2012-00330 - retaining wall - Laserfiche WebLink

Home Browse Search

STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(corrtinued) 2.Type of Construction a. Lergth(ft.)= Number of bedrooms= ❑Wood/Frame ❑Masonry b.Width(ft.)= Number of garage stalls: ❑Metal Attached= ❑Pole Bldg. Areas in sauare feet Detached= ❑ICF ❑On-site Prefab c. Basement= ❑Off-site Prefab d. 1�Story = ❑Other(please speafy): e.2nd StOry= f. 'h Story = g.Tota�Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for our a plication to be processed: Not Enclosed A licable ❑ ❑ Permit lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ene Code Calculations and Mechanical Code R ui�ements Form ❑ ❑ Surve meetin all uirements ❑ ❑ Stormwater Pollution PreveMion Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ O WeUand Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ O Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all infortnation required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant raview costs in excess of SS00; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to reject it until it is complete; • Adcnowledges the Escrow Agreement is completed and signed; • Understands some or aIl of the information that you are asked to provide on this application is Gassified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Conf�ential 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 r�ecorcls 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 condWons prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested,a bemporary Certlflcate of Occupancy may be issued upon receipt of a;10,000 escrow to ensure completion of the as-built survey and all sibe improvemenffi. ApplicanYs Signature: Date: �" � � �0��