Electrical Permit - Permit# 24SP-00120 - 4311 Shoreline Drive - 10/23/2024City of Spring Park
Electrical Permit
4349 Warren Ave, Spring Park, MN 55384
!%RK I Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
24S P-00120
Date Issued: 10/23/2024
Property Owner: D & M OIL LLC
Expiration Date: 04/21/2025
Mailing Address: 123 SOUTHERN AVE
Job Site Address: 4311 SHORELINE DRIVE, SPRING
PARK, MN 55384
DUBUQUE, IA 52003
Category: Other
Phone:
Permit Type: Electrical Permit
Email:
Valuation:
Description of Work:
demo wiring as needed per fire damage. Install temp lights and
panel and breaker, miscellaneous wiring and installations throughout.
receps for construction. Replace 200 amp 3-phase main lug
Wire gas station to code.
Subdivision:
Required Setbacks:
Parcel ID: 1811723430020
Filing:
Lot: 11
Actual Setbacks:
Block:
Total Sq Ft:
Contractors:
Fee Items
Amount
Primary SOUTH SIDE ELECTRIC INC (952) 292-8402
State Surcharge (Fixed)
$ 1.00
Non -Dwelling Unit, New or Upgrded
Service/Temp. Service/Generators/Other
$ 50.00
Power Supply/Feeders to Other Structures
Total Fees:
$ 51.00
NOTICE
Signature of Applicant/Date
Building Department Signature/Date
10/23/2024
MUST BE POSTED ON JOB SITE
e�7�-
INSPECTION CARD
City of Spring Park
OnGakg91tinnetonka 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
AUTHORrTYAND THE BUILDING IS APPROVED FOR OCCUPANCY, STAMPED APPROVED PLANKS MUST BE AVAILABLE ON THE JOSSITE.
APPLICATION NO.: 24SP-00120 TYPE: Electrical Permit ISSUED DATE: 10/23/2024 EXPIRATION DATE: 04/21/2025
PROJECTADDRESS: 4311 SHORELINE DRIVE, SPRING PARK, MN 55384 1811723430
PARCEL NO.: 020
OWNER: D & M OIL LLC CONTRACTOR: SOUTH SIDE ELECTRIC INC CONTRACTOR PHONE: (952) 292-8402
demo wiring as needed per fire damage. Install temp lights and receps for construction. Replace 200 amp 3-phase main lug
DESCRIPTION OF WORK: panel and breaker, miscellaneous wiring and Installations throughout. Wire gas station to code.
CONSTRUCTION TYPE: OCCUPANT LOAD:
DATE
INSPECTION INSP PASSED COMMENTS
Electrical Rough -In
Fire Approval:
DATE
INSPECTION iNSP PASSED COMMENTS
Electrical Final
Date: Engineering
Approval:
PW Approval: Date: Other
To request an Inspection: (952) 442-7520
Date:
Date:
Page 1 of 1
CITY OF SPRING PARK OFFICE USE ONLY
ELECTRICAL PERMIT =Issued:
mit #cQW— 00/aO
t3 Itecxipt #
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES subnrotay
;'- $pe N
=Includeso 4 circuits if more than 4 see Sec. D below $ 40.00 per
spection trips for Reinspection/Bonding/Eaulpatential Plane/etc. $ 40.00 per
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
es as npr C & D below but not to exceed 17 .00 Per unit
5. New or Existing Dwelling Unit, 401 amp service or above See C & D below
R`NF�yy �?I7 Upti ED C."ESy • . $�R1Fi$; B�,NBJtATdR$, ' , ---------
OTMA SLIP Y S
1, Up to and including a 200 am2 service $ 50.00 each 50.00
2. 201 amp to and including 400 aTP service $ 100.00 each
3, 401 amp to and including 800 amp service $ 200.00 each
4. 801 am2 service and above _ $ 300.00 each
P. S" .OR Ol[RCUITSIFEEDEM 'iA Gi la Ail S
0 to 200 am $ 10.00 er circu,
Above 200 amp $ 15.00 er circuit
Transformers u to 10 KVA $ -0 0 0 each
Transformers over 10 KVA $ 30.00 each
- .
Each dwelling unit $ 50.00 per unit
A - , 'COMM 1trA'f N, 31GNAL.IN I . CW . O� %$SS TMAN V01�»`3' _
Each System Device or Apparatus 0 $ .50 each
�G.r;N 00 FINASHf ro 1NrrH()1 "y- r,F k -- _-
r� R�411REU PVRMIT OFF J
State Surcharge .0005 of the permit fee (minimum of $1.00) 1.00
TOTAL AMOUNT DUE
Do not forget State Surcharge Feel
Describe Proposed Work:
Demo wiring as necaieessary per fire dama e. Install temp lights and receptacles for construction
Replace 20 amp -p ase main jug pariel and oreaKer, miscellaneous wrung ins a a Ions
throughout. Wre gas station to code.
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: 4311 Shoreline Drive
55384
OR Legal Description: Lot:
Property ID (PIN No):
Applicant is: Contractor: 0 Or Owner: ❑
Sprina Park MN Zip:
Block: Subdivision:
Contractor/Company Name: South Side Electric, Inc License #: EAOO1695
Address:9201 E Bloomington Freeway, #X ICity/State: Bloomington Zip: 55420
Telephone: Office/Home: 9( 52 ) 888 - 5500 Mobile:
E-mail: pattyv@southsideelectric.net Fax; U _
Builder/Owner Name:
Address (if diff. 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
PERMIT IS ISSUED SHALL BE PERFORMED ACCORDING TO THE FOLLOWING: (I) 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 PERMIT WILL EXPIRE AND BECOME NULL AND VOID IF WORK IS NOT
COMPLETED WITI-11N 12 MPNTHS OF VALIDATED DATE AND, THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED
INSPECTIONS ARE VQYESTED IN CONFO_fANCE WITH THE STATE BUILDING/ELECTRICAL CODE,
i
r -
jkhoffman@ci.spring-park.mn.us.
PAYMENT CAN BE MADE AS FOLLOWS:
Online at The Payment Group: click here
Mailing a check to: City of Spring Park, 4349 Warren Avenue, Spring Park, MN 55384.
�•- -zr,= � - � a�' -� -- + - - � � I -ram! i � _0� �_r � �.!
Jamie Hoffman
From: payment4@thepaymentgroup.com
Sent: Wednesday, October 23, 2024 8:12 AM
To: Jamie Hoffman
Cc: payment@thepaymentgroup.com
Subject: DAVID WINTHEISER Permit Payment to Spring Park, MN Permits & Licenses from TPG
Dear Spring Park, MN - Permits & Licenses,
DAVID WINTHEISER has made a web Pavment throuah The Payment Group for:
Date Paid: Wednesday, 23 October 2024 08:11:56 CT
Confirmation: 9DE7ES
Credit Card Number (last 4
4451
digits):
Credit Card Type: Visa
9201 E
SOUTH SIDE BLOOMINGTON
DAVID WINTHEISER ELECTRIC FREEWAY, F-AO01695 $51.00
BLOOMINGTON, MN
55420
DAVID WINTHEISER can be reached at: 952-888-5500 or pattyv@southsideelectric.net if there are
any questions regarding this payment.
Click here to login to your The Payment Group admin account
Thank you once again for choosing The Payment Groupl
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952)471-9051
24SP-00120 I Electrical Permit
Payment Amount: $51.00
Transaction Method Payer
Credit Card Southside Electric
Comments
Assessed Fee Items
Fee items being paid by this payment
Assessed Fee Item
On
10/16/24 State Surcharge (Fixed)
C
Ste. I
On Gaka? 3finnetonkg
Receipt Number: 388
October 23, 2024
Cashier Reference Number
Jamie Hoffman 9DE7ES
Account Code Assessed Amount Paid Balance Due
$1.00 $1.00 $0.00
Non -Dwelling Unit, New or Upgrded Service/Temp.
10/16/24 Service/Generators/Other Power Supply/Feeders $
to Other Structures 50.00 $50.00 $0.00
Totals$51.00 $51.00
Previous Payments $0.00
Remaining Balance Due $0.00
Application Info
Property Address Property Owner Property Owner Address Valuation
4311 SHORELINE DRIVE D 8 M OIL LLC 123 SOUTHERN AVE
SPRING PARK, MN 55384 DUBUQUE, IA 52003
Description of Work
demo wiring as needed per fire damage. Install temp lights and receps for construction. Replace 200 amp 3-phase main lug
panel and breaker, miscellaneous wiring and installations throughout. Wire gas station to code.