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Revised 5/17/2019 by LR
FLOOD PROTECTION INFORMATION
For new buildings, additions or substantial improvements to existing buildings, complete the following applicable information.
(N.G.V.D.) Base Flood Elevation of the site (from previous section).
(N.G.V.D.) Elevation of the lowest floor, including basement.
(N.G.V.D.) Elevation to which the building shall be dry floodproofed.
% of Improvement =
Value of Improvement or Addition
Market Value of Existing Building
X 100
(Market value to as listed on latest Cook County Real Estate Tax Bill. Copy of Tax Bill must be attached).
For non-substantial improvements the cumulative percent of improvement must be less than 50%.
The structural alteration to an existing building does
/ does not exceed 20% of the existing first floor area.
For substantial improvements only, the Design Professional shall also certify the following:
I do hereby certify that I have designed the structure defined above to withstand the flood depths, pressures, velocities, impact and uplift
forces and other factors associated with the base flood. I also certify that the project meets all the requirements of Title 22 of the
Wheeling Municipal Code including but not limited to Foundation Protection and Compensatory Storage and that a completed
Elevation Certificate will be submitted upon completion of the project.
City, State, Zip:
Address:
Firm:
Architech/Engineer:
SEAL
Phone:
Signature Date
SIGNATURE
Applicant's E-Signature
By typing your name you agree to the terms and conditions of this permit.
Date
I (We) hereby agree to be bound by the provisions of the ordinances and specifications of the Village of
Wheeling governing this work and to hold the Village, its officers, agents and employees harmless
from any and all costs, damages, liabilities and attorney's fees which may occur or be claimed to occur
by reasons of any work performed under this permit.
FOR OFFICE USE ONLY
Date
Approved by:
PERMIT DENIED (see attached comments)
REQUIRED DCOUMENTS
Elevation Certificate Required
Flood Proofing Certificate Required
Flood Proofing Cert. Rcvd
Elevation Cert. Rcvd
LOMR/LOMA Rcvd
MWRD Permit
Permit - Other
Permit - Other
Permit - Other
Building/Engineering/Etc. Permit #
LOMR/LOMA Required
Supporting documents for cost of work to be completed shall be submitted.
VARIATIONS
Have any variations to this property from the requirements of Title 22, Floodplain Development Regulations of the Wheeling Municipal
Code?
Yes No
If yes, attach to this permit copies of all Ordinances and Village Board meeting minutes pertaining to these variations including reasons
for granting such variations.
Kyle Goetzelmann, Civil Engineer
click to sign
signature
click to edit
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