REPORT#PI20- STAMP# BY ___________________
RENTAL UNIT TRANSFER ISSUED (DATE/BY)
VILLAGE OF RIVER GROVE
DAVID B. GUERIN, PRESIDENT RECEIVED BY
APPLICATION & INSPECTION FORM 01/01/2020 PRINT NAME
Owner:
Owner’s Address:
Owner’s Phone #:
Building Address: Number of Units:
Inspection Date & Time Re-inspection Date & Time
Email: _______________________________________ PIN:
I hereby authorize the Village of River Grove’s Building Department to make an on-site
inspection of the building/premises located at the address indicated at the top of the form.
Owner/Authorized Agent Signature: Date
OFFICE USE ONLY
YES NO
____ ____ 1. Is address displayed to properly identify building for emergency vehicles? (PM 303.3)
____ ____ 2. Is the foundation structurally sound? (PM 303.4, 303.5)
____ ____ 3. Are exterior surfaces provided with protective treatment and/or maintained free from holes, loose or
rotting boards that might admit rain or dampness to the interior? (PM 303.2, 303.6, 303.8)
____ ____ 4. Is the roof structurally sound and free of defects, which might admit rain or dampness to the interior?
(PM 303.7, 303.11)
____ ____ 5. Are exterior stairs, porches and sidewalks maintained free of safety hazards and safe for entering and
exiting? (PM 303.3, PM 303.10, 303.11, 303.12)
____ ____ 6. If the building has a fence, is it legal and in good repair? (VC 9-18-1)
____ ____ 7. Do doors allow unobstructed exiting? (PM 303.13) Dead bolt locks, thumb turn only (PM 702.3)
____ ____ 8. Is the building free of unsafe or broken windows? (PM 304.13)
____ ____ 9. Does the building comply with applicable zoning regulations regarding use, i.e. single-family, multi-
family? (VC 6-3-1) What is current zoning classification:
____ ____ 10. Are doors, floors, walls, cabinets and ceilings maintained in good condition? (PM 304.3)
____ ____ 11. Are all rooms provided with adequate light (natural or artificial) and ventilation (natural or
mechanical)? (PM 403.1, 403.2)
____ ____ 12. Are all dwelling units free of an infestation of rodents or insects? (PM 306.1)
____ ____ 13. Are interior stairs and railings free of safety hazards and safe for entering and exiting? (PM 304.4)
____ ____ 14. Are all sinks, lavatories, bathtubs, and showers supplied with running water and maintained in a
usable condition? (PM 403.2, 505.1)
____ ____ 15. Does the building and garage have gutters and do they properly discharge into yard? (VC 7-686
____ ____ 16. Are all closet fixtures (incandescent or fluorescent) completely enclosed?
____ ____ 17. Does the building have electrical panel(s), and all exposed wiring installed and maintained in a safe
manner? (PM 604.1, 604.2, 604.3). Also, does the building have GFI receptacles installed within six
feet of all water faucets and fixtures and/or areas exposed to weather?
____ ____ 18. Is gas supply free from leaks?
____ ____ 19. Does each dwelling unit have properly located and operating smoke and carbon monoxide detectors?
(907.2.10 IFC) and (Public Act 094-0741) Does the front and rear stairway have smoke detectors of the
proper type and location (PM 704.3) (IFC 904.2.10.1.2)
____ ____ 20. Is the heating unit and hot water heater properly installed and in working condition? (PM 603.2)
____ ____ 21. Is the building free of inside or outside storage, which could promote a health, fire, or safety problem?
(PM 305.1)
____ ____ 22. If the building has a below grade sleeping room, does it satisfy exiting, emergency exiting, and
ventilation requirements? (PM 702.4)
____ ____ 23. Do the dwelling units comply with all occupancy limitations regarding privacy, access, overcrowding,
etc. (PM 403.1, 404.4, 404.4.1, 404.4.2, and 404.4.3, 404.4.5, 4054.5, 404.5.1, 404.5.2)
____ ____ 24. Has final water reading been taken for building and has bill been paid?
ADDITIONAL REMARKS: SEE ATTACHED INSPECTION REPORT
THOSE ITEMS CHECKED “NO” ARE VIOLATIONS OF RIVER GROVE’S ADOPTED CODE AND/OR ITS
PROPERTY MAINTENANCE CODE.
