Laserfiche WebLink
STRUCTURE INFORMATION: <br /> 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction <br /> a. Length (ft.)= Number of bedrooms= <br /> ❑Wood/Frame <br /> b.Width (ft.)= Number of garage stalls: ❑ Masonry <br /> Areas in square feet Attached = ❑ Metal <br /> ❑ Pole Bldg. <br /> c. Basement= Detached = ❑ ICF <br /> d. 151 Story = ❑ On-site Prefab <br /> e.2"d Story= ❑ Off-site Prefab <br /> f. '/z Story = <br /> ❑ Other(please specify): <br /> g.Total Area= <br /> . . . , , ..:, t; . ,• . , -., <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your application to be processed: <br /> Not <br /> Enclosed A licable <br /> ❑ ❑ Permit A lication �• , _ . <br /> ❑ ❑ Pro osed Buildin Plans ' ' <br /> ❑ (,]�., � MN State Ener Code Calculations�d M chanical ode Re ir� ents Form <br /> Q , �� uive meetin all re uirements � ' • " ' ' <br /> ❑ ' " � a • Sto mvwater Pollution Prevention Plan • � • : 3 �� ' �� ` ' : •'� , <br /> ❑ ❑ Hardcover Calculation s . • t f'•` ' ' : • <br /> ❑ ❑ Se tic S `st2m ite� ai�u�tion- � oot �/ 1•K ; , ; y� • * .' � { : r , <br /> ❑ ❑ Access Permit <br /> ❑ ❑ Wetland Buffer Im rovement Plan <br /> ❑ ❑ En ineered Plans for Retainin Walls 4 feet or abo � - f•• r • <br /> ❑ ❑ Plan Review Fee ' . . w . �- - <br /> � `� • '� ❑ �lpplication Escrow&Agreement T_1_ ,.' •; ' <br /> ,� +; <br /> ❑ ❑ Other: . . , . • , . ,� {, � ,� . . <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 <br /> are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative <br /> but to 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 <br /> of 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: Date: `G" ��— /� <br /> / • /�- L <br /> Owner's Signature: Date: �v�r�3 <br />