Fillable City of Jordan Building Permit All Building Permits: (City of Jordan, MN)

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City of Jordan Building Permit All Building Permits: (City of Jordan, MN)

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The City of Jordan Building Permit All Building Permits: (City of Jordan, MN) form is 1 page long and contains:

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  • 16 check-boxes
  • 28 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Jordan, MN

BROWSE CITY OF JORDAN, MN (MN) FORMS

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City of Jordan Building Permit
Permit No. ___________
Date Issued: __________
All Building Permits: Fill Out Completely
Site Address: _______________________________________ Today’s Date: ______________________
Owner’s Name: ________________________________ Owner’s Phone Number: __________________
Contractor Name: _________________________ Address: ____________________________________
Contractor Phone: _____________________ Contractor Email Address: _________________________
Type of Work: AC Furnace Reroof Reside New Construcon
Finish Basement Deck Plumbing Mechanical Water Heater
Water Soener Pool Porch Windows/Doors (aach supplement)
Other (please describe): ______________________________________________________________
Esmated Value: ______________ Residenal Commercial
City Copy Inspector Copy Applicant Copy Finance Copy
Addional Informaon
Contractor License No. ___________________ Property Zoning: _____________________
Addion: _____________ Plat Number: ____________________Property ID: ____________________
Secon _________ Lot: ___________ Block: ________________________
Floor Area Apporonment Use Area
_____________________________________ _________________________________ sq. .
_____________________________________ _________________________________ sq. .
_____________________________________ _________________________________ sq. .
Total Floor Area _________________________________ sq. .
Addional Notes: ____________________________________________________________________
____________________________________________________________________________________
___________________________________
Applicant Name (printed)
___________________________________ ________________________________________
Applicant Signature Building Inspector Approval
OFFICE USE ONLY
FEES
Permit Fee: _________________
Plan Check Fee: ______________
Penalty Fee: _________________
Surcharge Fee: ________________
Fireplace: ___________ SC ______
Plumbing Fee: ________ SC ______
Mechanical Fee: ________ SC ____
Remote Reader Fee: ____________
Water Meter Fee: ______________
Water Connect Fee: ____________
Sewer Fee: ___________________
Sewer Connect Fee: ____________
Storm Sewer Fee: ______________
Equipment Fee: _______________
Landscape Escrow: _____________
Erosion Control: _______________
Other: _______________________
Other: _______________________
TOTAL FEE:
___________________________
CODE ANALYSIS
Type of Const.: ________________
Building Use: __________________
Occupancy Group: _____________
Occupancy Load: ______________
MATERIAL W/ APP.
Soils: ________________________
Borings: ______________________
Percolaon: __________________
Compacon: __________________
Plans and Specs Sets: _______
Survey: Copies: ____
Energy Calculaons: ____________
Piling Logs: ___________________
FIRE SPRINKLERS REQUIRED
Yes No
SPECIAL APPROVALS
Zoning: ______________________
Fire Dept.: ____________________
Health Dept.: _________________
Public Works: _________________
County: ______________________
Other:
It is my responsibility to locate and establish the elevaons if needed of all site improvements and property
boundaries. Required adjustments at my expense. The undersigned hereby agrees that, in case such permit is
granted, that all work which shall be done and all materials which shall be used shall comply with the plans and
specicaons herewith submied and with all the ordinances of said City of Jordan applicable thereto.
Received Paid
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City of Jordan Building Permit All Building Permits: (City of Jordan, MN)

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Completed 9 February 2021

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