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Home My WebLink About2011-01568 - demo ' � CITY OF ORONO PERMIT NO.: 2011-01568 . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 12/27/2011 ` 952 249-4600 FAX: 952 249-4616 ADDRESS : 940 NORTH ARM DR PIN : 07-117-23-11-0014 LEGAL DESC : PIRATES COVE : LOT O10 BLOCK 001 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT& DET NOTE: ESCROW PD$2000 PERMIT 2011-01584 NOTE: l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK TO MAKE SURE TH1S PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. APPLICANT DEMOLITION-PWNCIPAL STRUCTURE 75.00 KEITH WATERS&ASSOCIATES DEMOLITION-ACCESSORY STRUCTURE 50.00 6216 BAKER ROAD SUITE 110 STATE SURCHARGE DEMO 5.00 EDEN PRAIRIE, MN 55346- TOTAL 130.00 Minnesota State License#: 1508 OWNER Guardia Development Group, LLC 2501 WAYZATA BLVD. M[NNEAPOLIS, MN 55405- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permi[is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with State Building Code.This permit may be rev ed at any time for due e. � - ��.�� :.�'`" �-- � Z/ 27 / I 1 �.�_�.�,, ��';=,�� ,��, � ,�� ,,� �� ,, A Lcant Per �tee Sig ature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. "�� City of Orono EOR CITY USE ONLY ' ��4 �� P.O.Box 66 Date Received: Permit# o�� ;., � 2750 Kelley Parkway � )�`'*�• �� Crystal Bay,MN 55323 Amount: $ SAC Credit: ��,�o$$o j`� (952)249-4600 Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:Q Yes ❑None Required Zoning Disclosure Signed: ❑Yes ❑No�e Required CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Ot�icial and/or Zoning Dcpartment) --- _-- --� Job Site/ Owner Infonnation: Type: Q Residential ❑ Commercial Site Address: / —1 � /l� a�.TH /�,2 a. � ��Q. Owner: G�I.u.VdCQ, C�0 ML� �,(,L Mailing Address: Co�I Car�Sor��a,rk� �s56 c�ty: Ivi;h n� �k� z�p: �5 _�d 5 Home Phone: �� Alternate Phone: Contractor/Applicant Information: �� Contractor/App.:��'�, ��s��S,ttr� �4�Contact Person: ��i,iC �� ursc�,� Address: �(�I ��h e��tx., #'' S� State License#: O�O I S City: �i �' /`Zip: �� Expiration Date: )�3� �/� Phone: �S2– �? y` D 00'-� Alternate Pho e: �(Z� g3� - ��D�j �u,�l ) r' � SPECIAL CONDITIONS & HOLD HARM SS AGREEMENT General Instructions: \ \____ — 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600. 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. Demolition by means of: ❑ Manual Disassembly Heavy Equipment ❑ Other Permit(s) Issued: [V�Sewer Disconnection [/�Well Abandonment # 0�O,�Y��f�y� In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are to be demolished. 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accardance with Chapter 79, Construction Site Runoff Control. 3. Submit a $2,000 escrow and an escrow agreement signed by the property owner. 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. 5. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific � prior approval is obtained in writing for temporary use thereof. 6. Completely remove foundation(s) from the gound. 7. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 8. Abandon water wells in accordance with State Health Department regulations. 9. Call for an inspection when all debris has been removed, before backfilling. 10. Within 5 working days of superstructure removal, a final inspection shall be requested. The site shall be left clean and clear of all debris, with any excavation filled with earth level with the adjacent ground elevation (except when such excavation is to be used as part of a new building and such new building is actually under construction). 11. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are crushed and filled. 12. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents, employees and assigns from and against all claims, damages, losses or expenses, including attorney fees, against the City, its agents, employees and assigns arising out of or resulting from the demolition described herein as performed by the property owner, his employees, agents, subcontractors or assigns. PERMIT TYPE AND FEE CALCULATION �75.00—Principal Structure $ �, O o Q/$50.00—Accessory Structure x�(how many) S D. �fl 1. Subtotal of above permit requested $ � Z.'s'� � o 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ � ��, O D The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do all the work in a strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: �,� � Date: � � (Q (I � Owner's Signature: �1�2� Date: /� � r Approved By: -� � Date: j Z - L 7- Z,�� (B, di g Official) * Zoning Disclosure Required? YES ❑ NO *This must be filled out by Zoning Depa ent—For either answer,a Zoning Official must sign all applications. � * Approved By: Date: � �� (Zoning Officia) tA 1 N N E S 0 T A Minnesota Department of Health SEALING NOTICE VERIFICATION ' Wetl Management Section P.O.Box 64975 This is to verify that this office received a notification on 11/28/2011 that a sc.�a�i,Minnesota 55 1 64-097 5 well (Minnesota Unique Well No. H000299893) is to be sealed by DEPARTMENTorNEAtTN �651 j 201-4600 or 1-800-383-9808 DON STODOI.A WELL DRILLING, INC. at: lell or Boring Location Address: 940 N ARM DRIVE ORONO UEC U � LU�� cation: Township Name ORONO No. 117 Range 23 Section 07 NE his well must be sealed in accordance with the Minnesota Rules on Wells and Borings. IDH staff may be on site to inspect the well sealing. KEITH WATERS AND ASSOCIATES, INC. 6216 BAKER ROAD, SUITE 110 EDEN PRAIRIE, MN 55346 � , '� , � �V. � 2/23/11 Hennepin County Property Map Print Henr�epin County Property Map - Tax Year: 2011 The data contained on this page is derived from a compilation of records and maps and may con[ain discrepancies[hat can only be disdosed by an accura[e survey performed by a licensed land surveyoc The perimeter and area(square footage and acres)are approxima[es and may contain discrepancies.The information on this page should be used for reference purposes oniy. Hennepin County does not guarantee the accuracy of material herein contained and is not responsible for any misuse or misrepresentation of this information or its derivatives. �i;^ 'fi�` : � .. � l ""�r'" - u....: ,�� "��e �� `�� . . � � ,��'� ��7� � � �^�,�,�''� ^�* ?(� �� ° ��. : � t r � � � �'+'. w�» \�`� T� ! � F �,: �� . �� , ti' �� H �� ' J� ,��"��;� �`,'�, � �� 33.3� � �. � �. � `'�� , --. �`,�� 'f � �-`� � �� 9, � , �.. �""�►_, 9�.5� ��_ - .��t � � `� ° ` .} . � ; � � � �. �,� �� _, � � `'. ��.o� -.� , p ,�. . � �,�.,�,� i , . �. � . _.�,,,�' `�"''� �� -..�?�f ..��9 � ��'. y ' �`t�,�. � ' . �•� � „"�� _ °� ...�.. �` `,�• � _� � : '"� '�, { .�..• }��, .�. ,- �- � ,� . ��. � �, 117 2.� C�7 1� .',�. � 1A{� � f�' ; � `', �'� '�� C��. � .� - �. . �� «.„ .��.� �,� �` � -�, �, r�� ,��,,. �,� , �`.� '�� ` `� �- �� '��a J�1 ��,, �� v� , a � � �• ��j_. � � ,',,i ' + , ��r;� �� .A�e., �� yt �q w '�, � � . � 11 �C� �'�,� y � �� , ��,, �o�`�--� _ i.,. �. . , ,. � ��.�r �,�� iF � .� `�i ' r�1 �� f�/�� .. l...t � �e.... `�� fx 4 ��v�y;FJ` ,�y �'�7 � �,,t� ,��' �f� � '�rjry'!.►� �l. ��(`Y. [J� �� '\ .., , �� ti v � .� _ , 3�. , ,- - ! � l �� l � � _ , `� 4 �� x� �, . �� ' � ' � -'•� � � + � � .. � ... t . �� '� �` . �`�t ` �. ' _�r . �� .