Forms & Permits

Spring Road Restrictions are in place. All roads are limited to 3 tons per axle.

The City Of Medicine Lake issues the following pemits.  

Right of Way Permit: Any activity that involves and/or disturbs public right of way within the City of Medicine Lake requires a Right of Way Permit.

• Right of Way Permit Instructions
• Right of Way Permit Application

Driveway Permit: Construction, reconstruction or substantial alteration of any driveway access to city street rights-of-way requires a permit. Routine maintenance and care do not require a permit. 

• Driveway Permit Instructions
• Driveway Permit Application

Road and Hauling Permit: All land filling, grading, excavation, and major construction activities and operations within the Cityrequie a permit. 

• Road and Hauling Permit Instructions
• Road and Hauling Permit Application

Sign Permit:  Any erection, alteration, reconstruction, or moving os a sign in the City requires a permit. See instructions for more details.

• Road and Hauling Permit Instructions
• Road and Hauling Permit Application

Land Excavation Filling Grading Permit: The extraction or filling of sand, gravel, black dirt or other natural material from the land or the grading of land by a person in the amount of fifty (50) cubic yards or more shall be termed land excavation/grading and requires a permit.

• Land Excavation Filling Grading Permit Instructions
• Land Excavation Filling Grading Permit Application

Municipal Water Connection Compliance Form and Certificate of Approval:  This Form is required when a residential property is required to connect to city water per Medicine Lake Ordinance 142.  There are three actions that require connection to city water: improvement projects valued at $100,000 or more; splitting, subdividing or combining property; and, when property is sold, advertised for sale or ther is a change in property ownership. See Instructions for additional detail. 

• Certificate of Approval Form Instructions
• Certificate of Approval Form

Other construction related permits and forms: For additional information see the Planning and Zoning page.

Conditional Use Permit

Construction Management Plan Application

Land Use Application

The City of Plymouth issues the followng permits as it is the administrator of the Minnesota State Building Code for the City of Medicine Lake. Under this agreement, the City of Plymouth’s building official serves as the City of Medicine Lake’s building official.  The City of Medicine Lake uses the Department Of Labor and Industry to conduct electrical inspections and planning consultants to perform site survey and site plan reviews. 

• Electrical Permit Forms and Instructions.

Visit Plymouth, MN website for the following applications for permits:

• Building Permit Application (PDF)
• Mechanical Permit Application (PDF) 
• Plumbing Permit Application (PDF)
• Sewer and Water Permit Application (PDF)
• Residential New Construction Information Sheet (PDF)

Note: Permit payments must be issued via check made payable to the City of Medicine Lake and delivered to the City of Plymouth. If you have any questions regarding the permit process or status, please contact the City of Plymouth.  

Contact: City of Plymouth | Building Inspection Division
Plymouth City Hall | 3400 Plymouth Blvd. | Plymouth, MN 55447-1482
P 763-509-5430 | F 763-509-5407 | Inspection Scheduling: 763-509-5449 | [email protected]