Fillable BUILDING PERMIT 310 MILL STREET, PO BOX 160, (City of Van Meter, Iowa)

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BUILDING PERMIT 310 MILL STREET, PO BOX 160, (City of Van Meter, Iowa)

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BROWSE CITY OF VAN METER, IOWA (IA) FORMS

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310 MILL STREET, PO BOX 160, VAN METER, IA 50261| Ph: 515-996-2644
TYPE OF PERMIT: Building Fence Shed Deck Pool Other
WWW.VANMETERIA.GOV
BUILDING PERMIT
JOB SITE
ADDR
ESS:
NAM
E:
DATE:
Commercial Industrial Public
One-Family Two-Family Multi (No. _________ )
ZONING DISTRICT VARIANCE NO. or CONDITIONAL USE
NO.
To schedule an inspection, or have any questions please
call Veenstra & Kimm at 515-850-2980.
Email: BuildingInspection@v-k.net
A 24 hour inspection notice is needed.
□ Payment Received Date: Amount: $
WHEN APPROVED BELOW, THIS BECOMES YOUR PERMIT
ISSUED BY: DATE:
BUILDING OFFICIAL
Owner
Contractor
Architect-Engineer
Name
Address
Email
Fax No.
City Telephone No.
State/Zip Cell No
Name
Address
Email
Fax No.
City Telephone No.
State/Zip Cell No.
Name
Address
Email
Fax No.
City Telephone No.
State/Zip Cell No.
BUILDING SQUARE FOOTAGE
Level 1
Level 2
Finished
Unfinished
Pool Size
Deck sqf
Garage/Shed
PERMIT FEES
PROJECT VALUATION
FENCE
SHED
DECK
POOL
SIDE 2
TOTAL
PERMIT FEE
ADDITIONAL ACKNOWLEDGEMENTS
 Except as provided by law, where any work has been started prior to obtaining this
permit, the regular fee shall be doubled.
 This permit shall expire if work has not commenced or has been abandoned for 120
days.
 ALL WORK MUST BE INSPECTED. It is the responsibility of the permitee to call for
inspections. No work shall be concealed or covered until approved by the inspector.
 The permitee acknowledges they are proficient in the performance of the work cov-
ered by this permit.
Fill out this application and submit with PDF plans to City Hall
DATE:
X
ATTACH SITE PLAN, DRAWINGS, AND/OR BUILDING PLANS
$
$
$
$
DESCRIPTION OF PROJECT:
info@vanmeteria.gov SIGNATURE OF
OWNER OR AGENT
Company Name: Phone:
State Lic. #
Company Name: Phone:
State Lic. #
Company Name: Phone:
State Lic. #
$
$
Sub-Contractors
Permit No.___________________
$
PDF building plans preferred
click to sign
signature
click to edit
BUILDING PERMIT
Page 2 of 2
Address:
Zoning: ______________
New Const. Addition Change of Occupancy Repair Remodel Demolition
Type of Use: _____________________ Construction Type:_______________ Occupancy Group:_________
Description of work: _______________________________________________________________________
AREA/Sq ft. VALUATION ZONING
1st Floor: $ Rear Setback:
2nd Floor: $ Front Setback:
3rd Floor: $ Side Setback:
Basement: $ Side Setback:
Gar/Carport: $ # of Req Parking:
Other Structure: $ # Handicapped Spots:
Deck Porch $
TOTAL $
BUILDING PERMIT FEES
Basic Permit Fee: $
Plan Review Fee: $
M.E.P.s Fee’s @ $75
ea:
$
Approach Fee: $
Sidewalk Fee: $
UTILITY FEES $
Sewer Con. Fee: $
Sewer Dist, Fee: $
Storm Utility Fee: $
Water Connect Fee: $
Water Meter Fee: $
Water Meter Irrigation Fee: $
TOTAL FEE:
$
Comments:
OFFICIAL USE ONLY
Bondurant – Cumming - Elkhart - Granger - Dallas Center – Martensdale – Mitchellville - Monroe
– Osceola - Oskaloosa -
Panora* - Roland - Stuart - Van Meter - Woodward*
6‐1‐16
REQUIREDBUILDINGINSPECTIONS
(ResidentialNewConstruction)
Veenstra & Kimm Engineering
3000 Westown Parkway
West Des Moines, IA 50266-1320
515 850-2980
Footings………………………..Priortopouringconcrete,afterformsandrods.
FootingWalls……………..….Priortopouringconcrete,noncentereduprightstiedtocenter.
Deckpostholes……….…...Priortopouring,atleast42”deep.
ElectricalTempPole……..NoInspectionneeded.
TarTileGravel……………….PriortoBackfill(maybeinspectedduringplumbinggroundwork)
Sewer/Storm/Water……..Drainagepipewith5fthead,gravelbed,TracerwireonPEX.
Groundwork………………….5ftheadwettestorairtest,gravelbed,stakeddown.
ShearWallNails…………….Every3”,#8s.includingsillplate.Strapsonheaders.
(Willinspectduringframing)
PlumbingRough…………….Priortoinsulation,wettest10ftheadoranairtest.
ElectricalRough…………… ..Priortoinsulation,Ground,Panel&Meterboxinstalled
HVACRough…………………..Priortoinsulation
FramingRough………………Priortoinsulation,afterallmechanicalsroughedin.*
Insulation………………………Priortodrywall.
NoVKinspectionneededifPerformancetestisdone.
(SendusthedatabeforeFinalplease)
Sidewalk&Approach……
Priortopouringconcrete,granularcompactedgravel.StopBoxcapsleevedwithmetal.
Final………………………………StructuremaynotbeoccupieduntilfinalinspectionandCertificateof
Occupancyhasbeenissued.
CallV&Kat515850-2980toscheduleaninspection
Inspectionsarebetween8:00and4:30pmM‐F
Note:CityofBondurantand City of Van Meter requirewatermetersetbeforerough‐ininspections.
CheckwithCityHall.Temporarysafetyrailingsarerequiredaroundopenstairwellsbefore
mechanicalsareinstalled!
(PortableToiletpostedhousenumbersanddumpsterrequiredonjobsites.)
AsofJanuary1
st
2016mostcitieswillhaveadoptedthe2015IRC&IBCBuildingCodes,IPC
Plumbingcodeand2014NEC.(StateofIowainspectsElectricalforcitieslistedbelowwithanasterisk*).
Example Site Plan
80’ 6”
FRONT STREET NAME
SIDE STREET NAME
FRONT PROPERTY LINE
95’ 3’
HOUSE
REAR PROPERTY LINE
Proposed Deck
Proposed Garage
7’
10’ 0’
18’ X 10’6”
7’ 0”
Site plans shall include distances from all
building to all lot lines and distances from
building to building.
Veenstra & Kimm Inc
. 515 850-2980
?
?
?
?
?
?
SITE PLAN
STREET ADDRESS:
____________________________ USE OF BUILDINGS ON LOT__________________________________
PROPOSED USE OF NEW INPROVEMENT______________________________________________________________________
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BUILDING PERMIT 310 MILL STREET, PO BOX 160, (City of Van Meter, Iowa)

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Completed 17 July 2020

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