Electrical Permit - Permit# 24SP-00065 - 4326 West Arm Road - 7/18/2024'r, I City of Spring Park I Electrical Permit
PARK
4349 Warren Ave, Spring Park, MN 55384
Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
24SP-00065
Date Issued:
07/18/2024
Property Owner: Mairin Brzica
Expiration Date:
01/14/2025
Mailing Address: 4326 West Arm Road
Job Site Address:
4326 West Arm Road, Spring Park, MN
55384
Spring Park, MN 55384
Category.,
Other
Phone:
Permit Type:
Electrical Permit
Email:
Valuation:
Description of Work:
Install Electrical circuit
Subdivision:
Required Setbacks:
Parcel ID:
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary MILOW ELECTRIC INC (952) 475-2270
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
07/18/2024
MUST BE POSTED ON JOB SITE
I
INSPECTION CAR®
City of Spring Park
SPRING MRK
On Lakr':tirinnetmtkp 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 BY THE APPROPRIATE
AUTHORITY AND THE BUILDING 13 APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE,
APPLICATION NO.: 24SP-00065 TYPE: Electrical Permit ISSUED DATE: 07/18/2024 EXPIRATION DATE: 01/1412025
PROJECTADDRESS: 4326 West Arm Road, Spring Park, MN 55384 PARCEL NO.:
OWNER: Mairin Brzica CONTRACTOR: MILOW ELECTRIC INC CONTRACTOR PHONE: (952) 475-2270
DESCRIPTION OF WORK: Install Electrical circuit
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Rough -In Electrical Final
Fire Approval: Date: Engineering
Approval:
PW Approval: Date: Other
To request an inspection: (952) 442-7520
Date:
Date:
Page 1 of 1
CITY OF SPRING PARK
ELECTRICAL PERMIT
OFFICE USE ONLY
Electric Permit # atk*
Date Issued: Receipt 44Q8197a
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES Subrrotal
pi I�i%�. um -0E kR `INSPEPTIaN TRIP . ; z.
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
B. R'ESMENT14 One and fiia= ath ify dwelling "unlit U} to 3 trips iticJude� tin -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
..FEES-P R NEW OTt UPOt DED SERVICES TEMP. SER CES, GENERATORS,
OTHER -POWER SUPPLY MICE flR FEEDERRS 1bEP.U_t STURt B.
I
—
1. Up is and including a 200 amp .service $ 50.00 each
i
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-71
D.:FEES.FOR +t✓Ii CUNT81FEE1]ERS--k;TRANSIFORMER,
0 to 200 am $ 10.00 per circuit
_ _ _
Above 200 am $ 15.00 per circuit
Transformers up to 1.0 KVA 20.00 each
_
_
Transformers over 10 KVA $ 30,00 each
Y
Il uLlrGFAIA�Y DWEILLNGS
r�
Each dwelling unit $ 50.00 per unit
—
. ALAR11r VCiQMMUNICATION, SIGNALING CIRCUITS, OF I:ESS THM 50 VOLTS. -
Each System Device or Apparatus @ $ .50 each
-�
W
State Surcharge .0005 of the permit fee (minimum of $1.00)
1.00
TOTAL AMOUNT DUE
Do not forget State Surcharge Fee
z
9 I
410
Describe Proposed Work:
Separate Permits are required for any building, mechanical, fire, or plumbing work.
.6 V2 9,~
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Job Site: Street Address: `- , (P wep 14 Y411 941 p p: s 5,56`!