` . . ., . Selected Parcel Data Date Printed: 12/23/2011 10:02:19 AM Parcel ID: 07-117-23-11-0014 Current Parcel Date: 12/3/2011 Owner Name: GUARDIA DEVELOPMENT GRP LLC Parcel Address: 940 NORTH ARM DR,ORONO,MN 55364 Property Type: RESIDENTIAL LAK Sale Price: �1,200,000.00 Homestead: NON-HOMESTEAD Sale Date: 03/2006 �� Area (sqft): 45312 Sale Code: ��0 Area (acres): 1.04 �to �� t�` A-T-B:TORRENS ` , Market Total: $1,100,000.00 �I��1 �ON�� A�,� TaxTotal: $11,743.94 �� R�• is.co.hennepin.mn.us/HCPropertyMap/Locator.aspx �/ • 12/ 3/2011 14:21 FAX 962b997823 f�002 - 0�� i,•.: Principui Dwolling llemo��tion Permit �, ��{�'�9� zONrNG DYSC�OSUR� & D�CIIARATION �� '1'o the pro�rcrty owaer: Demolition of the principal dwell��ag structure on a prc�porry nu►y automatically teuminate cert�in right�which may h:ive accrued to the prop��ty by vtrtuo of tl�e continued exi9tence of rhat butlding. • Rebuilding on a substaitdarci I�t of record(i,e. a lot t4at dnes n4t iz�eai tlze zoniag diatrict roqwirod lot arw or widih standards)will,with few axceptions,�cequire variancc approval by th�City Cour�ail,�nd such appr�val{�neithcr aut�matfo nar guarauit�cd but requiros that�hardshlp bc dwndnsG^at�d. • Addit[aualiy,ell cun�ent�o��iag staadards witl have to be met by the now principal dwolling includin� s�tb�ct.s,, lot coverage by structu��es,h�rdcover(impdrvious surfaee),height limlis,etc. • Whci� m�tniaipal sevve�Is nni �v�ilable,provision of two (2} sites for a conformiu�o�sito sewagc treatmeut systorn is nzandatury. • CJnloss speoiftcs�lly approvsd by dle City, a11 accessdry stre�ctur�es muat ba re�noved at the time of � prinaipal dw�lting demolltion,7'h�s alao applies c�seasonal attd p�rcnancne docks,which may not t�re- mstalled until a new pr3n�ipal dw�lling has r�eched thc fr�ming sEage. '!'ho following iiiFormation is presontod fnr thn purpoaes oPadvi�i��g�hu proparty ow�ter ofthe 9,nplicatlons ofromeval ofthc rinci�1 dwellin c�n tl�o ro n•: I, Propttrty Addrds: 910 North Arm Dr(v� P1N# 07-11]-25-11-0044 Requirod Lctt Aree 9.0 Raquirad I,ot Width 14Q' 2. Z�,oing DLstriat: LR-9B 1�0'�OHWL& hctttal Lot Area 1.04 Aetuai Lot Widtlt q,�►�T6'�otb�ck Lot ai�ea vnriance��ulrcd. Lot w3dth vs�rianea j��ulrad. 3. Required Sotbu�ksz Fro��t Na ltaer N� SEde 10' Sidv ficrat Np Lakeshore Lot: T.,eko(I'ront) 75' Street(ltear) 30' Averago Lxkeshurd Sut k: a 4. l.ot Covat'�ge by Siruc.tu ` i �• S. Hardcov�er 1tn�itaiin • �� ra nac snnliea�k, 0-75'zono= 09�6 nilowod 75�SO'r.one-2SyG allowad 2S(�SQp'zone=30%e1{ovvect 900-l000'�one^�3S°r�sllowed 6,�[ Muniatpal'owec is avuilable. Munlci�l aewer is not Awilabfo;on-alte Ryatem�sting acul daaign m�t be provid�d conftrming that two cot�£ora�ing d�infteld sitas ara avail�blo. 7. W�tl�a s rcsc�tt. '1 ha undersialiad pcoperly owaer horeby ecknowledges r�ceipt nf the ebove loformatlon, StaPf Initials � � . / /� / !/ .wc"� ��---L��r�L�� , 1G�'�� f'roperty p 's Signature L�tc v:u�u►N�ea r•o�o�a�oRMaw.m�w,�„�t�a.�,v..w,r a�ea,aoo(Oniginal:Stre�t Fik; Copy: Pwperry Owner) MelaniE Curtis From: Carter Siverson [CarterS@keithwaters.com] Sent: Friday, December 23, 2011 2:31 PM To: Melanie Curtis Cc: Christine Mattson; Barb Silus Subject: RE: 940 North Arm -forms for Demo permit 2011-01568 Attachments: 20111223142923.pdf Melanie- Please find the attached signed forms. Lorie Afremov signed the documents, she is the wife of Michael Afremov, who is the President and Owner of Guardia Development. The Afremovs have their personal secretary officed at the Carlson Parkway address, and have requested that all correspondence for Gaurdia be sent to that address, as it is the most efficient way to get it to