Laserfiche WebLink
w • <br /> STRUCTURE INFORMATION: <br /> 1. Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction <br /> a. Length (ft.)= � Number of bedrooms= � v�ood/Frame <br /> i ❑ Masonry <br /> b.Width (ft.)= �� Number of garage stalls: ❑ Metal <br /> Attached= ❑ Pole Bldg. <br /> Areas in sauare feet Detached = ❑ ICF <br /> ❑ On-site Prefab <br /> c. Basement= ❑ Off-site Prefab <br /> d. 1 S`Story = ❑ Other(please specify): <br /> e. 2"d Story= <br /> f. '/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 /> N ot <br /> Enclosed Ap licable <br /> � ❑ Permit A lication <br /> ❑ Pro osed Buildin Plans <br /> ❑ fY MN State Ener Code Calculations and Mechanical Code Re uirements Form <br /> �'" ❑ Surve meetin all re uirements <br /> ❑ L� Stormwater Pollution Prevention Plan <br /> C�— ❑ , Hardcover Calculation s <br /> � � I Se tic S stem Site Evaluation Re ort <br /> ❑ C�L Access Permit <br /> C�� ❑ Wetland Buffer Im rovement Plan <br /> 0 I��" En ineered Plans for Retainin Walls 4 feet or above <br /> C� ❑ Plan Review Fee <br /> ❑ ❑ Other <br /> APPLICANT 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 appficant 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 /> • Some or all of the information that you are asked to provide on this application is classified by State law as either private or <br /> confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. <br /> Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and <br /> intended use of this information is to annually update our records and records of other governmental agencies required by law. <br /> If you refuse to supply the information,the application may not be issued. <br /> -_-._� <br /> Y <br /> ApplicanYs Signature: _ ..�--.-- Date: 1 ZS �j <br /> L- <br /> Last Updated: 6/22/2009 <br /> -20 - <br />