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STRUCTURE INFORMATION: <br /> � <br /> 1.Structure Dimensions' �� 1.Structure Dimensions(continued) - , <br /> r' <br /> a.Length(ft.)= �� �� Number of bedrooms=� 2. Occupancy: �/�C� " I <br /> 1 <br /> b.Width(ft.)= Z� � � Number of garage stails: <br /> �� <br /> 3. Occupant Load: <br /> Areas in sauare feet Attached= � <br /> c.Basement= �yya Detached= �,�� <br /> ��2v 4. Type of Construcion: __-,�yL <br /> d. 1g'Story = 1 `�0+ <br /> e.2"d Story= �t� � N�� 5. Code Edition: z � 6'� <br /> � .L__ <br /> f. '/Story = 1�1 , <br /> g.Total Area= b NO <br /> REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your application to be processed: <br /> Not <br /> Enclo ed A licable <br /> — � -8u+lcJin Pertrrit Escrow- �emerrt-and-Fe�s ��--^�- - <br /> � ❑ Plan Review Fee <br /> � Com leted A lication Form <br /> 0 Pro osed Buildin Plans—2 fuil size sets,to scale and 1 reduced 11 x 17 or 8%z x 11 set <br /> � ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements • V�C- <br /> � Surve —2 full size,to scale meetin ALL surve re uirements �r <br /> � D� Hardcover Cafculations r <br /> � Se tic S stem Certification <br /> 0 Minnehaha Creek Watershed District(MC D)Pennit or ,4 <br /> Documentation from MCWD statin no ermit is re uired <br /> � � Landsca e Walls and/or Retainin Wall Plans <br /> � Landsca e Plan <br /> � Stormwater Pollution Prevention Plan SWPPP <br /> � Access Permit <br /> � ❑ Data Privac Adviso 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 consuitant 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 the� <br /> solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative b <br /> reject it until it is complete; <br /> • Acknowledges the Escrow Agreement is completed and signed; <br /> • Understands some or all of the inforrnation that you are asked to provide on this application is classified by State law as e <br /> private or confidential. Private data is information which generally cannot be given to the public but can be given to the subje <br /> the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. <br /> purpose and intended use of this information is to annually update our records and records of other governmental ager <br /> required by law. If you refuse to supply the information,the application may not be issued. <br /> • 'Agrees that�n the event that weather or other contlitions prevent the completion.of an as`built'survey at the time <br /> Certifcate of Occupancy is;:requested, a:temporary Certificatelof Occupancy may;be issue;d upon:receipt of a,$1p <br /> escrow to ensure completion of the as-6uilt survey and all sit".e improxements'. <br /> Applicant's Signature: Date; �� /� �(� <br /> Owner's Signature: - Date: /Q <br /> Packet Last Updated: January 2016 <br /> PanP�9 <br />