VILLAGE OF WAUCONDA BUILDING PERMIT APPLICATION
Community Development Department • 109 W. Bangs Street, Wauconda, IL 60084 • 847-526-9609 • Fax: 847-526-8967 • E-mail: CD@wauconda-il.gov
WHITE: BUILDING FILE CANARY: TOWNSHIP ASSESSOR PINK: ACCOUNTING GOLD: PERMITTEE
PERMIT #: ____ - _____________ (Assigned by Community Development) Date Submitted: ____________
Owner/Occupant: _____________________________________ Phone: _____________________ E-mail: ________________________________________
Location: _________________________________________________________, Wauconda, IL PIN#: _________________________________________
Project: ____________________________________________________________________________________ Project Cost $ _______________________
New Construction; Total Square Feet: _____________
CONTRACTOR
ADDRESS PHONE
General:
Electric:
Plumbing:
CURRENT CODES: International Building Code 2003, International Mechanical Code 2003, International Fuel Gas Code 2003, International Fire Code 2003, International
Property Maintenance Code 2003, National Electrical Code 2005 NFPA 70 (metal conduit required for all electric), International Energy Conservation Code 2012,
International Residential Code 2003, Illinois State Plumbing Code 2014, plus all Village of Wauconda Code Amendments posted at: www.wauconda-il.gov
CALL J.U.L.I.E PRIOR TO DIGGING: DIAL 811
►All spoils must be removed from site
► Homeowner Association (HOA) approval may be required prior to issuance of a permit.
► A Plat of Survey is required for all exterior projects such as decks, patios, fences, accessory structures, or similar replacements.
► A copy of current Illinois State License and Certificate of Insurance are required for Roofing and Plumbing contractors.
► All permits require a plan review with a possible review fee. The applicant agrees to pay all Plan Review Fees whether or not they receive a permit.
► Refundable Bond is required for Village parkway (ROW) changes or street openings. Call Public Works at 847-526-9610 for ROW inspection & refund.
► Do not occupy a new construction building until the final inspection is performed and a “Certificate of Occupancy” is issued.
The undersigned hereby applies to the Village of Wauconda, Illinois for a permit to erect the structure or part thereof herein described, and if granted the permit applied for shall comply with all
requirements of the Village Ordinances relating thereto and pay the fees required by such ordinances. No error or omission on either the plans or applications, whether said plans or applications have
been approved by the Building Official or not, shall permit the applicant to construct the work in any manner other than that provided for in the ordinance of this Village relating thereto. This permit
does not relieve the Permittee from any obligations created by leases, land covenants, or other lawful private obligations or private regulations. The applicant having read this application and fully
understanding the intent thereof declares that the statements made are true to the best of my knowledge and belief.
SIGNATURE OF APPLICANT OR AGENT: ___________________________________________________________________ DATE: ____________________________
PRINT NAME: _______________________________________ Phone: ____________________________ E-mail: _____________________________________________
================================================== for office use only below this line ======================================================
PERMIT FEES: FEE DETAILS ATTACHED PLAN REVIEW REQUIRED HOA APPROVAL REQUIRED RECEIVED
Building Permit Fee ...................................... $_____________________ ► ALL PERMITS ARE VALID FOR 6-MONTHS◄
BZ Plan Review ............................................. $_____________________ APPROVED BY: _________________________ APPROVAL DATE: ____________________
Plumbing Inspection(s) ................................ $_____________________ DATE PAID: ________________________ PERMIT EXPIRE DATE: ____________________
Electric Inspection(s) .................................... $_____________________ PAYMENT:
CASH CHECK# ___________________ AMT: ___________________
Water Meter Reader Removal Fee ................ $_____________________ ========================================================================
Public Works Permit Fee .............................. $_____________________ ►
CALL: 847-526-9609 to Schedule ALL Required Inspections ◄
Architect Plan Review................................... $_____________________ 6-Month EXT $_________ CASH CK# __________ PAID: _______________
...................................................................... $_____________________ Permit Extension Expire Date: _______________
...................................................................... $_____________________
Re-Inspect $_________ CASH CK# __________ PAID: _______________
►TOTAL FEE DUE ....................................... $_____________________
___________ $_________ CASH CK# __________ PAID: _______________
click to sign
signature
click to edit
![]()
