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2. 
3. 
5. BUILDING PERMIT APPLICATION
7. Job Site Address:*
8. Date:*
   Date:

   Date:
10. Estimated Cost of Construction:*
11. Click on the link below to review the Building Permit Fees Table
    Building Permit Fees Table
13. PROPERTY OWNER:
15. Name:*
16. Email Address:*
18. Address:*
20. City:*
21. State:*
22. Zip Code:*
24. Phone Number:*
25. Fax Number:
27. Contact Person:*
28. Contact Person Phone Number*
30. PROPOSED PROJECT:
32. Proposed Project Description:*
    Review the Building Permit Application Required Documents by clicking on the link below.
34. Required Documents
    Building Permit Application - Required Documents
36. SUPPORTING DOCUMENTATION:
    Upload supporting documentation such as blueprints etc. In many cases, a simple sketch of the plan will suffice.
38. Related Documents
39. Related Documents
40. Related Documents
42. UTILITY REQUESTS:
44. WATER SERVICE

    1. New Tap
    2. New Meter
45. New Water Tap Size
46. New Water Meter Size
47. Number of Water Meters
51. SEWER SERVICE

    1. New Tap
52. New Sewer Tap Size
56. ELECTRIC SERVICE

    1. New Service
    2. Temporary Service
57. Amps
58. Voltage
59. Phase
61. GENERAL CONTRACTOR:
63. Name:*
64. Email Address:*
66. Address:*
68. City:*
69. State:*
70. Zip Code:*
72. Phone Number:*
73. Fax Number:
75. FRAMING CONTRACTOR:
77. Name:
78. Email Address:
80. Address:
82. City:
83. State:
84. Zip Code:
86. Phone Number:
87. Fax Number:
89. PLUMBING CONTRACTOR:
91. Name:
92. Email Address:
94. Address:
96. City:
97. State:
98. Zip Code:
100. Phone Number:
101. Fax Number:
103. ELECTRICAL CONTRACTOR:
105. Name:
106. Email Address:
108. Address:
110. City:
111. State:
112. Zip Code:
114. Phone Number:
115. Fax Number:
117. FOUNDATION CONTRACTOR:
     Unless soil borings are provided, the assumed load bearing value of soil shall be 1,500 pounds.
119. Name:
120. Email Address:
122. Address:
124. City:
125. State:
126. Zip Code:
128. Phone Number:
129. Fax Number:
131. Building Permit is valid for one year from the date of issuance.
133. ASBESTOS DECLARATION*

     By signing this form I understand that The South Dakota Department of Environment and Natural Resources must be notified of all building demolitions at least 10 working days in advance, even if asbestos is not present. Failure to comply with these requirements may result in enforcement actions, including fines and penalties. Both the building owner and the contractor share the responsibility of making sure these requirements are met.

     1. I agree.
135. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
137. Electronic Signature
Leave This Blank:


139. 1. Receive an email copy of this form.
140. Email address

     This field is not part of the form submission.

141. Submit Submit and Print

* indicates a required field