McLEAN COUNTY BUILDING PERMIT APPLICATION
NOTE: COPY OF FLOOR PLANS & SITE PLANS ARE REQUIRED TO BE SUBMITTED FOR A
BUILDING APPLICATION TO BE APPROVED
Name of Applicant ________________________________________________
Name of Owner (if different) ___________________________________________
Mailing Address: ___________________________________________
___________________________________________
Daytime phone number: ( ______ ) __________________________________
Location of property:
Lot(s) _________ Block ______ Subdivision _______________________
OR _____________________________________ in _________ (Quarter)
Section __________ Township _______________ Range ____________
Describe proposed construction of buildings either constructed on site □ or moved on site □.
Main building (residence): size _____ X _____ Full basement □ Part Bsmt □ Crawl sp □
Addition to main building: size _____ X _____ Full basement □ Part Bsmt □ Crawl sp □
If Manufactured Home: Year model _____ Make ___________ Serial # ________________
Garage size____ X ____ Attached □ Detached □ Floor: Concrete □ Gravel □
Deck size ______ X ______ ______ X ______ ______ X ______
Storage building size ____ X ____ Wood Frame □ Pole Frame □ Steel Frame □
Sidewall Height ______ Floor - Concrete □ Gravel □
Other ______________________________________________________________________
Do you plan to install a sewage system or holding tank? Yes □ No □
If you plan to install a sewage system or holding tank, your plan must be submitted to the First District
Health Unit in Minot ND for their approval. Contact the Environmental Health Division of First District
Health at (701) 852-1376.
Estimated cost of construction: _______________________________________
The permit fee is 1/10
th
of 1% of the cost of construction, with a minimum fee of $90.00 and a maximum
fee of $500.00 for residential property; $1,000.00 for commercial property.
MAKE CHECKS PAYABLE TO THE McLEAN COUNTY TREASURER.
Return this application and payment to:
Land Use Administrator, McLean County, PO Box 1108, Washburn ND 58577-1108
