Permits - Permit# 245P-00069 - 4141 Shoreline Drive - 8/14/2024City of Spring Park Electrical Permit
,A*
4349 Warren Ave, Spring Park, MN 55384
PRANG PARK
24SP-00069
Phone:(952) 471-9051 Fax: (952) 471-9160
n Lake 9dinneton a
For Inspections: (952) 442-7520
Date Issued: 08/14/2024
Property Owner: COUNTY OF HENNEPIN - Tony Brough
Expiration Date: 02/10/2025
Mailing Address: 300 S 6TH STREET MC228
Job Site Address: 4141 SHORELINE DRIVE, SPRING
PARK, MN 55384 MINNEAPOLIS, MN 55487
Category: Other
Phone: (612) 916-4467
Permit Type: Electrical Permit Email: tony.brough@hennepin.us
Valuation:
Description of Work:
Work w/ petroleum contractor to replace the conduit to a dispenser & a fuel tank. Pull new wire.
Subdivision:
Required Setbacks:
Parcel ID.- 1811723440025
Filing:
Lot:
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary PEC SOLUTIONS
LLC (763) 571-8000 Reinspection/Bonding/Equipotential
$ 40.00
Plane/Etc.
Single Inspection (Up To 4 Circuits)
$ 40.00
State Surcharge (Fixed)
$ 1.00
Total Fees:
$ 81.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
08/14/2024
MUST
BE POSTED ON JOB SITE
INSPECTION CARD
�je� SPRING PARK C of Spring Park
On LafT Ninwonko 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION, PLEASE DO NOT REMOVE THIS N0110E UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE
ALRHORrry AND THE BUILDING IS APPROVED FOR OCCUPANCY, STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE J09SITE.
APPLICATION NO.: 24SP-00069 TYPE: Electrical Permit ISSUED DATE: 08/14/2024 EXPIRATION DATE: 02/10/2025
PROJECTADDRESS: 4141 SHORELINE DRIVE, SPRING PARK, MN 55384 1811723440
COUNTY OF HENNEPIN -Tony PARCEL NO.: 025
OWNER: Brough CONTRACTOR: PEC SOLUTIONS LLC CONTRACTOR PHONE: (763) 571-8000
DESCRIPTION OF WORK: Work w/ petroleum contractor to replace the conduit to a dispenser & a fuel tank. Pull new wire.
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE
INSPECTION INSP PASSED COMMENTS
Electrical Rough -In
Fire Approval:
PW Approval:
To request an inspection: (952) 442-7520
Date:
DATE
INSPECTION INSP PASSED COMMENTS
Electrical Final
Engineering
Approval:
Date: - Other (
Date:
Date:
Page I of 1
PCI T Y OE ,nR 'NG PARK - OFFICE LESS ONLY
E" EC Y RI`f't�!_, PEWAi Electric Permit # a? - b y
Dale Issued:611!f 194 Receipt # {p
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
QuardIty DESCRIPTION OF WORK FEES
rMUM FEE PER INSPECTION TRIP -- es up to4 circuits if more than 4 see Sec. D b ' $40.00per
onal Inspection trips for Reinspection/Bonding/Equipotential Plane/etc. $ 40.00 per
0 NTIAL One and Tvvo-family dwelling units Up fo 3 trips included In fee
Dwellin Unit, u to and includln a 200 am service Dwellin Unit201 00 am service er unit
ing Dwelling Unit, additions, alterations, or repairs up to & Including a 200 amp serye175.00 er unit
as per C & D below but notto exceed $125.00 per unit
ing Dwelling Unit, additions, alterations, or repairs 201 amp to400 amp service
as Der C R. Il hcl.u., h,.+.,,.a.
J2.201
ew or Existing Dwelling Unit, 401 amp service or above 175.00 er unit
— See C & D below
ES FOR NEN► OR UPGRApED SERVICES, 'TEMP, SERVICES, GENERATORS,
HER POWER SUPPLY SOURCES OR FEEDERS TO S P. STRUCTURES
to and Including a 200 am service $ 50.00 each
am to and Includin 400 am service $100.00 each1 am to and includin 800 am service
1 amp service and above $ 200.00 each
ES FOR CIR,CUITSIFEEDERS^& TRANSFORMERS$ 300.00 each
200 am
Ahnva gnn !mmm $ 10.00 per circus
i ransrormers Up to 10
Transformers over 10
E. MULTI -FAMILY DWEL
Each dwelling unit
Each System Device or Apparatus
W Rk'Bl!bIJ►V-OR FINISHED W .