IT IS THE OBLIGATION OF THE PRESENT OWNER TO ENSURE THAT A COPY OF THIS
REPORT IS PROVIDED TO THE NEW RECORDED OWNER
YOU ARE HEREBY NOTIFIED TO REMEDY THE CONDITIONS AS STATED ABOVE WITHIN 30 DAYS FROM
THE DATE OF THIS ORDER
. AN APPEAL FROM THIS ORDER MAY BE MADE WITHIN 10 DAYS FROM THE
DATE OF SERVICE
. DIRECT SUCH APPEAL FOR A HEARING BEFORE THE RIVER GROVE BUILDING
COMMISSIONER IN WRITING, 2621 THATCHER, RIVER GROVE, ILLINOIS 60171.
DISCLAIMER --- PLEASE READ CAREFULLY BEFORE SIGNING
THE VILLAGE DOES NOT WARRANT THE CONDITION OF ANY PROPERTY
INSPECTED AND SHALL NOT BE RESPONSIBLE FOR ANY CLAIMS ARISING OUT
OF THE PROPERTY OR THE CONDITION THEREOF. THE VILLAGE DOES NOT
WARRANT THAT ALL DEFICIENCIES ARE LISTED IN THE “CERTIFICATE OF
OCCUPANCY” OR BY ISSUANCE OF AN INSPECTION STAMP; AND IT DOES NOT
WARRANT ANYTHING AS TO THE CONDITION OF THE PROPERTY OR THE
LIABILITY THEREOF.
Signature of Inspector: Date:
VILLAGE OF RIVER GROVE
2621 Thatcher Ave
River Grove, IL 60171
MULTI-FAMILY RENTAL UNIT/BUILDING
PROPERTY TRANSFER INSPECTION APPLICATION INSTRUCTIONS
1. Complete top portion of Transfer Application
2. Sign Transfer Application (Owner or Authorized Party)
3. Pay Inspection Fee- SEE BELOW
4. Schedule Inspection - call Building Department 708-453-8007
5. Once Report is generated from Building Department, seller has 2 Options:
Seller Taking Responsibility for Repairs
Buyer Taking Responsibility for Repairs**
Complete Repairs
Complete Occupancy Form
Call for re-inspection prior to closing
Deliver required escrow fee prior to closing
Certified Funds or Cash/No Personal Checks
**Repairs to be completed within 60 days
PRIOR TO CLOSING DATE, THE FOLLOWING MUST BE RECEIVED IN ORDER TO PICK UP
TRANSFER STAMP:
1. Call 708-453-8007 within 2 days of closing to schedule a final water reading. Final water
bill must be paid in full. (CERTIFIED FUNDS OR CASH NO PERSONAL CHECKS OR
CREDIT CARDS)
2. New Property Owner Form Completed in Full MUST BE ORIGINAL SIGNATURE
Provided by buyer
3. Copy of Illinois Real Estate Transfer Declaration (PTAX) Provided by Sellers Attorney
4. Copy of Transaction Form (Warranty Feed, Deed in Trust, Assignment of Beneficial
Interest, etc.) Provided by Sellers Attorney
5. Copy of Plat of Survey Provided by Sellers Attorney
Please note: If the procedures outlined above are not followed it may result in a delay in
closing. The Village of River Grove is not responsible for any delay in closing if procedures are
not followed.
CONTACT THE BUILDING DEPARTMENT WITH ANY QUESTIONS AT 708-453-8007 OR
EMAIL US AT BUILDINGDEPT@RIVERGROVEIL.GOV