Electrical Permit - Permit# 24SP-00029 - 5 Shoreline Place - 5/7/2024City of Spring Park Electrical Permit
4349 Warren Ave, Spring Park, MN 55384
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,24SP-00029
'.�'t:'t n' Phone:(952) 471-9051 Fax: (952) 471-9160
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For Inspections: (952) 442-7520
Date Issued: 05/07/2024 Property Owner: JENNIFER/MICHAEL CLEMENTSON
Expiration Date: 11/0312024 Mailing Address: 771 BOTH ST
Job Site Address: 5 SHORELINE PL, SPRING PARK, MN
55384
VICTORIA, MN 55386
Category: Other Phone: (612) 991-4480
Permit Type: Electrical Permit Email:
Valuation:
Description of Work:
Replace A/C
Subdivision: Required Setbacks:
Parcel ID: 17-117-23-33-0104
Filing:
Lot: Actual Setbacks:
Block:
Total Sq Ft:
Contractors: Fee Items Amount
Primary POWERHOUSE ELECTRIC INC (952) 233- State Surcharge (Fixed) $1.00
5404
Single Inspection (Up To 4 Circuits) $ 40.00
Total Fees: $ 41.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
05/07/2024
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Paris
On La6 NinnetaRfo 4349 Warren Ave, Spring Park, MN 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
AU7110RITYAND THE BUILDING IS APPROVED FOR OOCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBeTIE.
APPLICATION NO.: 24SP-00029 TYPE: Electrical Permit ISSUED DATE: 05/07/2024 EXPIRATION DATE: 11/03/2024
17-117 23-
PROJECT ADDRESS: 5 SHORELINE PL, SPRING PARK, MN 55384 PARCEL NO.: 33.0104
JENNIFER/MICHAEL
OWNER: CLEMENTSON CONTRACTOR: POWERHOUSE ELECTRIC INC CONTRACTOR PHONE: (952) 233-5404
DESCRIPTION OF WORK: Replace A/C
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Rough -In I I IElectrical 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
ELECTRICAL PERMIT
BMCB USE ONLY
Electric Permit # aY6P-0WQq
Dge: #
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
cman ity DESCRIPTION OF WORK FEES subrrotai
. MINIMUM FEE PER INSPECTION TRIP
Includes up to 4 circuits if more than 4 see Sec. D below $ 40.00 per
Additional Inspection trips for ReinspectioNBondinglEquipotential Plane/etc. $ 40.00 per
S. 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 $175.0D 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
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 r circui
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 2X THE REQUIRED PERMIT FEE
State Surcharge .0005 of the permit fee (minimum of $1.00)
1.00
TOTAL AMOUNT DUE
Do not fo et State Surcharge Fee
Describe Proposed Worts:
REPLACE AC
Separate Permits are required for any building, mechanical, fire, or plumbing work.
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Job Site: Street Address: 5 SHORELINE PL 5 ng ParL _Zip:
sn7
OR Legal Description: Lot:
Property ID (PIN No):
Block:
Applicant is: Contractor: 9 Or Owner: ❑
Contractor/Company Name:
POWERHOUSE ELECTRIC INC.
Subdivision:
License #• EA003631
Address: 1968 RASPBERRY LANE City/State: SHAKOPEE Zip: 55379
Telephone: OfficelHome: ( 952 } 233 -5404 Mobile:( -
&mail: POWERHOUSE.ELECTRICIOGMAIL.COM Fax: (�
Builder/Owner Name: JAY CLEMENTSON
Address (if dill, from Site): 5 SHORELINE PL City/,State: SRING PARKIMN Zip: 55384
Telephone: Office/Home: 612 991 - 4480 Mobile: ( -
&mail: Fax: (�)
I HEREBY APPLY FOR AN ELECTRICAL PERMIT, AND I ACKNOWLBDGBTHAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; I
UNDERSTAND WQ$ I3 NOT TO START WITHOUT A PERM I UNDERSTAND AND HEREBY AGREE THAT THE WORK FOR WHICH THE
PERMIT IS ISSUED SHALL BE PERFORMED ACCORDING TO THE FOLLOWING: (I) THE CONDMONS OF TIM PERMIT, (2) THE APPROVED
PLANS AND SPECIFICATIONS, IF NEEDED (3) TEB APPLICAHI.E CrIY APPROVALS, ORDINANCES, AND CODES, AND (4) THE STATE
BUIIDINGIELEGTRICAL CODE. I UN DERWTAND THAT TfiE FERMIT WILL EXPIRE AND BECOME NULL AND VOID IF WORK IS NOT
COMP ETM WITHIN 12 MONTHS OF VALIDATED DATE AND, THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED
INSPECTIONS ARE REQUESTED IN CONFORMANCE WITH THE STATE BUI DWGIELECIRICAL CODE.
e
Signature: Date: 510 124
EMAIL COMPLETED PERMIT APPLICATION TO: jkhoBman&i.spring-park.mn.us.
PAYMENT CAN BE MADE AFOLLOWS:
➢ 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 952-442-7520 WHEN YOU ARE READ- FOR AN INSPECTION
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description:
Payment Date:
STEVEN FRANEK
POWER HOUSE ELECTRIC INC
powerhouse.electricl a@gmail.com
5 SHORELINE PL SPRING PARK MN
55394
1958 RASPBERRY LN
SHAKOPEE, MN 55379
Permits
5/7/2024 10:53:24 AM
Business Name Payment Payment Confirmation Amount Convenience Total
Method Account Number Fee
City of Spring Park MC ****0685 24792576 $41.00 $4.21 $45,21
(Permits)
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City of Spring Park
4349 Warren Ave, Spring Paris, MN 55384
(952) 471-9051
24SP-00029 1 Electrical Permit
Payment Amount:
Transaction Method
Credit Card
Comments
$41.00
Payer
Powerhouse Electric
Assessed Fee Items
Fee items being paid by this payment
SPftIt P14lt
On Lai Mnnetonb
Receipt Number: 297
Cashier Reference Number
Jamie Hoffman 24792576
May 7, 2024
Assessed Fee Item
On Account Cade Assessed Amount Paid Balance Due
05/03/24 State Surcharge (Fixed)
$1.00 $1.00 $0.00
05/03/24 Single Inspection (Up To 4 Circuits)
Application Info
Property Address
5 SHORELINE PL
SPRING PARK, MN 55384
Description of Work
Replace A/C
$40.00 $40.00 $0.00
Totals: $41.00 $41.00
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Property Owner Address Valuation
JENNIFER/MICHAEL 771 80TH ST
CLEMENTSON VICTORIA, MN 55386