2016-00640 (new home) - Laserfiche WebLink

Home Browse Search

'I � � � , t • . STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) a. Length(ft.)= G 5 Number of bedrooms= 4 2. Occupancy: (/`� b.Width(ft.)= �F � Number of garage stalls: 3. Occupant Load: Areas in sauare feet Attached= 3 ��,�J-'�"'�, y�' ��J� c.Basement= 1�,GG •-u',N,�3,�. Detached= 4. Type of Construction: cL/`S d. 1 S'Story = i 3 3 Q �/� r e.2"d Story= i �r L 5. Code Edition: ��/C7 �� f. Yz Story = — g.Total Area= 4 3�. I '� �i REQUIRED SUBMITTALS; All of the information must k�e submitted in order for your application to be processed: Not ' ' �ncltts�cl: icab ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted lication Form ❑ O Pro osed Buildin Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 8 Y�x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements 0 ❑ Surve -2 full size,to scale meetin ALL surve re uirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired 0 ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ O Data Privacy Advisory Form APPLICANT/OWNER ACKNQWLEDGEMENT: . 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 a500; • Certifiss that the information aupplied is true and correct to the best of his/her knowledge. The applicant recognizes that they alre solely responsible for submitti�g a complete application being aware that upon failure to do so,the staff has no altemative but'�o reject it until it is complete; . Acknowledges the Escrow Agrleement is completed and signed; • Understands some or all of th� information that you are asked to provide on this application is classified by State law as eith '� private or confidential. Private'data is information which generally cannot be given to the public but can be given to the subject the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Ou purpose and intended use of this information is to annually update our records and records of other governmental agencie� required by law. If you refuse to supply the information,the application may not be issued. �...:'; �ip�f�e ev�ent ti�t �ar o#h�c�ot�d�#�on��re��t#��qf�n.�t��t��.,�e ��.-:�� s"��nitk��'�daN��tt� � �', , " . x� ��c��s e�Ct�a� ��r�cats�f t� �t.�na�:laa�u��!�t,�a�'i��i �...�.�. � i �I ApplicanYs Signature: � Date: C�fo�2-��l0 'I Ownar's Signature: Date: Last Updated: January 2016 �I