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 submitted to the building inspector for approval prior to proposed construction. Construction site must be staked our.
  3. Building Permit fee must be paid to City Clerk upon return of approved application.
  4. Applications may be filled out by Contractor or builder, but MUST BE SIGNED BY OWNER of proposed improvement.
  5. Applicant will call Iowa One Call 48 hours prior to digging @ 1-800-292-8989 for proper clearance before any digging or construction can begin.
  6. No construction will be allowed until the Building Inspector has approved the initial staking and setbacks of proposed construction/improvement and a permit is ussued. Contact Craig Etjen at cell: 319-493-5067 or home: 346-1328. Owner of the proposed improvement.
  7. Upon the start of construction, the building inspector must be contacted, so that the project can be approved. If construction does not comply with the approved building application, the owner will be required to demolish, or correct the violation at his/her own expense.
Fees: $0.00 - $1,000 $50.00
  $1,000-$100,000 $100.00
  Over $100,000 $200.00

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 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 also agrees to abide by the specific Covenants for their specific development/addition in the City of Parkersburg, which may be more restrictive than the City Code. The owner subscribes to teh 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