Fillable Building-App-Permit-2020 Application for building permit

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Building-App-Permit-2020 Application for building permit

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APPLICATION FOR BUILDING PERMIT
City Hall County Assessment Office Applicant
City of Havana
227 West Main Street
Havana, IL 62644
4/6/2020 Rev 2 1 of 2
Fee for Building Permit: __
_____________
Permit Number:
Date Construction to Begin:
Approx. Date of Completion:
______________
_
Date of Application:
Occupancy Class: __
Type of Construction:
(Please select one) Roof Fence Porch/Deck
Garage/Shed Carport Remodel
Sign: Residential Commercial
New Construction: Residential Commercial
Roof / Electrical / Plumbing: Residential Commercial
Remodel: Residential Commercial
Property Owner Name: Phone Number
Property Address:
Sub-Division: Lot: Block:
Lot Size x Building Size x Building Height x
Building Dimensions:
Foundation Type: Property Zoned as:
Utilities that will be added: (check all that apply):
Water Sewer Natural Gas Propane Electrical
Contractor/Business Name:
Contractor/Business Address: City State Zip
IL State Roofing or Plumbing License (required):
Insurance Company Name Policy Number
(For roofing and plumbing only)
Approximate Cost of Construction: $
Please describe the improvements or the purpose of the project in the space listed below. Include all addition,
reduction or physical changes to the building(s) and property.
The City of Havana has adopted the 2018 Edition of the International Code Council, as well as the NEC
2011 Edition (National Electric Codes) and current Illinois Plumbing Code. All newly erected structures and
those structures being renovated will adhere to the International Codes and City ordinances and the NFPA
Life Safety 101. Failure to do so will result in fines and the revocation of this permit.
Building Application - City of Havana
8/1/19 2 of 2
In the space provided below, please make an accurate drawing of the structure in its finished state. An overview of how the purposed structure
will be located on the property along with the set back from the street(s) and neighboring properties. Plans on controlling water run off (if
applicable). For new construction in C-1 and above, a stamped set of prints are required.
(If there is not enough space below, use the back of this page)
All City ordinances are available online at www.scenichavana.com please read the appropriate ordinance in conjunction with your project. Each
applicant will be given a copy of the City Ordinance for the project being completed. If you do not receive a copy of the ordinance or are unable to
visit the website, please contact the Zoning Office at 309-543-6890 or Jesse Hall at 309-543- 3411 ext. 5, for a copy of the ordinance.
By signing this application, I understand that I have fully read the appropriate ordinances within the
Havana Municipal Code. I also understand before any permit will be issued, the Application must be
completed and the property inspected by the Zoning Officer.
Signature of Applicant Zoning Officer
Date Date
Building Permit Fee Schedule:
Residential (R-1 and R-2) and Commercial
$0.00 to $ 5,000.00 $30.00
$5001.00 to $15,000.00 $50.00
$15001.00 to $25,000.00 $70.00
$25001.00 to $50,000.00 $150.00
$50001.00 to $75,000.00 $190.00
$75,001.00 to $100,000.00 $220.00
$100,000.01 and over $220.00 plus $1.00 per $1,000.00 per construction cost over 100,000.00
Commercial Signs
$0.00 to $500.00 $ 50.00
$501.00 to $1,000.00 $100.00
$1,001.00 and over $150.00
Awnings
$ 20.00
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Building-App-Permit-2020 Application for building permit

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Completed 12 July 2020

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