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2. Date
   Date
3. Choose Type:*

   1. Commercial
   2. Residential
7. PERMIT APPLICANT INFORMATION
9. Applicant First Name*
10. Applicant Last Name*
12. Professional Firm(s)
    Please list all professional firms associated with this project along with a phone number and e-mail address for the firm.
13. Contractor State License # (if applicable)
    NOTE: Contractor licensing information is required for all building permit applications except where the applicant is the owner and the project location is their primary residence.
15. Applicant Address*
16. Applicants Relationship to Project*
    -- Select One --ContractorProperty OwnerAgent / Property ManagerOther
18. City*
19. State*
20. Zip Code*
22. Phone Number*
23. E-mail Address*
27. Property Owner Information
    NOTE: This section is not required if the property owner is the applicant listed above.
29. Property Owner Name
31. Property Owner Address
33. City
34. State
35. Zip Code
39. Project Information
    Please provide project information below
40. Plans / Prints
    Digital plans including floor plans and elevations are required for all new construction, additions, remodels, and all detached structures over 200 sq/ft. In addition, site plans with buildings and setbacks identified are required for any new building or addition.
42. Street # or Parcel ID*
43. Street Name*
44. Street Type*
45. Apt. or Unit #
47. City*
48. State*
49. Zip*
51. Is property in a historic district?
    -- Select One --NOYESUNKNOWN

    If you are unsure, the historic district maps are available at: https://www.cityofdubuque.org/337/Historic-District-Maps
53. Residential Project Type*
    -- Select One --General Residential Repair (single family or duplex)Residential Site PlanResidential AlterationResidential AdditionResidential Accessory BuildingResidential New Construction (Single Family or Duplex)Residential Foundation OnlyResidential Misc. (Siding/Roof/Repair)Residential PoolResidential SolarResidential Sprinkler SystemOther
54. Residential Construction Type*
    -- Select One --Single Family HomeTwo Family Dwelling (Duplex)Townhouse
56. Commercial Project Type*
    -- Select One --General Commercial Repair (includes multi-family residential w/3 or more units)Commercial AlterationCommercial AdditionCommercial New Construction (includes multi-family residential w/3 or more units)Commercial Accessory BuildingCommercial Misc. (Siding/Roof)Commercial PoolCommercial ShellCommercial SolarCommercial SprinklerOther
57. Commercial Construction Type*
    -- Select One --Commercial - OtherMulti-family Residential
59. Detailed Description of Project to be Permitted*
61. Total Value of Work*
62. Value of Work to be Permitted (Materials + Labor)*
64. PLEASE NOTE: Your permit fees will be calculated upon submission and an invoice will be e-mailed along with payment instructions to the applicants e-mail provided above. The application will not be approved until all permit fees are paid.
    Separate permits are required for electrical, plumbing, and mechanical work and can be completed at www.cityofdubuque.org/buildingservices.
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit Submit and Print

* indicates a required field