot: Actual Setbacks: Block: Total Sq Ft: Contractors: Fee Items Amount Primary JL ELECTRIC LLC (952) 814-1041 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 11 /13/2023 MUST BE POSTED ON JOB SITE INSPECTION CARD City of Spring Park SPRING PARK On LakeWinndbub 4349 Warren Ave, Spring Park, NIN 55384 POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REgURED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORRYAND THE BUILDING 18 APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THEJOSSIM APPLICATION NO.: 23SP-OD099 TYPE: Electrical Permit ISSUED DATE: 11/13/2023 EXPIRATION DATE: 05/11/2024 PROJECTADDRESS: 4658 SHORELINE DRIVE, SPRING PARK, MN 55384 PARCEL NO.: 1811723330 0Q4 OWNER: DAVID C BENNYHOFF CONTRACTOR: JL ELECTRIC LLC CONTRACTOR PHONE: (952) 814-1041 DESCRIPTION OF WORK. wiring for ansul fire suppression system CONSTRUCTION TYPE: OCCUPANT LOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Electrical Rough -In I I IElectrical Final Fire Approval: Date: Engineering Approval: PW Approval. Date: Other To request an Inspeadon: (952) 442-7520 Date: ): Date: Page I of 1 CITY OF SPRING PARK O FICL LSL UXLY ELECTRICAL PERMIT Electric Permit # PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES Quantity DESCRIPTION OF WORK FEES suerrotal M NIMUM 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 . 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 T ------ -.__. _._ _ ... C. FEES FOR NEW OR UPGRADED SERVICES, TEMP. SERVICE5, GENERATORB, 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 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 @..... _. $ .54 each G. WORK BEGUN OR FINISHED WITHOUT PERMIT IS 2X THE REQUIRED PERM T FEE State Surcharge .0005 of the permit fee (minimum of $1.00) 1.00 TOTAL AMOUNT DUE ' It _. ---.-. (Do not forget State Surcharge Fee) Describe Proposed Work: Separate Permits are required for any building, mechanical, fire, or plumbing work. PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES �. Job Site: Street Address: �' S rin Park MN Zip: OR Legal Descripti( Lot: Block: Subdivision: Property 1D (PIN No): Applicant is: Contractor -/1- Or Owner: ❑ Contractor/Company Name: \,r— S�:_ ��X License #: 1�5114 i ,.f Address: , "j IV Cityistate: j ►, ::6 °'�t'l Zip. Telephone: Oftico%Home: 17—b i Mobile: &-/)-W'- E-mail: t r' f F 'w ti. v �.14Fax: ( ) Builder/Owner Name: � -)(21L Address (if. diff from Site):~� 7��G'Cc City, State: JZip:� Teie hone: Oti<icc.-kiome: (�4 - r f p 1%J 3 Mobile:el�lF�i F-mail: Fax: ( ) I IIFRFIIY APPLY FOO AN ELECTRICAL PERMIT. AND 1 AC'KNOWLEWE I I IAT TT IF. INFORNIX1 ON ABOVE IS COMPLETF. AND ACCI)RATF.; I t \'DrRtiT:1[�D V,'U .�$.NCYj,70 ti'l"4RT W1'1'1101f1 A I'IcRAII'['. I t)NDLRS'I'A\l) A\l) I ILRL:IIY A(iRLL'17IALI 'I I1L• �VORK FOR 1V111CI1 TILE PERlvlrl IS ISSUED SHALL 10. PIiRI'OR[11I?I) AC(.'ORI)IN(i TO I HE: FOLLOWING: I ]) THIi CONDITIONS 01: THE PERMIT'. (2) THl; AVPROVIiD PLANS AND SPECIFICATIONS, IF NEEDED (31 Till: APPLI('AF)Lli UITY APPROVALS. ORDINANCE& AND CODES, AND 44) Till: STATE RL'll DIX6 FLFCTRICAL CODE. I LINDFRSTAND TI1 AT TIIF PERMITWILL ILL F.\PIRF: AND 13FCOME Nla.l_ AND WHD IF 1VORK IS NOT COMPLETED WITHIN 12 NIONTHS OF \VALIDATED DATE AND.'[ I IA•r I AM RF.SPONNSInLE FOR ENSURINO THAT ALL REQUIRED INSPECTIONS. ARE. REQUESTED IN CONFORMANCE %1 CHTHE STATL 11UILDI\Cj'I?Ll'.(" I-RICAL CODE" Signature: Date: EnktL- ('OINPLETED PERMIT APPLICATION TO:,jkhoffinan(icci.spring-park.mn.us, PAYMENT CAN BE MADE AS FOLLOWS: Online at r'... .. , i By calling 1-877-885-7969: Downloading the PST; Payrnenls app from the Apple AppStore or Google Play; i Mailing a check to: City of Spring Park, 4349 Warren Avenue, Spring Park, MN 55384. PLEASE CALL 952-442-7520 WHEN YOU ARE READY FOR AN INSPECTION Payment Confirmation Payer Information: Payment Made By: Payment Made For: Email: Permit Address: Address: Payment Description: Payment Date: John C Legeros JL Electric john@jlelectricllc.net 4658 Shoreline Drive 2636 Westedge Blvd Mound, MN 55464 Permits 11/10/2023 1:30:41 PM Business Name Payment Payment Confirmation Amount Convenience Total Method Account Number Fee City of Spring Park VISA ****1168 65079362 $41.00 $1.96 $42.96 (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. 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RECEIPT City c f Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952) 471-9051 SPRi G PARK 23SP-00099 I Electrical Permit On L4kf Minneto* Receipt Number: 249 Payment Amount: $41.00 November 13, 2023 Transaction Methood Payer Cashier Reference Number Credit Card JL Electric Jamie Hoffman 65079362 Comments Assessed Fee Items Fee items being paid by this payment Date Fee Item Account Code Assessed AmountPaid Balance Due 11/09/23 State Surcharge (Fixed) $1.00 $1.00 $0.00 11/09/23 Single Inspection (Up To 4 Circuits) $40.00 $40.00 $0.00 Totes $41.00 $41.00 Application Info Property Address 4658 SHORELINE DRIVE SPRING PARK, MN 55384 Description of Work Previous Payments $0.00 Remaining Balanoe Due $0.00 Property Owner Property Owner Address Valuation DAVID C BENNYHOFF 5680 GRANDVIEW BLVD MOUND, MN 55364 wiring for ansul fire suppression system