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,APPLICATION FOR BUILDING PERMIT DEPARTMENT OF BUILBINGS
Date Fi'led• ~/ate jag Vile-age Of Morton Grove
' 6101 Capulina
Morton. Grove IL 60053
Permit Num: -~_~~
{847) 470-5214
Application is hereby made far a permit far: ~~~~., , ~ ~~,~, r,~
Type:
Add~l Description: Model:
~~t' -~'~ 1 1~,r~c~ Unit ~; Morton Grove IL 60053
to be errected on Lot:
which is Tax Index ,~;
Stories: # of Sub-Units:
Value of Permit Work: $_ ~/,C~SD Area;
{Sq:ft. )
Qwner: ~C~~~r,Qrt B w K.
Aaaress: S,as ,~~~~;. Dr S~Z. iol
Telephone: ~ y7- 9G 7_ 93»-
If Carrecticrs are requyred' [,~ Call or
Applicant : a/e ~S I7~ 5~1t -_ ~;ra.-S c a , L.(,~c- .
City/State:_ /~r~.r, ~; rave LL
Zip Code: f a~53
[ ] Mail irformati on to
_ Title: _ ~/eS~cl
Address: idg,~ ljfGe.~' C-,~_ /~7lvd• Cityjstate: ~1~,,; ,~
Telephone: ~N7- GAS- I/ov ~~~~o
-----_._._ Zip Code:
Ge.2.C °. ~y~- 354- 399
REQUIRED SUBMISSIONS
This application must be accompanied by the following:
- PLAT OF SURVEY (Z)
-- PLOT PLP.N (2) ~" •, .
h r^e,h
- CONSTRUCTION PLANS { 3 SETS } ! °~ ; : ~ _ :. ,a;
~ ,
GENERAL & SUB CONTRACTORS ( !..:,_ ...
~ s °~
~ .~ ,: , .
Type : License : __.~.__..- ~... _ _
Name: Telephone: ~!
Arc~L.tect
er_era _
Contractor ~~`J ~ ~ ----------
ra ~ lac . $!l~ - Gfi5 - !f o0
Excavator. ,
Con.cre~e
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a ;
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MAY - $ 2009
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Block:- Subdivision:
.APPLICATION FOR BUILDING PERMIT (Continued)
SINGLE FAMILY RE5IDENC£ - NEW/ADDITION
Page:
TYPe~ License: Name: Telephone:
Electrical
Plumbing _
Heati~/AC - -
PROCEf~URAL CONTROL.
The Procedural Control regulation establishes a 14 calendar day review period.
for departments and commissions to submit comments or approvals. The review
period begins upon written notification to departments that a val i
permit application has been received. Time extensions ma be d building
accomodate review by full commissions and to departments due to extenuating
circumstances. Time extensions :may also be granted if applicant has failed
to provide requested documents.
REQUIRED APPROVALS
Before a Permit is granted,
- 3UILDING
- ELECTRICAL
- PLUMBING
- PUBLIC WORKS
- ENGINEERING
approval is required for the following:
REQUIRED FEES
When this permit is granted, the fallowing fees
amount of the fees will be calculated based on
-BUILDING
- STRUCTURAL ENGINEER2NG
- ELECTRICAL
" PLUMBING
- CERTIFICATE OF. OCCUPANCY
- WATER FOR CONSTRUCTION
- STREET/CURB .OPENING
- PARKWAY OPENING/PAVING
- WATER MAIN TAP
- SANITARY SEWER TAP
- STORM SEWER TAP
- WATER METER
- STREET OPE~'SING DEPOSIT REFUNDABLE
- SIDEWALK DEPOSIT REFUNDABLE
- SUBTOTAL - CIVIL ENGINEERING FEE
- SUBTOTP-L - WATER FUND FEES
- SUBTOTAL - BUILDING FEES
- SUBTOTAL - DEPOSITS REFUNDABLE
zaeist be paid. The
the Plan submitted.
J.U.L.I.E.
