D Remodel (interior work only) D Roof Only D Elevator D CellTower D Permanent Sign. D Foundation Repair D Waterproofing. D Drywell.

Transcription

1 ---~---~ Check One: [ ] Popety Owne ] Tenant l Othe VV\Cn-t-...,,,.u..,.x.-\ :-+...,~ Pimay Phone: {,p,b-32-,s--~ J::::..1,.:..!..J..l.L-+-1,.,.~!o..1.:!.l=i..,c.\U-!l-!..!...!..l.!~~,q;...,~-----==:.!._.;..:...;=(-...:::l){Y...:...; Fax: (o½.-7)2-,s-34 DL Addess (if diffeent fom site addess): \""57,,7,6,,S;,Vt( Llfil_~t-- City~\...)Q..\2- ~d.qq State: \L 801 Bulington Avenue Downes Gove, L s PERMT APPLCATON Community Development Depatment Pemit# ~ - \\)<;:,-:t-, -<.X:Xo"l office use only RESDENTAL: D Detached Gaage shed D Gazebo / Pegola _:;:@ew Single Family Building Addition (incease in floo aea) D Remodel (inteio wok only) ODemolition of Main Stuctue ~eek/poch Pool, Hot Tub, Spa Plumbing Only HVAC Only D Home Elevato, Dumbwaite D Miscellaneous D Foundation Repai D Watepoofing Oothe COMMERCAL: D Accessoy Stuctue D New Commecial Building D Addition (incease in floo aea) D Remodel (inteio wok only) D Demolition of Main Stuctue D Demolition of nteio Only D Deck/Poch/Balconies Plumbing Only HVAC Only D Roof Only D Elevato D CellTowe D Pemanent Sign D FieAlam D Spinkle D Hood/Duct D Diveway/Right of D Paking lot D Lawn igation D Flatwok (check ALL pojects) D Patio D Fiepits/Outdoo Fieplaces D Steps D Stoops D Spot Couts D Pivate Sidewalks D Site Wok (check ALL pojects) D Landscaping D Gading Retaining / Seat Walls D Dywell D Undedains D Rain Gaden Connection of sump pump to stom sewe D Stomwate Public mpovements/utilities STEADDRESS b]3l (Q ::ptx)tef.- \ Tu\N(\e~ ~ J Estimated Value of Wok: $ i :t2, OCCJ Aea: ~lj s.f. of constuction Desciption of Wok: Nf,N B\09 le Jf,1 m y th) lf)f j EMALADDRESS to be used fo ALL inspection epots: e lye Mc~u5~tvn 0..{l\J~lOBYYte,o--t.C..0Y\. Popety Owne (REQURED) Contact Peson/Company Name: M wo. V ~ h ton ~ \Jtl {>mlnlpimay Phone: lo3d-::,2}:)-3h/ oa EmaH L{ y ~ ~(,,--\(.\ 11~~ MUli- (j1l(y\ Fa,.L21Y:>V::,-?:Yo z_ Mailing Addess:i=). b = =(ct- City: ""&m-- f½ d ~e_ State: \L Zip: (JcbL 7. Applicant (REQURED)

