Electrical Permit - Permit# 24SP-00024 - 4165 Shoreline Drive - 4/24/2024City of Spring Park
Electrical Permit
rh.1,+er 1"_i !ARK
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
24SP-00024
Date Issued: 04/24./2024
Property Owner: Yachtzee Holdings, LLC - Kelly Olsen
Expiration Data: 10/21/2024
Mailing Address: 3066 Island View Drive
Job Site Address: 4165 SHORELINE DRIVE, SPRING
PARK, MN 55384
Mound, MN 55364
Category: Other
Phone: (612) 720-1467
Permit Type: Electrical Permit
Email: keliy@olsen.global
Valuation:
Description of Work:
Renovation of existing building into Hotel
Subdivision:
Required Setbacks:
Parcel ID: 1811723440022
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary LAKETOWN ELECTRIC CORPORATION
(952) 442-2740
State Surcharge (Fixed)
Fees for Circuits/Feeders & Transformers: 0
$ 1,00
$ 1,600.00
to 200 amp
Fees for Circuits/Feeders & Transformers:
$ 30.00
Above 200 amp
Total Fees:
$ 1,631.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
04/24/2024
MUST BE POSTED ON JOB SITE
46;; �
SPRING PARK
On Lake Minnetonka
INSPECTION CARD
City of Spring Park
4349 Warren Ave, Spring Park, r 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 JOBSI E.
APPLICATION NO.: 24SPr00024 TYPE: Electrical Permit ISSUED DATE: 04/2412024 EXPIRATION DATE: 10/21/2024
PROJECT ADDRESS: 4165 SHORELINE DRIVE, SPRING PARK, MN 55384 PARCEL NO.: 1811723440
022
Yachtzee Holdings, LLC - Keller LAKETOWN ELECTRIC
OWNER: Olsen CONTRACTOR: CORPORATION CONTRACTOR PHONE: (952) 442-2740
DESCRIPTION OF WORK: Renovation of existing building into Hotel
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Rough -In I IElectrical Final
Fire Approval:
PW Approval:
Date: Engineering
Approval:
Date: Other (
Date:
Date:
To request an inspection: (952) 442-75M
Page 1 of 1
CITY OF SPRING PARK OFFICE USE ONLY
ELECTRICAL PERMIT �3011�"c
� t # 1 $
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
�**• DESCRIPTION OF WORK FEES subrratal
MINIMUM FEA A90 INSPECTION TRIP
Includes up to 4 circuits if more than 4 see Sec. D below $ 40.00 per
Additional Inspection trips for Reinspection!Bonding/Equipotentlal Plane/etc. $ 40.00 per
F4IDEINTIAL One and. Two-fami�Jy dwelling emits Up t+o "trips inc]udewyl in:iae
1. New Dwelling Unit up to and Including a 200 amp service $ 125.00 ver 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 S 175.00 per unit
5. New or Existing Dwelling Unit, 401 amp service or above See C & D below
;f MlEllff OR UIRGRA ED SEIIZVICES, TEMP. SEIWIGES, GENT TT ,
l� Y SOURCES, OR FEEQERES
1. U 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
1FIy ;F .CIIt IT I*EEDERS & TR&N-SFORMERS
0 to 200 am ;' { '. $ 10.00 per circuit . c0
Above 200 am ! = S 15.00 per circuit Ja
Transformers up to 10 KVA $ 20.00 each
Transformers over 10 KVA _ $ 30.00 each
E, .MIJL'iTI!AMILY DVVELI..IN.GS
Each dwelling unit $ 50.00 per un
• A�Aftllll%. PPMM UNIPATION, iidNALING CIRCUITS, OF LESS THAN ap NOLTS _
Each System Device or Apparatus 0— $ .50 each
%; fE1i IIlHT1 LT PER11111iff IS 2X THE R1s61URED ZER1A . '
State Surcharge .0005 of the permit fee (minimum of $1.00)
TOTAL AMOUNT DUE
Do not for et State Surchar a Fee
Describe Proposed Work: �iM��! 9-��.•.• o• l� R �r,� f,; Il , ,,,+q,�
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: q63 SIU&
Sprin#_Park, MN Zip:
3 y
OR Legal Description: Lot:
Property ID (PIN No):
Block: Subdivision:
Applicant is: Contractor: 1�. Or Owner: D
Contractor/Company N
License #: &00 to 9
Address:gy-74 S Avg0-j—City/State: /►' 4/ Zip: 6"0&7
Telephone: Office/Home: L 1 ",) M- - o-% `fa Mobile:
)rma�l: Q fL1��1�i•��'``.' Fax: ( _)
Builder/Owner Name: 0 r
Address (if tuff. from Site)-
City/State:
Telephone: Office/Home: CO ft ) -17t - Mobile:
Fax:
Zip:
I HEREBY APPLY FOR AN ELECTRICAL PERMIT, AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; I
UNDERSTAND WORX IS NOT IDLUARI MUMUT A EMWT. I UNDERSTAND AND HEREBY AGREE THAT THE WORK FOR WHICH THE
PERMIT IS IS°TMD SHALL BE PERFORMED ACCORDING TO THE FOLLOWING: (1) THE CONDITIONS OF THE PERMIT, (2) THE APPROVED
PLANS AND - AC:IFICATIONS, 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 WnIHMN 12 M THS OF VALIDATED DATE AND, THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED
INSPECTIONS ��CONFORMANCE WITH THE STATE BU1LDINGSLECTRICAL CODE.
Signature: - Date: 7'1 h
.97
EMAIL COMPLETED PERMIT APPLICATION TO: jkhoffman@ci.spring-pa&mn.uS
PAYMENT CAN BE MADE AS FOLLOWS:
➢ Online at www-paymentservicenetwork.com;
➢ By calling 1-877-885-7968;
➢ Downloading the PSN Payments app from the Apple AppStore or Google Play;
➢ Mailing a check to: City of Spring Park, 4349 Warren Avenue, Spring Park, MN 55384.
PLEASE CALL 952442-7520 WHE:ti YOU ARE READY FOR. AN INSPECTION
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
MATT BERGMANN
Shoreline Hotel
bobbieg@laketwonelectric.com
4165 Shoreline Dr, Spring Park Mn
55834
4165 Shoreline Dr
SPRING PARK, MN 55387
Permits
4/24/2024 12:50:20 PM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring VISA ****8043 19293844 $1,631.00 $50.36 $1,681.36
Park (Permits)
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oc^ rvr
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
24SP-00024 I Electrical Permit
Payment Amount: $1,631.00
Transaction Method Payer
Credit Card Laketown Electric
Commerrts
Assessed Fee Items
Fee items being paid by this payment
SPR �I-W4 ' �1
On Lake Minnetonka
Receipt Number: 292
Cashier Reference Number
Jamie Hoffman 19293844
April 24, 2024
Assessed Fee Item Account Code Assessed Amount Paid Balance Due
On
04/23/24 State Surcharge (Fixed) $1.00 $1.00 $0.00
Fees for Circuits/Feeders & Transformers: Above
04/23/24 200 amp
$30.00 $30.00 $0.00
Fees for Circuits/Feeders & Transformers: 0 to 200
04/23/24 amp $1,600.00 $1,600.00 $0.00
Toot. $1,631.00 $1,631.00
Previous Payments $0.00
Remaining Balance Due $0.00
Application Info
Property Address Property Owner Properly Owner Address Valuation
4165 SHORELINE DRIVE Yachtzee Holdings, LLC - Kelly 3066 Island View Drive
SPRING PARK, MN 55384 Olsen Mound, MN 55364
Description of Work
Renovation of existing building into Hotel