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STRUCTURE INFORMATION: <br /> " 1.Structure Dimensions 1.Structure Dimensions(coirtinued) <br /> a. Length(ft.)= Number of bedrooms= 2. Occupancy: <br /> b.Width(ft.)= Number of garage stalis: <br /> 3. Occupant Load: <br /> Areas in square feet Attached= <br /> c. Basement= Detached= 4. Type of Construction: <br /> d. 1°�Story = <br /> e.2"�Story= S. Code Edition: <br /> f. '/Story = <br /> g.Total Area= <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for our a lication to be rocessed: <br /> Not <br /> Enclosed A Ncable <br /> ❑ ❑ Buildin Permit Escrow A reement and Fees <br /> ❑ ❑ Plan Review Fee <br /> O 0 Com leted lication Form <br /> ❑ 0 Pro sed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'�x 11 set <br /> ❑ 0 Minnesota State Ener Code Calculations and Mechanical Code R uirements <br /> ❑ O Surve —2 full size,to scale meetin ALL surve r uirements <br /> ❑ ❑ Hardcover Calculations <br /> ❑ ❑ Se tic S stem Certification <br /> ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or <br /> Documentation from MCWD statin no ermit is r uired <br /> ❑ ❑ Landsca e Walls and/or Retainin Wall Plans <br /> ❑ ❑ Stormwater Pollution Prevention Plan SWPPP <br /> ❑ ❑ Access Permit <br /> ❑ � Data Privacy Advisory Form <br /> APPLICANT/OWNER 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 revlew costs in excesa of$500; <br /> • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are <br /> solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no altemative but to <br /> rejed it until it is complete; <br /> • Adcnowledges the Escrow Agreement is completed and signed; <br /> • Understands some or all of the info�rnation that you are asked to provide on this application is Gassified by State law as either <br /> private or confiderrtial. Private data is information which generally cannot be given to the public but can be given to the subject of <br /> the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our <br /> purpose and intended use of this information is to annually update our records and records of other governmental agencies <br /> required by law. If you refuse to supply the information,the application may not be issued. <br /> • Agrees that in the event that weathe�or other conditions prevent the completlon of an as-built survey at the tlme the <br /> Certlflcate of Occupancy is requested, a t�emporary Cerdficate of Occupancy may be Issued upon recalpt of a$70,000 <br /> eacrow to ensure completlon of the as-built survey and all site ImprovemerKs. <br /> ApplicanYs Signature: Date: <br /> Owner's Signature: Date: <br /> Last Updated: January 2016 <br />