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Permits - Permit# 25SP-00081 - 4177 Shoreline Drive - 10/14/2025ING PARK City of Spring Park Repair/Remodel/Alteration (Commercial) 4349 Warren Ave, Spring Park, MN 55384 Phone:(952) 471-9051 Fax: (952) 471-9160 For Inspections: (952) 442-7520 25SP-00081 Date Issued: 10/14/2025 Property Owner: MINNETONKA EDGEWATER ESTATES Expiration Date: 04/12/2026 Mailing Address: 2425 GRAYS LANDING RD Job Site Address: 4177 SHORELINE DR UNIT 132, SPRING PARK, MN 55384 WAYZATA, MN 55391 Category: Commercial Alteration Phone: (612) 868-9845 Permit Type: Repair/Remodel/Alteration (Commercial) Email: mark@mtk-properties.com Valuation: $10,000.00 Description of Work: Remodel Unit 132 - new kitchen / bathroom. electrical panel Subdivision: Required Setbacks: Parcel ID: 18-117-23-44-0021 Filing: Actual Setbacks: Lot: Block: Total Sq Ft: Contractors: Fee Items Amount Primary Keith Nelson (952) 807-6648 State Surcharge $ 5.00 Building Keith Nelson (952) 807-6648 Commercial Building Permit $ 244.50 Commercial Plan Review $ 158.93 Total Fees: $ 408.43 NOTICE Signature of Applicant/Date Building Department Signature/Date 10/14/2025 MUST BE POSTED ON JOB SITE INSPECTION CARD ,*--, City of Spring Park SPRING PARK OnGake912innetonka 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 AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE. Repair/Remodel/Alte PERMIT NO.: 25SP-00081 PERMIT TYPE: ration (Commercial) ISSUED DATE: 10/14/2025 PROJECT ADDRESS: 4177 SHORELINE DR UNIT 132, SPRING PARK, MN 55384 MINNETONKA EDGEWATER OWNER: ESTATES OWNER PHONE: (612) 868-9845 CONTRACTOR: Keith Nelson CONTRACTOR PHONE: (952) 807-6648 APPLICANT: Mark Kozikowski APPLICANT PHONE: (612) 868-9845 DESCRIPTION OF WORK: Remodel Unit 132 - new kitchen / bathroom. electrical panel CONSTRUCTION TYPE: OCCUPANT LOAD: EXPIRATION DATE: 04/12/2026 18-117-23- PARCEL NO.: 44-0021 DATE DATE INSPECTION INSP PASSED COMMENTS INSPECTION INSP PASSED COMMENTS Framing (Added or Fire/Draft Stopping Modified Framing) (Rated Assemblies) Building Final Fire Approval: PW Approval: To request an inspection: (952) 442-7520 Date: Date: Engineering Approval: Other( Date: Date: Page 1 of 1 CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue CQS�&to- = 9 1 Spring Park, MN 55384 ❑ Handout Given o INN Routed t07 Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given ��T f SITE ADDRESS: �r �LfJ!E L L� S17 . 11 �. 'iPID: 1) Was the home constructed before: 1978? (YES ❑, continue with line 2, NO ❑ continue without completing EPA Section) z / 2) Will the work disturb k6 sq ft of interior painted surfaces or Z20 sq ft of exterior painted surfaces? (YES ❑ go to line 4, NO ❑ line 3) 3) Are there any windows being replaced? (YES ❑, go to line 4, NO ❑ continue without completing EPA Section) 4) Has this home -been Certified Lead Free? (YES ❑, you MUST Attach Certification Information, NO ❑ complete line 5) 5) EPA Contractor Certification Number. NAT - (applies to contractor only) PROPERTY OWNER: �� �,/. �„ ;._ & Address: y/ 7_/ ` ZI._ City. S p/L _ State: dZi : Email: 1"1r-1C CZ Contact�Name: Phone: 2.— CONTRACTOR: kr7 Address: 4, e ✓ i /� % city-, State: v%/J Zip: Phone: j r �,61 P•Fax: Contractor License No: ,—J 1v Contact Name: Phone: Email: 66'j ARCHITECT: Address: L/ j%-')' City: AM, l f State: % 11) Zip: S r/��P Phone: / '//— d /Fax: • Email: /.