2 ~-----~ ~---~---~----~-~ Coitacto~ /Sub Contactos nfomation Copy of cuent license equied fo all except Geneal Contacto NAME ADDRESS PHONE GENERAL 1J1eN~1tv1 \ S21o s. ~ll ctsj}{\ \1 - CONTRACTOR EMAL ELECTRCAN. ~\q?(p(v t \ \~1(. ~?p-32-s -~<.f tt) l)\vl N. CA~ ~inn$? \\ \1 6)().<. Ul \vi µcl-o>jej~elo01w"\ -c CilV 0 ~ ~~(L ~J-.c. \L G.t".)L7 ~ve,~\2- fult\21cci1\ C\SL---i- 13~1~io \ la V\ei -K:cYl (Yei tx<}ei LL0 H\Jv\\--\ll~, ll tp{)\y ~ ~1-i1~-V6~ s µ ip \--,\ A-\-fu~O\ bl ~ 1 ~ \ Y\) ~G\C: \L ftve PLUMBER f\ VY\ X)(\lj \Z-Ocv.-da \e,, \ L u tj-f~ 51?-14~ -Oo3~ ROOFER \1 lc\fl/\ 1?mfiV\~ 107- V\). La tq (S-wee-t Z,\{\ \)\J~~-t l l L Lt O l Uo lo¾-21>-l-l/3-z,s FRE ALARM N{~ SPRNKLERS N la Signatues Unde Penalty of ntentional Misepesentation and/o Pejuy, declae that have examined and/o made this application and \ it is tue and coect to the best of my knowledge and belief. agee to constuct said impovement(s) in compliance with all povisions of the applicable odinances, ules and egulations of the Village and any othe applicable govening bodies. ealize that the infomation that have affimed heeon foms a basis fo the issuance of the pemit(s) heein applied fo. heeby agee to hold the Village, its offices, employees, and agents hamless fom any and all costs, damages, liabilities and attoneys fees which may occu o be claimed to occu by easons of any wok pefomed unde this pemit. agee to pay: Any and all fees, as efeenced in the Use Fee, License and Fine Schedule, latest edition. agee to pay Run-off Stoage Fees based upon the pemitted poject(s) wateshed at the ate pe squae foot of new impevious as outlined below: Sawmill Ceek $0. 464/squae foot, East Banch DuPage Rive $0. 565/squae foot, and Salt Ceek $0. 71/ pe squae foot. consultants that the Village may elect to utilize to pefom all o potions of the stomwate man These fees will be collected egadless if the pemit is issued o cancelled. t ety Owne) 1CllJ \ o~~~ h,18d,_,{~6gj,vz)

3 ~tate of Jinot~ Depatment of Financial and Pofessional Regulation Division of Pofessional Regulation Th..,.on, fim, c:wpo1uon when name.,,..,.. n lh1 cellificale hu Mlft,H with th1 povltldnll of the ffllnelt Slatuttt anti/e ulh and agusatl1n1 and 11 Miby authol:ie4 t. 1n1aga in ttm cuvlly H indic.11~ bnlw LCENSED ROOFNG CONTRACTOR UNLMTED KETH TLDEN ROOFNG COMPANY KETH TLDEN 252W LAKE ST ELMHURST, L EXPRES. 12/31/2019!, \! JESSCA BAER DRECTOR Cut on Dotl!td Line Fo futue efeence, DFPR is now poviding each peson/business a unique identification numbe, Access D, which may be used in lieu of a social secuity numbe, date of bith o FEN numbe when contactinq the DFPR. You Access D is:

4 -----! 1, AFFORDABLE PLUMBNG, NC l 813 Moen Avenue Rockdale, llinois Phone: (815) Fax: (815)

5

6 Date R~cvd: 12/21/2018 DUPAGE COUNTY Division of Tanspotation 421 Noth County Fam Road Wheaton, llinois App Numbe AP80961 Tanspotation mpact Fee Pennit MCNAUGHTON DEVELOPMENT NC 11 S220 JACKSON ST BURR RDGE L Phone: (630) FAX: (630) DEVELOPMENT: n Block: SUBDVSON: NELSON MEADOW SUB - LOT 11 MPACT FEE STE ADDRES CARPENTER ST - LOT 11 DOWNERS GROVE TAX_PARCEL_NUMBER Land Use Categoy: R Fee Type: Single Family Detach Fee Type OTHER: 3,254 Sq Ft Units at: $ Assessment: Total Adjusted Fee Due : $ $1, ~ AtDt~OC\.Lot McNaughton Develop n:ient, nc. 11 S 220 Jackson St (#)01) Bu 6 ~~fis~~:gg21 ubuseyaan H)offm / PAY TO THE ORDER OF fay = ou lj\ov5tid ~ hw\cle.ed +-ful#9-nve_ d&1latt ll~ DATE 1i,.(e (e CHECK NO. AMOUNT ltz-j 2- # 114o. 4 / Check# \ \ J_& )_ Date: J 2- Z l ~ NOTCE TO ALL APPLCANTS mpact Fee Law equies the County to encumbe impact fee evenues fo oad impovement pojects in you distict within 60 months of eceipt of payment. Please keep this eceipt fo you ecods and contact the DuPage County mpact Fee Depatment to confim that the impact fee funds you paid have been spent. f you do not notify the DuPage County mpact Fee Depatment within 72 months afte you paid the fee, you ig~t to ecove any unspent impact fees expies.

