COMMUNITY DEVELOPMENT-VILLAGE OF WHEELING
2 Community Boulevard Wheeling, IL 60090 (847) 459-2620
APPLICATION FOR BUILDING PERMIT
Note: Separate permits are required from: The Engineering Department, for all site and utility work; and
from the Fire Department for the fire sprinkler/suppression system, fire alarm or other fire-related items.
Real Estate Index: Permit Number:
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.
DESCRIPTION OF WORK:
BUILDING TYPE:
SITE ADDRESS: _______________________ Wheeling, IL 60090
Square footage of work in existing building _________________ Square footage of addition(s) __________________ Cost of Construction
Property Owner Address Phone
Applicant Name (if not owner) Address Phone
Contact Name E-mail (required) Phone
(Person responsible for all permit correspondence)
CONTRACTORS - Any contractor performing work within the Village must be registered with the Village prior to permit issuance.
General Contractor Address Phone
Carpenter Address Phone
Concrete/Asphalt Address Phone
Demolition Address Phone
Electrical Address Phone
HVAC/Mech. Address Phone
Masonry Address Phone
Plumbing/Sewer Address Phone
Roofer/Siding Address Phone
Sprinkler Address Phone
Fence Address Phone
*Waste Removal. Waste Management Address 350 Sumac Rd, Wheeling Phone (800) 796-9696
*Construction waste, other than debris removed directly by contractor in contractor’s vehicle, shall be removed by Waste Management per an exclusive franchise agreement. Failure to comply will result in fines per the Municipal Code
(Chapter 5.32).
I hereby certify that I am the owner of record of the named property, or that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make t h i s a p p lic ation a s his
authorized agent and I agree to conform to all applicable laws of this jurisdiction. No error or omission in either the plans or application, whether said plans or application has been approved by the building director
or not shall perm it or relieve the applicant from constructing the work in any other manner than that provided for in the ordinance of this village relating thereto. 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.
Plan Examination . . . . . . . . . . . . . . . . . . . . . .
Construction Fee . . . . . . . . . . . . . . . . . . . . . . .
Certificate of Occupancy . . . . . . . . . . . . . . . . .
Electric Fee. . . . . . . . . . . . . . . . . . . . . . . . . . .
Plumbing Fee . . . . . . . . . . . . . . . . . . . . . . . .
H.V.A.C. Fee . . . . . . . . . . . . . . . . . . . . . . . . .
Sewer Connection Fee . . . . . . . . . . . . . . . . . . .
Water Connection Fee . . . . . . . . . . . . . . . . . . .
Water Meter. . . . . . . . . . . . . . . . . . . . . . . . . .
Water for Construction . . . . . . . . . . . . . . . . . .
Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . .
Miscellaneous. . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL PERMIT FEES DUE . . . . . . . . . . . . .
X Signature of Owner/Agent Date
Print Owner/Agent
Permit Authorized by:
Village Authorized Signature Date