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STRUCTURE INFORMATION: <br /> • 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction 1r—s <br /> a. Length(ft.)= Number of bedrooms= W <br /> ood/ e <br /> b.Width(ft.)= Number of garage stalls: <br /> Areas in sauare feet Attached= <br /> �'d ode I�v<<4-it�u <br /> .c. Basement= Detached=d. 1$'Story = refab <br /> e.2nd Story= refab <br /> f. %Story = ase specify): <br /> g.Total Area= <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your application to beprocessed: <br /> Not <br /> Enclosed Applicable <br /> ❑ ❑ Building Permit Escrow Agreement and Fees <br /> ❑ ❑ Plan Review Fee <br /> ❑ ❑ Completed plication Form <br /> ❑ ❑ Proposed Building Plans—2 full size sets to scale and 1 reduced 11 x 17 or 8%x 11 set <br /> ❑ ❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements <br /> ❑ ❑ Survey—2 full size to scale(meeting ALL survey requirements) <br /> ❑ ❑ Hardcover Calculations <br /> ❑ ❑ Septic System Certification <br /> ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or <br /> Documentation from MCWD stating no permit is required <br /> ❑ ❑ Landscape Walls and/or Retaining Wall Plans <br /> ❑ ❑ Stormwater Pollution Prevention Plan SWPPP <br /> ❑ ❑ Access Permit <br /> ❑ ❑ Data Privac 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,oth r waitiotl�ft' virlt the�cpmpletion gf.an`es�bullt s�irvey at;ths im :the <br /> Certificate:of Occupancy is requested a te!p004ii�r,+Certllies hof accupaacy,may belssusa_upa� receipt of a X10,000 <br /> escrow.to ensure completion of the as-�tul1#_suMY and all sib'Imp 460100, <br /> Applicant's Signature- Date: <br /> Owner's Signature: �i! U.n� Date: <br /> Packet Last Updated: August 2015 <br /> Page 22 <br />