Laserfiche WebLink
k <br /> STRUCTURE INFORMATION: <br /> 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction <br /> a.Length(ft.)= _ t� _ Number of bedrooms=—�Ll`f�W& Wood Frame <br /> �t 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 /> c.Basement= _�_ ❑Off-site Prefab <br /> ❑Other(please specify): <br /> d. 1 Sc Story = <br /> e.2nd Story= <br /> f. '/z Story = <br /> g.Total Area= i <br /> REQUIRED SUBMITTALS: Vbfl-N(&R- �X(�NNSion1 <br /> All of the information must be submitted in order for your application to beprocessed: <br /> Not <br /> Enclosed Applicable <br /> ❑ Permit Application <br /> ❑ Proposed uilding Plans <br /> ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form <br /> ❑ ❑ Survey(meeting all requirements) <br /> ❑ Stormwater Pollution Prevention Plan <br /> ❑ Hardcover Calculation(s) <br /> ❑ Septic System Site Evaluation Report <br /> ❑ Access Permit <br /> ❑ Wetiand Buffer Improvement Plan <br /> ❑ <br /> Engineered Plans for RetainingWalls 4 feet or above <br /> 13 ❑ Plan Review Fee <br /> ❑ ❑ Other <br /> APPLICANT ACKNOWLEDGEMENT: <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 altemative <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 information,the application may not be issued. <br /> Applicant's Signature: Date: <br /> Last Updated: 9/29/2009 <br /> - 18- <br />