City of Adel Building Permit Application

CITY OF ADELAPPLICATION FOR BUILDING PERMIT

301 S. 10th ST.

Phone:515-993-4525

Application Date*

Property Information

Street Address*

Block Number*

Lot Number*

Lot Size*

Zoning*

No. of Buildings on Lot*

Subdivision/Addition*

Parcel ID*

Property Owner Information

Name*

Mailing Address*

Street Address City State Zip

Phone*

Alt Phone

Architect/Engineer

Name*

Address*

Street Address City State Zip

State Lic. No*

Phone*

Alt Phone

Contractor Information

Name

Address*

Street Address City State ZIP Code

License Number*

Phone*

Alt Phone

I understand that construction on any easement will be at my own risk and responsibility and that I will be liable for any necessary removal should it become necessary. I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all city ordinances and state laws regulating building construction.I further agree and understand that the City of Adel has not reviewed nor does it make any representation concerning, any covenants or any restrictions where there may be covenants or other restrictions prohibiting the proposed improvement.

Signature of Owner or Authorized Agent*

By submitting this application online I understand that my electronic signature carries the same weight as my print signature.

Date*

Project Description

Type*

New
Addition
Commercial
Industrial
Single Family
Multifamily/Duplex

Garage

Slab
Attached
Detached

Basement

Finished
Unfinished

Size /Sq/ft*

Building Height*

Number of Stories*

Valuation*

Remarks

Site / Building Plan*

Phone

This field is for validation purposes and should be left unchanged.