2014-01392 - detached garage - Laserfiche WebLink

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I - r STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a.Length(ft.)= Number of bedrooms= U 2c� .Wocd/Frame b.Width(ft.)= J Number of garage stalls: 0 Masonry Areas in square feet Attached= 0 0 Metal c.Basement= t)//TA Detached= ID Poie Bldg. d.151 Story = Alh ❑ICF e 2na Story= gjC�`} 0 On-site Prefab f. h Story r ❑Off-site Prefab g.Total Area= ,I-cl ❑Other(please specify): REQUIRED SUBMITTALS: Sul V VICrli All of the information nust be submitted in order for your application to be proc ssed: 1. Not Enclosed Applicable ❑ 0 Permit Application ❑ 0 Proposed Building Plans 0 0 MN State Energy Code Calculations an• ech.nice Code Requirements Form o ❑ 0 [1?5urve meetin• all re•uiremenis . ,A A A •- ,_A. • _ `, p 45 ❑ _ 0 Stormwater Pollution Prevention Plan ❑ 0 Hardcover Calculation(s) — ( ••IA& r, r.'r /r.•A. M 1 • . 41145 ❑ 0 Septic System Site Ev luation Report ❑ 9 Access Permit .,--4t kri Ar'i ' 11 ❑ 9 Wetland Buffer Improvement Plan o _ 9 Engineered Plans for Retaining Walls 4 feet or above 0 0 innehaha Creek Watershed District Permit s ,�-;1L _ ❑ 7 Plan Review Fee •+ It) 4 ,,kii? i, ` ` t 'OM1 ❑ �j Application Escrow Agreemen .1.- a I - -- Pp & g �� L.. 04,46110 ther; — ��pt) p ovac- le,4se, som•ot - ti- . MOO'. A T/ WNER ' CKWICEDGEMENT: A _ 40,la, • - ea `''r - A • Agrees to provide all information required or requested by the Building Department; �A ttELS CL • Agrees to pay the ity of Orono for engineering consultant review costs to excess of$500; '_` ,, • Certifies that the inf rmation supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responslb a 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 E crow Agreement is completed and signed: • Understands some r all of the information that you are asked to provide on this application is classified by State law as either private or confidenti I. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confide tial data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intend use of this information is to annually update our records and records of other governmental agencies required by law. if y u refuse to supply the information,the application may not be issued. • Agrees that in the :vent that weather or other conditions prevent the completion of an as-built survey at the time the Certific- - : • cu.ancy is req - -- emporary Certificate of Occupancy may be issued upon receipt of a$10,000 -= ow to ensure c•mpletion of the as-built si : and all site improvements. J Ap• cant's Signature: t.- %" 1 Date: t'- , .'- owner's Signature: !, ' X A- -1,--v Date: _ / rip 6431- NS-t--