Form Center

2. Permit Application
4. BUILDER’S STATEMENT OF Revised 9/17/2018 UNDERSTANDING, ACCEPTANCE, AND AGREEMENT Village of Swansea, 1444 Boul Avenue, Swansea, IL 62226 (618) 234-0044 ═══════════════════════════════════════════════════════════════════════
6. READ CAREFULLY & SIGN
8. 1.   I understand, accept and agree that any permit issued for any building, electrical, plumbing, mechanical or sewer work, does not grant the privilege to erect any structure or to use any property for a purpose or in a manner prohibited by the adopted code, ordinances or regulations of the Village of Swansea.
   2. I understand, accept and agree that the responsibility for assuring the plans for any proposed construction are in compliance with the provisions of adopted codes, shall rest solely with me as the applicant.
10. 3. I understand, accept and agree that for non-residential construction projects, a minimum of two (2) copies of construction plans must be submitted for review, and upon approval, one copy of said plans will be returned to me and shall be kept at the building site during the period of construction.
    4. I understand, accept and agree that the Village of Swansea does not consider subdivision covenant restrictions when reviewing plans.
12. 5. I understand, accept and agree that the responsibility for assuring that the structure will withstand all applied loads (live, dead, wind, snow, seismic, etc.) shall rest solely with me as the applicant and/or my engineering or architectural consultant(s), and that the Village of Swansea does not consider structural load calculations when reviewing plans.
    6. I understand, accept and agree that all required setbacks for any building or structure are to be measured from property lines, the location of which must be identified by stakes, and that measurement from curbs and similar landmarks can produce errors which may halt construction and require that any part of any structure built in error, be removed.
14. 7. I understand, accept and agree that property corners will be properly staked and that said stakes will remain in place and undisturbed until after the footings/foundation inspection has been completed.
    8. I understand, accept and agree that all fees for all permits must be paid prior to the issuance of any permit, and the current cost of permits is as follows:
16. a. Building Permit $.11 per square foot (Minimum $50.00 Residential , $100.00 Commercial)
18. b. Electrical Permit $.10 per square foot (Minimum $50.00 Residential, $100.00 Commercial)
20. c. Plumbing Permit $.09 per square foot (Minimum $50.00 Residential, $100.00 Commercial)
22. d. Mechanical Permit $.08 per square foot (Minimum $50.00 Residential, $100.00 Commercial)
24. e. Fire Code Permit $.06 per square foot ( Commercial Only $100.00 Miminum )
26. f. Sewer Tap Fee Varies with type of structure
28. g. Automatic Suppression System Inspection - $ 100.00 ( Sprinkler, Hood, Chemical Agent, Etc. )
30. h. Civil Design projects require a $2000.00 escrow deposit. (Mostly new commercial construction projects)
32. 9. I understand, accept and agree that inspection of all work is required by law and that failure to request and secure such inspection is a violation of Village Code.
    10. I understand, accept and agree that as the applicant for a permit, I am solely responsible for notifying the Village of Swansea when work has progressed to a point requiring inspection, and for preventing any further work until such inspection has been made and the work determined to be in compliance with applicable codes.
34. 11. I understand, accept and agree that any request for inspection must be made by calling the Swansea Government Center at 234-0044 between the hours of 8:00 a.m. and 4:30 p.m., Monday through Friday, at least 24 hours prior to the time when the inspection is needed. The Village attempts to complete each inspection within 48 hours of its request, but offers no guarantee to do so.
    12. I understand, accept and agree that sewer lateral inspections are only made between the hours of 8:00 a.m. and 3:00 p.m., Monday through Friday.
36. 13. I understand, accept and agree that inspections are required at the following steps:
38. A. Building

    Upon completion of the footing excavation but prior to pouring concrete --   Upon completion of the footings and foundation -- Prior to the covering of structural members (rough -ins) (insulation if applicable) -- Following completion but prior to occupancy

