Building Permit

Applicant Information

Yes No

Site Location
Building Permit
New Construction
Plumbing
Mechanical
Addition
Re-Roof
Fireplace
Deck
Re-Side
Fence
Windows / Doors
Finish/Remodel
Septic
Pool
Other
Structure Size
Supporting Documents

Acknowledgement and Signature:
The undersigned hereby requests permission to make the real improvements specified, and declares under penalty of law acknowledgement and acceptance of all information, conditions, and requirements represented on this document.The undersigned affirms to the accuracy of all information submitted along with the application and acknowledges responsibility to pay for plan review costs associated with this application regardless of if the permit is issued.
The undersigned recognizes that this document is merely an application and that no work may be completed until plans have been approved, all permit fees are paid, and the permit has been issued.After the permit has been issued, the undersigned agrees to do all work in strict compliance with all City of Independence ordinances and State of Minnesota building code requirements.The undersigned further agrees to carry out inspections necessary for this permit.