City of Saint Peter
Building Department Permit Number__________
227 South Front
St. Peter, MN 56082
Phone: 507-934-0662 Fax: 507-934-4917
BUILDING PERMIT APPLICATION
BUILDING SITE ADDRESS (OR) LOT BLOCK PHONE
PROPERTY OWNER ADDRESS PHONE
GENERAL CONTRACTOR LICENSE# / EXP Date ADDRESS PHONE
PLUMBING CONTRACTOR (IF APPLICABLE) LICENSE# / EXP Date ADDRESS PHONE
MECHANICAL CONTRACTOR (IF APPLICABLE) ADDRESS PHONE
ELECTRICAL CONTRACTOR (IF APPLICABLE) LICENSE# / EXP Date ADDRESS PHONE
EXCAVATION CONTRACTOR (IF APPLICABLE) LICENSE# / EXP Date ADDRESS PHONE
DESCRIPTION OF PROJECT
CONSTRUCTION & SITE PLANS ATTACHED (TWO COPIES EACH) YES NO SQUARE FOOTAGE__________
IS AN EXCAVATION PERMIT REQUIRED? YES NO IS THE HOME OLDER THAN 1978? YES NO
IF SO PROVIDE LEAD CERTIFICATION LICENSE # SIGN (LICENSEE)
ESTIMATED VALUE OF WORK (INCLUDING LABOR) $____________________
DOES THIS VALUE INCLUDE P&H YES NO
Permit becomes void if work does not begin within 180 days or if suspended at any time for
over 180 days. Permits issued and inspections made by the City are a public service and
do not constitute any representation, guarantee or warranty, either implied or expressed,
to any person as to the condition of the building or conformance to applicable construction
codes. The undersigned acknowledges that this application has been read and that
the above is correct and agrees to comply with all the ordinances and laws of the
City of Saint Peter regulating building construction.
EMAIL ADDRESS ________________________________________
______________________________________________ _____________________________ _____________
SIGNATURE OF: OWNER CONTRACTOR AUTHORIZED AGENT PRINTED NAME DATE
BUILDING OFFICIAL APPROVAL DATE ZONING ADMINSTRATOR APPROVAL DATE
BUILDING PERMIT FEE______________________
PLAN REVIEW FEE_________________________
STATE SURCHARGE________________________
TOTAL BUILDING FEE_______________________
PUBLIC WORKS FEE________________________
TOTAL PERMIT FEE________________________
RECEIPT NUMBER_________________________
ISSUED BY________________________________
PW APPROVAL____________________________
Occupancy _____
______
Type of Construction _____
PROPOSED SETBACKS
FRONT_________ NSEW
LEFT___________ NSEW
RIGHT__________ NSEW
REAR___________ NSEW
TYPE OF STRUCTURE
PRINCIPLE BUILDING
GARAGE
ACCESSORY BUILDING
TEMPORARY BUILDING
OTHER (SPECIFY)
TYPE OF WORK
NEW BUILDING
EXISTING BUILDING
ADDITION
REMODEL
REPAIR
DECK
REROOF
RESIDE
PROPERTY USE
SINGLE FAMILY RES.
TWO FAMILY RES.
THREE + FAMILY RES.
COMMERCIAL
INDUSTRIAL
INSTITUTIONAL
PUBLIC