2016-00348 (acc. structure) - Laserfiche WebLink

Home Browse Search

STF2UCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2. Type of Construction��j' ` a. Length(ft.)= 3� Number of bedrooms=� (� Wood/ rame /'— b.Width(ft.)= 2�_ Number of garage stalls: ❑ aso \�C�l ��J ��1� ❑ eta Areas in sauare feet Attached= 'Jc°GU�G�l�G Y ��-F- ❑ ol Bldg. / c. Basement= � Detached =� � � d. 15�Story = �� ❑ n-site Prefab e.2"d Story= ff-site Prefab f. '/z Story = �O her(please specify): g.Total Area= �_ �� REQUIRED SUBMITTALS: All of the information must be submitted in order for.your application to be rocessed: NOt ..l••� ,' • + , . . . � : - Enc{osed A licable ❑ Buildin Permit Escrow A reement and Fees ❑ Plan Review Fee ❑ Com leted A lication Form ❑ Pro osed �uildin Plans-2 full size sets,to scale and 1,reduced 11 17 or 8'/z x 11 set ❑ Minnesota 5tate'.�'e' � Q e'C�cd at n�'�i►��Ivlea antcal C de e irements � '• • ❑ Surve -2 full size,to scale meetin ALL surve r� �'K��hts .' ` ❑ • 'Hardcpver Calculations � � � •• . 1•� ' � � Se tic S stem Certi ication• �S : ' ,• ; + • ❑ � �•�'-- lvltrlrtehaha Creek Watershed District(MCWD)Permi�or• . ,� ,'� '�- • Docufnentation from MCWD statin no ermit is re'uire ❑ Landsca e Walls and/or e ainirt all I�ns ' " ' ❑ Stormwater Pollution Prevention Plan SWPPP ❑ Access Permit ❑ Data Privac Adviso Form ' � ' ' ' ' � - ._ •. . � � �. . . APPLICANT/OWNER ACFCNOWLEDGEMENT: • ' �''�' � '� %'� �� '�'�' ., . . . . ',a ' r. . . . .. . . . 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$500; � 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 submitting a complete application being aware that upon failure to do so,the staff has no alternative 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 application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information whiGh generally cannot be given tv either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. . • Agrees that in the event that weather or other conditions prevent the completion,�F an as��ili'survey at the ti�the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $1D',000 escrow to ensure completion of the as-built survey and all site improvements. •.— ApplicanYs Signature: Date: Owner's Signature: Date: �[�� 2 ..., . . • _,.• . . , . • �;' Packet Last Updated: August 2015 Page 22