them. Thanks, Carter From: Melanie Curtis Imailto:MCurtisC�ci.orono.mn.us] Sent: Friday, December 23, 2011 11:59 AM To: Carter Siverson Cc: Christine Mattson; Barb Silus Subject: 940 North Arm - forms for Demo permit 2011-01568 Carter- Attached you will find the escrow agreement and zoning disclosure forms. Please have the property owner sign each and return to me. Additionally, it appears on Hennepin County's property records site that GUARDIA DEVELOPMENT GRP LLC, C/O S USEM, 2501 WAYZATA BLVD, MINNEAPOLIS MN is listed as the property owner. Your application lists a Carlson Parkway address... Please specify who is signing the documents and their relationship to Guardia. Thank you. Melanie Melanie Curtis Planning &Zoning Coordinator City of Orono 2750 Kelley Parkway Orono, MN 55356 Direct Dial: 952.249.4627 Fax: 952.249.4616 Planning &Zoning Office 952.249.4620 Email: mcurtisna.ci.orono.mn.us Website: www.ci.orono.mn.us City of Orono Office Hours Monday - Friday 8:00 am to 4:30 pm 1 j�� ✓ i � A� /'' TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED / ' ' ' PERMIT NO. ;��I� �!�-1��,��oMP�ETE� ADDRESS ��, � %.. /��j'� ��i'� < OWNER TELEPHONE NO._ 15� Gl 7`7�-��'Y CONTRACTOR �,� /�]�,f� C.[%�P_�°'c�� >'; DESCRIPTION ��`'�-�"��'�-�� ic� l �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTI�C'/�INAlL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_f t YES�NO � COMMENTS � W 0. `_ � � ' � � �- �"'� � - a � . � r�. % .J i .%;. ��,� ; �, �- �f� �'� � Q � Z W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � C'�CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: , _ Inspector. ' ` ' White Copyllnspector's File Canary CopylSite Notice ' . : � . . 1 • , emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File �� Date: 12/17/2012 CaIL: 101-22205 Re: Demolition Permit Escrow Refund Demolition Permit#2011-01568 pertaining to the demolition of the principal structure and finro accessory structures at 940 North Arm Drive is complete. The final inspection was approved. Please refund $2,000 to the property owner. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Guardia Development Group, LLC 2501 Wayzata Blvd Minneapolis, MN 55405 w:�street files�north arm dr�940\escrow refund memo 2011-01568.doc � 12/2�;/2011 14:21 FAl� 952b937623 f�001 DEMO�ITION PERMII"2011 •• � �S�B ESCROIN AGREEMENT At3RE�MEN'1'm�da thls�day of 1��t+.i'- . 2p� by and between the CITY O� ORnNO, a Minhesota muhlolpsl corporatfon(`Clty'�snd�uerdl�Development Group,LLC("Owners"). R�� 1• An applfcation tor a demoqtion permit hAa been flled for the pr�ncipal structura end two(�)�cceseory �uctttros, a datached get�aga end pool lor.ated ai S4D North Arm Dr1va (`Subjeot PropeAy") te8ally deawibed es Lot 10,Blcck 1,Pfretaa Cave,Nennepin County, Minnesote. 2. In oqh)ur�otlon wlth tito demoliqvn eroslon controi measures ave roqulred as shoWn on �ttaohed Exhibit�A�. NOW�TN�,REOFRE,THE PARTIES AmR��AS Fpf.�pWS: 1. p�P05lT O�ESCROW FUN08. Contemporanaously wlth the oxecutlon of this EscroW AQreemant, the Owmers ahefl dap�lt S2,OOfl wlth tha Clty. All eCcrued i�terest, It eny,ahel!b�pald to the Clty to reimburse tho City for its cost In adminiatering the esaraw account 2 PttRP08E Of EBCROW, 7he purpase of#he escxow la to guaranE�o�eimbursement to the Clty for eil out-of-pccket ooata{Inaiuding ptanning,englnaerfn�,or legal oanaultant roview)!he City hqs Inaamed tc asaure thet the e�oslon�ontrW�asures$re instatled and melntainsd sa!he�ropecty cornpUea W1th the provlelaaa af Orono City Cqd� Chaptat Z8. The finpnC181 secutity may �iso be ussd by the C{ty to ;ellminete erry