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Community Development Department 10 N. Water Street Monday Friday 847 741 3894 8:30 a.m. 5:00 p.m. 847 741 3959 FAX www.southelgin.com RESIDENTIAL APPLICATION PROPERTY INFORMATION South Elgin, IL 60177 PROPERTY OWNER INFORMATION OTHER CONTACT INFORMATION (If applicable) Business Contractor Type: OTHER CONTACT INFORMATION (If applicable) Business Contact Type: ADDITIONAL INFORMATION Estimated Value of Work: Applicant (check): Property Owner Contractor Tenant Other: I have read & understand the attached fact sheet. Initial: In consideration of this application and attached forms being made a part thereof and the issuance of permit, I will conform to the regulations set forth in the Codes and Ordinances. I also agree that all work performed under said permit will be in accordance with the approved plans, specifications and plat diagram which may accompany this application, except for such changes as may be necessary and authorized or required by the. No work shall be conducted until a permit is issued and obtained. I will submit this work to the required inspections, before work is covered up, and prohibit the occupancy of any space until a Certificate of Occupancy or Letter of Completion has been obtained from the Community Development Department. The applicant has furnished the information contained herein. Applicant Signature: Applicant Name & Title (please print): (OVER Go to Page 2) For Office Use Only Submittal Checklist: Application Complete Submittal Checklist Submittal Worksheet Permit #: Date Received: Received By: PIN:

RESIDENTIAL WORKSHEET DESCRIPTION New Construction Alteration Addition Other: Square Feet of Proposed Structure: Kane County Road Impact Receipt # Kane County Division of Transportation 41W011 Burlington Rd St Charles, IL 60175 Phone (630)845-3799 Fax (630)587-2474 FRWRD Permit, as needed Receipt # District Engineer, Fox River Water Reclamation District Raymond St & Purify Dr P.O. Box 328 Elgin, IL 60121 Phone (847)-742-2068 Fax (847)-742-0193 Description of Work: SUBMITTAL CHECKLIST Complete Application & Worksheet Provide 2 copies of the Plat of Survey Provide 3 Sets of Plans Stamped by Illinois Licensed Architect Provide 2 Accurate Site Plans with all detail requirements Provide 2 Copies of Manufacturers Specifications for building components providing them (e.g. furnace, trusses, etc.) Provide the Plumber s License, if plumbing work is not being done by the owner-occupant of the home. Provide a plumbing pipe isometric drawing plan that includes identification of all piping, sizing, apparatus locations and spacing, and all connection points. Complete the attached Residential Permit Plumbing Submittal Sheet ADDITIONAL CONTRACTOR INFORMATION (If applicable)

Residential Permit Fact Sheet MINIMUM REQUIREMENTS: All residential structures are subject to all current Zoning regulations as adopted and amended. Further information can be obtained from the web site at www.southelgin.com. Building regulations are as follows: 2018 INTERNATIONAL MECHANICAL CODE CURRENT ILLINOIS ENERGY CONSERVATION CODE 2018 INTERNATIONAL FUEL GAS CODE 2018 INTERNATIONAL RESIDENTIAL ELECTRICAL CODE 2017 NFPA 70 NATIONAL ELECTRICAL CODE CURRENT ILLINOIS PLUMBING CODE 2018 INTERNATIONAL RESIDENTIAL CODE Ground Snow Load Wind Design Topographic Special Speed effects wind (mph) region Windborne debris zone Seismic Design Category Subject to Damage From Weathering Frost Line Depth 25 lb 115 NO NO NO A Severe 42" Termite Moderate Heavy Winter Design Temp Minus 4 Ice Barrier Underlayment Required Flood Hazards Air Freezing Index Mean Annual Temp Yes Yes * 2000 50 Covenants are regulated by your Homeowners Association; covenants are not enforced by the Village. PERMIT FEES: 1. Each application for a building permit for new construction shall be required payment of building permit fees equal to the sum of the following. a. The base fee shall be computed based on $1.00 per square foot of gross floor area (outside dimensions) of all floors. b. Garages and unfinished basements are computed based on $.50 per square foot of gross floor area (outside dimensions) including crawl space. 2. In addition to the base building permit fee above set forth, the building permit fee shall include the aggregate of the following: a. Sanitary sewer and water system connection fee for single family residential units is $4,800 per connection. b. Sanitary sewer and water system connection fee for multifamily residential units is $1,400 per population equivalent. c. Plan review fee. A preliminary and/or plan review fee by the village staff shall be charged at 25% of permit fees. d. Village impact fees to cover costs associated with police and fire protection, park development, and administration also apply. Fees vary based on location, contact the Community Development Department with any questions. e. Consultant fees. The applicant shall reimburse the village for all fees and expenses charged the village by consultants retained by the village to review plans, building systems and to perform testing where deemed necessary by the village. f. Water meter fees shall be charged pursuant to the following: Inspection $ 50 Disc Meters: Size Charge 1 inch $585 1½ inch $1,092

g. A building permit for a deck built with a new house is $120. h. A penalty of 100% of permit fee shall be charged if work is started without a permit. i. A fee of $30 shall be charged for all permit extensions. Please note permit must be extended prior to expiration date or additional fees will apply. 3. $75 fee, if a reinspection becomes necessary. 4. ADDITIONAL PERMITS / FEES REQUIRED 313.1: Townhouse automatic fire sprinkler systems. Delete: An automatic residential fire sprinkler system shall be installed in townhouses. Insert: A limited area fire sprinkler head is required in the vicinity of the furnace, laundry equipment, stove, and attached garage in townhouses. 313.2: One and two family dwellings automatic fire sprinkler systems. Delete: An automatic residential fire sprinkler system shall be installed in one and two family dwellings. Insert: A limited area fire sprinkler head is required in the vicinity of the furnace, laundry equipment, stove, and attached garage in one and two family dwellings. Kane County Road Impact Fee (630) 845-3799 FRWRD Sanitary Permit (847) 742-2068 Public Right of Way Permit, available through the Community Development Department is required for any work within the Right of Way The Community Development Department does not require submittal of social security numbers. Black out social security numbers on any documents prior to submittal.

Residential Permit Plumbing Submittal Sheet RESIDENTIAL PLUMBING INFORMATION SUBMITTAL SHEET Note: Applicable codes are: current Illinois Plumbing Code and 2015 International Residential Code. This form must be completed to expedite the plumbing plan code compliance review for your new room, addition or residential remodeling. Please enter the number of fixtures for each category. Water Closet (Toilets) Lavatories (Sinks) Dishwasher Kitchen Sink(s) Laundry Tub Washing Machine Tub/Shower Combo Unit Shower-Only Tub-Only Bar Sink Water Heater PROPOSED FIXTURES Existing Water Service Pipe Size (From B-Box to Meter Inside House): Existing Water Meter Pipe Size (Meter Only): EXISTING FIXTURES (in entire building) For all proposed new work, please attach a line diagram (isometrics) indicating waste, vent and water piping type and sizing for the new fixtures. Comments: Project Type: Location of Project in Building: Applicant: Phone: Plumbing Contractor: