2016-00420 - detached garage - Laserfiche WebLink

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. • STRUCTURE INFORMATION: � , �1.Structure Dimensions 1.Structure Dimensions(continued) � a. length(ft.)= 20 Number of bedrooms= 2. Occupancy: � b.Width(ft.}= 20 Number of garage staNs� 3. Occupant Load: � Areas in souare feet Attached= c. Basement= Detached=2 4. Type of Construction: Ff8t71@ d. 1$'Story = e.2n0 Story= 5. Code Edition: f. '/�Story = g.Total Area= 40Q REQUIRED SUBMiTTALS: Ail of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit Escrow A reeme�t and Fees O � Pfan Review Fee ❑ O Com ieted lication Form p ❑ Pro ased Buiidin Plans—2 full si2e sets,to scale and 1 reduced 11 x 17 or 8'/:x 11 set ❑ 0 Minnesota State Ener Code Calculations and Mechanical Code Re uiremertts ❑ ❑ Surve —2 fuN size,to scale lmeetin ALL surve re uirements} ❑ � Hardcover Calculations � ❑ Se tic S stem Certification ❑ ! O Minnehaha Creek Watershed District(MCWD)Pertnit or Documentation from MCWD statin no ermit is r uired ❑ ❑ Landsca Walts and/or Retainin WaII Plans � ❑ Stormwater Pollution Preverttion Plan SWPPP ❑ ❑ Access Permit ❑ � ❑ Data Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Oepartment; • Agrees to pay the City of Orono for engineering consultant review costs in excess of S500; • Certifies that the information supplied is true and correct to the best of hislher knowledge. The applicant recognizes that they are solely responsible fior submitting a cc�mplete application being aware that upon failure to do so,the staff has no altemative but to reject it until it is complete; • Rcknow4edges the Escrow Agreement is completed and signed; • Understands some or all of the inforrnation that you are asked to provide on this application is classified by State law as either private or confidential. Private data is i�fortnation which generally cannot be given to the public but can be given to the subjed of the data. Confidential data is information which generally cannot be given to 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 govemmental 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 of an as-buitt survey at the time the Certificate of Occupancy is requesbed,a temporary Certificate of Occupancy may be issued upon receipt of a S1U,000 escrow to ensure completion of the as-built survey and all site improvements. � ApplicanYs Signature: �� Date: 7 Y�� Ovmer's Signature: '� �.'. ;.L�i�� '�� L-G�� y !-' ' ��s: ' Date: 3-29-2016 Last Uodated Januarv 2016 ;� APR 2 5 �I11� ,c�N oF oRa�vo