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STRUCTURE INFORMATION: <br /> 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction <br /> a. Length(ft.)= Number of bedrooms= ood/Frame <br /> / ■ Masonry <br /> b.Width (ft.)= '- O Number of gar ge stalls: ❑ Metal <br /> Attached = ❑ Pole Bldg. <br /> Areas in square feet Detached = ❑ ICF <br /> ❑ On-site Prefab <br /> c. Basement= — ❑ Off-site Prefab <br /> d. 15t Story = i � %�C.YC Q Sill S S ❑ Other(please specify): <br /> e. 2nd Story= / <br /> f. '/2 Story = ect ")e_ 77-)-41A <br /> g. Total Area= u v <br /> ?Z I( 22, /0 40/r Y U <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 /> ❑ 0 Permit Application <br /> ❑ ❑ Proposed Building Plans <br /> ❑ <br /> 0 MN State Energy Code Calculations and Mechanical Code Requirements Form <br /> O 0 Survey(meeting all requirements) <br /> _ <br /> O ❑ Stormwater Pollution Prevention Plan <br /> ❑ <br /> 0 Hardcover Calculation(s) <br /> ❑ <br /> 0 Septic System Site Evaluation Report <br /> ❑ <br /> 0 Access Permit <br /> ❑ ❑ Wetland Buffer Improvement Plan <br /> ❑ ❑ Engineered Plans for Retaining 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 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 <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 /> • 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 <br /> of 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 agreement to ensure completion of the as-built survey and all site improvements. <br /> Applicant's Signature: Date: �� <br />