2017-00271 - new house - Laserfiche WebLink

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STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) ` ��'G� � a. Length{ft.)= �� Number of bedrooms= � 2. Occupancy: b.Width(ft.)= (O�♦ Nurnber of garage stalls: � 3. Occupant Load: Areas in s uare feet Attached = 1 50 uNF�N . ��;� c. Basement= 5°I� F►�1• De#ached= � 4. Type of Construction: _ � 7�_�= d. 1 S�Story = Z.S�� E,A�a� y�/"' e.2"d Story= 5. Code EdiEion: 'Z0�5 ��/-�1� f. '/z Story = 2Sd� g.Total Area= 7 'r� t SZS REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Agplicable ❑ Building Permit Escrow A�reerrtent and Fees — — __ __— �_ ❑ Plan Review Fee ❑ Com leted A lication Form ❑ Pro osed Buiidin P[ans-2 full size sets,to scale and 1 reduced 11 x 17 or 8 Yz x 11 set D Minnesota 5tate Ener Code CalculafEons and Mechanical Code Re uirements ❑ Survey-2 full size,to scale meeting AL.L surve re uirements ❑ Hardcover Calculations Se tic System Certification � Cl Minnehaha Creek Watershed District(MGWD) Permit or Documentation from MCWD stating no ermit is re uired ❑ Landsca e Walls and/or Retainin Wall Plans � ❑ Stormwater Pollution Prevention Plan SWPPP ❑ Access Permit ❑ Dafa Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all in#ormation required or requested by fhe Building Department; . Agrees to pay the City of Qrono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of hislher knowledge. The applicant recognizes that they are solely responsible for submitting a compiete application being aware that upon failure to do so,the staff has no aiternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information ihat you are asked to provide on this application is classified 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. Confidential data is information which generally canriot be given to eifher the public or the subject of the data, Our purpose and intended use of this information is to annualiy update our records and records of other governmental agencies required by(aw. If you refuse to supply the information,#he applicafion may not be issued. . Agrees that in fhe event that weather or other conditions prevent the completion of'an as-built survey at the time the CerEificate of Occupancy is requested,a ternporary Certificate of Occupancy;may be issued upon receipt of a$10;000 escrow to ensure completion of the as=li ilt survey and all site'improvements. ApplicanYs Signature: Date: � �� ' Owner's Signature: t Date: 3 a-3 � Last lJpdated: January 2D16