�r,r •e%G• �/`1 f o, M&' rid' Contact Name: A,,) c � o'er Phone: TYPE OF WOfZK: ❑ New Construction ❑ Deck ❑ Re -Roof 'Commercial ❑ Residential ❑ Change of Use ✓ ✓�/ ❑ Pool ❑ Re -Side EST. VALUATION OF WORK ❑ Finish Basement ❑ Retaining Wall ❑ Fence $ / O ,oU 0 remodel ❑ Porch ❑ Shed Square feet. ❑ Addition ❑ Demolition ❑ Window/Door Replacement in Garage-Attached/Detach ❑ Plumbing -provide detail on Page 2 # being replaced •• Detailed Description of Work: ❑ Accessory Structure ❑ Mechanical -provide detail on Page ❑ Misc Other • Signature of this applicatbn by the legal properly owner or a licensed contractor, as the owner's representable, Is required and sutiorves the Zoning Admintstretor a design" and the Buidu,g Otr)ciol or designee to ender upon the property to perform needed Inspections. Entry may be without prior notice. I hereby acknowledge that I have read this application and state that all Infamretbn Is true and coned to the beet of my knowledge. I further agree that all work performed well be in accordance with approved plena, specifications and conditions and to abide by all ordinances of the Municipality and the laws of the State of Minnesota regarding actions taken pursuant to this pan& I agree to pay all plan review teas even If I choose not to proceed with the work. Peril moms when work ,• is not commenced within 180 days from date of permit, or y work Is suspended, abandoned, or not Inspected for 180 pad days. Work beyond the scope of this permit, or work without a permit or Inspection, • will be subject to a penally. Noise Ordinance In Effect: MOND" - FRIDAY Before 7 a.m. and after 10 p.m. Weekends/Holldays before 7 a.m. and after 8 p.m. SIGNATURE OF APPLICANT: / L. " DATE: PRINTED NAME: 41-A This Is the signature of:,[�Owner or ❑ Owners Representative OCCUR TYPE: CONST. PE: CODE: BLbG SPRINKLED Yes / No VALUATION: $ ^ Permit Fee: $ L4 Lf• 5o WAC Charge: $ Plan Review Fee: $ Sewer & Water Hook -Up: $ State Surcharge: $ r Sewer & Water Disconnect: $ Site Inspection Fee: $ Water Meter: $ S.E.C. Fee: $ Muni SE/WA Fee: $ Investigation Fee / Other Fee: $ SAC Escrow: $2,485 J Copy Charge ($.25 per 8.5 x11 page) $ Other: $ zO ul License Check ($5) / Lead Check ($5) $ SUB -TOTAL $ Li t)tg TOTAL DUE: $ Plumbing Fee (from Page 2) $ Commercial plans will be submitted to the Met Council Environmental Svcs W t2 Mechanical Fee from Page 2 $ for SAC determination. Escrow payment will be required when permit to Issued. M after Met Council review no SAC la detennlned, escrow wIll be refunded In full. U. Special Condibons/Required Setbacks: LL O Building Approval By: DATE: Printed Building Approval By. ❑ License Verification ❑ Lead Verification - Checked By: City Approval By DATE: Paid: 3 Date: ali­ Receipt No. Z, f< By. City of Spring Park 4349 Warren Ave Spring Park, MN 55384 v� Phone (952) 471-9051 PARK Fax (952) 471-9160 Project Name: Date: Jurisdiction: ID: Applicant Phone: Jobsite: Code: Reviewed: 10/14/2025 City of Spring Park 25SP-00081 (612) 868-9845 4177 SHORELINE DR UNIT 132 Approval Status: Construction Type: Applicant Name: Applicant Email: Approved with Comments Mark Kozikowski mark@mtk-properties.com 2020 1300, Minnesota Building Code Administration; 2020 1305, Minnesota Building Code Building The plans and specifications, for the project named above, have been reviewed for substantial compliance with the current Minnesota State Building Code. This review is limited to the submitted scope of work; is based upon the supposition that the data on which the design is based are correct and that the necessary legal authority has been obtained to construct the project. Although every attempt has been made to identify code issues or concerns for proper and necessary change, the project designer(s), the building contractor(s) and