Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
. <br /> STRUCTURE INFORMATfON: • <br /> 1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction <br /> a. Length (ft.)= Number of bedrooms= �Wood/Frame <br /> b.Width (ft.)= Number of garage stalls: ❑ Masonry <br /> Areas in square feet Attached= ❑ Metal <br /> ❑ Pole Bldg. <br /> c. Basement= Detached= ❑ ICF <br /> d. 1�`Story = ❑ On-site Prefab <br /> e. 2"d Story= ❑ Off-site Prefab <br /> f. '/:Story = ❑Other(please specify): <br /> g.Total Area= <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your appfication to be processed: <br /> Not <br /> Enclosed A licable <br /> � ❑ Permit A fication <br /> 6� ❑ Pro osed Buildin Ptans <br /> ❑ I� MN State Ener Code Calculations and Mechanical Code Re uirements Form <br /> ❑ Surve meefin all re uirements <br /> ❑ Stormwater Pollution Prevention Plan <br /> p Hardcover Calculation s <br /> ❑ C,�; Se tic S stem Site Evaluation Re ort <br /> ❑ C� Access Permit <br /> ❑ f� Wetland Buffer Im rovement Plan <br /> ❑ @� En ineered Plans for Retainin Walls 4 feet or above <br /> ❑ p: Plan Review Fee <br /> ❑ � Application Escrow&Agreement <br /> ❑ Other. <br /> APPLICANT/OWNER ACKNOWLEDGEMENT: <br /> . Agrees to provide ali 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 informafion supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they <br /> are solely responsibfe 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 compfete; <br /> • Acknowledges the Escrow Agreement is completed and signed; <br /> • Understands some or all of the information that you are asked to provide on this application is classified by State law as either <br /> private or confidential. Private data is information which generalfy cannot be given to the public but can be given to the subject <br /> of the data. Confidential data is informafion which generally cannot be given to either the public or the subject of the data. Our <br /> purpose and intended use of this information is to annually update our records and records of other governmental agencies <br /> required by law. If you refuse to supply the information,the app(ication may not be issued. <br /> . Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the <br /> Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 <br /> escrow to ensure compfetion of the as-built survey and all site improvements. <br /> Applicant's Signature: <br /> I Date: I y ���l`� <br /> Owner's Signature: Date: <br /> 1 <br />