Permits - Permit# 24SP-00057 - 4308 West Arm Road - 7/2/2024City of Spring Park Electrical Permit
4349 Warren Ave, Spring Park, MN 55384
.JIty
24SP-00057INN
Phone:(952) 471-9051 Fax: (952) 471-9160PR
91finnetonka
For InspecOons: (952) "2-7520
Date Issued: 07/02/2024
Property Owner: PAUL SCHROEPFER & K SHOUTZ
Expiration Date: 12/29/2024
Mailing Address: 4308 West Arm Road
.fob Site Address: 4308 West Arm Road, Spring Park, MN
55384
Spring Park, MN 55384
Category: Other
Phone:
Permit Type: Electrical Permit Email:
Valuation:
Description of Work:
WIRE AC
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contradws:
Fee items Amount
Primary HOLTON ELECTRIC CONTRACTORS LLC State Surcharge (Fixed) $1.00
(651) 769-4110
Single Inspection (Up To 4 Circuits) $ 40.00
Total Fees: $ 41.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
07/02/2024
MUST
BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring Parts
onLa6Winnetonig 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD W A SAFE CONSP LK= LOCATKK PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REMMED NLSPECTIDNS ARE MADE AND WNED OFF BY THE APPROPRIATE
AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSRB.
APPLICATION NO.: 24SP-00057 TYPE: Electrical Permit ISSUED DATE: 07/02/2024 EXPIRATION DATE: 12129/2024
PROJECTADDRESS: 4308 West Arm Road, Spring Park, MN 55384 PARCEL NO.:
OWNER PAUL SCHROEPFER 8 K SHOUTZ CONTRACTOR; HOLTON ELECTRIC CONTRACTORS
LLC CONTRACTOR PHONE: (651) 769-4110
DESCRIPTION OF WORK: WIRE AC
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION 1NSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Final
Fire Approval:
Data:
PW Approval: Date:
To request an inspection: (M) 442-7520
Engineering
Approval: Date:
Other ( ): Date:
Page 1 of 1
CITY OF SPRING PARK
ELECTRICAL PERMIT
OFFICE USE ONLY
Electric Permit #,Q�w �
Date Issued: �% Receipt #
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES subrrotai
A. 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 Reinspection/Bond1nglEquipotential 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
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 ner 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
F. ALARM, COMMUNICATION, SIGNALING CIRCUITS, OF LESS THAN 50 VOLTS
Each System Device or Apparatus @ $ .50 each
?. WPRK BEGUN OR1=1N!!$H'P .WWlI01 T7-P 0 2XT"E'LRMV0ZM-f1"ITjM
"IT
State Surcharge .0005 of the permit fee (minimum of $1.00)
TOTAL AMOUNT DUE
Do not for et State Surchar a Fee
1.00
$ 41.00
Describe Proposed Work: Wire AC unit
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: 4308 w Arm Rd, Spring Park, MN 55384-9710
OR Legal Description: Lot:
Property ID (PIN No):
Block:
Applicant is: Contractor: N( Or Owner: ❑
SSp ng Park, MN _Zip:
Subdivision:
Contractor/Company Name: Holton Elechic License #:
Address: 0014 Olson Memorial HWY #475 City/State: Golden Valley Zip: 55427
651-769-4110
Telephone: Office/Home: Mobile: (� -
E-mail: office@holtonelectric.com Fax: U -
Builder/Owner Name:
Address (if dii% from Site): City/State: Zip:
Telephone: Office/Home: Mobile:
E-mail: Fax:
I HEREBY APPLY FOR AN ELECTRICAL PERMIT, 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
PERMrr IS ISSUED SHALL BE PERFORMED ACCORDING TO THE FOLLOWING. (1) THE CONDITIONS OF THE PERMIT, (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 PERMrr WILL EXPIRE AND BECOME NULL AND VOID IF WORK IS NOT
COMPLETED WITHIN 12 MONTHS OF VALIDATED DATE AND, THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED
INSPECTIONS ARE REQUESTED IN CONFORMANCE WITH THE STATE BUILDINGIELECTRICAL CODE.
Signature: (r4-� rC".ud Date: 6/26/2024
EMAIL COMPLETED PERMIT APPLICATION TO: jkhoffman@ci.spring-park.mn.us.
PAYMENT CAN HE MADE AS FOLLOWS:
➢ Online at www.paymentservicenetwork.com;
➢ By calling 1-877-885-7968;
A 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 READY FOR AN INSPECTION
RECEIPT
City of Spring Pads
4349 Warren Ave, Spring Paris, MN 55384
(952) 471-9051
24SP-000S7 I Elegy! Permit
Payment Amount: $41.00
Transnabn Method Payer
Chedc Holton Electric
Comments
AiA
On Gakg 914innetonb
Receipt Number: 319
Cashier Reference Number
Jamie Hoffman 2015
July 2, 2024
Assessed Fee Items
Fee items being paid by this payment
Assessed Fee Item Account Code
On Assessed Amount Paid Balance Due
06/27/24 State Surcharge (Fixed) $1.00 $1.00 $0.00
06/27/24 Single Inspection (Up To 4 Circuits)
Application Info
Property Address
4308 West Arm Road
Spring Park, MN 55384
Description of Work
Property Owner
PAUL SCHROEPFER & K
SHOUTZ
$40.00 $40.00 $0.00
Tom $41.00 $41.00
Previous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address
4308 West Arm Road
Spring Park, MN 55384
Valuation