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STRUCTURE INFORMATION: <br /> 1.Structure Dimensions 1. Structure Dimensions(continued) 2.T pe of Construction�- <br /> a. Length (ft.)= Number of bedrooms= CL v u .r/fC '-7 <br /> Wood Frame <br /> b.Width(ft.)= Number of garage stalls: Mas my igcLi2 �/v7 >� <br /> ❑ M al <br /> Areas In square feet Attached =___ <br /> ❑ ole Bldg. <br /> c. Basement= __ Detached= <br /> - El/CF <br /> d. 1 a Story = <br /> n-site Prefab <br /> e.2"d Story= <br /> -site Prefab <br /> f. 1/2 Story = ICI Oth (please specify): _--_-- <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 Applicable <br /> ❑ <br /> 0 Building Permit Escrow Agreement and Fees <br /> ❑ <br /> 0 Plan Review Fee <br /> ❑ <br /> 0 Completed Application Form <br /> O ❑ Proposed Building Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 81/2 x 11 set <br /> ❑ <br /> 0 Minnesota State Energy Code Calculations and Mechanical Code Requirements <br /> ❑ 0 Survey-2 full size,to scale(meeting ALL survey requirements) <br /> O ❑ Hardcover Calculations <br /> ❑ <br /> 0 Septic System Certification <br /> ❑ <br /> 0 Minnehaha Creek Watershed District(MCWD)Permit or <br /> Documentation from MCWD stating no permit is required <br /> O ❑ Landscape Walls and/or Retaining Wail Plans <br /> ❑ ❑ Stormwater Pollution Prevention Plan(SWPPP) <br /> ❑ ❑ Access Permit <br /> ❑ 0 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 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 application 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 completed 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 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 weather or other conditions prevent the completion of an as-built survey at the time the <br /> Certificate of Occupancy is requested, a temporary Certificate of Occupancy may,be'Issued upon receipt of a $10;000 <br /> escrow to ensure completion of the as-built survey and all site improvements, <br /> 4? kni_[f! <br /> GApPlicant's Signature: Date: I <br /> Owner's Signature: Date: 'at bZ ( t i <br /> Packet Last Updated: August 2015 <br /> Page 22 <br />