Fillable Building-permit-app VILLAGE OF LINCOLNSHIRE

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Building-permit-app VILLAGE OF LINCOLNSHIRE

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The Building-permit-app VILLAGE OF LINCOLNSHIRE form is 4 pages long and contains:

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  • 27 check-boxes
  • 170 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Village of Lincolnshire

BROWSE VILLAGE OF LINCOLNSHIRE (IL) FORMS

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1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 1 of 4
STAMP HERE
BUILDING PERMIT APPLICATION
OFFICE USE ONLY
Permit #:
PROJECT INFORMATION
Property Address (including lot / suite #):
Project / Business Name:
Applicant Name:
Company:
Email:
Address:
City:
Zip Code:
Phone:
Fax:
RESIDENTIAL PROJECT TYPE (check all that apply)
Single Family
Multi-Family
New Construction
Demolition
Addition
Remodel
Electrical Repair / Alteration
Plumbing Repair / Alteration
HVAC Repair / Alteration
Deck / Patio / Stoop
Fence / Screen
Pool / Hot Tub / Spa
Lawn Irrigation System
Other:
NON-RESIDENTIAL PROJECT TYPE (check all that apply)
New Office Building
Office Building Alteration
New Office / Warehouse Building
Office / Warehouse Alteration
New Commercial Building
Commercial Building Alteration
Electrical Repair / Alteration
Fire Alarm / Sprinkler System
Plumbing Repair / Alteration
Other:
DESCRIPTION OF WORK
Will the proposed improvements require modification, addition, or alteration to any of the specific
systems listed below? If so, please indicate and provide cost/quantity.
HVAC # of Units:
Electric Service:
Amps
Plumbing
# of Fixtures:
# Circuits
# of Bedrooms
# of Full Bathrooms
# of Half Bathrooms
(4a) Electrical Cost
$
Total Area of Improvement
sq. ft.
(4b) Plumbing Cost
$
Building Height
ft.
(4c) HVAC Cost
$
*Must include the value of Footing and Foundation,
irrespective of issuance of a separate permit. Exclude land
cost and site improvements. Total should equal sum of 4a, 4b,
4c, and 4d.
(4d) Balance Cost
$
TOTAL COST*
$
Building Permit Application – Village of Lincolnshire, IL – Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 2 of 4
CONTACT INFORMATION
Tenant Information (if applicable)
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Owner Information (if different than applicant)
Name:
Company:
Email:
Address (including suite #):
City: State: Zip Code:
Phone:
Cell:
Fax:
Contractor Information
Type of Contractor:
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Contractor Information
Type of Contractor:
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
SUBMITTAL STATEMENT
I, , certify that the information contained in this application,
attached plans, and specifications, and other attached documentation is true to the best of my
knowledge. I also recognize that as the permit applicant, all fees and requirements associated with the
review and future approval of the work described herein are my responsibility.
Signature: Date:
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signature
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Building Permit Application – Village of Lincolnshire, IL – Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 3 of 4
ADDITIONAL CONTRACTOR INFORMATION
Contractor Information
Type of Contractor:
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Contractor Information
Type of Contractor:
Name:
Company:
Email:
Address (including suite #):
City: State: Zip Code:
Phone:
Cell:
Fax:
Contractor Information
Type of Contractor:
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Contractor Information
Type of Contractor:
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Contractor Information
Type of Contractor:
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Building Permit Application – Village of Lincolnshire, IL – Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 4 of 4
IMPERVIOUS SURFACE CALCULATION SHEET
The Village of Lincolnshire regulates the amount of impervious surfaces covering single-family
residential lots. Impervious surface is defined as “any man-made area that alters the natural surface
course for or does not allow for the natural rate of absorption or retention of storm water. Such areas
may include, but are not limited by reason of exclusion from the following list of examples, roofs,
parking and driveway areas, graveled areas, sidewalks and bike paths, paved recreational areas,
swimming pools, porches, decks and patios” (Section 6-2-2 of the Lincolnshire Village Code). Please
complete the following calculations to determine the total impervious surface area for the property.
IMPERVIOUS SURFACE TYPE
IMPERVIOUS SURFACE AREA (sq. ft.)
Existing
Proposed
Building Footprint (including garage)
Driveway
Walks
Decks
Porches
Patios
Swimming Pools
Detached Storage Structure (shed)
Gazebo
Recreational Structure
Other (list)
TOTAL
(a)
sq. ft.
(b)
sq. ft.
IMPERVIOUS SURFACE RATIO
(a + b) ÷ = %
Total Impervious Surface
Lot Area (sq. ft.)
Impervious Surface Ratio
ARCHITECT / DESIGN PROFESSIONAL INFORMATION (if required by Building Official)
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
License #:
I, , declare that I have reviewed and/or designed the documents
associated with this application, and therefore, take responsibility for the design work on behalf of a
registered design firm. In addition, I certify that the information contained on the attached plans and
specifications, and other attached documentation is true to the best of my knowledge, and accurately
depicts the subject site on the date these documents were prepared.
Signature:
Date:
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signature
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Building-permit-app VILLAGE OF LINCOLNSHIRE

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Completed 13 July 2020

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