Village of Winthrop Harbor

Building Permit Application


Please complete the following information and press the SUBMIT button.

Date

Type of Permit

Job Address

Tax Parcel #

Owner's Name

Mailing Address

City

State

Zip

Phone

E-Mail

General Contractor Information

The Owner is acting as General Contractor
The Owner is NOT acting as General Contractor

General Contractor Company Name:
Address:
City, State, Zip:
Phone:

Concrete Contractor Information

Concrete Contractor Company Name:
Address:
City, State, Zip:
Phone:

Project Information

Use of Building:
# of square feet:
Size of deck, patio or shed: or height & type of fence:
Is this property located on a corner lot? Yes No
Is there a utility easement located on this property? Yes No
Do you have a certified plat of survey? Yes No
Is your property located in a floodplain or floodway area? Yes No
Please specify which applies to your property:
Septic Well City Water City Sewer

TERMS AND CONDITIONS: This application is hereby made for the approval of the plans and specifications, and the diagram of block, lot and buildings, herewith submitted (or to be submitted in person at Winthrop Harbor Village Hall) and made a part hereof, for the erection, repair or alteration, as appears in the specification sheet of the building therein described, with the understanding that if no work is performed hereunder within six months from the date the permit is issued therefore, or if the work is not completed within one year from the date of such permit, this approval and the said building permit issued pursuant to such approval, shall expire by limitation as provided by law.

The undersigned applicant agrees to comply with all of the provisions of the Building Code and the Zoning Ordinance of the Village of Winthrop Harbor, and with the provisions of all other laws relating to the erection, repair and alteration of buildings, and to zoning, in effect at the date of the permit issued hereunder.

The said applicant herewith agrees not to make any changes in the plans or specifications as approved without the approval of the Building Department as to such changes is first obtained.

Work under this application will not be commenced until the same be approved and a building permit issued in accordance therewith and paid for as provided in the Building Code of the Village of Winthrop Harbor.

I have read the published requirements pertinent to the project being applied for and I fully understand and will comply with all requirements and regulations.

I understand that if my property has a septic or well, I must obtain pre-approval from the Lake County Health Department prior to making application for a building permit.

Agreement

I have read and agree to the above Terms and Conditions, and affix my signature electronically below.

Signature

Enter full name: