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BUILDING PERMIT Accessory Building Form DALLAS COUNTY OFFICE of PLANNING and DEVELOPMENT 907 Court Street I Adel, IA 50003 I [PHONE REDACTED] I [EMAIL REDACTED] This form must be completed by the property owner and must be included the any application for: detached garage, shed, pole barn, accessory building, out building or other accessory space as required by the Building Official. In addition to this form the applicant shall provide a completed building permit application, detailed site plan and a complete set of construction plans. Proposed Construction Type: Stick Frame Post Frame Proposed Floor Type: Dirt Rock Concrete Will the proposed building be insulated? Yes No Will the proposed building have interior rooms? Yes No Will the proposed building have living space? Yes No Will the proposed building have a second story or loft area? Yes No Will the proposed building be used for a business use (Including but not limited to storage or maintenance of business vehicles, equipment or supplies, and use by employees, workers or laborers)? Yes No Do you live on the same property as the proposed building? Yes No Will the proposed building be used house livestock or animals? Yes No The proposed building will have the following: Electrical Plumbing Mechanical (HVAC) None I certify that I am an owner of this property and that my answers above are correct. I understand that the issuance of a building permit is conditioned on my answers above. I understand that any variation from the answers ablove is not included with this building permit and may require additional permits. I will immedietly notify the Office of Planning and Development of any changes from what was stated above and will provide additional plans as required by the Building Official. Printed Name of Owner Signature of Owner Date