Residential Building Permit Application

Residential Building Permit Application
Property Owner Information
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Email*
Project Site Adress
Contractor Information
Company
Contact Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Email
License Number
NewAdditionAlterationOther
Anticipated Start Date
Total Project Valuation
Square Footage
Sub Contractors: (If Applicable)
Plumbing
Mechanical
Electrical
Description of Work (For residential garages, additions, decks, and porches, PLEASE DRAW A SITE PLAN including setbacks from property lines, and upload it below.)
Site Plan Upload

Cancelof
RamblerTwin Home2 StoryBi-LevelSplit Level
Parcel Number
Legal Description
New Construction Must Also Include:
- (1) Set of Blueprints with wall section/cross section.
- (1) Set of Floor Truss and Roof Truss LAYOUT ONLY.
New Construction File Upload

Cancelof
Type of Balanced Mechanical Ventilation System
TOTAL VENTILATION RATE
The City of Glyndon requires 24 hours for review. Applicant will be notified upon review completion.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
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:

Property Owner Information