Laserfiche WebLink
STRUCTURE INFORMATION: <br /> 1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction <br /> a. Length (ft.)= 7 d Number of bedrooms= l� Wood/Frame <br /> �Masonry <br /> b.Width (ft.)= 2� Number of garage stalls: ❑ Metal <br /> Attached= 2- ❑ Pole Bldg. <br /> Areas in sauare feet Detached =_� ❑ ICF <br /> c. Basement- � ❑On-site Prefab <br /> - ❑Off-site Prefab <br /> d. 1s1 Story = �;%Ls� ❑Other(please specify) <br /> e. 2�d Story= � <br /> f. '/z Story = � <br /> � � i <br /> g.Total Area= /J/�;L� <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your application to be processed: <br /> Not <br /> Enclosed Ap licable <br /> ❑ Permit A lication <br /> ❑ Pro osed Buildin Plans <br /> ❑ MN State Ener Code Calculations and Mechanical Code Re uireme ts Form <br /> � ❑ Surve meetin all requirements) <br /> � � Stormwater Pollution Prevention Plan <br /> ❑ Hardcover Calculation s <br /> � � Se tic S stem Site Evaluation Re ort <br /> � Access Permit <br /> � Wetland Buffer Im rovement Plan <br /> � En ineered Plans for Retainin Walls 4 feet or above <br /> ❑ ❑ 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 app: :ant recognizes that they <br /> are solely responsible for submitting a complete application being aware that upon failure to do so, t e 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 classi �d by State law as either <br /> private or confidential. Private data is information which generally cannot be given to the public but c n be given to the subject <br /> of the data. Confidential data is information which generally cannot be given to either the public or th subject of the data. Our <br /> purpose and intended use of this information is to annually update our records and records of othf 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-bui t survey at the time the <br /> Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued u �on receipt of a $10,000 <br /> escrow to ensure completion of the as-built survey and all site improvements. <br /> ApplicanYs Signature: � Date: (p � <br /> Last Updated: 1/26/2011 <br /> -20- <br />