hatardou� condiilons assocleted with the Woric end to repair any demage to publlc properEy or 3ntrast�cture that is caUBed by th�0 woric. If compltance wlth the appcoved l.end pisturbancs Permtt is not eccompllahed wlthln ihe alJrnae6ls tiine pe�tod,the Clty may brlrtg ihe project 3Mo comptienc8 by'use cf fhe aoeurity, 3. Wol�'l' Q[� ENTRY. The 4wners heneby gtant the Cfiy, ita g9ents, emplo�reee, offlcece and con#raaEors the:t)ght ta enter the propefty to perfa►m all work and in�pec�tions deamed approprlt�te by the C(ty In oonJunction wlth the requlred eroslon cantrol rneasure$,fnaluding bUt not Ilmlted'La construcEtnp�or�ompieting eny and eli of the egreed upor� improvaments should ihe:Qwners' c�ntractor not oompiete those impfovemer�ts by tf�e data specifled he�ein. 3. MONTHLy BILUNG, As the City reoeives coneult�nt bilis toc Incurred oosts, the City wtll In tum send a bUl to the Owner�. Owners shall!�e 1+eapons(6ie for peyment to the Clty within 30 days of th.Owners'roceipt of bNl. 4. DI8BUR$�MENT FRpM ESCR�W ACCOt�NT. In thA event that#he Owners da not meke,paytnant to tho Clty wlthin the Elmefreme autlFt�ed tn t►3 sbQva,ah�li'I��ue a 8top Ntork Dtder uMlt the Ow�ere pay a11 expeasee involcad purauant to #3, The Clty mey draw from xhp escrow acacwnt v�iti'+out turther spprovel of the �tirne�s to reimburse the Clty{or eliglbl�eupenses#he City ha8 fncurred. 6, CLOSINt3 ��CROW. Any 1•atn�INnq emour�t of th4 flhanda! sect�tity deposlted wlth the City for falthful prrformenoe of the plenc and epocNioaqone end any rqle�bed romedlel wo�lc wpl pe reteasac! after the aompl�tfon and in�poctiat of aii such mao�eures and tlte ostebllshment of flnel stebiUz�tlon far the SubJect PrapeRy. CERTIFY UNPAID GHAR�ES. 1}the proJeot 19 a6andoned by OWnere, or If ths eli�lb(e expanaes incu d � the Clfy excaed the amourrt in amoraw. the City shall heve the right to oerdfy the unpetd 6atance to the aub�e�t p pvrty pu,�u�t to Minn.Stat.§§4t6.p1 and 888.012, CITY: � NO �� OWNER.,�: � gy; _ �9.t�.� � , f r3��4,"'°"L4(. � — �t�: �c�: [�bernN U�e Ou�y� �Copy to Owaer d O�lefoal to Plnance Dep�rtmat G Copy to 8tr+eet F11e 150784 _ t � .�-� $ ' �j O O O ,�. ��ry F� � � � N N �y R,j N N � � �� ~ � o � � � � � 'g d '" '° � � o ' g � d� M � ~� j � �� L� � .g Q $ �a � � o�� $ � �Q �� .:: �i�>.�� i�lv� " � �� .� "' �i�'iax� � c� °� a t�i1§�c� �r' � � _ '> CITY OF ORONO PERMIT NO.: 2011-01584 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 12/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 940 NORTH ARM DR PIN : 07-117-23-11-0014 LEGAL DESC : PIRATES COVE : LOT O10 BLOCK 001 PERMIT TYPE : ESCROW FEE-OTHER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-OTHER NOTE: ESCROW FOR DEMO PERMIT ,��((—btr'J�o� APPLICANT ESCROW FEE-OTHER 2,000.00 KEITH WATERS&ASSOCIATES 6216 BAKER ROAD TOTAL 2,000.00 SUITE 110 EDEN PRAIRIE,MN 55346- Minnesota State License#: 1508 OWNER Guardia Development Group,LLC LLC, GUARDIA DEVELOPMENT GROUP, 2501 WAYZATA BLVD. MINNEAPOLIS,MN 55405- AGREEMENT AND SWORN STATEMENT The work for which this pern►it is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � _ � . . � : a ; � � �� : � � � � : �1 d� � � ' 0 �� . ; :, ., � � � � � � tl � L � Z � � � r t1 � � �� aC � r� � � r � -�-a � O 1 [.l — 1 r �• _ t� I +-W. � � eY I ,; t`. C, i � � w 6~ � O i �`��: �/� ��. � Vf, � � V � � 1 � t � e � � � f � � �4 � � � � � � ! � a � � � i M 6. ' � � I ` � ; c � a r � � ; `t " ?G �� e �, � � �. � � �, . � � � c w L� �v �i C �'' � u °i a '�� . a �n� , c � N � Q' �i b.. Y . � � V � � O'i {5 f/! � �i a �� ► Q �! M � .�' :C dt � fLy i d'j �� r! a ,�� O. p�i � � � ��