Laserfiche WebLink
...--. , y�.-�.+o.�-rw.��-..�..,--�--._"`T.-�--xrr� � . , . . _,. -_.-�.T . . .. . <br /> .. ...r . . ::.. � <br /> 1; ' , _ . , ' . . . '. � <br /> , �, <br /> . ff . - . , . . � ^ .,� <br /> L � . r . . . - . ' . , . . ' , <br /> i� <br /> STRUCTURE INFORMATION: <br /> t � <br /> ;`., 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction <br /> - a. Length (ft.)= �6 � Number of bedrooms= � �UVood/Frame <br /> ❑ Masonry <br /> b.Width (ft.)= Number of garage stalls: ❑ Metal <br /> Attached = ❑ Pole Bldg. <br /> Areas in square feet Detached = ❑ ICF <br /> ❑ On-site Prefab <br /> � : <br /> c. Basement= ❑ Off-site Prefab <br /> d. 151 Story = ❑ Other(please specify): <br /> `:; e. 2"d Story= <br /> '� f. 'h Story = <br /> `;i <br /> >� g. Total Area= <br /> a <br /> �! <br /> ',�'- <br /> �' REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your application to be processed: <br /> N ot <br /> Enclosed A licable <br /> ❑ ❑ Permit A lication <br /> ❑ ❑ Pro osed Buildin Plans <br /> ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form <br /> ❑ ❑ Surve meetin all re uirements <br /> ❑ ❑ Stormwater Pollution Prevention Plan <br /> ❑ ❑ Hardcover Calculation(s <br /> ❑ ❑ Se tic S stem Site Evaluation Re ort <br /> ❑ ❑ Access Permit <br /> ❑ ❑ Wetland Buffer Im rovement Plan <br /> ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above <br /> ❑ ❑ Plan Review Fee <br /> � ❑ ❑ Other <br /> � <br /> APPLICANT ACKNOWLEDGEMENT: "��. <br /> ,,�` <br /> • Agrees to provide all information required or requested by the Building Department; <br /> • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; <br /> • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they <br /> are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative <br /> but to reject it until it is complete; <br /> • Acknowledges the Escrow Agreement is completed and signed; <br /> • Some or all of the information that you are asked to provide on this application is classified by State law as either private or <br /> confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. <br /> Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and <br /> intended use of this information is to annually update our records and records of other governmental agencies required by law. <br /> If you refuse to supply the inf rmation,the application may not be issued. <br /> ;-�, <br /> � <br /> ApplicanYs Signature: Date: `I <br /> Last Updated: 9/29/2009 <br /> - 18 - <br /> i <br /> ; , <br /> � , , �� , <br />