Building Permit Application Form – City of Chamberlain, South Dakota

Building Permit City of Chamberlain

Step 1 of 2

Job Address *

Address Line 1

Address Line 2

City

State

Zip Code

Legal Description of Construction Site *

Layout

Subdivision *

Lot *

Block *

Owner's Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Contractor's Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Type of Use of Building *

Class of Work *

Class of Work (2nd choice if needed)

Select N/A if not needed.

Describe Work *

(Include material type: wood, brick, etc.)

Valuation of Work *

Please put dollar amount, no commas.

Special Conditions *