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City of North Chicago Department of Economic and Community Development 1850 Lewis Avenue North Chicago, Illinois 60064-2098 Phone (847) 596-8650 Fax: (847) 596-8669 APPLICATION FOR BUILDING PERMIT NEW CONSTRUCTION / ADDITIONS / ALTERATIONS The undersigned owner or agent hereby apply to the City of North Chicago Economic and Community Development Department for a permit to erect, alter, construct or enlarge the structure of part there of hereinafter described, and if granted the permit applied for, I will comply with all the requirements of the City Ordinances relating thereto and pay the fees required by said ordinances TYPE OF BUILDING PERMIT: New Construction Building Addition P lumbing HVAC Electrical Deck/Porch Roofing/Soffit/Fascia Asphalt/Paving Water/Sewer Service Interior Renovation Excavation Demolition Other Garage/Shed Fence Siding Concrete ADDRESS OF WORK TO BE PERFORMED: OWNER OR AGENT NAME: OWNER OR AGENT ADDRESS: CITY ST: ZIP: OWNER PHONE: COMPANY NAME OR CONTRACTOR PERFORMING WORK: MOBILE PHONE: FAX: CONTRACTOR ADDRESS CITY: ST: ZIP: CONTRACTOR PHONE: MOBILE PHONE: FAX: Site and Grading Plans (if applicable) Drawings for additions/minor alterations and general construction Plat of Survey Job Proposal signed by contractor and owner/agent The uilding or structure is (or is to be) used for the purpose of: Single Family Residence Masonry (Specify) Multi-unit (Indicate # of Units: Documents submitted with application: Stamped & sealed architectural plans (new construction or major structural renovation) Description of work to be conducted:
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City of North Chicago Department of Economic and Community ...52959CF2-969E-41D9-A… · City of North Chicago Department of Economic and Community Development 1850 Lewis Avenue North

Aug 07, 2020

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Page 1: City of North Chicago Department of Economic and Community ...52959CF2-969E-41D9-A… · City of North Chicago Department of Economic and Community Development 1850 Lewis Avenue North

City of North ChicagoDepartment of Economic and Community Development

1850 Lewis Avenue North Chicago, Illinois 60064-2098 Phone (847) 596-8650 Fax: (847) 596-8669

APPLICATION FOR BUILDING PERMITNEW CONSTRUCTION / ADDITIONS / ALTERATIONS

The undersigned owner or agent hereby apply to the City of North Chicago Economic and Community Development Department for a permit to erect, alter,construct or enlarge the structure of part there of hereinafter described, and if granted the permit applied for, I will comply with all the requirements of

the City Ordinances relating thereto and pay the fees required by said ordinances

TYPE OF BUILDING PERMIT:

New Construction Building Addition Plumbing HVAC Electrical

Deck/Porch

Roofing/Soffit/Fascia Asphalt/Paving Water/Sewer Service

Interior Renovation Excavation Demolition Other

Garage/Shed Fence Siding

Concrete

ADDRESS OF WORK TO BE PERFORMED:

OWNER OR AGENT NAME:

OWNER OR AGENT ADDRESS: CITY ST: ZIP:

OWNER PHONE:

COMPANY NAME OR CONTRACTOR PERFORMING WORK:

MOBILE PHONE: FAX:

CONTRACTOR ADDRESS CITY: ST: ZIP:

CONTRACTOR PHONE: MOBILE PHONE: FAX:

Site and Grading Plans (if applicable)

Drawings for additions/minor alterations and general construction Plat of Survey

Job Proposal signed by contractor and owner/agent

The building or structure is (or is to be) used for the purpose of:

Single Family Residence

����������

Masonry

(Specify)

Multi-unit (Indicate # of Units: )Business (Specify Type: )

Documents submitted with application:

Stamped & sealed architectural plans (new construction or major structural renovation)

Description of work to be conducted:

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Page 2: City of North Chicago Department of Economic and Community ...52959CF2-969E-41D9-A… · City of North Chicago Department of Economic and Community Development 1850 Lewis Avenue North

The total cost as estimated, of the work contemplated, includes all the branches of labor, all materials, all appurtenances and all other necessaryexpenses to completely erect, alter, construct, or enlarge the building. SUCH COSTS ARE ITEMIZED AS FOLLOWS:

City of North Chicago Department of Economic and Community Development

APPLICATION FOR BUILDING PERMIT - (continued)

New Construction - Additions - Alterations - Etc.

General

ConcreteMasonryPlumbingCarpentryElectricHVACRoofingStructural iron

PaintingPlastering

Others

Excavating$

$$$$$$$$

$$

$

$

Name of Contractor Address Phone Amt. of Contract

Kitchens, non-habitable spaces, and interior public areas shall not be occupied for sleeping purposes. Basements, as those defined herein, shallnot be occupied for sleeping purposes, nor shall they be used as dwelling units. Attics in all structures that do not meet the ceiling requirementsof section 404.3 herein shall likewise not be used for sleeping purposes, nor shall they be used for dwelling units. This prohibition shall notapply to areas in structures, which are originally as-designed, and built, tri-levels, garden apartment, and the like, where such original designincludes bedroom(s), which are located partly below grade

A certificate of occupancy of said building(s) and premises will be issued upon the successful completion of the Final Inspection.The owner/agent agrees not to occupy or allow the property to be occupied until certificate of occupancy has been granted.

No error or omission in either the plans or application, whether said plans and application has been approved by the Department ofEconomic and Community Development or not, shall permit or relieve the applicant from constructing the work in any other mannerthen that provided for in the ordinances of the City of North Chicago, relating thereto. The Owner having read the application forthe building permit and for the certificate of occupancy and having checked the plat plan hereon shown and fully understandingthe intent thereof, declares that the statements made and the drawings shown are true to the best of his or he belief.

CERTIFICATE OF OCCUPANCY AND CONFORMITY OF PREMISES

PM-404.4 Prohibited Occupancy

OFFICE USE ONLY

!!!NO WORK IS TO START UNTIL PERMIT IS ISSUED!!!

DO NOT SIGN UNLESS YOU HAVE READ AND CHECKED THIS APPLICATION AND EVERYTHING IS COMPLETE

SIGNATURE:X DATE:

ZoningEngineeringWaterConsultantNSSD

Permit #

Permit Fee:

Building Official: