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� � <br /> � i <br /> STRUCTURE INFORMATION: <br /> 7.Structure Dimensions 1.Structure[�imensions(continued) <br /> a. Length(ft.)= Number of bedrooms= 2. Occupancy: Iv <br /> b.Width(ft.)= Number of garage stalls: <br /> 3. Occupant Load: � <br /> Areas in sauare feet Attached= <br /> � <br /> c. Basement= Detached= 4. Type of Construction: s <br /> d. 1 S'Story = <br /> e.2"d Story= �17 5. Code Edition: �j6����� <br /> f. '/z Story = <br /> g.Total Area= �7'7 <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in or er for your application to be processed: <br /> Not <br /> Enclosed A licable <br /> � ❑ Buildin Permit Escrow A reement and Fees <br /> � ❑ Plan Review F e <br /> 1S ❑ Com leted A lication Form <br /> �I ❑ Pro osed Buil in Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8 Y�x 11 set <br /> � � Minnesota Stat Ener Code Calculations and Mechanical Code Re uirements <br /> � ❑ Surve —2 full ize,to scale meetin ALL surve re uirements <br /> � � Hardcover Cal ulations <br /> � .8- Se tic S stem ertification <br /> � -� Minnehaha Cre�ek Watershed District(MCWD)Permit or <br /> Documentation from MCWD statin no ermit is re uired <br /> � � Landsca e Wal s and/or Retainin Wall Plans <br /> � '� Stormwater Pol ution Prevention Plan SWPPP <br /> � ff Access Permit ' <br /> �. ❑ Data Privacy A visory Form <br /> APPLICANT/OWNER ACKNOWLEDGEMEN : <br /> • Agrees to provide all information required or req�ested by the Building Department; <br /> • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; <br /> • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are <br /> solely responsible for submitting a complete ap{�lication being aware that upon failure to do so,the staff has no alternative but to <br /> reject it until it is complete; <br /> • Acknowledges the Escrow Agreement is compl�ed and signed; <br /> • Understands some or all of the information that�you are asked to provide on this application is classified by State law as either <br /> private or confidential. Private data is informatio which generally cannot be given to the public but can be given to the subject of <br /> the data. Confidential data is information whic generally cannot be given to either the public or the subject of the data. Our <br /> purpose and intended use of this information i$ to annually update our records and records of other governmental agencies <br /> required by law. If you refuse to supply the infor�nation,the application may not be issued. <br /> I <br /> • Agrees that in the event that weather oroth r conditions prevent the completion of an as-built survey afthe'time the <br /> Certificate of Occupancy is requested, a te orary Certificate of Occupancy may be issued upon receipt of a$10,000 � <br /> escrow to ensure completion of the as-built s rvey and all site improvements. <br /> ApplicanYs Signature: Date: I / 7 � <br /> Owner's Signature: Date: � � / <br /> Last Updated: January 2016 <br />