Laserfiche WebLink
+ - <br /> STRUCTURE INFORMATION: ' <br /> 1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction <br /> a. Length (ft.)= 'l�l } Number of bedrooms=_� �Wood/Frame <br /> ❑ Masonry <br /> b.Width (ft.)= �Z ± Number of garage stalls: ❑ Metal <br /> Attached =_� ❑ Pole Bldg. <br /> Areas in spuare feet Detached = ❑ ICF <br /> g2 F�K�G,.,d. ❑ On-site Prefab <br /> c. Basement= `5e3 �.c.a-�ve,� ❑ Off-site Prefab <br /> d. 15t Story = 1 SSS ❑ 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 /> Not <br /> Enclosed A licable <br /> � � Permit A lication <br /> �- ❑ Pro osed Buildin Plans <br /> � ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form <br /> � ❑ Surve meetin all re uirements <br /> � '� Stormwater Pollution Prevention Plan <br /> � ❑ Hardcover Calculation s <br /> ❑ � Se tic S stem Site Evaluation Re ort <br /> ❑ � Access Permit <br /> ❑ � Wettand Buffer Im rovement Plan <br /> ❑ � En ineered Plans for Retainin Walls 4 feet or above <br /> ❑ ❑ 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 applicant recognizes that they <br /> are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative <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�ther governmental agencies required by law. <br /> If you refuse to supply the information,the application may not be issued. <br /> ApplicanYs Signature: � Date: �-9—f� <br /> �' ��° �� <br /> Last Updated: 9/29/2009 - � --� <br /> - 18- <br />