You may fill out this form and print it by clicking the print button then bring it with you to the City Clerk's Office

Information for Applicant

  1. Application forms are available from the City Clerk.
  2. Application forms must be filled out and returned to the City Clerk, a minimum of 72 hours prior to proposed construction.
  3. A Filing fee of $20.00 will be paid to the City Clerk upon return of completed forms.
  4. Applicant will present forms to the local power company, telephone company and city manager or foreman for proper approval of a digging permit before returning forms to the City Clerk
  5. No construction will be allowed until a Zoning Officer has reviewed the forms and has approved the zoning permit and building permit.
  6. Application forms may be filled out by the contractor or builder, but forms must be signed by the Owner of the proposed improvement.
  7. If the application is made for a digging permit only, fill out only that portion of the form that applies.
Fees: $0.00 - $1,000.00 $10.00
  over $1,000.00 $20.00
NOTICE

ALL VARIANCES REQUIRE A PAYMENT OF $50.00 TO THE CITY OF PARKERSBURG. THIS FEE IS APPLICABLE WHETHER VARIANCE IS OR IS NOT GRANTED.

APPLICATION FOR BUILDING, DIGGING AND ZONING PERMIT

No.

     The undersigned owner of the property described herein requests permission to erect the improvements for the use and in the location and manner as set forth in detail below. The owner also requests permission to have the digging done as hereinafter set out. The owner agrees that the improvements and use of the property will be in accordance with the ordinances of the Town of Parkersburg, Iowa, and the laws of the State of Iowa which apply to the improvements and their use. The owner subscribes to the statements herein as a basis for the issuance of the permit.
Owner
Address Date





  1. Location
  2. BlockAddition
  3. Street Address
  4. Type of proposed improvement
  5. Proposed use of proposed improvement (in detail)
  6. No. Families
  7. Kind of Construction
  8. Foundation size
  9. Roofing Material
  10. Number of stores No. of Rooms Kind of Heat
  11. Estimated Cost
  12. Will Building be provided with sewer and water connection
  13. Has sewer hook-up charge been paid
  14. Plans by Construciton by
  15. Remarks
     

Application must be accompanied by 1 drawing (site plan) of said property and proposed improvements. Drawings should be shown on the space provided below, and should show the following:

  1. Indicate North on plan.
  2. Dimensions of the property
  3. The exact location of the proposed improvements on the lot with distance to front, side and rear lot lines.
  4. Principal dimensions of proposed improvements.
  5. Location of existing structures on building site.
  6. Names of any streets adjacent to the property.
  7. Location of any alleys adjacent to the property.
  8. Location of any proposed trenches or other excavations, (other than basement excavation.)
  9. Signature of Permittee.

USE SPACE BELOW FOR SITE PLAN

     I hereby acknowledge that the information shown on the above sketch is true and correct, and that upon permit approval, the proposed building or improvement will be made using the same measurements as shown above.



Signature of Permittee: Date