Polk County Public Works
5885 NE 14
th
Street
Des Moines, IA 50313
(515) 286-3352
(515) 286-3437
JOB SITE ADDRESS: ________________________________________
OWNER: ___________________________________________________ PHONE: (_______) ________ - ___________
ADDRESS: ___________________________________________________ CITY: ________________________ STATE: ______ ZIP CODE: _________
EMAIL: ___________________________________________________________________
CONTRACTOR: ____________________________________________ PHONE: (_______) ________-____________
COMPANY: _____________________________________________
ADDRESS: ___________________________________________________ CITY: ________________________ STATE: ______ ZIP CODE: _________
EMAIL: ___________________________________________________________________
Size of proposed deck (dimensions)? _________ X _________ and total square feet ________________________
Is the deck going to be covered? Yes No (If yes, must provide engineered truss specifications)
If yes, what is the height of covered deck from grade to peak? ________________________
Additional Information (if any)
________________________________________________________________________________________________________
Checklist of items to be filled out or completed prior to submitting application packet:
Deck Permit Application and checklist
Detailed Site Plan drawing
Building Spec Sheet for decks
Sta
ked - Proposed building layout staked
Truss Specifications if covered
___________________________________________________
Print Name
___________________________________
Signature Date
Contractor/ Owner/Applicant Statement:
I have included all of the above checked items and I understand that
that all the items listed above must be
reviewed and fees paid before a permit will be issued. I further understand that construction work cannot begin
until the building permit has been issued. All the information supplied by me is true and correct to the best of my
knowledge and belief.
*Please allow 5-7 business days for permit review and approval
Deck, 3 or 4 Season Porch and Covered Patio Permit
Application and Checklist
Permit #
** No construction shall start until the permit is issued.
** All work must be permitted prior to inspections.
** Unresolved zoning, subdivision, floodplain and health items may delay the issuance of any permit.
** No structure should be used or occupied until the Certificate of Occupancy is issued.
** If an electrical or plumbing permit is needed, they must be applied for separately.
PLEASE PRINT
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