Laserfiche WebLink
. S�°RU��'U��1hOf�ORh11ATl0�fe <br /> 1,Sfrucfiure Dimensions 9.Sfrucfure.Dimensions�continued) 2.Type of Construction y�" <br /> a.Lengfh(ft.)= �.�D� � Numberofbedrooms= � DCG�✓Q'� C J�� <br /> � ood/R'ame � . ��C�z <br /> b.Width(ft.)= 3.�'�vI� Numberofgarage sfalls: ❑ so �- - / �}.��/ 'J <br /> Areas in square feet Attached=�, , <br /> •�Me �C�O� !C('1.j•���l <br /> . ❑Pol Idg. �a/!�^ ���� <br /> c.Basemenf= (�7 Detached= • ❑�� <br /> a.15f story = �8� <br /> ❑ n-sit Prefab <br /> e'2nd Sfory� OfF slfe refab • <br /> fi %Sfory = . <br /> 32�0� Ofher(please specify}; <br /> g.Total Area= � <br /> REQfl.IIRED S�'�IV]I7'T,4LS: . <br /> All of the information must be submitted in order for your application to be rocessed: � <br /> :`:� •:_'.��. �::-:: ��::Not;;;:,:;>°: '., �� • � ' . • � . .. . .. . . . . , <br /> _ ..t.<<>:�;�:� . . . .':.. . - <br /> ?Enclosed�-. <�A'��`�'IjcabTe;-;�• . . ;3 <br /> - :.:.: . : . . . . . . ,.:. •.:: ;: . .. .. ; .,• . <br /> . . .... . .. . - • •:- _:,. <br /> ❑ Permit A licafion ' <br /> - � ❑ Pro osed Buildin Plans <br /> � ❑ MN 5tate Ener Code Calculations and Mechanical Code Re uiremerifs Form <br /> I] Surve meetin all re uirements <br /> ❑ ❑ Stormwafer Pollution Prevention Plan . <br /> ❑ ❑ Hardcover Calculation s � <br /> Li • f=1 Se tic S sfem 51te Evaluation Re ort <br /> ❑ ❑ Access Permit <br /> Cl ❑ Wefland Buffer im rovemenfi Plan <br /> ❑ ❑ � En�ineered�Plans�for Refainin Walls 4 feef or above ' " ' - <br /> Cl L] • Minnehaha Creek Watershed Dlstricf Permit s <br /> � ❑ Plan Review Fee <br /> I1 ❑ Application Escrow&Agreement <br /> L] ❑ Other: � <br /> APPL(CAI�T/O!�/1�lE�d ACKNi�1N1.EDGEMEMT: � � <br /> � Agrees fo provide all infarmafion required or requested by fhe Building Departnent; <br /> o Agrees fo pay fhe City of�rono for engineering consuttanfi review costs in excess of$600; <br /> e Certifies that fhe informafion supplied is true and correct to the best of hislher knowledge. The applicant recognizes that they <br /> are solely responsible for submifting a complete application�being aware fhaf upon failure to do so, the sfaff has no alternafive <br /> ' but to reject it unfil it is complete; <br /> e Acknowledges the Escrow Agreemenf is compJefed and signed; <br /> m Undersfands some or all of the information that you are asked to provide on this application is classified by Sfate law as either <br /> privafe or confidential. Private data is information which generally cannof be given to the public but can be given to fhe su6ject <br /> of the data. Confidenfial data is information which generally cannot be given to either fhe public or the subject of fhe data. Our <br /> purpose and infended use of fhis information is to annually updafe our records and records Df other governmenfal agencies <br /> required by Iaw. !f you refuse to supply fhe informafion,the application may not 6e issued. � <br /> � e, qgrees.tfiat:in;fhe�eventfh�af:weather�ar:other�condifions;prevenfi'tfie;completion;�of;ari�as�biiilf:`'sur.vey�at�tiie;#ime;rfhe <br /> Ge'rfificate;ofi=0ccupancy`is;'requesterl;:'a-femporary Cartificate:�of.;Occupanc}r;may°:Iie�issued�upo`n::'receipf`of.=a:$�i'O;Q00 <br /> escroii✓.fo�ensure.corimplefion:of.ftie:as-tiuilf survey;and a11 sif'e�improvements: <br /> Appticant's Signature: Dafe: 9�Zro r�7 <br /> Owner's Si�nature: Date: � <br /> � I <br />