Fillable VILLAGE OF RIVER GROVE (Village of River Grove)

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VILLAGE OF RIVER GROVE (Village of River Grove)

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Country of origin: US
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U.S.A. forms for Village of River Grove

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DATE: _________________
PROPERTY ADDRESS: _________________________________________________RIVER GROVE, IL 60171
PROPERTY OWNERS NAME: _________________________________________ PHONE: __________________
PROPERTY OWNERS EMAIL: ___________________________________________________________________
CONTRACTOR NAME: ______________________________________________ PHONE: ___________________
CONTRACTOR ADDRESS: _____________________________________________________________________
STATE LICENSE # ______________________ COST OF INSTALLATION OR REPAIR: $_______________________
SIZE OF HVAC UNIT #1: (TON) (BTU) #4: (TON) (BTU)
#2: (TON) (BTU) #5: (TON) (BTU)
#3: (TON) (BTU) #6: (TON) (BTU)
(LIST ADDITIONAL UNITS ON BACK)
A/C RATING: VOLTAGE AMPERES
ELECTRICAL: WIRE SIZE AMPACITY BREAKER/FUSE SIZE
(LIST INFORMATION FOR ADDITIONAL UNITS ON BACK)
LIST NUMBER OF MOTORS OR OTHER CURRENT CONSUMING DEVICES: ____
DESCRIPTION OF WORK: ______________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
PERMIT APPROVED BY: _____________________________________ DATE: __________________________
MECHANICAL PERMIT APPLICATION
VILLAGE OF RIVER GROVE
2621 THATCHER AVE, RIVER GROVE IL 60171
DAVID B. GUERIN, PRESIDENT
PHONE 708-453-8007 FAX 708-453-1337
PERMIT NUMBER ____________________
DATE ISSUED ____/_____/_____________
APPROVED FEE $____________________
REQUIREMENTS FOR OBTAINING
VILLAGE OF RIVER GROVE HVAC PERMIT
1. COMPLETED MECHANICAL-HVAC PERMIT APPLICATION
2. VILLAGE OF RIVER GROVE CONTRACTOR’S LICENSE REQUIRED FOR ALL
CONTRACTORS AND SUB-CONTRACTORS WITH CURRENT INSURANCE AND
BOND.
3. CERTIFICATE OF INSURANCE REQUIRED FOR ALL CONTRACTORS AND SUB-
CONTRACTORS ($1,000,000 MINIMUM LIABILITY) LISTING THE VILLAGE OF RIVER
GROVE AS CERTIFICATE HOLDER
4. $10,000 PERMIT BOND FOR EACH CONTRACTOR AND SUB-CONTRACTOR
5. ROOFING CONTRACTORS ALSO REQUIRE COPY OF REGISTRATION FROM
LICENSING MUNICIPALITY
6. ATTACH COMPANY ESTIMATES, WORK ORDERS OR RECEIPTS
7. ALL INSPECTIONS MUST BE SCHEDULED 24 HOURS IN ADVANCE.
TRADESMEN MUST BE PRESENT DURING INSPECTION
8. POSSIBLE LATE FEES AND/OR RE-INSPECTION FEES APPLIED IF WORK IS NOT
COMPLETED IN A REASONABLE PERIOD OF TIME AND/OR IF NUMEROUS
INSPECTIONS ARE REQUIRED.
9. DO NOT COMMENCE WORK BEFORE PERMIT IS ISSUED, $200.00 FINE OR FEES
DOUBLED (WHICHEVER IS GREATER) IF WORK IS STARTED BEFORE PERMIT IS
ISSUED.
10. IF OTHER SUBCONTRACTORS ARE DOING WORK THEY ARE REQUIRED TO
OBTAIN PERMIT FOR THEIR PORTION OF THE WORK.
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VILLAGE OF RIVER GROVE (Village of River Grove)

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Completed 19 January 2021

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