Polk County Public Works
5885 NE 14
th
Street
Des Moines, IA 50313
publicworks@polkcountyiowa.gov
515-286-3705
Shed Permit Application and Checklist
JOB SITE ADDRESS: GEO PARCEL#:_______________________________________________________ ______________________________
OWNER: PHONE:________________________________________________________________ __________________________________
ADDRESS: CITY: STATE: ZIP:________________________________________ _________________________ ______ __________________
EMAIL: _______________________________________________________________________________________
CONTRACTOR: PHONE:___________________________________________________________ __________________________________
COMPANY: ______________________________________________
ADDRESS: CITY: STATE: ZIP:________________________________________ ________________________ ______ __________________
EMAIL: _______________________________________________________________________________________
Size of proposed building (dimensions) ____________X_____________ Total square feet______________________
Height of proposed building to peak ________
Closest distance to the house _________ *Must be a minimum of 10’
Anchor Design: Tie-Down/ U-bolts
Description of proposed building and use: _______________________________________________________________________________
_________________________________________________________________________________________________________________.
Is any portion of the proposed building to be used for commercial or other business activities? YES/NO
*Must apply for home occupation permit if yes
Is the building going to be connected to water? YES/NO - If yes, for what purpose (toilet, sink, outside spigot, etc.)?____________________
- If adding a restroom - is the property on septic or sewer? _____________________________
Checklist o
f items to be filled out or comple
ted prior to submitting application packet:
Shed Permit Applica
tion and checklist
Building Spec Sheet
Detailed Site Plan Drawin
g
Proposed building staked
-No construction shall start until the permit is issued.
-All work must be permitted prior to inspections.
-Unresolved Zoning, Subdivision, Floodplain, 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, mechanical, or plumbing permit is needed, they must be applied for separately by a state licensed contractor.
Contractor/Owner/Applicant Statement:
Work must commence within 180 days from permit issuance date, and be completed and inspected within one year from the permit
issuance date, or the building permit will be null and void. I understand all work must be inspected and approved by Polk County prior to
concealing any installation and that I must call for a final inspection. I further understand that a Certificate of Compliance or Certificate of
Occupancy/Use is required in accordance with applicable codes and ordinances.
I have included all of the above checked items and I understand 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 information
supplied by me is true and correct, and to the best of my knowledge and belief.
*Please allow 5-7 business days for permit review and approval
____________________________________________ __________________________________________ _____________________
Print Name Signature Date
Permit #______________________
click to sign
signature
click to edit
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