Village of Coal City Permit Fee:__________________
515 S. Broadway Admin Fee:__________________
Coal City, IL 60416 Inspec Fee:__________________
Phone: 815-634-8608/Fax: 815-634-2487
Total Due:
PERMIT #_____________
Expiration Date:_________
MISCELLANEOUS BUILDING PERMIT APPLICATION
Residential Com
mercial
Agricultural
Industrial COUNTY: Will Gr
undy
Is there an “HOA” – Homeowners Association –
Please call 815-634-8608 for ALL inspections
Select work being done below: Estimated Cost of Project:_____________
□ DECK □ PORCH □ SIGN, TEMPORARY
□ DEMOLITION □ SHED DATES: _______
□ ELECTRICAL SERVICE □ SIDEWALK □ SOLAR PANELS
□ FENCE
□ HOT TUB
□ LAWN SPRINKLER
□ PER
GOLA
□ POOL - IS YARD FENCED □ SIGN, MONUMENT
□ WINDOWS
□ GAZEBO □ OTHER_____________
PROJECT ADDRESS: ________________________________PIN#: _______________________Zoning Class____________
STREET
_____
______________________________________________ ____________________________________________________________________________________
OWNER ADDRESS CITY STATE/ZIP PHONE
_____
__________________________________________________________________________________________________________________________________
APPLICANT ADDRESS CITY STATE/ZIP PHONE
_____
__________________________________________________________________________________________________________________________________
CONTRACTOR ADDRESS CITY STATE/ZIP PHONE
I hereby certify that I have read this application carefully and that all information contained herein is true and correct and that all construction to be
performed shall comply with the ordinances of the Village of Coal City and the laws of the State of Illinois governing same. I shall not perform any work not
specifically authorized by this permit. I understand that the work authorized hereunder must be initiated by six months from the date of issue or this permit
shall become null and void. I further understand that the work authorized hereunder must be completed within 12 months of the date of issue or this
permit shall become null and void. I understand that to obtain an extension of this permit, I must apply to the Coal City Building Department.
Sign Here_________________________________________Date_______________________________
Inspector Signature_________________________________ Date_______________________________
OFFICE USE ONLY Inspections
Anchorage___ Electrical Service___ Foundation___ Layout___ Post holes___ Rough/Electrical___ Rough Plumbing___
Underground Plumbing___ Walk/Stoop___ Final Plumbing___ FINAL___
Y
ES
NO
YES
NO
