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2. Address of proposed construction*
4. Name of owner*
5. Phone*
6. Email
8. NOTE: If the property is in the control of a trust, complete the "Trust Ownership Disclosure Notice" form.
10. Address
12. Name of contractor
13. Phone
14. Email
16. TYPE OF CONSTRUCTION (check one)*

    1. New Construction

    1. Repair/Remodel

    1. Addition
17. Attach plans or sketch*
19. Describe (number of stories, type construction, number of bedrooms, etc.)*
21. Proposed use of building*
23. PLANS AND SPECIFICATIONS
    All permit applications for new structures and additions (for other than one and two family dwellings) must be accompanied by a set of drawings having the seal of an Illinois Registered Architect or Structural Engineer and must have had a site plan approved by the Development Services Department of the City.
25. All structures must comply with the 2003 ICC International Building Code, the National Electrical Code and the State of Illinois Plumbing Code. An examination of the plans for code compliance will be performed by the Building & Neighborhood Services Division, and the plans must include all information necessary for such an examination.
27. ESTIMATED COST OF CONSTRUCTION AND BUILDING PERMIT FEES
    The fee for building permits is two dollars ($2.00) per thousand dollars of the estimated cost of improvements excluding the costs of the land and the interior chattel furnishings (i.e. the building permit fee for $50,000 of improvements is $50,000 x 0.002 = $100.00). The cost of construction must include the cost of the electrical, plumbing and mechanical systems; however, the plumbing and electrical permits and fees are figured separately on a minimum fee basis.
29. ESTIMATED COST OF CONSTRUCTION $*
    (Including labor and all materials)
30. BUILDING PERMIT FEE $*

32. Once your application has been approved by the City, you will receive a secure link from noreply-pay24x7@openedgepay.com in which to pay your application fee.

34. Please choose how you prefer to receive the secure link:*

    1. Text
    2. Email
35. Cell Phone*
36. Email*
38. Your permit will be emailed to you once your payment has processed.
40. Certification*

    I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his agent, and we agree to conform to all applicable laws and ordinances of this jurisdiction. I also give permission for employees of the City to perform inspections on the property, and hold the City harmless for any Code requirements identified subsequent to the plan approval.

    1. I agree.
42. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
44. Electronic Signature of Owner or Agent*
45. Relationship to Owner
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field