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City of Riverdale, Iowa 110 Manor Drive, Riverdale, Iowa 52722 • (563) 355-2511 • www.riverdaleia.org
CITY OF RIVERDALE, IOWA
DRIVEWAY APPROACH PERMIT FORM
PROJECT INFORMATION
Project Address
Subdivision
Lot #
Owner Name
Owner Phone
TYPE OF CONSTRUCTION
☐ Residential - new or total replacement. Fee is $25.
☐ Residential - widening or curb cut. Fee is $15.
☐ Commercial - approach. Fee is $100.
INSPECTIONS
Before the concrete is poured, the completed framework shall be made accessible to the building
department for their inspection for compliance with the city standard specifications. Call in inspection
request at least twenty-four (24) hours in advance. For inspections, call the City of Riverdale, Iowa,
Maintenance Department, at (563) 949-0464.
CERTIFICATION
I hereby certify that I have read and examined this application and know the information provided to be true
and correct. All provisions of laws and ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other state or local laws regulating construction or the performance of construction.
APPLICANT INFORMATION
Name
Phone
Email
Signature
The applicant warrants the truthfulness of the information in this application. If any of the information is incorrect, the permit
may be revoked.
City of Riverdale, Iowa 110 Manor Drive, Riverdale, Iowa 52722 • (563) 355-2511 • www.riverdaleia.org
Submit this form and attachments to:
Operations Manager, Public Works Department
City of Riverdale, Iowa
110 Manor Drive, Riverdale, IA 52722
operations@riverdaleia.org
(563) 949-0464
FOR OFFICE USE ONLY
Fee Received ☐ Yes ☐ No Permit Issued ☐ Yes ☐ No
Processed By Permit Number
CITY OF RIVERDALE, IOWA
DRIVEWAY APPROACH PERMIT FORM
PROJECT INFORMATION
Project Address
Subdivision
Lot #
Owner Name
Owner Phone
TYPE OF CONSTRUCTION
☐ Residential - new or total replacement. Fee is $25.
☐ Residential - widening or curb cut. Fee is $15.
☐ Commercial - approach. Fee is $100.
INSPECTIONS
Before the concrete is poured, the completed framework shall be made accessible to the building department for their inspection for compliance with the city standard specifications.
Call in inspection request at least twenty-four (24) hours in advance. For inspections, call the City of Riverdale, Iowa, Maintenance Department, at (563) 949-0464.
CERTIFICATION
I hereby certify that I have read and examined this application and know the information provided to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local
laws regulating construction or the performance of construction.
APPLICANT INFORMATION
Name
Phone
Email
Signature
The applicant warrants the truthfulness of the information in this application. If any of the information is incorrect, the permit may be revoked.
Submit this form and attachments to:
110 Manor Drive, Riverdale, IA 52722
maintenance@riverdaleia.org
(563) 949-0464
FOR OFFICE USE ONLY
Fee Received
☐ Yes☐ No
Permit Issued
☐ Yes☐ No
Processed By
Permit Number
City of Riverdale, Iowa 110 Manor Drive, Riverdale, Iowa 52722 • (563) 355-2511 • www.riverdaleiowa.com