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2017-00473 - second story addition
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825 Forest Arms Lane - 07-117-23-12-0011
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2017-00473 - second story addition
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Last modified
8/22/2023 5:30:22 PM
Creation date
5/24/2017 8:18:25 AM
Metadata
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Template:
x Address Old
House Number
825
Street Name
Forest Arms
Street Type
Lane
Address
825 Forest Arms La
Document Type
Permits/Inspections
PIN
0711723120011
Supplemental fields
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Updated
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� s <br /> ��STRUCTURE INFORMATION: <br /> 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction <br /> �✓� <br /> a. Length (ft.)= Number of bedrooms= � <br /> b. Width (ft.)= Number of garage stalis: ❑ ( G��,¢�Q�C� ,�/ ���1 <br /> !/ � <br /> Areas in square feet Attached = � � <br /> ❑ ' ��C� ���=���� �p�'S � �� <br /> c. Basement= Detached = � � <br /> d. 1 S'Story = � <br /> e. 2"d Story= � <br /> f. '/z Story = � <br /> g. Total Area= <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your application to be processed: <br /> Not <br /> Enclosed A licable <br /> ❑ ❑ Buildin F'ermit Escraw A reement and Fees <br /> ❑ ❑ Plan Review Fee <br /> ❑ ❑ Com leted A lication Form <br /> ❑ ❑ Pro osed Building Plans—2 full size sets, to scale and 1 reduced 11 x 17 or 8'/z x 11 set <br /> � ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements <br /> _ ❑ Surve —2 fuli slze,to scale(meeting ALL surve requirements) <br /> ❑ Hardcover Calculations <br /> ❑ Septic S stem Certification <br /> 9D ❑ Minnehaha Creek Watershed District(MCWD)Permit or <br /> ___ Documentation from MCWD stating no permit is re uired _ _ <br /> ❑ Landsca e Walls and/or Retainin Wall Plans <br /> ❑ Stormwater Pollution Prevention Plan SWPPP <br /> ❑ � Access Permit <br /> ❑ ❑ Data Privacy Advisory Form <br /> APPLICANT/OWNER ACKNOWLEDGEMENT: <br /> . Agrees to provide all information required or requested by the Building Department; j <br /> � • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; i <br /> • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are � <br /> solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to I <br /> 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 of <br /> 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-buiit survey at the time the I <br /> Certificate of Occupancy is requested, a temporary Gertificate of Occupancy may be issued upon receFpt of a $10,000 i <br /> escrow to ensure completion of the as-b ilt survey and al1 site improvement5. i <br /> ApplicanYs Signature: Date: � [ <br /> Owner's Signature: Date: <br /> Packet Last Updated: August 2015 <br /> Page 22 <br />
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