Form Center

2. Date
   Date
6. PERMIT APPLICANT INFORMATION
8. Applicant First Name*
9. Applicant Last Name*
11. Professional Firm(s)
    Please list all professional firms associated with this project along with a phone number and e-mail address for the firm.
12. Contractor State License # (if applicable)
    NOTE: Contractor licensing information is required for all electrical, plumbing, and mechanical permit applications except where the applicant is the owner and the project location is their primary residence.
14. Applicant Address*
15. Applicants Relationship to Project*
    -- Select One --ContractorProperty OwnerAgent / Property ManagerOther
17. City*
18. State*
19. Zip Code*
21. Phone Number*
22. E-mail Address*
26. Property Owner Information
    NOTE: This section is not required if the property owner is the applicant listed above.
28. Property Owner Name
30. Property Owner Address
32. City
33. State
34. Zip Code
38. 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. 

42. Site Plan or Other Project Specifications

    Site plans with buildings and setbacks identified are required for any new building or addition, including new or enlarged decks.

44. Street # or Parcel ID*
45. Street Name*
46. Street Type*
47. Apt. or Unit #
49. City*
50. State*
51. Zip*
53. 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
55. Project Type
    -- Select One --General Residential Repair/Renovation (single family or duplex)Residential AlterationResidential AdditionResidential New Construction (Single Family or Duplex)
56. Construction Type
    -- Select One --Single Family HomeTwo Family Dwelling (Duplex)Townhouse
58. Description of Project to be Permitted*

    Be specific.   Applications with a scope that is unclear will delay permit issuance.   Include square footages for remodels and additions.     

60. Total Value of Work*

    Includes all costs associated with this construction and/or renovation.

61. Value of Work to be Permitted*

    Includes only those costs, materials and labor, for the work covered under this permit

64. PLEASE NOTE: WORK MUST NOT BEGIN BEFORE A PERMIT IS ISSUED.

    ALLOW 3-5 DAYS FOR PERMIT ISSUANCE:   WORK STARTED PRIOR TO PERMIT ISSUANCE WILL RESULT IN FINES AND/OR MUNICIPAL INFRACTIONS

    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

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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