Permit No.______________PID No.________________DATE RCVD.___________

320 Oak Street South - Sauk Centre, MN 56378 Permit Fee $

Surcharge $

Plan Check $

City Fee $

Water Access $

Sewer Access $

PUC Fee $

Please Type or Print Legibly:

1. Site Address________________________________________________Sauk Centre, MN 56378

2. Owner(s)__________________________________________Daytime Phone_____________________

3. Owner's Address (if different from above)__________________________________________________

4. Legal Description of Site: (Please Attach Metes & Bounds Description)Note* If unknown, please refer to property tax statement or ask Zoning Administrator

5. Zoning SETBACKS & LOT COVERAGE VARY IN THE DIFFERENT ZONING DISTRICTS

6. Type of Improvement:

7. Describe in detail work to be done________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

8. Building Covering Material(s) If Applicable __________________________________________________

9. Approximate Start Date_______________________________

10. Estimated Cost of Project (Including Materials & Labor ): $______________________

11. Type of Construction:

For Office Use Only

Additional Information Requested On Reverse

Ph: (320) 352-2203 FAX: (320) 352-0121

New Building

Build_____ Addition_____ Remodel_____ Roof Only_____ Other_____

On Site_____ Modular_____ Prefabricated_____ Other______________(Explain)

Commercial Permit Application

Email: planning@ci.sauk-centre.mn.us

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12. Dimensions of Structure:___________________________

13. Number of Stories of Structure(s)______________________

14. Please Provide the Following: (If Applicable)

General Contractor ________________________________________PH:_______________________

Electrical Contractor _______________________________________PH:_______________________

Plumbing Contractor _______________________________________PH:_______________________

Mason & Concrete Contractor ________________________________PH:______________________

Heating & Venting Contractor ________________________________PH:_____________________

Excavation Contractor_______________________________________PH:_____________________

Sprinkler Contractor_________________________________________PH:_____________________

X Utilities Checklist (To Be Completed and Signed at Public Utilities Office) X Certificate of Survey (by licensend Land Surveyor) X TWO SETS of Construction Plans (Signed By Architect if Applicable)

_____Other___________________________________

AUTHORIZED SIGNATURE OF OWNER OR OWNER'S AGENT ZONING ADMINISTRATOR

This Permit Expires One Year From:_____________________ BUILDING OFFICAL

I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and

Ordinances governing this type of work will be complied with whether specified herein or not. I have identified all property

boundaries, easements, flood zones and/or wetlands existing on the property on my site plan and application.

The undersigned further agrees the City and its' adminstrative staff relied on the accurateness of this application, plans and specifications

relative to this project and holds the city of Sauk Centre,

and its employees harmless from all liability arising from the granting of this permit.

Required Forms & Items to Return with Application:

Your application will be deferred until all checked items above are provided.

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Utilities Checklist

NOTE: This form must be presented to the Sauk Centre Public Utility Commission Office (101 Main St. S.) signed by a member of their staff and returned to the Planning & Zoning office before a building permit will be issued.

Will buifding require electrical heat?

Are you Installing an electric hot water heater?

Adding electric central air conditioning?

Do you require new electric service or or a change in service box location?

Date: ----------

Are there any changes to your present water service planned or a new line hook-up?

Are there any changes to your present sanitary sewer service planned or a new hookup?

If a disturbance to the street adjacent to the structure is needed for utility services, have you applied for a street opening permit from the City Hall?

Do you wish to know more about load management of electrical service?

YES

Will you be Installing a lawn sprinkler system? ___ _

Name:

Address:

NO NIA

Legal Description: _______________________________ _

General Contractor: Electrician: ---------- -------------------

Plumber: Excavator: _________________ _

REMINDERS: 1. There shall be Installed in all new buildings a remote reading water meter adjacent to the electric meter.

The owner must install a half inch (1/2) PVC conduit from the water meter location to the electric meter socketpanel on the outside of the building. Conduit shall be placed within six (6) inches alongside the conduit of theelectric meter socket panel and a minimum of two (2) feet above grade.

2. There will be NO removal of dirt in the public road right-of-way or the public easement.There are many different utility services located In the R-0-W and easements, therefore,the elevation and coverage cannot be changed.

3. Customers with new sewer & water hookups to the sanitary sewer & water mains shall pay both sewer andwater access charges (SAC & WAC). The WAC charge is $. ____ for a (1) inch service line or smallerThe SAC charge Is $. ____ for upto and including a (4) inch service line. Services over these sizes will be addressed on an individual basis. This charge Is to be paid along with the building pennit fee at City Hall.

