Solar Panel Permit Application and Checklist
Please Allow 5-7 Business Days for Permit Review and Approval
JOB SITE ADDRESS: _______________________________________________________ GEO PARCEL#: ______________________________
OWNER: ________________________________________________________________ PHONE:
ADDRESS: ________________________________________ CITY: _________________________ STATE: ______ ZIP: __________________
EMAIL: _______________________________________________________________________________________
CONTRACT OR: ___________________________________________________________ PHONE:
COMPANY: ADDRESS:
CITY: STATE: ZIP: __________________
EMAIL: _______________________________________________________________________________________
Size of proposed Solar Panel(s) (Dimensions) _________ X __________ Total square feet_________________ Overall height: _____________
Valuation of Solar Panel(s): _________________________________
Closest distance to the house _________ (Must be a minimum of 10 feet if on the ground)
Will the Solar Panel(s) will be installed on the Ground or Roof? Please select which:
Additional Information (If any): ________________________________________________________________________________________
Checklist of items to be filled out or completed prior to submitting application packet:
Solar Panel Permit Application and Checklist
Engineered Construction Plans (If on a roof - verifying the extra load on the structure)
Detailed Site Plan Drawing or Aerial (If on the ground - indicating which structure the solar panel will placed)
Proposed Panel Staked (If on the ground)
Stipulations
:
• No construction shall start until the permit is issued.
• All work must be permitted prior to inspections.
• Unresolved zoning, subdivision, floodplain and/or health items may delay the issuance of any permit. No structure should be
used or occupied until the Certificate of Occupancy/Use is issued.
• An Electrical Permit 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.
Print Name Signature Date
5885 NE 14
th
Street
Des Moines, IA 50313
publicworks@polkcountyiowa.gov
515-286-3705
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signature
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