Form Center

2. 
4. TENANT/ PROPERTY OWNER*
6. Address*
8. City*
9. State*
10. Zip Code*
12. SITE PHONE *
13. Email Address
15. SUBDIVISION
16. PARCEL NUMBER
18. PERMIT NUMBER
19. PERMIT FOR:
20. COST OF CONSTRUCTION *
22. STORIES
23. NO. ROOMS
24. NO. BATHS
25. PLAN NO.
27. WIDTH
28. LENGTH
29. SQ FT.
30. BASEMENT
32. GENERAL
33. ADDRESS
34. PHONE
36. ARCHITECT
37. Address
38. PHONE
40. ELECTRICAL
41. Address
42. PHONE
44. PLUMBER
45. Address
46. PHONE
48. SEWER
49. Address
50. PHONE
52. EXCAVATOR
53. Address
54. PHONE
56. MASON
57. Address
58. PHONE
60. ROOFER
61. Address
62. PHONE
64. HEATING
65. Address
66. PHONE
68. OTHER
69. Address
70. PHONE
72. Copy of Contract
73. Plat of Survey
74. Scope of Work
75. Drawings

77. This application shall be accompanied by two sets of plans or more as needed, including all specifications, also survey plat in duplicate of the premises showing the location of all proposed building and existing buildings. The plat shall be complete with dimensions of premises and building. 

    Having submitted the plans and specifications, I hereby apply to the community Development Department of the Village of North Riverside, Illinois for a permit to perform the above-mentioned work. if this permit is granted I will comply with all the Village ordinances relating to the permit and pay all fees required. I will submit this work to the required inspections and prohibit the occupancy of any space until a Certificate of Compliance and Occupancy has been obtained from the building inspector. Work to begin within 30 day of issuance of permit. All work covered by the permit is to be completed within one year from date of permit.

     No error or omission in either the plans or application, whether said plans or application have been approved by the Building inspector or not, shell permit or relieve the applicant from constructing the work in any other manner than that provided for in the Ordinance of this Village relating thereto. The applicant having read this application and fully understanding the intent thereof declares that the statement made are true to the best of my knowledge and belief. 

79. Permit fee: Non-Refundable               work must start within 90 days of permit, or permit is null and void. 

81. 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.
83. Electronic Signature*
84. Phone Number*
86. Address
87. City
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89. 1. Receive an email copy of this form.
90. Email address

    This field is not part of the form submission.

91. Submit

* indicates a required field