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i <br /> STRUCTURE INFORMATION: -�-Season Porch Addition onto existing home. <br /> 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction <br /> a. Length (ft.)= Number of bedrooms =_ �Wood i Frame <br /> ❑ Masonry <br /> b.Width (ft.)= Number of garage stalis: ❑ Metal <br /> Attached = ❑ Pole Bldg. <br /> Areas in sauare feet Detached = ❑ ICF <br /> ^ ❑On-site Prefab <br /> c. Basement= ❑ Off-site Prefab <br /> d. 151 Story = ❑Other(please specify): <br /> e.2nd SIOry= <br /> f. Yz Story = <br /> g. Total Area= <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for our a plication to be processed: <br /> Not <br /> Enclosed A licable <br /> l� ❑ Permit A lication <br /> 1� ❑ Pro osed Buildin Plans <br /> ❑ � MN State Ener Code Calculations and Mechanical Code Re uirements Form <br /> __ � _ __❑ _ __ Survey(meeting all requirementsZ <br /> - _ ---- _- -- - ---- ------------- <br /> ❑ � Stormwater Pollution Prevention Plan <br /> � � Hardcover Calculation s <br /> � 1� Se tic S stem Site Evaluation Re ort <br /> � I� Access Permit <br /> ❑ Q� Wetland Buffer Improvement Plan <br /> --- -- __ _ _ __. � <br /> ❑ I� En ineered Plans for Retainin Walls 4 feet or above <br /> 1� ❑ Plan Review Fee <br /> ❑ 1� 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 /> 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 information, the application may not be issued. <br /> ��i- <br /> � 6/11/2010 <br /> ApplicanYs Signature: Date: <br /> Last Updated: 9/29/2009 <br /> - 18- <br />