Spring P�I_Ic, Mtn Zi
OR Legal Description: Lox: Block: Subdivision:
Property ID (PIN No):
Applicant is: Contractor: Or Owner: ❑
Contractor/Company Name:
--n'`� iJ �``j'le,C� _ License ##: 64-jjz5z
Address:l+ v L) Goalar3kM4 City/State: lcle x"PJ Zip553SYo
Telephone: Office/Home: ( ) _ ZZ)0 Mobile:
E-mail: S-/ >rU 5CX 6? �5I.3q t 2s-`F�� G • Gp -+ Fax:
Builder/Owner Name: I /'; h
Address (if dill. from Site): City/State: Zip:
Telephone: Office/Home:�) L_ _ �J• 3 Mobile: �) _
E-mail: ; r9 A e-6 io 5i Alc�; (D)'1 Fax: _
I HEREBY APPLY FOR AN ZLEC7RICAL PERMrr, AND I ACKNOWLEDGE TI IAT T1 iE INFORMATION ABOVE IS COMPLETE AND ACCURATE; ;
L'NDERSTAND WORK ?SNOT TO ST T W THOUT A PF�MLT. I UNDERSTAND AND HEREBY AGREE TflAT nM WORK FOR WHICH THE
PEILMIT IS ISSUED SNALL BE PERFORMED ACCORDING TO TI1E FOLLOWING_ (1) THE CON -Dr -IONS OF THE PERMIT, (2) THE APPROVED
PLANS AND SPECIFICATIONS. IF NEEDED (3) THE APPLICABLE CITY APPROVALS, ORDINANCES, AND CODES. AND (4) T;IE STATE
BUILDiNGILECTRIC.4L CODE, 1 UNDERSTAND THAT THE PERMIT WILL EXPIRE AND BECOME NULL AND VOID IF WORK IS NOT
COMP=- zD WITHIN 12 -NIONTHS OF VALIDATED DATE AND. THAT I ATM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED
INSPECTIONS ARE IN CO. ` ORMANCEWITH THE STATE BUILDIN&ELECTRICAL CODE. } �/
Signature: �, "AA— Hate: 6 Z I
:_ikhoffmanCei.spring-park.mn.us.
PAYMENT CAN BE MADE AS FOLLOWS:
y Online at www.paymentscrvicenetwork.com;
9 By calling 1-877-885-7968;
i� Downloading the PSN Payments app from the Apple AppStore or Google Play;
i- Mailing a chcer to: City of Spring Park, 4349 Warren Avenue, Spring Park, MN' 55384.
PLEASE CALL 9-52442-7520 WHEN YOU ARE READY FOR AN INSPECTION
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Address:
Payment Description:
Payment Date:
Business Name
City of Spring Park
(Licenses)
Dan Russek
Dan Russek
danrussek@milowelectric.com
2065 W Wayzata Blvd
Long Lake, MN 55356
Licenses
7/18/2024 10:03:29 AM
Payment Payment Confirmation Amount Convenience
Method Account Number Fee
VISA ****8105 62131272 $41.00 $1.96
Total
$42.96
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. If you
would like to check the progress of this payment, Log into your profile and select the Payment History option.
Contact Us
PSN Customer Support Submit your question and get a response within one business day.
Payment Processing Powered by Payment Service Network (PSN)
THIS COMMUNICATION IS INTENDED ONLY FOR THE ADDRESSEE(S) AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED AND CONFIDENTIAL.
YOU ARE HEREBY NOTIFIED THAT, IF YOU ARE NOT AN INTENDED RECIPIENT LISTED ABOVE, OR AN AUTHORIZED EMPLOYEE, OR AGENT OF AN
ADDRESSEE OF THIS COMMUNICATION RESPONSIBLE FOR DELIVERING E-MAIL MESSAGES TO AN INTENDED RECIPIENT, ANY DISSEMINATION,
DISTRIBUTION, OR REPRODUCTION OF THIS COMMUNICATION (INCLUDING ANY ATTACHMENTS HERETO) IS STRICTLY PROHIBITED. IF YOU HAVE
RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMMEDIATELY BY A REPLY E-MAIL ADDRESSED TO THE SENDER AND
PERMANENTLY DELETE THE ORIGINAL E-MAIL COMMUNICATION AND ANY ATTACHMENTS FROM ALL STORAGE DEVICES WITHOUT MAKING OR
OTHERWISE RETAINING A COPY.
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
24SP-00065 I Electrical Permit
Payment Amount: $41.00
Transaction Method Payer
Credit Card Milow Electric
Comments
SPRING jar-AW
On Gar ,,Vfinnetonkq
Receipt Number: 327
Cashier Reference Number
Jamie Hoffman 62131272
July 18, 2024
Assessed Fee Items
Fee items being paid by this payment
Assessed Pee Item Account Code Assessed Amount Paid Balance Due
On
07/18/24 State Surcharge (Fixed) $1.00 $1.00 $0.00
07/18/24 Single Inspection (Up To 4 Circuits) $40.00 $40.00 $0.00
Totals. • $41.00 $41.00
Application Info
Property Address Property Owner
4326 West Arm Road Mairin Brzica
Spring Park, MN 55384
Description of Work
Install Electrical circuit
Prevlous Payments $0.00
Remaining Balance Due $0.00
Property Owner Address Valuation
4326 West Arm Road
Spring Park, MN 55384