Electrical Permit - Permit# 24SP-00120 - 4311 Shoreline Drive - 11/25/2024City of Spring Park Electrical Permit
4349 Warren Ave, Spring Park MN 55384
P 9
PR'NG Pal� 24SP-00120
La e9Hinneto Phone:(952) 471-9051 Fax: (952) 471-9160
For Inspections: (952) 442-7520
Date Issued: 10/23/2024 Property Owner: D & M OIL LLC
Expiration Date: 05/11/2025 Mailing Address: 123 SOUTHERN AVE
Job Site Address: 4311 SHORELINE DRIVE, SPRING
PARK, MN 55384
Category: Other DUBUQUE, IA 52003
Phone:
Permit Type: Electrical Permit Email:
Valuation:
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.
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 $ 50.00
Service/Temp. Service/Generators/Other
Power Supply/Feeders to Other Structures
Fees for Circuits/Feeders & Transformers: 0 $ 220.00
to 200 amp
Total Fees: $ 271.00
NOTICE
Signature of Applicant/Date Building Department Signature/Date
11/25/2024
MUST BE POSTED ON JOB SITE
INSPECTION CARD
City of Spring park
On LakS%inncton6dt 4349 Warren Ave, Spring Park, MN 55384
POST THIS CARD IN A SAFE CONSPICUOUS LOCATION. PLEASE DO NOT RE#AOVE THIS NOTICE UNnL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BYTHE APPROPRIATE
AUTHORITY AND THE BUILDM IS APPROVED FOR OCCUPANCY. STAMPEDAPPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE
APPLICATION NO.: 24SP-00120 TYPE: Electrical Permit ISSUED DATE: 10123I2024 EXPIRATION DATE: 05/11/2025
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 flre damage. Install temp lights and recaps 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 DATE
INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS
Electrical Final
Fire Approval:
PW Approval:
To request an inspection: (952) 442-7520
Date:
Date:
Engineering
Approval: Date:
Other ( ): Date:
Page 1 of 1
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: is Or Owner: ❑
Block:
Sgdng Pa& MN Zip:
Subdivision:
Contractor/Company Name: South Side Electric, Inc License #: EA001695
Address: 9201 E Bloomington Freeway, #X City/State: Bloomington Zip: 55420
Telephone: office/Home: 8( 52 ) 888 - 5500 Mobile: ( -
E-mail: pattyv@southsideelectric.net Pax:
Builder/Owner Name:
Address (if diff. from Site): City/State: Zip:
Telephone: office/Home: Mobile: �)
E-mail: p
aX:
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: (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 PERMIT 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 YESTED IN CONFOWANCE WITH THE STATE BUILDING/ELECTRICAL CODE.
Sign Date: a�
lJli7
jkhoffman&i.spring-park.mn.us.
PAYMENT CAN BE MADE AS FOLLOWS:
➢ Online at The Payment Group: click llere
D Mailing a check to: City of Spring Park, 4349 Warren Avenue, Spring Park, MN 55384.
14:�F- 14zv
CITY OF SPRING PARK
ELECTRICAL PERMIT
OFFICE USE ONLY
Electric Permit # QD12O
Date Issued:
4Receipt#
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES Sub/Total
Includes up to 4 circuits if more than 4 see Sec. D below $ 46.00 per
Additional Inspection trips for Reinspection/Bonding/Equipotential Plane/etc. $ 40.00 per
. R AL , .. and r o f [ r d+n�.l,: dn�Up t� Ztt4w 1W uded in.
1. New Dwelling Unit, up to and including a 200 am service $ 125.00 Der 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 S 175.00 per unit
5. New or Existing Dwelling Unit, 401 amp service or above See C & D below
0.1 FM POWNWOK U O1$D SEweS, - SERVIC , Om _ _ TGRS, .. .
;F MRS TO SOP.-8TRUOTURES '-
1. LID to and including a 206 amp service $ 50.0 Beach
50.00
2.201 am to and Including400 am 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
P. F $• .OR CIRQtlJ T**N Okvjml
0 to 200 am $10.00 per circuit
150.00
Above 200 am $ 15.00 per circuit
Transformers up to 10 KVA $ 20.00 each
Transformers over 10 KVA $ 30.00 each
-I .TI-FAIfKY>Dft LI = a
;
Each dwellingunit$ 50.00 per unit
F. �ihA S1Cy, ALlN� G1RC�I _OP LDS$ TFIAN C�i1 VOLTS �
r ..
_T
Each System Device or Apparatus @ $ .50 each
State Surcharge .0005 of the permit fee (minimum of $1.00)
1.00
TOTAL AMOUNT DUE
Do not forget State Surcharge Fee)'��•
Describe Proposed Work:
Demo widnu as necessary per fire dama e. Install tem lights and receptacles for construction
Keplace 2uu amp 3-priase main lug panei ancl oreaKer, Miscellaneous Mang &installa ions
throughout. Wire gas station to code.
Separate Permits are required for any building, mechanical, fire, or plumbing work.
Jamie Hoffman
From: payment4@thepaymentgroup.com
Sent: Friday, November 22, 2024 9:42 AM
To: deja.chatmani@nuvei.com,Jamie Hoffman
Cc: payment@thepaymentgroup.com
Subject: DAVID WINTHEISER Miscellaneous Payment to Spring Park, MN - Misc. Payments from
TPG
Dear Spring Park, MN - Misc. Payments,
DAVID WINTHEISER has made a web Payment through The Payment GrouA for:
Date Paid:
Confirmation:
Credit Card Number (last 4
digits):
Credit Card Type:
Friday, 22 November 2024 09:41:45 CT
G2B89T
4451
Visa
First Nam ast Nam ype of Payment Payment Amoun
DAVID WINTHEISER ELECTRICAL00
DAVID WINTHEISER can be reached at: 952-888-5500 or PATTYV@SOUTHSIDEELECTRIC. NET if
there are any questions regarding this payment.
lick here to login to your The Payment Group admin account
Thank you once again for choosing The Payment Groupl
1
RECEIPT
City of Spring Park
4349 Warren Ave, Spring Park, MN 55384
(952) 471-9051
24SP-00120 I Electrical Permit
Payment Amount: $220.00
Transaction Method Payer
Credit Card Southside Electric
Comments
Assessed Fee Items
Vpk&V PARK
On Gale %finneto*
Receipt Number. 399
November 25, 2024
Cashier Reference Number
Jamie Hoffman G2B89T
Fee items being paid by this payment
Assessed Fee Item Account Code Assessed Amount Paid Balance Due
On
Fees for Circuits/Feeders & Transformers: 0 to 200
11/14/24 amp
10/16/24 State Surcharge (Fixed)
$220.00 $220.00 $0.00
$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" $271.00 $271.00
Previous Payments $51.00
Remaining Balance Due $0.00
Application lr.fo
Property Address Property Owner Property Owner Address Valuation
4311 SHORELINE DRIVE D & M OIL LLC 123 SOUTHERN AVE
SPRING PARK, MN 55384 DUBUQUE, IA 52003
Descriptlon 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.