Public Utilities Signature

Property Owner/Applicant Signature

Date

Date

Initial______

Initial______

Initial______

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Erosion Control Requirements Landscaping and Grading

It is the intent of the City of Sauk Centre to satisfy the appropriate water quality requirements of the Clean Water Act and the Environmental Protection Agency’s (EPA) Storm Water Phase II of the National Pollutant Discharge Elimination System (NPDES) storm water program.

Provisions shall be made to the maximum extent practical for construction related activities to assure:

• Public streets remain clean• The water quality of our water bodies and wetlands is protected and enhanced• Discharge of sediments and pollutant runoff into storm drains is reduced or eliminated• Surrounding properties will be minimally affected by erosion and runoff

Construction activities which include: clearing, grading or excavating land shall provide for effective control of erosion, sediments and all other pollutants. The property owners or construction site operators shall be responsible for the installation and monitoring of erosion and sediment controls and best management practices (BPM’s). Such controls will be monitored through the building permit inspection process.

At minimum, the following BPM’s shall be implemented:

• Silt fencing around areas of disturbed soilSilt fencing shall be placed around the outer edge of all areas in accordance withthe details shown on the back. On typical residential lots, the placement shall bewithin 3' of the lot line. The City will determine those areas that require siltfence based on the site plan submitted, but the city reserves the right to requireadditional silt fence at any time as determined necessary. A sample of erosioncontrol requirements is on the reverse side illustrating the details for installationof silt fencing.

• Stabilized construction entrancesUsing soil to bridge the curb line or cross the street is PROHIBITED. Plywoodor wood planking may be used or curb cuts or driveway aprons may becompleted for entrance.

• Temporary rock construction entrancesTemporary rock entrances shall be placed at all access points to a constructionsite. The installation of more than one access point shall be reviewed andapproved by the City. The rock entrances shall be a minimum of 12 feet in widthand 20 feet long and shall be placed in accordance with the details shown on theback.

I have read, understand and agree to the above requirements.

Signed: Date:

4 of 10

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A Certificate of Survey by a MN Registered Land Surveyor is required with all applications for new construction. The survey should include at minimum:

* Legal description of the property and site address* Lot dimensions* North Point and Graphic Scale* All adjacent streets, alleys, easements, utilities (water, sewer and electric) and overhead power lines* Footprint of ALL structures with ALL setbacks and dimensions noted* Elevation of all lot corners, the building pad, side front and rear yard lines, elevations at all low

openings or all lookout/walkouts, garage slab elevation, top of footing elevation, lowest floorelevation, top of block elevation and curb elevation

* Drainage arrows showing how the lot is to drain* Percent of driveway slope and width of curb cut at the street (calculate slope at center of driveway)* Distance to reference points from lot corner along lot line to verify building placement

Additionally, the Building Official requires TWO sets of Construction Plans drawn to scale. An approved set of plans will be returned to you; the second set will be filed with the City. The following items must be included on all construction plans (as applicable):

* Floor plan of basement and each floor above* Fire protection between building and any attached structure* Foundation drainage* Names and addresses of: General Contractor, Plumber, Mechanical, Electrician

* Cross Section detailing foundation, footings, wall roof, steps, deck (as applicable)

The following standards apply for C-2 zoning district:

Site Requirements: Minimum Lot Area - 12,000 (all uses) Minimum Lot Width - 80' Maximum Lot Coverage - 50% Structure Requirements:

Maximum Height - 50' Setback Requirements: Front Setback - 25' Rear Setback - 20' Side Setback - 15' Side Street Corner Setback - 25' Corner lots at street intersections shall maintain front yard setbacks on each street side

Commercial New Construction Building Permit Request Requirements

Please contact the Planning/Zoning Office with questions at (320) 352-2203.

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EXAMPLE

EXAM

PLE

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Commercial Structure

North Property Line 100’

East Property Line 200 feet

25 feet m

inimum

25 feet Minimum Setback

(street corner)

15 feet Minimum Setback

20 feet M

inimum

Setback

North

South Property Line 100’

West Property Line 200 feet

(Owner’s Name) Site Plan

Lot 1 Block 1 Original Townsite

Scale 1” = 20’

10’ wide Utility easement

Example Site Plan C-2

Center Line of Street

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