Laserfiche WebLink
STRUCTURE INFORMATION: <br /> 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction ��� <br /> . <br /> a. Length(ft.)= Number of bedrooms=� <br /> ❑W d/Frame QCGv�ddCy � Z/�C�� <br /> b.Width(ft.)= �_ Number of garage stalls: ❑ Mas nry / <br /> G�r �p . <br /> Areas in square feet Attached= Z o ❑ Meta r�J��,��� Y ��r�� y{�� <br /> IGC / / <br /> ❑ Pole dg. <br /> c. Basement= Detached= ❑ ICF <br /> d. 151 Story = <br /> ❑ On site Prefab <br /> e.2"d Story= ❑ O -site refab <br /> f. '/Story = <br /> ❑ ther(pi ase specify): <br /> g.Total Area= <br /> REQUIRED SUBMITTALS: - � <br /> All of the information must be submitted in. order�or your application to be processed: � <br /> Not <br /> Enclosed <.A li�a le <br /> ❑ � Permit A lication � <br /> ❑ Pro osed Buildin Plans <br /> ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form <br /> ❑ Surve meetin 'all re uirements <br /> ❑ Stormwater Pollution Prevention Plan <br /> ❑ G✓ Hardcover Caiculation s <br /> ❑ � Se ti�S stem Site.Evaluation Re ort <br /> ❑ I�' Access Permit <br /> ❑ Cr' Wetland Buffer Im rovement Plan <br /> ❑ En ineered Plans f Retainin Walls 4 feet or above <br /> ❑ � Minnehaha Creek Watershed District Permit s a <br /> ❑ ❑ Plan Review Fee <br /> i�" ❑ Application Escrow&Agreement ' <br /> ❑ ❑ ' ' • Other: <br /> APPLICARlT/01l1lRlER 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 femporary Certificate of Occupancy may be issued upon xeceipt of a $10,000 <br /> escrow to ensure completion of the as-liuilt survey and all site improvements. <br /> ApplicanYs Signatu . - Date: 3 <br /> Owner's Signatur . — - ___ _ Date: � �7 � <br />