Building Application and Permit

CITY OF WEST LIBERTY

111 W 7th St - West Liberty, IA 52776 Phone: (319) Phone: 319-627-2418 Fax: (319) 627-4847
BUILDING APPLICATION AND PERMIT
Site Address OR
Lot & Subdivision
Owner/Tenant
Address
City
State
Zip
Daytime Phone
Other Phone
Contractor
Address
City
State
Zip
Daytime Phone
Other Phone
Project Description
Value of Project
(Exclude cost of lot and plumbing/electrical/mechanical costs)
Upload project blueprints here

Cancelof
Upload contractor bond paperwork here

Cancelof
Contact Person
Phone
Architect or engineer of record (if required)
Signature

Clear
Date

MonthDayYear
Date

Building Permit Fee Schedule

*These are residential fees. Commercial fees are to be 1.5 times these amounts.

Value of Improvement	Fee
$1 - 1,500	$50.00
$1,501 - 5,000	$100.00+
$5,001 - 25,000	$225.00+
$25,001 - 50,000	$250.00+
$50,001 - 75,000	$275.00+
$75,001 - 100,000	$300.00+
$100,001 - 125,000	$325.00+
$125,001 - 150,000	$350.00+
$150,001 - 175,000+	$375.00+

(*Add an additional $25.00 per every $25,000 of valuation thereafter)

+ Add Plan Review Fee = 50% of permit fee
* Add $150.00 for inspection fees to be collected prior to issuance of permit (new construction fee total); $30.00 per inspection for other construction

ADDITIONAL CITY HALL REQUIREMENTS WITH BUILDING PERMIT FORM
1. Contractor/Business must submit a copy of the Contractor/Business’ Bond (covering
$5,000 minimum) to the City of West Liberty PROIR TO start of stated building project.
***Homeowners must submit a copy of Homeowner’s Insurance Policy PRIOR TO start
of stated building project (-If homeowner is completing work themselves.)
2. Detailed blueprints of stated project pertaining to building permit.

Failure to comply with City of West Liberty Regulations will result in a“STOP WORK ORDER” to address in violation AND double price of permit cost
Should be Empty:

CITY OF WEST LIBERTY

BUILDING APPLICATION AND PERMIT