2016-01343 - new structure - Laserfiche WebLink

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STRUCTURE'INFORMATION:I 1.Structure Dimensions 1.Structure Dimensions(continued) 2. °Li 20L1 1 Q a. Length(ft.)= £0 Number of bedrooms= 1 4ols / t / b.Width(ft.)= 9 c` Number of garage stalls: .-l� _ 7 ry ` e CITY OF ORONO Areas in square feet Attached= 1 Mal' �I C(90S i litre .Y/ ll../ 1/ x`44 Bldg. �/ c. Basement= /2.1-7 Detached= /,,�� ©C(.at7 - z/fC--/ :i; : : II1` O C. e P faLy ,j1'9$0. I • /-sv 0 i 0'U _° cifMgc f. '/Story = 0 Oth-r • ° - pi ify): g.Total Area= 4I«p . -I REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable 12r-* 0 Permit Application Er• ❑ I Proposed Building Plans 0 1 MN State Energy Code Calculations and Mechanical Code Requirements Form 122/ 0 Survey(meeting all requirements) Qom' 0 Stormwater Pollution Prevention Plan 1 Hardcover Calculation(s) 114 g I Septic System Site Evaluation Report Cif 0 Access Permit ❑ 0 Wetland Buffer Improvement Plan ❑ 0 Engineered Plans for Retaining Walls 4 feet or above 13 . 0 IMinnehaha Creek Watershed District Permit(s) L3 0 Plan Review Fee C3" 0 Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNO114EDGEMENT: • Agrees to provide all informatiorh required or requested by the Building Department; • Agrees to pay the City of Oropo for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agrement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private ata 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 cannot be given to either the public or the subject of the data. Our purpose and intended use of t is information is to annually update our records and records of other governmental agencies required bylaw. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that eather or other conditions prevent the completion of an as-built survey at the time the Certificate;of-Occupancy is ` uested, a temporary Certificate of Occupancy may be issued upon receipt of a$10,000 escrow to ensure completion] f the as-built survey and all site improvements. Applicant's Signaturje: �/ Date: 4,- 2-8 —a Owner's Signature: Date: /— a-r-/G.