15.00 per circuit
20.00 each
30.00 each
$ 50.00 per unit
Subrrotal
-- -�— $ .50 each
11` 1411T PER W' lB-,7aC THE REQUIRED P tMI ''FE . .
State Surcharge .0005 of the permit fee (minimum of $1.00) 1.00
TOTAL AMOUNT DUE I � s ?
not forget State Surcharap Fpai
Describe Proposed Work:
:'� 42� S -r a It "D 1 +. f,Y P� .11 -
Separate Permits are required for any building, mechanical, fire, or plumbing work.
PLEASE PRUiT QR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGNES
Job Site: Street Address: S rin Park MN Zi
p: Ss3gq
OR Legal Description: Lot:
Property ID (PIN No):
Applicant Is: Contractor: g Or Owner: O
Block: Subdivision:
Contractor/Company Name:_ P„�g �j�-�,�
License #:
Address;
in'Qa�. I`ll- City/State:_A-C\i nt,,� Zip: S
Telephone: O.ffice/Home; ( �3) rj-I / _ (gp O Mobile: _
E-mail:- r -- � ' t
Builder/Owner Name: Q 6�
Address (if dill, from Site): City/State:
Zip:
Telephone; Office/Home: - Mobile: ( 4 )
Frmail• Fax: _) -
1 HEREBY APPLY FOR AN ELECTRICAL PERMIT, AND I ACKNOWLEDGE THAT THE INFORMATION UNDERSTAND O L RT ABOVE IS COMPLBTE AND ACCURATE; I
PERMIT IS ISSUED TAI UNDERSTAND AND HEREBY AGREE THAT THE WORK FOR WHICH THE
SHALL BE PERFORMED ACCORDING TO THE FOLLOWING: (1) THE CONDITIONS OF THE PERMIT, (2) THE APPROVED
PLANS AND SPECIFICATIONS, IF NEEDED (3) THE APPLICABLE CrrY APPROVALS, ORDINANCES, AND CODES, AND (4) THE STATE
BUILDING/ELECTRICAL CODE. I UNDERSTAND THAT THE PERMIT WILL EXPIRE AND
COMPBECOME NULL AND VOID IF WORK 13 NOT
LETBD WrTIiIN 12 MONTHS OF VALIDATED DATE AND, THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED
INSPECTIONS ARE REQUESTED IN CONFORMANCE WITH THE STATE BUILDINOIBLECTRICAL CODE.
Signature: y
•�^- Date -
EMAIL COMPLETED PERMIT APPLICATION TO: jkhoffinan®ci.spring-park.nin,us.
PAYMENT CAN 13E 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 952-442-7520 WHEN YOU ARE READY FOR AN INSPECT O
Payment Confirmation
Payer Information:
Payment Made By:
Payment Made For:
Email:
Permit Address:
Address:
Payment Description
Payment Date:
Nick Rykal
Nick Rykal
service-electrical@pecsolutions.com
4141 Shoreline Dr
5960 Main St NE
Minneapolis, MN 55432
Permits
8/14/2024 11.34:29 AM
Business Name Payment Payment Confirmation Convenience
Method Account Number Amount Fee Total
City of Spring Park MC ****7182 88268046 $81.00 $3.14 $84.14
{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. If you
would like to check the progress of this payment, log into your profrle 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 NOTAN 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 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-00069 I Electrical Permit
Payment Amount: $81.00
Transaction Method Payer
Credit Card Nick Rykal
Comments
Assessed Fee Items
Fee items being paid by this payment
Assessed Fee Item
On
08/14/24 State Surcharge (Fixed)
08/14/24 Reinspection/Bonding/Equi potential Plane/Etc
08/14/24 Single Inspection (Up To 4 Circuits)
Cashier
Jamie Hoffman
Account Code
SPRING PARK
On Lake Minnetonka
Receipt Number: 332
August 14, 2024
Reference Number
88268046
Assessed Amount Paid Balance Due
$1.00 $1.00 $0.00
$40.00 $40.00 $0.00
$40.00 $40.00 $0.00
Totals• $81.00 $81.00
Previous Payments $0.00
Remaining Balance Due $0.00
Application Info
Property Address Property Owner Property Owner Address Valuation
4141 SHORELINE DRIVE COUNTY OF HENNEPIN - 300 S 6TH STREET MC228
SPRING PARK, MN 55384 Tony Brough MINNEAPOLIS, MN 55487
Description of Work
Work w/ petroleum contractor to replace the conduit to a dispenser & a fuel tank. Pull new wire.