Arrangements shall be made for adequate. protection agairst
interference with underground
$ -
$-~..-~_
$~_____^
$-_____"
J.U.L.I.E, 1-800-892-0123 and MORTON1GROVE PUBLICgWORKS 708-4 70-5235
AT LEAST 48 HOLZZS BEFORE EXCAVATING OR DIGGING.
.~PPLICATiON FOR BUILDING PERMIT (Continued)
~siNGL~ FAMILY RESIDENCE - NEW/ADDITION
REQUIRED INSPECTIONS
When this permit is approved, the following inspections-will be
The applicant is required to request these inspections at least
twenty four hours in advance, and their authorized a ent t b
- FOOTINGS
- FOUNDATION DRAIN TILE
- SEWER
- WATER SERVICE
- GRADE ELEVATIONS
- ROUGH FRAMING
- ROUGH ELECTRICAL
- ELECTRIC SERVICE
- ROUGH PLUMBING
- GARAGE FLOOR
- DRIVEWAY
- FINAL - BUILDING
- FINAL - ELECTRICAL
- FINAL - PLUMBING
- FINAL - ENGINEERING (RFI-MSD}
- CERTIFICATE OF OCCUPANCY
- JOB CHECK
- FINALIZE PERMIT
g mus e
Page: 3
made.
(24}
present .
The undersigned hereby makes application for a permit to erect a
building/structure, etc. in the Village Of Morton Grove and in accordance
with the ordinances of the Village Of Morton Grove and in accordance with
the plans and specifications herewith submitted and filed in consideration
of the issuance of this permit, and other good and. valuable considerations
the receipt of which is hereby acknowledged, we/I do hereby agz'ee and
covenant to forever hold harmless. the Village Of Morton Grave, its agents
and employees, and to save them from alI costs, claims, suits, demands,.
and actions arising from or through or because of or in any way connected
with any work performed or being done in the excavation, construct ion.,
building, or finishing of the premises for which this permit is issued.
Date: y /aa. l~ General Contractor: {V
Date : `f /aa, /09 owner : ~ _
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Date: G~/Z ~/~ Building Commissioner: _ ~~~'
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BRASCO, INC,
Office: (847) 695-1100
Fax: (847)695-1102
Cell: (847) 354-3919
1092 Bluff City Blvd.
Elgin, IL 60120
Proposal /Acceptance
rnvr vun~ a~am~ ~ i cu ~ v
Colliers Bc4tK.
STREET PHONE
847-967-9312 DATE
Apri117, 2009.
8125 River Dr., Ste. 101 JOB NAME
Park Plaza-6201 Pazk Ave.- Sealcoating-2009
CITY, STATEANDZIPCODE
Morton Grove, IL 60053 JOB LOCATION
Fax: 847-967-9313
ARCHITECT
Attn: Allyson DATE OF PLANS
April of 2009 JOB PHONE
We hereby submit specifications and estimates inr
Scope of Work:
--Clean approx.52,400 s.f. with power blowers and hand cleaning.
--Apply two coats of coal taz emulsion sealer.
--The sealer would contain 3-5 lbs. of "Black Beauty" sand per gallon of sealer.
--The sealer would also contain "Tarmax",a latex modifier mixed in solution.
--The sealer would be applied with spraying action and the use of mechanical "squeegee machines".
--Layout and stripe all pavement mazkings as exist.
Cost to sealcoat and stripe-------------------$4,050.00
W@ PI'OpOS@ hereby to furnish material and labor -complete in accordance with above specifications, for the sum of.'
dollars
All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike
manneraceording to specifirationssubmitted per standard practice. Any alteretion ordeviation from above
specifications involving extra costs will be executed only upon written orders, and will become an extra
charge overand above the estimates. All agreements contingent upon stokes, accidents or delays beyond our
control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by
Workman's Compensation Insurance.
A°"'°~~ 2009 Season
Signature
Note: This proposal maybe
wRhdrewn by us if not accepted within
days
Acceptance Of Proposal -The above prices, specifications and conditions are
satisfactory and are hereby accepted. You are authorized to do the work as specified.
Payment will be made as outlined above. Signature
Date ofAcceptance Signature