VILLAGE
OF
WHEELING
APPLICATION
FOR
BUILDING
PERMIT
Community Development
Department
2 Community Blvd., Wheeling,
IL
60090 ph: (847) 459 -2620
NOTE: Separate permits frequently required. See below.
Real Estate Index
No.
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PermitNo
.
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The undersigned hereby applies to the building department
of
the Village
of
Wheeling, IL for a permit
to
erect, alter, construct,
or
enlarge the structure
or
part thereof herein described, and
if
granted the permit applied for will comply with all requirements
of
the Village ordinances relating thereto and pay the
fees required by such ordinances.
Address
____________________
_
Proposed use:.
_____________
_
____
_
(i.e., office, warehouse, manufacturing, etc.)
Th~~rmtt~~~uHdforthe~~o•~--~--~~---~--~-------~--~-
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(i.e., remodel commercial unit, furnace installation,
2"d
floor
addition to home, etc.)
Square footage
of
work in existing building Square footage
of
addition(s) Construction Valuation (above listed work only)
$
Property
Owner
_____________
_
Address-
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Phone
_______
_
All
contractors
by
must
be
identified below,
and
registered
prior
to
permit
issuance:
Type/Trade
Company I Contact Name
Addr~s
Phone
General
Cont.
Masonry
Carpenter
Roofing
Plumbing/Sewer
Electrical
HVAC
I Heating
Spri
nkl
er
Waste remova
l*
Waste Management
350
Su
mac
Rd
., Wheeling (800) 796-9696
. •Construction wast
e,
other than debris removed directly
by
con
tractor in contractor's vehicle,
shall
be
remov
ed
by
Waste Management
per
an
e:xclusive
franchise agreement. Failure
to
comply will result in fines
per
the Municipal Code (Chapter 5.32).
BY
MY
SIGNATURE
BELOW
I hereby certify that I
am
the owner ofrecord
of
the named propertj, or that the proposed work is authorized by the
owner
of
record and that I have been authorized by the owner
to
make this application as his authorized agent and I agree to conform to
all
applicable laws
of
this jurisdiction. No error
or
omission iq eith
er
the plans or application, whether said plans
or
application has been approved by the building directoror
not shall permit or relieve the applicant from constructing the work
in
any other manner than that provided for in the ordinance
of
this village relating
thereto. I
understand
that
additional permits may be
required
for
site/utility
work
(Engineering permits), fire suppression
and
fire
alarm
work
(Fire
Prevention
Bureau),
or
food service (health permit). The applicant having read this application and
fully
understanding the intent thereof declares
that the statements made are true to the best
of
his/her knowledge and belief
Applicant: - -
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PRINT
NAME:
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Village Authorized Signature
Date
* * * * * * OFFICE USE
ONLY
* * * * * *
CALCULATION
OF
FEES
DEPOSIT· AMOUNT DUE
AT
ISSUANCE:
.
Plan Review
Plumbing Fee
Water
Meter
Deposit paid:
Construction value
fee
HVACFEE
Water
for Construction
Date:
CO
Fe
e
Sewer Connection
Other:
Balance paid:
Electric Fee
Water
Connection
Other:
Date:
. -
• •
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