2013-00506 - attached deck - Laserfiche WebLink

Home Browse Search

Jun 13 13 07: 36p Dupont Construction 763-413-2614 p. 2 STRUC7URE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= []Wood/Frame b. Width(ft.)= Number of garage stails. ❑Masonry ❑ Metal Areas in square feet Attached= ❑ Pole Bidg c. Basement= Detached= ❑ ICF d. 151 5tory = ❑On-site Prefab e. 2ntl Story= ❑Off-site Prefab f. '/z Story = ❑ Other(please specity}: g,Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your appfication to be processed: N ot Enclosed Applicable - ❑ L7 Permit A I�cation - ❑ p Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Forrn p ❑ Surve meetin aU requirements) p ❑ Stormwater Poilution Prevention Plan ❑ p Hardcover Calculation(s _ p ❑ Septic System Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan _ ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Minnehaha Creek Watershed District Permit s p p Plan Review Fee _ ❑ ❑ Application Escrow&Agreement ❑ ❑ ' Other: _ � APPLICANTIOWNER 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$50U; • Certifies that the information supplied is true antl correct to the best of hisiher knowledge The applicant recognizes that they are so�ely responsible for submitting a complete appiication being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; . Acknowledges[he Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this applicat[on is classified by 5tate law as either private or confidential. Private data �s information which generally cannot be given to the publ�c but can be given to the subject of the data Confidential tlata is information which generally cannoi be given to either the public or the subject of che data. Our purpose and intended use of this information �s to annualiy update our records and records of other go�emmental agencies required by law If you refuse to supply tne information,the application may not be�ssued. . 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 temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. Applicant's Signature: , Date: v? �� l / /f� - Owner's Signature: Date: