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. ' . <br /> STRUCTURE INFORMATION: <br /> 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction <br /> a. Length(ft.)= � Number of bedrooms= Wood/Frame <br /> � �Masonry <br /> b.Width(ft.)= i1-- Number of garage stalls: ❑Metal <br /> Attached= ❑ Pole Bldg. <br /> Areas in sauare feet Detached= ❑ ICF <br /> ❑On-site Prefab <br /> c.Basement= �� ❑ Off-site Prefab <br /> d. 15�Story = �6"��� ❑Other(please specify): <br /> e.2"d StOry= �� <br /> f. '/z 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 /> � ��' �a �� � �,, ����y�� ,� � � n � y��� � � �� <br /> �� �= a� ; tA z � , .. : � � a�� �,�x G✓�s'� �`E€� �1: ����S , �y �� � �a � <br /> � r �,�„ . , . � q• :s' �. =m � :.,Nt - $ <br /> 1�� .,��. ��',.-: ,..�...� ..-�,ai �:` ,. ..,�•-� ..< .a•+��, i . . .. �.«.,,�.._. �o„r- '�,.�+ .s`.�., a���..� - <br /> „ . , . _ . . , , ,., ... ; Q ., . - <br /> O 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 /> ❑ Wetland 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 fo�engineering consultant review costs in excess of 5500; <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 alternative <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 other governmental agencies required by law. <br /> If you refuse to supply the informatiqn,the application may not be issued. <br /> ApplicanYs Signature: Date: (��ZSIU� <br /> Last Updated: 9/29/2009 <br /> - 18- <br />