Date                                              , 20                   Type of Building                                                          

Owner's Name                                                        Address                                                                       

Owner's Telephone                                                  Owner's FAX                                                              

Owner's Address                                                                                                                                           

Contractor                                                              Contractor's Address                                                     

Contractor's Telephone                                            Contractor's FAX                                                         

Building to be located                                                                                                                                     

Lot No.                                Block No.                                 Subdivision                                      

Building Size                   Ft. Wide                   Ft. Long                   Ft. High   Stories                

Is the building provided with a sewer?                                                                                                              

Estimated Cost $                                                  

Remarks                                                            

Total =                                                             

The applicant hereby agrees that the approval of plans or the issuing of a permit, procured by misrepresentation of facts or conditions, misstatement in application or though improper action of any officer or employee of this department, does not legalize an illegal construction, arrangement or condition.

I Hereby Certify That the Above Answers are Correct and True.

STATE OF ILLINOIS

}ss.                                                                    

COUNTY OF ST. CLAIR   Owner, Agent or Contractor

Demolition Permit No.                       Fee                       Issued                                                  , 20                

Application for Permit approved                                                                                                                      

Building Commissioner

Include a letter notifying utilities, certificate of insurance and bond. Please note: you must call 48 hours in advance to schedule inspection appointments.

OR

NOTE: This is only applicable for portion of development for which construction plans have been approved.

Name of Subdivision                                                                                                                                       

Location of Subdivision Sec                 of T.                   , R.                 of the                P.M.                   County

Permanent Tax I.D. Number                                                                                                                           

Present Zoning Classification                                                                                                                           

Area of Proposed Subdivision                                                                                                                           

Proposed Number of Lots                                                                                                                                

Subdivider                                                                                                                                                     

Address                                                                                                                                                         

Phone No.                                                                  

Subdivider's Engineer                                                                                                                                     

Address                                                                                                                                                         

Phone No.                                                                                                                                                     

I hereby make application for application for approval of the preliminary submittal of the above named subdivision and do hereby affirm that I am complying with the Development Code of the village, as indicated by my engineer's certification below.

Subdivider's Signature                                                                                            DATE                               

Engineer's Signature of Certification                                                                         DATE                                

Please attach the following items to this application:

Preliminary Plat Checklist (3 copies)

Preliminary Plats (4 complete sets)

Variance Request (if applicable)

Subdivision Restrictions/Covenants

The application will not be considered complete and cannot be processed until these items have been submitted.

For office use only

Date Application Filed                                                                                                                                    

Received by                                                                                                                                                   

Received at Least 14 Days Prior to Planning Commission Meeting   [ ] Yes [ ] No

   Preliminary Plat Filing Fee Paid   [ ] Yes [ ] No      Amount [   ]

A.    SUBMITTALS

1    Application for Subdivision Plat Review

2    Preliminary Plat Filing Fee Paid

3    Four Copies of Preliminary Plat

4    Preliminary Plat Checklist

5    Proposed Deed Restrictions/covenants, If Any

6    Submitted to Appropriate Sanitary System for Review and Approval

7    Submitted to St. Clair County Soil and Water Conservation District

B.    PRELIMINARY PLAT

1    Name of Subdivision and Title

2    Identification of Section, Township, Range, County

3    Name and Address of Owner/subdivider

4    Name and Address of Surveyor And/or Engineer

5    North Arrow

6    Zoning District Classification Indicated

7    Date

8    Graphic Scale

9    Location and Dimensions of Boundaries

10    Locations, Dimensions and Number of Proposed and Existing Lots

11    Adjacent Streets, Property Lines and Survey Lines

12    Locations, Names, Width and R/w Radio of Proposed Streets

13    Locations, Width and Purpose of Proposed and Existing Easements

14    Area of Each Proposed Lot

15    Gross and Net Area of Subdivision

16    Topography of Subdivision and Surrounding Area per § 151.345

17    Location, Accessibility and Size of Existing Public Utilities Within and Adjoining Proposed Subdivision/development

18    Location Type and Size of Utility Improvements to Be Installed

19    Locations, Dimensions and Areas of All Parcels to Be Reserved for Parks/ Playgrounds on Other Public Purposes

20    Limit of Ponding of 100-year Storm Event Indicated

Name of Subdivision                                                                                                                                       

Area of Proposed Subdivision                                                                                                                           

Subdivider                                                                         

Address                                                                                                                                                         

Phone No.                                                                                                                                                     

Subdivider's Engineer                                                                                                                                     

Address                                                                                                                                                         

Phone No.                                                                                                                                                     

I hereby make application for application for approval of the preliminary submittal of the above named subdivision and do hereby affirm that I am complying with the Development Code of the village, as indicated by my engineer's certification below.

Subdivider's Signature                                                                                            DATE                               

Engineer's Signature of Certification                                                                         DATE                                

Please attach the following items to this application:

Construction plans and specification (4 sets)

Calculations sealed by an Illinois Licensed Engineer (1 set)

Construction plans and specifications checklist (2 copies)

Itemized estimate of cost of improvements (2 copies)

The application will not be considered complete and cannot be processed until these items have been submitted.

