Commercial Building Permit & Plan Review Application Check List

Commercial Building Permit & Plan Review Application Check List
Applicant is

OwnerDesignerContractorOther
Site
Project Site Address
Owner
Owner
Owner Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person
Phone Number
Owner Email
Contractor
Contractor
Contractor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person
Phone Number
Contractor Email
License Number
Structural Engineer (If Applicable)Mechanical Engineer (If Applicable)
Project
Class of Work

NewAdditionAlterationOther
Anticipated Start Date
Total Construction Valuation
Type of Construction
Square Footage
Subcontractors (If Applicable):
Plumbing:
Mechanical Engineer:
Electrical:
Concrete:
Description of Work
Applicant Email*
example@example.com
I hereby apply for a Building Permit and acknowledge that the information above is complete and accurate; that this is not a permit; that the work will be performed in accordance with the conditions of the permit, the approved plans and specifications, and the Minnesota State Building Code; and, that I will cause the work to remain accessible and exposed for inspection purposes.*

I Agree to the Above Statement
Date*

MonthDayYear
Date
Signature*

Clear
One complete set of blue prints required.
The City of Glyndon requires four weeks for plan review.
Applicant will be notified of review completion.
Permit fees are based on construction valuation.
Plan review fee is 25% of permit fee.
Have you secured disposal for contaminated soil and construction materials?

YesNo
Name of Disposal Facility
Phone Number of Disposal Facility
Resources:

Clay County Landfill: 218-299-5079

Clay Demo Landfill: 218-498-2430 (Glyndon, MN)

Clay County Environment Health: 218-299-5004 or 218-299-7216
City Hall: 36 3rd Street SE | PO Box 223 | Glyndon, MN 56547 | www.glyndonmn.com | 218-498-2578 | Fax: 218-498-2579
Should be Empty:

Commercial Building Permit & Plan Review Application Check List

Site

Owner

Contractor

Project