the property owner(s) are ultimately responsible for providing complete code compliance and maintaining minimum construction standards for the safeguarding of life or limb, health, public welfare and property while constructing this project. Approval is based on the correction of all noted deficiencies and compliance with all items listed below. Any changes from these documents and/or additional information shall be submitted to the Department of Building Safety for code compliance review and approval. Written response of approval must be on site prior to implementation of such changes. The following information is related to the submitted plans/scope or as general information regarding code compliance. Compliance with the stated requirements will be verified during the construction process. All work shall be inspected. It is the responsibility of the contractor/installer to contact the Department of Building Safety, when ready to schedule an inspection, at (952) 442-7520 during regular business hours. If you have any questions or concerns regarding this plan review, please contact me via telephone at (952) 442-7520 or email at codereview@mnspect.com. Tom Krause Plans Examiner tkrause@safebuilt.com 4177 SHORELINE DR UNIT 132 Page 1 ING PARK Plan Specific Items: City of Spring Park 4349 Warren Ave Spring Park, MN 55384 Phone (952) 471-9051 Fax (952) 471-9160 Building: Approved with Comments - Tom Krause, tkrause@safebuilt.com PLANS DATED: 05/13/16 PLAN SHEETS REVIEWED: D1 SCOPE OF WORK: Interior remodel of unit 132. Remodel consists of replacing flooring, kitchen cabinets, bathtub, upgrade of electrical panel, and installation of mini -split system. OCCUPANCY TYPE: Unknown CONSTRUCTION TYPE: Unknown AUTOMATIC FIRE SPRINKLER SYSTEM (Y/N & TYPE): Unknown PLAN SPECIFIC ITEMS (to be completed during the construction process): 1. All fire rated assemblies shall be maintained. 2. Smoke alarms shall be installed inside all bedrooms and outside all bedrooms. 3. Carbon monoxide detector shall be installed outside, within 10'-0" of all bedroom doors. 4. Water closet clearance shall be maintained when installing new lavatory and bathtub. Water closet clearance shall be 15" from centerline of water closet to wall or other obstruction. GENERAL ITEMS: 1. Construction or work shall be inspected in accordance with the requirements of Minnesota Rule 1300.0210. 2. It is the responsibility of the contractor/installer to contact the Department of Building Safety, when ready to schedule an inspection, at (952) 442-7520 between the hours of 8:00 a.m. and 4:30 p.m., Monday through Friday. 3. The approved permit and all related plans and documentation shall be on site and available to the inspector at the time of inspection. 4. Failure to provide the required documentation to the inspector at the time of inspection may result in a cancelation of the inspection and additional inspection fees for the additional inspection(s). 5. The field inspector may identify additional code requirements during inspections. (Example of code requirement items that might be identified are fire sprinkler heads being obstructed by framing, beams, lighting, ceiling configurations, plumbing pipes, and mechanical system ductwork that will require review by the fire suppression plan reviewer. Additional work being completed that is not consistent with the project scope of work or the approved plans.) 