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� - _ <br /> STRUCTURE INFORMATION: <br /> 1.Structure Dimensions 1.Structure Dimensions(continued) <br /> a. Length(ft.)= Number of bedrooms= 2. Occupancy: � G`�'� <br /> b.Width(ft.)= Number of garage stalls: <br /> 3. Occupant Load: — <br /> Areas in square feet Attached= <br /> c.Basement= Detached= 4. Type of Construction: � �—,U <br /> d. 1 S'Story = <br /> e.2"d Story= 5. Code Edition: ��5 /� �(r-- <br /> f. Yz 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 /> Not <br /> Enclosed licabie <br /> � ❑ Buildin Permit Escrow A reement and Fees <br /> 0 � Plan Review Fee <br /> � ❑ Com leted A lication Form <br /> � ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set <br /> � ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements <br /> � ❑ Surve —2 full size,to scale meetin ALL surve re uirements <br /> � ❑ Hardcover Calculations <br /> � Bf Se tic S stem Certification <br /> � � Minnehaha Creek Watershed District(MCWD)Permit or <br /> Documentation from MCWD statin no ermit is re uired <br /> � � Landsca e Walls and/or Retainin Wall Plans <br /> � Ga' Stormwater Pollution Prevention Plan SWPPP <br /> � � Access Permit <br /> � ❑ 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 eveirt that weather or other conditio��prevertt the completion of an a�-built survey at the tims fhe <br /> Certificate of Qccupancy is requested,a ie�r�porary Certificat�`of Occupancy may be issued oporr re,ceipt of a$90,000 <br /> escrow to`ensure'comptetion of the as.l�uilt survey and all site improvements. <br /> ApplicanYs Signature: Date: ���� <br /> Owner's Signature: Date: <br /> T RECEIVED <br /> Last Updated: January 2016 MAY 0 5 2017 <br /> � CITY OF ORONO <br />