For office use only

Date Application Filed                                                                                                                                    

Received by                                                                                                                                                   

Received at least 14 days prior to Planning Commission Meeting   [ ] Yes [ ] No

   Preliminary Plat Filing Fee Paid   [ ] Yes [ ] No      Amount [   ]

Name of Subdivision                                                                                                                , Village of Shiloh

Location of Subdivision Sec                  of T.                  R.                  of the                  P.M.                  County

Permanent Tax I.D. Number                                                                                                                           

Final Number of Lots                                                                                                                                     

Subdivider                                                                                                                                                     

Address                                                                                                                                                         

Phone No.                                                                                                                                                     

Subdivider's Engineer                                                                                                                                     

Address                                                                                                                                                         

Phone No.                                                                                                                                                     

I hereby make application for application for approval of the preliminary submittal of the above named subdivision and do hereby affirm that I am complying with the Development Code of the village, as indicated by my engineer's certification below.

Subdivider's Signature                                                                                            DATE                               

Engineer's Signature of Certification                                                                         DATE                                

Please attach the following items to this application:

Final plans (4 complete sets)

Copy of village acceptance of construction plans and specifications

Completion assurance or two-year maintenance guarantee bond

Final plat checklist (3 copies)

The application will not be considered complete and cannot be processed until these items have been submitted.

For office use only

Date Application Filed                                                                                                                                    

Received by                                                                                                                                                   

Received at least 14 days prior to Planning Commission Meeting   [ ] Yes [ ] No

   Preliminary Plat Filing Fee Paid   [ ] Yes [ ] No      Amount [   ]

B.    GENERAL

1    Name of Subdivision

2    North Arrow

3    Graphic Scale

4    Date

5    References for Adjacent Land

6    Adjacent Streets with Names

7    Restrictions or Covenants

8    Surveyor's Signature and Seal

9    Variances Included on Plat

10    Statement That the Maintenance of Drainage Easements and Storm Sewer System on Private Property Is the Responsibility of the Land Owner

C.    LOTS

1    Dimensions

2    Bearing and/or Angles

3    Lot Numbers

4    Square Footage

5    Radii

6    Points of Tangency

7    Setback Lines

8    Easement Lines

9    Address

ADDRESS                                                                                                                                                    

DATE                                               INSPECTOR                                                                                           

House numbers on building                                                                                                                              

Foundation cracks or holes                                                                                                                               

Holes in siding or brick                                                                                                                                   

Grading sloping from building minimum 1:12 for 8'                                                                                           

   (on new buildings also check develop plan)

Weeds - Garbage or rubbish                                                                                                                             

Exterior painting                                                                                                                                            

Chimney condition                                                                                                                                          

Accessory structures including fences and decks                                                                                                 

Exterior electrical wires hanging lower than 8'                                                                                                   

Doors work freely & lock                                                                                                                                

Plumbing vent stack on roof                                                                                                                             

Doors work freely and latch                                                                                                                             

Windows open and have screens                                                                                                                       

(For sleeping rooms windows must have clear opening of 5 Sq. Ft. on grade floor and 5.4 Sq. Ft. on other. Sill height of window no more than 44" from floor.)

Ceilings and walls free from cracks, chips, pops etc.                                                                                           

Smoke detectors                                                                                                                                             

(by bedrooms, on each floor,

Drip leg on hot water heater                                                                                                                             

Check stack condition on furnace and hot water heater                                                                                         

Running water in sinks, stools, bathtub etc.                                                                                                        

Check for leaking drain under sinks                                                                                                                  

Grounded outlet for washer & dryer                                                                                                                  

Minimum 2 outlets in each bedroom                                                                                                                  

Exhaust vent in bathrooms or operating window                                                                                                 

G.F.I. protection for outlets in kitchen within 6' of sink                                                                                      

G.F.I. protection for outlets in bath within 6' of sink                                                                                           

G.F.I. protection for outlets 6' from sink by wet bar etc.                                                                                     

Open splice wiring                                                                                                                                          

Wiring entering metal box without connector                                                                                                      

Panel box - No open spaces                                                                                                                              

   If open check for double lugging. Any questions have electrical inspector check it.

Handrails all stairs with 3 or more risers. Includes decks.                                                                                    

If any proposed basement sleeping rooms check egress and ingress. Windows 5.4 Sq. Ft. clear opening with sill height maximum 44" from floor. or exit to a hail which provides second exit separate from stairs.

1/2" drywall, joints taped, between garage and living space.                                                                                

If sleeping rooms above garage lhr. fire rating in garage ceiling.                                                                           

Door to living space to be 1 3/8 solid wood or metal with 1 hr. rating                                                                  

Number of bedrooms                                                                                                                                      

(No bedroom can have a dimension under 7' and must have escape)

Bedroom for 1 person can not be less than 70 sf.                                                                                                

Bedroom for more than one must have at least 50 sf. per person.                                                                    

Living room for 3-5 at least 120 sf., for 6 or more 150 sf.                                                                                   

Dining room for 3-5 at least 80 sf., for 6 or more 100 sf.                                                                                    

Kitchen for 3-5 at least 50 sf., for 6 or more 60 sf.                                                                                             

1 Story                                2 Story                                Split Level                             

Basement                                Apartment