6. Applicable Codes: 2020 Minnesota State Building Code, 2020 Minnesota State Accessibility Code, 2020 Minnesota State Mechanical & Fuel Gas Code 4177 SHORELINE DR UNIT 132 Page 2 Read all attached materials. Everyone performing work to which the code is applicable shall comply with the code. Plan Revisions All construction shall comply with the approved Ip ans. Plan revisions will not be reviewed in the field without prior approval from the Building Official. Submit all plan revisions to the Department of Building Safety for review, prior to their construction. The field copy of these plans must be kept on -site and made available to inspector during all inspections. To schedule inspections call (952) 442-7520 Please have the permit number and street address ready at the time of the call. NOTICE Plan review was done in accordance with the current Minnesota Building Code. Plan review does not waive any additional code compliance issues found on site. REFER TO APPROVAL LETTER FOR ADDITONAL COMMENTS AND REQUIREMENTS SCOPE OF WORK: Interior remodel of unit 132. Remodel consists of replacing flooring, kitchen cabinets, bathtub, upgrade of electrical panel, and installation of mini -split system. ASSOCIATED PERMITS: Mechanical-25SP-00079 Plumbing-25SP-00080 Reviewed for Code Compliance This review is limited to the submitted scope of work, is based upon the supposition that the plan accurately depicts the intended construction and end -use, that the necessary legal authority has been obtained to construct the project and work is subject to code compliance and field inspection during construction. By: Tom i<rause Type of Construction: Unknown Date: 10/14/2025 Occupancy Classification: R-2 Permit #: 25SP-00081 Code Edition: 2020 MN State Bldg. Code 4177 Shoreline Drive, Unit 132, Spring Park, MN REVIEWED FOR BUILDING CODE COMPLIANCE �§ \ $ ` ( 2$< / ( E§)\/ k°\\ - ``�G$ \§/z \\§} \?RL) ƒ aGo�o& bo b6 §bf« -000 kG\000\Qt /� 066 oo� \ Qlf:Jf« ,O S a e @ + bb± U LL 0 < wz� w3k wk� P-0 Jamie Hoffman From: payment4=thepaymentgroup.com@mg.thepaymentgroup.com on behalf of payment4 @thepaymentgroup.com Sent: Tuesday, October 14, 2025 1:01 PM To: Jamie Hoffman Cc: payment@thepaymentgroup.com Subject: MARK KOZIKOWSKI Permit Payment to Spring Park, MN - Permits & Licenses from TPG Dear Spring Park, MN - Permits & Licenses, MARK KOZIKOWSKI has made a web Pavment thro jah The Pavment Groun for: Date Paid: Confirmation: Credit Card Number (last 4 digits): Credit Card Type: MARK KOZIKOWSKI Tuesday, 14 October 2025 13:01:01 CT PYYZXK Visa MINNETONKA 4177 SHORELINE EDGEWATER DRIVE, SPRING APARTMENTS PARK, MN 55384 $700.88 MARK KOZIKOWSKI can be reached at: 612-868-9845 or mark@mtk-properties.com 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 Group! cm 4 cc I RECEIPT City of Spring Park 4349 Warren Ave, Spring Park, MN 55384 (952) 471-9051 25SP-00081 I Repair/Remodel/Alteration (Commercial) Payment Amount: $408.43 Transaction Method Payer Credit Card Mark Kozikowski Comments Assessed Fee Items Fee items being paid by this payment SPRING PARK On Lake Minnetonka Receipt Number: 491 October 14, 2025 Cashier Reference Number Jamie Hoffman PYYZKX Assessed Fee Item Account Code Assessed Amount Paid Balance Due On 10/14/25 State Surcharge $5.00 $5.00 $0.00 10/14/25 Commercial Plan Review $158.93 $158.93 $0.00 10/14/25 Commercial Building Permit $244.50 $244.50 $0.00 Totals. $408.43 $408.43 Previous Payments $0.00 Remaining Balance Due $0.00 Application Info Property Address Property Owner Property Owner Address Valuation 4177 SHORELINE DR UNIT MINNETONKA EDGEWATER 2425 GRAYS LANDING RD $10,000.00 132 ESTATES WAYZATA, MN 55391 SPRING PARK, MN 55384 Description of Work Remodel Unit 132 - new kitchen / bathroom. electrical panel