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685 CROSSTOWN BOULEVARD NW, ANDOVER, MINNESOTA 55304 (763) 755-8700 FAX (763) 755-8923
WWW.ANDOVERMN.GOV
Project Address:
Legal
Description
Lot
Block
Development
Owner
Telephone
E-Mail Address
Contractor
License Number
E-Mail Address
Mail Address
Telephone
Mobile Telephone
Property
Type
(CHECK ONE)
Single Family
Residential
Two-Family
Residential
Multifamily
Residential
Townhome
Agricultural
Commercial
Industrial
Institutional
Public / Govt
OTHER
Project
Type
(CHECK ONE)
New
Construction
Addition
Remodel /
Alteration
Basement
Finish
Moving
Attached
Garage/Shed or
Detached
Roofing
Siding
Deck
Pool
Demolition
OTHER (Describe Below)
Description:
Area:
Height:
Estimated Building Valuation:
$
Signature & Acknowledgement of Contractor or Owner Authorized Agent Date
Signature & Acknowledgement of Owner (If Owner is Builder) Date
I hereby apply for a building permit and acknowledge: the information above is complete and accurate; the work will be in conformance with the ordinances and codes of the
City of Andover and Minnesota State Building Code; I understand this is not a permit but only an application for permit; work is not to start without permit; work will be in
accordance with the Approved Plan when City plan approval required. Separate permits are required for electrical, plumbing, mechanical, fire suppression and required fire
alarm systems. This application and any issued permit may become null and void if permit is not issued or work is not commenced within 180 days, or if work is suspended or
abandoned for a period of 180 days. I hereby certify that I have read and examined this application. The granting of a permit does not presume to give authority to violate or
cancel the provisions of any other state or local law regulating construction or the performance of construction.
BELOW - FOR CITY USE ONLY
Land Use Zone
Occupancy Group/s
Division
Construction Type
Engineering/Natural Resources
Tree Preservation Fee YES
NO
Building Area
Basement _________________
1
st
Floor _________________
2
nd
Floor _________________
TOTAL _________________
Inspections
Footing
Foundation
CMU
Poured
Plbg RI
Mech RI
Elect RI
Fireplace RI
OTHER
Framing
Insulation
Stucco/Lath
Plbg Final
Mech Final
Elect Final
Fireplace Final
Final
Utilities
City Sewer
Private Sewer
City Water
Private Well
Building Valuation
Natural Resources Approval
Zoning Approval
Approved for Issuance
Date
Date
Date
BUILDING PERMIT APPLICATION
SQUARE FEET
STORIES / FT ABOVE GRADE
(MMMM, DD, YYYY)
(MMMM, DD, YYYY)
Building Permit Fees
Building permit fees are based on the building valuation determined by multiplying the
areas of the building times the per square foot valuations published by Minnesota
Department of Labor and Industry [DOLI]. Once the building valuation is calculated,
the building permit fee is from the 1997 Uniform Building Code [UBC] Fee Schedule.
Plan review fees are charged when a plan is required and reviewed for compliance with
the building code. The plan review fee is 65% of the building permit fee; except for
plans that are “similar” in design to a plan that has previously been reviewed at full cost
and accepted by the City for repetitive plan review. Then the plan review fee is 25% of
the building permit fee.
Depending on the complexity of the work being permitted, various fees may be charged
with building permit and plan review fees. Those fees may include:
Contractor License Verification
Building Permit State Surcharge
Water Meter & Horn
Water Connection / Inspection Fee
Sewer Connection / Inspection Fee
Water Access Charge [WAC Fee]
Sewer Access Charge [SAC Fee]
Assessments
Sureties Escrows
And occasionally penalties:
Re-inspection Fee
Investigation Fee
Work Without Permit Fee
The fees associated with building permit issuance are sometimes complex
and though consistent may vary widely. For building permit fee estimates,
please contact the City Building Inspections Department by telephone at
(763)-755-8700 or via e-mail at building@andovermn.gov .
Commercial & Residential Plumbing Permit
$75.00 minimum or $12.00 per opening or fixture,
whichever is greater
(“Fixture” includes all plumbing fixtures regulated by the
Minnesota Plumbing Code; and, “Opening” includes water supply
or waste piping installed for a future fixture. )