RESIDENTIAL BUILDING PERMIT APPLICATION

RESIDENTIAL BUILDING PERMIT APPLICATION
One Asselborn Way, Glenwood, Illinois 60425 Phone (708)753-2416 Fax (708)753-2406
Date of Application

MonthDayYear
Date
PERMIT NO
Owner of Property
Phone Number
Please enter a valid phone number.
PERMIT COST
Project Address
EMAIL ADDRESS
PROPOSED USE GROUP:
Total Cost of Project
Deck
SIZE
GARAGE
SIZE
PATIO ENCLOSURE
SIZE
PORCH
SIZE
SHED
SIZE
SHED
SIZE
DRIVEWAY
CONCRETE
DOORS
ENTRY
WINDOW REPLACEMENT
NUMBER
FENCE
HEIGHT
SWIMMING POOL
ABOVE GROUND
GALLONS
DESCRIPTION OF PROJECT:
Contractor Information: Name: Please list all other contractors below.
Name
Address
Phone Number
ALL PROJECTS REQUIRE AN INSPECTION FOR APPROVEL FROM THE BUILDING DEPARTMENT. A twenty-four (24) hour notice is required for all inspections. Please call the above number to schedule an appointment. Permits expire one (1) year from the date issued. Construction must start within six (6) months from the date issued. As owner/agent of the above property, for which this permit is issued and as the applicant for this permit, I expressly agree to conform to all applicable ordinances, codes, and regulations of the Village of Glenwood.
OwnerAgent
Date

MonthDayYear
Date
Building Department
Date

MonthDayYear
Date
COMMENTS
Should be Empty: