Fillable Application For Building Permit Form printable pdf download

APPLICATION FOR BUILDING PERMIT

CITY OF ZION, ILLINOIS

BUILDING DEPARTMENT

Phone (847) 746-4018 fax: (847) 746-4665

JOB LOCATION: Number and Street: __________________________________________________

P.I.N._________________________ USE TYPE: single family, duplex, business, other _____________

ZONING DIST. ___________ LEGAL DESCRIPTION: Lot _______ Block ________Section ________

Township 46 North, Range 12 East of the Third Principal Meridian, Lake County, IL

PROPERTY OWNER: __________________________________________________ PHONE _______________________________

ADDRESS _____________________________________CITY _______________________ STATE________ZIP___________

GENERAL CONTRACTOR: _____________________________________________ PHONE _______________________________

ADDRESS _____________________________________CITY _______________________ STATE________ZIP___________

ROOFING CONTRACTOR: ______________________________________________PHONE _______________________________

ADDRESS _____________________________________CITY _______________________ STATE________ZIP___________

ILLINOIS STATE ROOFING LIC. NUMBER: 104-______________________

ARCHITECT: _________________________________________________________PHONE_________________________________

ADDRESS _____________________________________CITY _______________________ STATE________ZIP___________

DETAILS FOR CONSTRUCTION

FOR NEW CONSTRUCTION ONLY:

MISCELLANEOUS:

REPAIRS/REMODELING

Number of stories and height_______________

Roofing _______________________________

Total number of rooms ___________________

Siding_________________________________

Number of bedrooms ___________________

Shed: total square footage _______________

Number of bathrooms ___________________

Fence_____________Deck:________________

Total square footage _____________________

Driveway ______________________________

Size of basement ________________________

Windows U-Factor_______________________

Roofing material_________________________

Other:_________________________________

Type of heating system ___________________

______________________________________

GARAGE:

______________________________________

Attached or detached: size _______X________

Total square footage _____________________

DEMOLITION:

Principal building ________________________

ADDITION:

Accessory building ________________________

Total square footage ____________________________

TOTAL ESTIMATED VALUE OF WORK, COMPLETED: $___________________

If the work is not started within six months from the date the permit is issued or if the work is not completed within one year from the date a permit is

issued, the building permit shall expire by limitation as provided by City code. The undersigned applicant agrees to comply with all provisions of the

building code and the zoning ordinance of the City of Zion and with the provisions of all other law relating to the erection, repair, and alteration of

buildings and to zoning in effect at the date of the permit issued hereunder. The said applicant herewith agrees not to make any changes in the plans or

specifications, as approved, without first obtaining further approval for such changes from the building inspector.

________________________________________________

________________

Signature of Applicant

DATE

(for office use only)

PERMIT NO. BD-16-_____________

DATE PERMIT ISSUED: ______________________

Other fees

$ ______________

Building permit

$ ______________