7 ~----~---~ ~-----~ DuPage County Division of Tanspotation 421 Noth County Fam Road Wheaton, L mpact Fees (630) (fo office use only) Date Received: ) Application #: Road mpovement mpact Fee Pemit Application nstuctions to all applicants: All applications must include plat of suvey and a lette fom the achitect - on company lellehead. signed and sealed - veifying the usable floo aea (in squae feel) of the building(s); commecial applicants must also include one (1) full size set of achitectual plans. Demolitions must include a copy of demolition pemit with squae footage of demolition and type of building demolished. DuPage County endeavos to pocess all impact fee applications within ten (10) woking days of submittal of a complete application. County staff will contact the peson named below when the application has been pocessed and is eady fo payment and pickup. is citical that all infomation with an asteisk be completed as this infomation will be shown on you eceipt. _ When picking up you eceipt, please make checks payable to: "DuPage County Teasue." Please do not pe-pay impact fees as ove o undepayment equies the depatment to hold the eceipt. *Zip Code: *Phone: Fax:V, (E.G., , attach sheets fo subdivision o laqe multiple pacel *Site Addess(es): *Building Pemit ssuing Agency (Vi!lage, City o County): V \\ a e Of tt~ie:~) -Remaks: ( The nfomation contained heein is tue and complete to the best of my knowledge. undestand that pocessing time fo this application will be ten (10) woking days o less and that should any of the infomation on this application be incoect, pocessing of this application may bed~ j Signaiue 7 C/t:::7tz1 /\ ;i4 Date: \ 2---Z.0- l t), All Applications must be submitted in peson with signatues povided in ink. Noe-signatues ae pemitted on the applications. Thank you!

8 Development nfomation Demolition Pemits and Cedits (please attach demolition pemit o lette fom achitect) Demolition of Existing Stuctue?: Pevious Use(s)?: Squae Footage Pevious Use(s)?: New Development Residential Uses: Type of Residential Unit *New Stuctue o Addition?: Numbe of Units* Avg Sq Footage (o as specified)* Single Family Dwelling Single Family Attached (e.g. townhomes and condominiums Multi-family Attached (e.g. apatments and domitoies Nusing Home/Assisted Living Congegate Cae Squae footage not equied fo single family attached o multi-family attached units. (total sq footage) (total sq footage) Commecial Uses: Type of Commecial Use *New Stuctue o Addition?: Categoy Squae Footage (o as specified)* Commecial - ndustial Waehousing/Distibution Light ndustial/ndustial Pak Geneal Office Commecial - Office Commecial - Retail Office Campus Office Pak Medical Office Geneal Re~nd-alone o Mall) \ Fast Food 1 (E.g.. McDd(ialds, Buge King) Commecial - Restauant, ~ \ f\igh Tunov~ ~~ s Squae. Dennys) \ Q iality Restatant ~ \ \ Hospital Hotel/Motel Supemaket Commecial - Sevice Convenience Maket Sevice Station Day Cae/Child Cae Movie Theates \ (pumps) (sceens o sf) Type: *New Stuctue o Addition?: J Units o SQ FT: J notes:, Fo questionsabout the categoies o assessment units, please contact us at , o efe to ou policies and pocedues guide posted on the web at

9 ! DU PAGE COUNTY STORMWATER MANAGEM,ENT CERTFCATON APPLCATON (1/2) ~ 4 ~~"...,~ ~ ~ \i.;.: ; Ofc,.,, ~ 2010 : < 1.Com;~alm~ D Non D Patial 0Complate 3. Stomwate Application No. (to be assigned by community) 4. DuPage County Tacking No, 6. Owne: Name: -----P ,,, Company Nama: Q,...,.-M~-\-t-t-flt-t-/\-t-L, Addess:,_---...ll" l\[V_\G City, ST, Zip: 7. Desciption of Poposed Development: NEW sxn~ l t- fel V\1, \ l!j \\D\V\c B. Locatl~n of Devalo."18nt: Ad~ess611fL. UJ~j:Cj2 D6W~CF2-S. o\20v e.. 1 Munlclpallty: _~------~~~~~G~/ Ji~~~~~ Wateshed Planning Aea & Tlb: Si. :losl!pj. t.r.egk 10. Check all of the conditions which apply: 9. Legal Desciption 18 ¼ Section PN PN Township ~ - J]_. }QB; 1/ Range 0 Flood Plain wetland D Stomwate Detention D Wetland Buffe ~anagement Pactices 0 Ripaian Buffe Pint Name ;6?Eoslon & Sediment Contol 13. Statement of Oplnl n fo Minimum Citeia fo Stomwate Management am a Pofesslona En nea unde the employment of the Applicant. t s my pofessional opinion that the development meets the mlnimpm e a st wat~ management n accodance with the Odinance (15-36) ~ Sco,1 ;;,c,facltvc/t, 12/;,o)l8 Pint Name Date _ Community Copy _ DuPage County SM Copy _ Applicant Copy Page 1 of 2

