COMMERCIAL / INDUSTRIAL APPLICATION FOR PLAN EXAMINATION AND BUILDING PERMIT

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Community Development 1050 W Romeo Rd, Romeoville, IL 60446-1530 (815) 886-7200 Fax #: (815) 886-2724 Email: buildinginspections@romeoville.org COMMERCIAL / INDUSTRIAL APPLICATION FOR PLAN EXAMINATION AND BUILDING PERMIT Property & Owner Information PIN #: Application Date / / Who is the applicant? Owner Contractor Who is the contact person? Owner Contractor Business Name Project Address Phone Number Lot #: Business Park /Location Township: Estimated Cost of Project: Improvement Square Footage: Description of Project: Construction Group Classification Type of Construction Classification Battery Charging Station Proposed [ ] YES [ ] NO [ ] TO BE DETERMINED Racking System Proposed [ ] YES [ ] NO [ ] TO BE DETERMINED Conveyor System Proposed [ ] YES [ ] NO [ ] TO BE DETERMINED Estimated Start Date P.E. Calculations Estimate Completion Date Planning Department Project Case Number Contact Information Name of Applicant Company: Address of Applicant: Telephone # Fax # Cell# E-Mail Address Office Use Only Project # Application Date: Received By: Permit #: Status Sticker OFFICIAL USE ONLY Plan Review Fee: Cost of Permit: Page 1 of 6

Contractor Information If you are using a contractor or sub-contractor, a signed copy of the contract must be included with the application and the following information must be provided. All contractors and sub-contractors doing work in Romeoville must be registered, insured and bonded with the Village. General Contractor Contractor Name Contractor Address Contractor Phone Architect / Engineer Village Registration Number (for office use only) Contractor Name Contractor Address Contractor Phone Page 2 of 6

Sub-Contractors Type of Contractor Business Name Street Address, City, State and Zip Phone Number Registration Number Excavation Concrete Masonry Electrical Electric - Voice/Data Electric - Speaker Electric - Fire Alarm System Plumbing Sewer Mechanical Roofing Paving Carpentry Drywall or Lathing Sprinkler Fire Alarm Insulation Page 3 of 6

Plan submittal Checklist Please complete this column if submitting for a New Commercial/Industrial Project or an addition to: ITEM RECEIVED PLAN SUBMITTAL NOTES: Architectural Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Structural Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Mechanical Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Electrical Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Plumbing Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Civil Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Sprinkler Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Fire Alarm Drawings 4 signed and sealed copies required for submittal, (collated) Structural Calculations Soils Report Digital Set of plans Please complete this column if submitting for a New Commercial/Industrial Remodel or Built-Out: ITEM RECEIVED PLAN SUBMITTAL NOTES: Architectural Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Structural Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Mechanical Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Electrical Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Plumbing Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) Civil Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) [If any changes are to be made.] Sprinkler Drawings (24 x 36 ) 4 signed and sealed copies required for submittal, (collated) If changes are to be made. Digital Set of plans ITEM RECEIVED MISCELLANEOUS SUBMITTAL NOTES: Please provide the scope of work: Page 4 of 6

Permit & Inspection Requirements Please read the requirements and place a in the column to the left to confirm that you understand and agree. Office Use The Building Permit must be posted in the building s window where it can be seen from the street. Each phase of construction must be inspected and approved by the Village of Romeoville prior to proceeding to the next stage of construction. All inspections must be scheduled 48 hours in advance by calling (815)886-7200or by emailing buildinginspections@romeoville.org. Your permit number must be provided when inspections are scheduled. Failure to call for required inspections may result in a Stop Work Order. Should you fail an inspection, a re-inspection fee must be paid before continuing work and before scheduling another inspection. The project (build out) shall start within ninety (90) days from the date the permit is issued and completed within one hundred and eighty (180) days. For a new building, the project shall be completed within three hundred and sixty five (365) days. I hereby declare that I have read and understood this application. The above information and any attachments are correct. I agree, that in consideration of and upon issuance of a building or use permit, that I am allowed to do such work as herewith applied for, and that such premises shall be used only for such purposes as set forth above. I hereby certify that I am the owner of record of the named property, or 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 authorized agent and I agree to conform to all applicable laws of this jurisdiction. In addition, if a permit for work described in this application is issued, I certify that the code official or the code official s authorized representative shall have the authority to enter areas covered by such permit at any reasonable hour to enforce the provisions of the code(s) applicable to such permit. Signature of Applicant: Date: This Page for Office Use Only Approval & Review Status Building Department Activity Building Review BLDG Building Review ELECTRIC Building Review HVAC Building Review PLUMBING Reviewed by Planning: (if applicable) Date Plans Received Plans Examiner Date Plans Approved Page 5 of 6

Plans Approved By Clerical Clerical to check on all contractors to make sure that they are current with their license. Clerical check for outstanding debt: Contacted Date: Person Contacted: Contacted By: Notes Page 6 of 6