2016-00453 - detached garage - Laserfiche WebLink

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.� � � STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) �/�/ � a.Length(ft.)= `f U Number of bedrooms= �� 2. Occupancy� �-f�/ G l./ � � b.Width(ft.)= � Numberof garage stalls: 3. OccupantLoad: Areas in sauare feet Attached= ,n c.Basement= Detached= 4. Type of Construc[ion: �/�.� d.1�'Story = '/ e.2'�Story= 5. Code Edition: ��,J �/Y ��j f. %:Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable � ❑ Buildin Permit Escrow A reement and Fees � ❑ Plan Review Fee � � Com leted A lication Fortn � ❑ Pro osed Buildin Plans—2 fuli size sets,to scale and t reduced 11 x 17 or S%:x 11 set a ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ � Surve —2 full size,to scale meetin ALL surve re uirements � ❑ Hardcover Calculations � ❑ Se tic S stem Certification � ❑ Minnehaha Creek Watershed DisVict(MCWD)Pertnit or Documentation from MCWD statin no ermit is re uired � ❑ Landsca e Walls and/or Retainin Wall Plans � ❑ Stormwater Pollution Prevention Plan SWPPP � ❑ Access Permit � ❑ Data Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of S500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitling a complete application being aware that upon failure to do so,the staff has no altemative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this appiication is classified by State law as either pnvate or confidential. Private data is informa6on which generally cannot be given to the public but can be given to the subject of the data. Confidential data is infortnation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this informadon is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the informaGon,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested,a temporery Certificate of Occupancy may be issued upon receipt of a S'►0,000 escrow to ensure completion of the as-built survey and all site improvements. �� /�-u%�'�� /�-�---� ApplicanYs Signature: � '�✓�'1"�� Date: �`�'CJ—�� Owners Signature: _ ��%��/ �� Date: _ ��1' �. � Last Updated: January 2016 ✓ �