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BUILDING PERMIT and CERTIFICATE of ZONING COMPLIANCE Application DALLAS COUNTY OFFICE of PLANNING and DEVELOPMENT 907 Court Street I Adel, IA 50003 I [PHONE REDACTED] I [EMAIL REDACTED] PERMITS and INSPECTIONS The issuance of a permit based on plans, specifications and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when violation of this code or other ordinances of Dallas County. It shall be the duty of the person doing the work authorized by a permit to notify the building official that such work is ready for inspection. The building official may require that every request for inspection be filed at least one working day before such inspection is desired. It shall be the duty of the person requesting any inspections required by this code to provide access to and means for inspection of such work. LIABILITY for DAMAGES This Code (Dallas County Uniform Building Code) is enacted only for the purpose of securing to individuals the enjoyment of rights and privileges to which they are entitled as members of the public, rather than for the purpose of protecting any individuals from harm. The County, its officers, employees or agents make no representations or warranties of any kind whatsoever, express or implied, with respect to the completeness or thoroughness of the inspections and examinations performed under this Code, but said inspections are made solely to assist the owner of any building, structure, equipment and premises to meet certain minimum requirements of this Code and to compel, if necessary, the owner to meet the minimum requirements for the protection of the health, welfare and safety of persons and property. Nothing herein contained in this Code shall alleviate the owner of any building, structure, equipment or premises to make an independent inspection to fulfill the requirements of this Code nor shall this Code be construed to relieve or lesson the responsibility of any person owning, operating or controlling any building, structure, equipment or premises regulated herein from any damages to any person or property caused by defects or code violation. The County, its officers, employees or agents shall not be held as assuming any liability for damages to any person or property by reason of any inspections authorized by this Code or investigations, or any approvals issued herein, or for any act or failure to act in the enforcement of this Code. Signature of Owner or Authorized Agent Date Location of Proposed Construction (E-911 Address) (City/Post Office) (Subdivision Name) (Lot Number) (PIN) (Zoning District) (Township Name) (Section Number) Owner Information (Name) (Mailing Address/P.O. Box) (City/Post Office) (State) (Zip) (Phone) Home Work Mobile (Email Address) Contractor Information (Company/Name) (Mailing Address/P.O. Box) (City/Post Office) (State) (Zip) (Phone) Home Work Mobile (Email Address) Proposed Construction (Description of Work) (Intended Use of Structure) (Structure Type and Group) Type of Work (Check One): New Construction Addition/Alteration/Repair Occupancy Type (Check One): Dwelling Garage/Accessory Building Other (Estimated Construction Cost) (Septic Permit Square Footage (Living Space, Main Floor) (Living Space,2nd Floor) (Finished Basement) (Unfinished Basement) (Garage/Accessory w/Interior Finish) (Garage/Accessory no Interior Finish) (Porch/Deck) (Other) Proposed Setbacks (Front) (Side) (Side) (Rear) ---PAGE BREAK--- BUILDING PERMIT Sub Contractor List DALLAS COUNTY OFFICE of PLANNING and DEVELOPMENT 907 Court Street I Adel, IA 50003 I [PHONE REDACTED] I [EMAIL REDACTED] Company Name: Mailing Address/ Phone: P.O. Box: City: State: ZIP: Type of Work: Company Name: Mailing Address/ Phone: P.O. Box: City: State: ZIP: Type of Work: Company Name: Mailing Address/ Phone: P.O. Box: City: State: ZIP: Type of Work: Company Name: Mailing Address/ Phone: P.O. Box: City: State: ZIP: Type of Work: Company Name: Mailing Address/ Phone: P.O. Box: City: State: ZIP: Type of Work: Company Name: Mailing Address/ Phone: P.O. Box: City: State: ZIP: Type of Work: