Application For Building Permit

Application For Building Permit

Village of Fairmont City, IL
All information must be completed on this Application. For assistance filling out this application, call the Annex at 618-274-6306. To report a problem with this application, call 618-560-6932 or fill out the contact form on our website homepage.

This Application is made for a Building Permit as REQUIRED under the Building and Zoning Ordinances of the Village of Fairmont City, for the demolition, erection, moving, or alteration, and use of buildings and premises. In the making this application, the applicant represents all the following information is valid, and any uploaded maps and drawings, as a true description of the proposed new or altered uses and or buildings. The applicant agrees that the permit applied for if granted, is issued on the representations made here, and that any permit issued may be revoked without notice on any breach of representations or conditions.
DATE PAID

MonthDayYear
Date
Applicant and Owner Info
- Owner Name
  
  First NameLast Name
- Owner Phone
  Please enter a valid phone number.
- Owner Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Owner Email
  example@example.com
- Owner Fax
  Please enter a valid phone number.
- Applicant Name
  
  First NameLast Name
- Applicant Phone
  Please enter a valid phone number.
- Applicant Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Applicant Email
  example@example.com
- Applicant Fax
  Please enter a valid phone number.
- Property Interest of Applicant
  
  OwnerLesseeContractorOther

Project Details
Address of proposed construction

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Subdivision
Lot Number
Proposed Improvement
Number of Rooms
Dimensions and Sq. Ft. of Improvement
Is any type of business presently operated at this location?

NoYes
Please explain
Number of Stories
Existing Use
Proposed Use
Zoning District Classification
Is written approval of the Board of zoning Appeals required?*

YesNo
PDF field - Is written approval of the Board of zoning Appeals required?
Please Explain:
Is variation or special exception to any provision of the Zoning Ordinance requested?*

YesNo
PDF field - Is variation or special exception to any provision of the Zoning Ordinance requested?
Please Explain:
Permanent Parcel Number

Use of Existing and Proposed Structure
Plans and Specifications
Attach or draw below two copies of a site plan showing the following information:

Dimensions of Lot, building, driveways and off-street parking spaces. Distance between: Buildings and front, side and rear lot lines,

Principle building and accessory buildings,

Principle building and principal buildings on adjacent lots. Location of Signs, easements, underground utilities, septic tank if any, tile fields, water welis, etc.

Plans and Specifications

Site plans. A plat drawn to scale is attached, and shows the following 1) Actual shape and size of lot property 2) Location, ground area dimensions, and identification of use of all

Existing and proposed buildings, structures, driveways, parking

Areas, etc. 3) Dimensions of front, side and rear yards.

Construction plans. Plans prepared, and sealed by an Architect/Engineer, licensed of the State of Illinois, Are required for all public use buildings, including commercial, industrial, and institutional.

Specifications. For each building, structure, or use (existing and proposed) identified on the plat, give the following information if applicable:

If this is an application for a residential structure one set of plans drawn to scale to be submitted with the Building Application and Application for Zoning if required.. Please upload your Site Plans below.
Cancelof
b. Please upload any Construction plans. Plans prepared, and sealed by an Architect/Engineer, licensed of the State Illinois, arerequired for all public use buildings, including commercial, industrial, and institutional.

Cancelof

c. Specifications For each building, structure, or use (existing and proposed) identified on the plat, give thefollowing information if applicable:

	Height in feet	# of stories	# of dwelling units	# of employees	# of parking spaces
Existing
Proposed

d. Building characteristics
(1) Lot Size - Width - in feet Depth - in feet
(2) Building Size (sqare feet all floors) - in square feet
Lot Size sq ft)
Estimated Cost (e)
e. Estimated Cost (Total cost-plus labor)
f. Is garage to be attached to Main Structure on property?

