Fillable Building Permit Application (City of Duluth)

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Building Permit Application (City of Duluth)

On average this form takes 15 minutes to complete

The Building Permit Application (City of Duluth) form is 1 page long and contains:

  • 2 signatures
  • 11 check-boxes
  • 45 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Duluth

BROWSE CITY OF DULUTH (MN) FORMS

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Building Permit Application
Complete All Items
Project Name
Site Address Parcel ID Number
Legal Description: Subdivision, Lot & Block or other description
Applicant Name Applicant is:
Applicant Address City State Zip
Applicant Email (REQUIRED) Applicant Phone (REQUIRED)
Owner Name
Owner Address City State Zip
Owner Email (REQUIRED) Owner Phone (REQUIRED)
Description of proposed work:
Check Applicable:
Permit Fee: Plan Review Fee: State Surcharge: Total Enclosed:
Design Professional (Architect or Engineer) or Plan Preparer Name
Design Professional or Plan Preparer Address City State Zip
Design Professional or Plan Preparer Email (REQUIRED) Phone (REQUIRED)
Sprinklered?
Food Service Facility?
Applicant's Signature (REQUIRED)
Applicant's Signature (REQUIRED)
Office Use
LUTech:
#application; #buildingpermit
I do hereby make application for a building permit. The application and accompanying
documents are complete and accurate. Work shall be consistent with the plans and
information provided with the permit application and shall comply with applicable codes,
ordinances and laws and conditions of approval. Work shalll not begin until a building
permit has been issued.
Doc 137-0314
Does the project site or any area to be disturbed by construction contain wetlands?
Application Date
Project Valuation. Include materials and labor for all work:
Commercial
Multi-Family
Occupancy Use Group(s) circle:
Type(s) of Construction (circle):
State Const. Project # - If applicable
Permit questions: 730-5240
New Building
Interior Remodel
No Change of Use
Sitework/Foundation Only
Other
Demolition
Interior Remodel
w/ Change of Use
Owner
Owner's Agent
Contractor
Contractor license #:
No
Yes
Multi-family
Residential
Commercial
Residential (1 or 2 Family or
Townhouse)
No
NFPA 13
NFPA 13 R
A B E F H I M R S U
IA IB IIA IIB IIIA IIIB IV VA VB
No
Yes
Zone District:
Stormwater Zone:
Special Approvals:
I:\DEVELOPMENT\ConstSvcs\FORMS and INFO OUT\Current Handouts\Form - Building Permit Application 137
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Building Permit Application (City of Duluth)

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Completed 3 August 2020

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