Fillable BUILDING Permit Application COMMERCIAL City Of Elk River

Fill Online, Printable, Fillable, Blank BUILDING Permit Application COMMERCIAL City Of Elk River Form

Use Fill to complete blank online CITY OF ELK RIVER (MN) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

BUILDING Permit Application COMMERCIAL City Of Elk River

On average this form takes 13 minutes to complete

The BUILDING Permit Application COMMERCIAL City Of Elk River form is 2 pages long and contains:

  • 2 signatures
  • 17 check-boxes
  • 38 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Elk River

BROWSE CITY OF ELK RIVER (MN) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Office Use Only
Notes: Scan
Permit Total:
$ _____________
COMMERCIAL
BUILDING
Permit Application
City of Elk River
Building Safety Division
13065 Orono Parkway NW Elk River, MN 55330
763.635.1060 E-mail: Building@ElkRiverMN.gov
Site Address: __________________________________________________ PID #________________________________________
Subdivision _____________________________________________________________ Lot ________ Block ________
Property Type: Commercial Industrial Institutional
Construction Type: New Addition Remodel Repair Alteration Other ____________
The Applicant Is: Owner Contractor Other ____________________
Property Owner:
Name ______________________________________________________ Phone ______________________________________
Address ____________________________________________ City _________________ State ________ Zip _____________
Email _______________________________________________________________
Contractor:
Business Name ______________________________________________ License/Bond _________________________________
Address ____________________________________________ City _________________ State ________ Zip _____________
Office Phone _________________________________ Cell _______________________________
Email _______________________________________________________________
Architect/Engineer:
Name _______________________________________________________ Phone ______________________________________
Address ____________________________________________ City _________________ State ________ Zip _____________
Email ___________________________________________________________
PLEASE COMPLETE OTHER SIDE OF APPLICATION
__________________________________________________________________________________________
Office Use Only
Permit fee: _______________ Plan check fee: ____________ State surcharge fee: ______________ Sewer fee: ______________ License fee: ________________
Construction type: _________ ___ Occupancy group: ____________ Division: ___________ Total SQ FT___ __________ Max Occupancy Load_____________
Approved by: ______________ Date: ____________ Called or L/M Date: _____________ Int. ______
Last Modified 11/2018
Date: ______________________
Permit #:______________________
Date: ______________________
Permit #:______________________
Detailed description of work:
* Please note: Separate permits are required for electrical, plumbing, and/or mechanical work.
Total Job Valuation $ _____________________
Payment Options:
Call me for credit card payment (If different than above, please note: Phone: ______________________________________)
Send Check (Please make checks payable to the City of Elk River)
Pay in person via Credit Card, Check, or Cash
Receipt of Permit Options:
Email permit (If different than above, please note: Email : ______________________________________________________)
Pick up in person (All permits with plans needs to be picked up)
This is an application for a permit – It is not valid until processed
I hereby apply for a Building Permit, and I acknowledge that the information above is complete and accurate. I understand this is not a permit and work is
not to start without a permit.
I understand and hereby agree that the work for which the permit issued shall be performed according to; (1) the conditions of the permit; (2) the
approved plans and specifications; (3) the applicable city approvals, ordinances, and codes; and, (4) the state building/mechanical codes and regulations.
I understand that the permit will expire, and become null and void if work is not started within 180 days, or if work is suspended or abandoned for a
period of 180 days any time after work has commenced; and, that I am responsible for ensuring that all required inspections are requested in conformance
with the state building code.
____________________________________________________________________________________________________________
Signature of Contractor/Responsible Party Print Name Date
____________________________________________________________________________________________________________
Signature of Property Owner Print Name Date
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

BUILDING Permit Application COMMERCIAL City Of Elk River

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 10 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document