40. B. Electrical
    Upon installation of any temporary service -- Upon completion of rough-in but prior to covering -- Upon completion of permanent service -- Following completion but prior to occupancy
42. C. Plumbing
    Upon completion of groundwork but prior to covering -- Upon completion of rough-in but prior to covering --  Following completion but prior to use
44. D. Mechanical
    Prior to covering any component --  Following completion but prior to use
46. E. Sewer Lateral
      Upon completion of tap-in but prior to covering lateral
48. 14. I understand, accept and agree that should any work be performed under a permit issued by the Village fail inspection I am subject to a re-inspection fee, as established by law.
    15. I understand, accept and agree that no Certificate of Occupancy shall be issued until all inspections have been made and passed.
50. 16. I understand, accept and agree that every temporary electrical service must have G.F.I. protection.
    17. I understand, accept and agree that if the Village of Swansea should issue a permit to me, it does so with the understanding that I will comply with the requirements of the Illinois Roofing Industry Licensing act (P.A. 83-1513, Certified January 14, 1985, effective July 1, 1985).
52. 18. I understand, accept and agree that if any damage occurs to any public improvement, i.e. street, curb and gutter, sidewalk, sanitary or storm sewer, etc. caused by me or any sub-contractor employed by me, that I will be responsible for all necessary repairs.

    19. I understand, accept and agree that all trash, debris and scrap materials must be placed into appropriate containers and disposed of properly. Burning of any kind is prohibited.

54. 20. I understand, accept and agree that if any permitted work is not begun within six (6) months from the date a permit is issued, the permit shall become null and void.
58. I CERTIFY BY MY SIGNATURE BELOW, THAT I HAVE READ, UNDERSTAND AND ACCEPT EACH OF THE PROVISIONS ABOVE, AND WILL ABIDE BY THEM, AND BY THE CODES, ORDINANCES, REGULATIONS AND STATUES OF THE VILLAGE OF SWANSEA AND THE STATE OF ILLINOIS.
60. Email Address
62. Signature (Type Name)
63. Date
65. VILLAGE OF SWANSEA BUILDING PERMIT APPLICATION
66. Permit #
68. Important Instructions

    Before any lot is created; or any land is developed; or any new use of land or new structure is established or erected; or any existing structure or use is enlarged, extended, altered, relocated, or reconstructed; the owner must apply for and receive an Initial Certificate of Zoning Compliance. This certificate proves that the proposed change on a specific lot has been reviewed by the Zoning Administrator and found to be in compliance with the Swansea Zoning Code. Once an initial certificate is issued, the owner can proceed with securing building permits. The Zoning Administrator may, in some cases, find that plans for a specific lot do not agree with the zoning regulations. When that happens, (modify the plans to bring them into compliance; or 2) appeal the decision of the Zoning Administrator {if the decision is one of interpretation}; or 3) request a variation from the regulations {if a variation is allowable in this situation}; or 4) request to have the zoning regulations amended. After completion of the proposed change as authorized by the initial certificate, the actual site must be reviewed by the Zoning Administrator who confirms that the change was made as planned and approved. If this is the case, a Final Certificate of Zoning Compliance is issued, and the structure or use can then be occupied.

70. TYPE OF WORK TO BE DONE
72. PART 1 –APPLICANT INFORMATION
74. First Name
75. Last Name
77. Address1
79. City
80. State
81. Zip
83. Phone Number
85. Contractor or Homeowner
    -- Select One --ContractorHomeowner
87. PART 2 –OWNER INFORMATION
89. First Name
90. Last Name
92. Address1
94. City
95. State
96. Zip
98. Phone Number
100. PART 3 – PROPERTY INFORMATION
102. Property Address
104. Project Cost
105. Total Square Footage (including garage)
107. 1st Floor Sq Footage
108. 2nd Floor Sq Footage
109. Garage Sq Footage
111. Basement Sq Footage
112. Finished Basement Yes or No
114. Accessory Building

     1. Attached
     2. Detached
116. Proposed use of Property ( Check all that apply)

     1. Single Family
     2. Duplex
     3. Uniplex
     4. