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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.