Laserfiche WebLink
� �S�'RU��'U�E lh�1FORI�I.ATlO�i: <br /> 9.Sfrucfure Dimensions 9.Sfrucfure.Dimensions�continued) .Type of Constructiion "' <br /> � � ccvPa�c � _ 2 � <br /> a.Length(ft.)� �5"0, • Number ofbedrooms= y �j �i ✓ <br /> � od/ ar�e <br /> b.Width(f�.)= 3�% �v �• Numberofgarage stalls: ❑M o C Q ��Q <br /> Areas in square feet Attached=�_ . •�Me ��;�%� � � <br /> . ❑Po Bldg. <br /> c.Basemenf= 157� �etached= . �� �D1�+ � ,/J�� <br /> d.15fStory = .IS7S J �� <br /> . ❑ n- fe Prefab <br /> B.2nd St01)/= O(�51 Prefa6 � <br /> f. l Story = . <br /> 3�4'S 3 ❑other ease specify): <br /> g.Tofal Area= � <br /> ����al���s�B��rT��.s: . <br /> All of the information must be submiffed in order for your application to be rocessed: � <br /> . . . ,..,::��:..:.-�. � <br /> . <br /> :;�;�:,<:..: . . - -� � . - . • � .. . .. . . . . <br /> ,: <br /> . <br /> . ,�:: --><Nof�;<<:, -. <br /> -:z:��.:• . . . , � • . - <br /> :Ericlosed�: «A'�`�'ti'aa�l-e:;:;::'': . <br /> ❑ PermitA licafion ' <br /> - � ❑ Pro osed Buildin Plans <br /> L� ❑ MN 5tate Ener Code Calculations and Mechanical Code Re uiremerifs Form <br /> L7 Surve meetin all re uirements <br /> ❑ ❑ Stormwafer Pollution Prevention Plan . <br /> ❑ ❑ Hardcover Calculation s I <br /> Li • D Se fic S sfem Site Evaluation Re ort <br /> ❑ ❑ Access Permit <br /> CI ❑ Wetland Buffer Im rovemenfi Plan <br /> L1 ❑ ' - En�ineeretl�Plans�for Re�inin Wali"s 4 feef or a6ove ' - ' - <br /> ❑ ❑ Minnehaha Creek Wafershed Dlsfricf Permit s <br /> � ❑ Plan Review Fee <br /> i1 ❑ Application Escrow&Agreement <br /> ❑ ❑ Other: � <br /> APPLICA�IT(O�I�ER ACK1V0�1IL�DGEMEMT: . � • <br /> � Agrees to provide all infarmafion required or requested by the Building DeparEment; <br /> o Agrees fo pay fhe Cify of�rono for engineering consuftanfi review costs in excess ot$b00; <br /> e Certifies fhat fhe informafion supplied is frue and correct to the best of his/her knowledge, The applicant recognizes that they <br /> are solely responsible for submiiting a cDmplete application�being aware fhaf upon failure fo do so, the stafF has no afternafive <br /> � but fo rejecf it unfil it is comptefe; <br /> � Acknov✓ledges the EscrowAgraemenf is complefed and signed; <br /> m Understands some or all of the information�hat you are asked to provide on this application is classified by Sfafe law as either <br /> privafe or confidential. Private dafa is informafion which generally cannof be given to the public 6ut can be given to fhe su6ject <br /> of fhe data. Confidenfial data is information which generafly cannof be given to either fhe public or the subjecfi of fhe data. Our <br /> purpose and intended use of this information is fo annually updafe our records and records of other governmental agencies <br /> required by faw. !f you refuse to supply fhe information,the application may not be issued. � <br /> ' .. qgrees.tfi'at:in�:fhe;even�fh�af:weafher�ar:other�conditions;prevenfi'ftie;cbmplefion;:of;an'=,'as;�ui(t�sur.vey�at'flie,;time;the <br /> Ce'rfifieate;o�;Occapanc}i.is:requesterl;;'a-temporary:Ce'r.tificafe�of:;Occupancy;may';tie�tssired�apo'n;'receipt`of.=a:$'1'0;0�0 <br /> escroiiV.to�ensure.completion:of.`tlie:as-fiirilfi survey;and a11 sif'e-improvements: <br /> Applicant's Signature: Dafie: � ' �O / 7 , <br /> Owner's Signa#ure: Date: � <br /> . � <br /> � <br />