Laserfiche WebLink
STRUCTURE INFORMATION: <br /> 1. Structure Dimensions / 1. Structure Dimensions (continued) / J <br /> a. Length (ft.)= S6 o / �G Number of bedrooms= 2. Occupancy: <br /> / <br /> b.Width (ft.)= � Number of garage stalls: <br /> 3. Occupant Load: <br /> Areas in square feet / /_ Attached= <br /> ¢ <br /> c. Basement= / 0 9 Ya Detached= 4. Type of Construction: I <br /> d. 1st Story = 2-0 <br /> e. 2nd Story= 5. Code Edition: Z � /"//I C <br /> f. 'h Story = <br /> g.Total Area= <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your application to be processed: <br /> Not <br /> Enclosed Applicable <br /> 0 Building Permit Escrow Agreement and Fees <br /> O 0 Plan Review Fee <br /> C9� <br /> 0 Completed Application Form <br /> 0 Proposed Building Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 8'/x 11 set <br /> 0 Minnesota State Energy Code Calculations and Mechanical Code Requirements <br /> KG! 0 Survey-2 full size,to scale(meeting ALL survey requirements) <br /> Dpi ❑ Hardcover Calculations <br /> [ ' 0 Septic System Certification <br /> ❑ l / <br /> 0 Minnehaha Creek Watershed District(MCWD) Permit or <br /> 4074c,� d D( Documentation from MCWD stating no permit is required <br /> O 0 Landscape Walls and/or Retaining Wall Plans <br /> �� ❑ Stormwater Pollution Prevention Plan (SWPPP) <br /> ❑ ❑ Access Permit <br /> ❑ 0 Data Privacy Advisory Form <br /> APPLICANT/OWNER 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 are <br /> solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to <br /> reject it until it is complete; <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 generally cannot be given to the public but can be given to the subject of <br /> the data. Confidential data is information 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 application 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 completion of the as-built survey and all site improvements. <br /> Applicant's Signature: le--itik/V. ' <br /> pp ' g (7Date: i// 7 <br /> Owner's Signature: �� 6 Date: /1 " <br /> 7 -/ 7 <br />