REPORT#PI20- STAMP# BY________________________________
COMMERCIAL 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: Total Square Foot of Property: _________________
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 303.1.)
____ ____ 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. Is the building 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 7-6-86)
____ ____ 16. Are all closet fixtures (incandescent or fluorescent) completely enclosed?