10 l Community Tacking No: ~ DuPage County Tacking No: 14. Statement of O nion fo Pesence of Flood Plain Wetlands and Buffes A.5 D acknowledge the pesence of nood pie n. D acknowledge the pesence of wetlands. D acknowledge the pesence of buffes. senco of flood plain. ~~~~.!.._12qJ/fE! ~~~~._! 1z}&Jle Date Signatue of Quallffed Pofes;lonal ~ ~ ach~~a. Pinted Name 15. Soll Eosion & Sediment Contol Submittal Requiements (15-50.B) (Fo developments with less than 1 ace of land distubance that ae not pat of a lage common plan) cetify that the development meets the soil eosion and sediment contol design citeia found n Aticle V have been met. Signatue of Quallned Designe Pint Name Dale Soll Eosion & Sediment Contol Requiements (15-59.W) (Fo developments with land distubing activities geate than 1 ace) Date 18. ntentional Misepesentation Unde Penalty of Pejuy declae that have examined and/o made this application and ide, and t ls tue and coect to the best of my knowledge and belief. ealize that the nfomation that have affimed heeon foms a basis fo the ssuance of the stomwate management cetlflcatlon(s) heein applied fo and appoval of plans n connection theewith shall not be constued to pemit any constuction upon said pemises o use theeof n violation of any povision of any applicable odinance o to excuse the owne o his successos n title fom complying theewith. The Owne and Applicant each undestand and agee to constuct said mpovement n compliance with all povisions of the applicable odinances. Signatue of Applicant Signatue of owne Pint Name Pint Name Date Date 19. Secuity (15-54) 20. Stomwate Fees DO NOTWRTE BELOW THS LNE Stomwale FaclllUas $ Community Review $ Wetlands/Natual Aea $ DCSM Review $ SE/SC $ Fee-n-Lieu $ $ Wetland BMP Total $ 21, Flnal Appovals!See Cetification lette fo special conditions and geneal conditions.). Seal/Stamp Cotlflcatlonsexpke Decembe 31" of tho thid yea of Collllcallon o Authoization. vmlchev81 11tle. Community Cetification County Authoization Date Date Appoved by/title Appoved by/title Community Copy DuPage County SM Copy Applicant Copy Page 2 of 2 )

11 Sewe Pemits - Downes Gove Sanitay Distict J Downes Gove ~ W,.JL.W..M..W.GWWWLWVW- Sanitay Distict 13._..,.,,,,, - """""-,:. O c..., "t::o < 10,e You Account About DGso Sewe Backups Sewe Constuction Oppotunities Foms & Documents Sewe Poblems? Call (630) Ou technicians ae available at all hous to help you. Home Sewe Constuction Sewe Pemits Completed ( 100% Thank You Thank you fo submitting the Sewe Pemit Applic9tion fom. You should eceive a confimation afte submitting this fom. f you do not, please call the Distict at Sewe Poblems? Call (630)

12 ( To: Building Depatment DuPage County Decembe 11, 2018 Attn: Fom: Fegon Achitects, LLC 434 Noth Dove Avenue Poject: Spec Residence La Gange Pak, L Location: Coppe Leaf Lot Capente Steet, Downes Gove On the popety at 5732 Capente Steet in Downes Gove, we ae poposing to a new 3,254 s.f. esidence. - Thank you, Bian Fegon Achitect Fegon Achitects, LLC \, ) 434 Noth Dove Avenue La Gange Pak, lllino1s pt,one 708 3S fax fegonacil@comcasl net