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14450 Manistee Avenue Burnham, Illinois 60633 villageofburnham@villageofburnham.com P:708-862-9150 (Village of Burnham)

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VILLAGE OF BURNHAM
14450 Manistee Avenue
Burnham, Illinois 60633
villageofburnham@villageofburnham.com
P:708-862-9150
F:708-862-9155
Date _____________________________
Permit No._________________________
__________________________________
Approved by Building Commissioner
Application for Building Permit Date __________________
Application is hereby made for a building permit for the construction, repair or alteration of a building as follows:
OWNER________________________________________________________ PHONE_______________________________
CONSTRUCTION ADDRESS: _________________________________________REAL ESTATE PIN NO. ___________________
PROPERTY TYPE:
□ SF/Owner Occupied □ SF/ Rental □ Other ____________________________________
DESCRIPTION OF WORK Valuation $______________________
*Submit Quote/Receipt
Type of Building: □ Residence □ Commercial □ Industrial □ Other _____________
□ Frame □ Brick □ Block □ Brick Veneer
New Construction: Basement □ No □ Yes □ Poured □ Block
Width ______________ Length ____________Height _____________ Floors___________
Repairs or Alterations: □ Windows □ Roofing □ Flooring □ Siding □ Plumbing □ Electrical
May require additional documents/plans* □ Garage* □ Fence* □ Deck*
Other Repairs or Alterations: ___________________________________________________________________
GENERAL CONTRACTOR: ______________________________________________________________________
ADDRESS: _________________________________________________________ PHONE: ____________________
T
he applicant hereby certifies that the above statements are true and correct and agrees that the work covered by the permit issued here-
under will be done in accordance with all ordinances, rules and regulations of the Village of Burnham, Illinois.
Signature of Applicant ___________________________________________________________________________________________
VILLAGE OF BURNHAM
Application for Building Permit – pg 2
PERMIT FEES:
Building Permit $___________________ Electrical Inspection $___________________
Plumbing Inspection ___________________ Demolition Fee ___________________
Sewer Tap Inspection ___________________ Water Meter Cost ___________________
Sewer Tap Connection
_________________ Water Meter Installation ___________________
Water Tap Inspection ___________________ Building Inspection Fee ___________________
Water Tap Connection ___________________ Inspectional Services ___________________
Construction Water ___________________ TOTAL FEES
$ __________________
Reviewed by:
O
rdinance, Resolution & Planning Chairman ______________________
Fire Department (if applicable) _________________________________ (10/17)
V
ILLAGE OF BURNHAM – APPLICATION FOR BUILDING PERMIT – PAGE 2
Important – Please read carefully
1. P
ermit applications, required drawings and specifications should be filed in the Village Building Department Office for approval of
the Building Commissioner.
2. W
ork authorized by a permit shall be started within six (6) months and be completed within twelve (12) months.
3. P
ermits must be publicly displayed during construction period.
4. F
or the construction of new buildings (except private garages) the applicant must furnish two sets of plans showing the foundation
plan, the floor plan, the section (showing footing, foundations, floor, wall, ceiling, and roof construction), and the plot plan showin
g
l
ocation of building or buildings on property.
5. F
or the construction of a private garage only a plot plan showing location of garage with reference to property lines and main
buildings must be filed.
6. F
or additions to existing buildings and porch enclosures, plans or sketches must be furnished showing some information required
for new buildings.
7. T
he Building Commissioner must be notified when footing forms and/or wall forms are placed ready for concrete. Twenty-four (24
)
ho
ur notice should be given the Building Commissioner (708-862-9150) each time concrete is to be poured.
8. I
f additional inspections are required applicable fees will be applied.
THE FOLLOWING LIST OF SUB-CONTRACTORS MUST BE COMPLETED BEFORE PERMIT IS ISSUED.
1. Excavating & Grading ________________________________________________________________________________________
2. Concrete Work _____________________________________________________________________________________________
3. Masonry __________________________________________________________________________________________________
4. Carpentry __________________________________________________________________________________________________
5. Roofing and/or Siding ________________________________________________________________________________________
6. Plumbing __________________________________________________________________________________________________
7. Electrical __________________________________________________________________________________________________
8. Insulation __________________________________________________________________________________________________
9. Heating ___________________________________________________________________________________________________
10. Plastering or Drywall _________________________________________________________________________________________
11. Tile & Linoleum _____________________________________________________________________________________________
12. Floor Sanding _______________________________________________________________________________________________
13. Painting ___________________________________________________________________________________________________
14. Miscellaneous ______________________________________________________________________________________________
THE BUILDING DEPARTMENT MUST BE NOTIFIED IF ANY CHANGES OF SUB-CONTRACTORS ARE MADE AFTER PERMIT HAS BEEN
ISSUED. THIS APPLICATION MUST BE COMPLETED AND APPROVED BY THE BUILDING COMMISSIONER BEFORE A PERMIT WILL BE
ISSUED. NO WORK SHALL BE DONE UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
(04/15)
VILLAGE OF BURNHAM
14450 Manistee Avenue
Burnham, Illinois 60633
Phone: 708-862-9150 Richard Medina
Fax: 708-862-9155 Building Commissioner
BUSINESS & CONTRACTORS LICENSE
REQUIREMENTS
BUSINESS & CONTRACTORS NEED PROOF OF:
BOND (payable to Village of Burnham) - $10,000 OR MORE
LIABILITY INSURANCE - $10,000 OR MORE.
CONTRACTORS MUST ALSO INCLUDE A PLOT OF SURVEY WITH THE
DRAWING OF WHAT WILL BE DONE.
WE ALSO ASK THAT YOU GIVE A VERY DETAILED DESCRIPTION.
SIGNATURE(S) MUST BE NOTORIZED.
BUSINESS & CONTRACTOR FEE(S) ARE TO BE RENEWED ANNUALLY:
LOCAL BURNHAM BUSINESS FEE (TBD)
GENERAL CONTRACTORS $200.00
ELECTRICAL CONTRACTORS $200.00
SUB-CONTRACTORS $100.00
BUILDING PERMIT REQUIREMENTS
Fees are determined by the value of the project.
Fees are as follows:
• $20.00 for the 1
st
$1,000
• $10.00 per $1,000 thereafter &
• $50.00 per inspection (any re-inspections may incur additional fees)
A detailed description of the work required.
Attach the receipts that pertain to the work
Various projects may require a plan or survey. Plans / surveys maybe required when the
application is reviewed.
**Fees are subject to change
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14450 Manistee Avenue Burnham, Illinois 60633 villageofburnham@villageofburnham.com P:708-862-9150 (Village of Burnham)

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Completed 18 January 2021

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