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Electrical Permit - Permit# 24SP-00031 - 9 Shoreline Place - 5/7/2024City of Spring Park Electrical Permit 4349 Warren Ave, Spring Park, MN 55384 FfIING PARK 24SP-00031 Phone:(952) 471-9051 Fax: (952) 471-9160 9lf inneton For Inspections: (952) 442-7520 Date Issued: 05/07/2024 Property Owner: Mitch Kelm Expiration Date: 11/03/2024 Mailing Address: 9 Shoreline Place Job Site Address: 9 Shoreline Place, Spring Park, MN 55384 Spring Park, 55384 Category: Other Phone: Permit Type: Electrical Email: Valuation: Description of Work: Furnace and AC Replacement Subdivision: Required Setbacks: Parcel I D: 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 Spring Of S rin Park SPRING PARK On Lakg Winnetanka 4349 Warren Ave, Spring Park, MN 55384 POST THIS CARD IN A SAFE CONSMUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BYTHE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE APPLICATION NO.: 24SP-00031 TYPE: Electrical Permit ISSUED DATE: 05/0712024 EXPIRATION DATE: 11/03/2024 PROJECT ADDRESS: 9 Shoreline Place, Spring Park, MN 55384 PARCEL NO,: OWNER: Mitch Kelm CONTRACTOR: POWERHOUSE ELECTRIC INC CONTRACTOR PHONE: (952) 233-5404 DESCRIPTION OF WORK: Furnace and AC Replacement CONSTRUCTION TYPE: OCCUPANT LOAD: DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Electrical Rough -In Electrical Final Fire Approval: PW Approval: To request an Inspection: (952) 442-75M Date: Engineering Approval: Date: Other ( Date: Date: Page 1 of 1 CITY OF SPRING PARK OMCM UW ONLY ELECTRICAL PERMIT Electric Permit # - Od731 DQt> PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES Quanttty DESCRIPTION OF WORK FEES subnotai 1. up to 4 circuits if more than 4 see Sec. D below II Insoacben trim fnr Rpincr,o.•fi.,..►Rn.,,�i.,..le.... One and Two-famih up to and including a per units Up to 3 trips Included In flee 3. Existing Dwelling Unit, additions, alterations, or repairs up to & it fees as per C & D below but not to exceed 4. Existing Dwelling Unit, additions, alterations, or repairs 201 amp fees as per C & D below but not to exceed 5. New or Existing Dwelling Unit, 401 amp service ar above :. FEES FOR NEW OR UPGRADED SERVICES, TEMP. SERVICE i. Up to and lnciudtn a 200 am 2.201 amp to and including 400 3.401 amp to and Including 800 4. 801 8mo service and nhnvo $ 125.00 oer unit $175.00 per unit I a 200 amp service, $ 125.00 per unit amp service $ 175.00 Der unit See C & D below 50.00 100.00 "' $10A0 per circuit Above 200 am $ 15.00 per circuit Transformers up to 10 KVA S 20.00 each Transformers over 10 KVA $ 30.00 each MULTI -FAMILY DWELLINGS Each dwelling unit $ 50.0 0 nor unit ALARM, C_O_MMUNICATION, SIGNALING CIRCUITS, OF LESS THAN 50 VOLTS Each System Device or paratus@ $ .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) i 1.00 TOTAL AMOUNT DUE Do not fo et State Surcharge Fse) �� Describe Proposed Work: FURNACE & AC REPLACEMENT 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: 9 SHORELINE PLACE Spdng Park. MN Zip: 55384 OR Legal Description: Lot: Property ID (PIN No); Block: Subdivision: Applicant is: Contractor: )�' Or Owner: ❑ Contractor/Company Name: POWERHOUSE ELECTRIC INC. License #: EA003631 Address: 1958 RASPBERRY LANE City/State: SHAKOPEE/WIN . Zip: 55379 Telephone; Office/Home: 952 233 - 5404 Mobile: &man: Powerhouse.electricl@gmall.com Fax: Builder/Owner Name: Address (if dii£ from Site): 9 SHORELINE PLACE City/State: SPRING PARK/MNZip: 55384 Telephone: Office/Home: (952 1 237 _ _ 6779 Mobile: L� - E-mail: Fax: I HEREBY APPLY FORAM ELECTRICAL PERMIT, AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE, I UNDERSTAND woRK1SAfOT TO START WlTfic]ijT A PE[LWT. I UNDERSTAND AND HEREBY AGREE THAT THE WORK FOR WHICH TI-M PELIIVIIT IS ISSUED MAIM BE PBRFORUED ACCORDING TO TIW FOLWW1NQ (1) THE CONDITIONS OF THE PERMrr, (2) TH8 APPROVED PLANS AND SPECIFICATIONS, IF NEEDED (3) TBE APPLICABLE CITY APPRoVALs, oRDINANCBS, AND CODES, AND (4) THE STATE BUILDING121=RICAL CODE. I UNDERSTAND THAT THE PERMIT WILL EXPIRE AND BECOME NULL AND VOID 7 WORK S NOT COMKMED W rI1M 12 MONTHS OF VALIDATED DATE AND, THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED INSPECTIONS ARE REQUESTED IN CONFORMANCE WITH THE STATE BUII.DiNGIEucnaCAL CODE. Signature" Date: s"� l' �- EMAIL COMPLETED PERMIT APPLICATION TO: J1koffi nan@ci.sp ing-park minus. PAYMENT CAN BE MADE AS FOLLOWS• ➢ Online at www.paymentservicenetwork.com; D By calling 1-877-885-7968; D Downloading the PSN Payments app from the Apple AppStore or Google play; D Mailing a check to: City of Spring Park, 4349 Warren Avenue, Spring park, Mloi 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: Steven Franek Power house electric Inc powerhouse.electricl @gmail.com 4 shoreline place 1958 Raspberry L.n Shakopee, MN 55379 Permits 5/7/2024 10:44:09 AM Business Name Payment Payment Confirmation Convenience Method Account Number Amount Fee Total City of Spring Park MC ****0685 61546035 $41.00 $4.21 $45.21 (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 Paris 4349 Warren Ave, Spring Park, MN 55384 (952) 471-9051 24SP-00031 [ Electrical Permit Payment Amount: Transaction Method Credit Card Comments Assessed Fee Items $41.00 Payer Powerhouse Electric On Laid Minnetonka Receipt Number: 298 Cashier Reference Number Jamie Hoffman 61546035 May 7, 2024 Fee items being paid by this payment Assessed Fee Item Account Code Assessed Amount Pald Balance Dine On 05/07/24 State Surcharge (Fixed) $1.00 $1.00 $0.00 05//07/24 Single Inspection (Up To 4 Circuits) $40.00 $40.00 $0.00 Application Info Property Address Properly Owner 9 Shoreline Place Mitch Kelm Spring Park, MN 55384 Description of Work Furnace and AC Replacement Tom$41.00 $41.00 Previous Payments $0.00 Remaining Balance Due $0.00 Property Owner Address 9 Shoreline Place Spring Park, MN 55384 Valuation