YesNo
g. Is the street on which building is to be erected provided with a sewer?*

YesNo
g. Is the street on which building is to be erected provided with a sewer?
Fee Paid (j)
j. Fee Paid

Proposed New Construction
New BuildingAlterations or Additions to Existing BuildingsDemolitionOther
IMPORTANT - Will Permit be for any of the following: Landfill expansion plan review, Gasification plant plan review, Complex machinery installation of 1 million dollars or more, , Erection or modification of cellular tower over 3 stories in height and associated equipment, Significant 5 acre or larger storm water drainage modification plan review, Demolition permit fee involving confirmed asbestos containing material/s, Curb connections to municipal roadway greater than 24 foot in width at connection, or Electric generating plant construction?

YesNo
Please Describe
Min Special Fee
Min Standard Fee

Architect/Engineer and Contractor
- Contractor Name
- Contractor Email
  example@example.com
- Contractor Phone
  Please enter a valid phone number.
- Contractor ID #
- Contractor Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Architect/Engineer Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- IL State Lic #
- Expiration Date
  
  MonthDayYear
  Date

Subcontractors
- Name
- Phone
  Please enter a valid phone number.
- Contractor ID#
- Expiration Date
  
  MonthDayYear
  Date
- Email
  example@example.com
- Fax
  Please enter a valid phone number.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Name
- Phone
  Please enter a valid phone number.
- Contractor ID#
- Expiration Date
  
  MonthDayYear
  Date
- Email
  example@example.com
- Fax
  Please enter a valid phone number.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Name
- Phone
  Please enter a valid phone number.
- Contractor ID#
- Expiration Date
  
  MonthDayYear
  Date
- Email
  example@example.com
- Fax
  Please enter a valid phone number.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code

7. SPECIAL REQUIREMENTS, IF ANY
7b y or n
Signature and Submission
New Construction

Application for a permit shall be made by the owner or lessee of the building or structure, or agent of either or by the registered design professional employed in connection with the proposed work.

Property must have an assigned address from the 9-1-1 Coordinating office prior to a building permit being issued. The 9-1-1 Coordinating Office is located at 101 First St., Belleville, Illinois; phone number is 618-277-7316. It is understood that any Permit issued on this application will not grant any right on privilege structure or to use any premises described for any purpose or in any manner prohibited by the Building and Zoning ordinances, codes or regulations of the Village of Fairmont City. Temporary Erosion control measures must be implemented during construction and permanent measure must be maintained after completion. The applicant further agrees to notify the Enforcing Officer at the stages of Construction stated as follows:
1. Prior to pouring footing
2. Foundation prior to back fill
3. Rough framing
4. Rough in electrical
5. Rough in plumbing
6. Rough in HVAC
7. Final inspection before occupancy permit. The Enforcing Officer shall, upon completion of the construction, inspect the premises. If is further understood that if construction is not started within 6 Months of issuance of this permit and at least 1 inspection recorded, the permit becomes nuil and void.
I understand accept and agree that all trash, debris and scrap materials must be placed into appropriate containers
It is understood that any Permit issued on this application will not grant any right on privilege to erect any structure or to use any premises described for any purpose or in any manner prohibited by the Building and Zoning ordinances, codes or regulations of the Village of Fairmont City. Temporary Erosion Control measures must be implemented during construction and permanent measure must be maintained after completion. The applicant further agrees to notify the Enforcing Officer at the stages of construction stated as follows: 1) prior to pouring footing; 2) foundation prior to back; 3) rough framing; 4) final before occupancy; if permit is granted. The Enforcing Officer shall, upon completion of the construction, inspect the premises. If is further understood that if construction is not started within SIX (6) MONTHS of issuance of this permit and at least one (1) inspection recorded, the permit becomes null and void.
permit fee calculated value
Your Permit fee is:
Date

MonthDayYear
Date
Signature

Clear
Should be Empty:

Application For Building Permit

Applicant and Owner Info

Project Details

Use of Existing and Proposed Structure

Plans and Specifications

Proposed New Construction

Architect/Engineer and Contractor

Subcontractors

7. SPECIAL REQUIREMENTS, IF ANY

Signature and Submission