1 Olde Half Day Road, Lincolnshire, IL 60069
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STAMP HERE
ROOFING PERMIT APPLICATION
OFFICE USE ONLY
Permit #:
This application is to be used for residential
roofing projects only. The Building Permit Application
should be used for all non-residential roofing projects.
Property Address (including lot / suite #):
Fax:
Tear Off Second Layer
H.O.A. approval attached
(if applicable)
Roofing Contractor Information:
Property Owner Information:
Address (if different from above):
• Submit application, copy of State of Illinois Roofing License and copy of contract.
• Roofing contractors are required by State law to affix their license number to all contracts and bids.
The roofer’s license number must also be affixed to all business vehicles.
• The Community & Economic Development Department must be notified at least 24 hours in advance
of each inspection at 847-883-8600 between 8:30 a.m. and 4:30 p.m. Overweight permits must be
obtained at the Police Department. Dumpsters must be placed on private property.l
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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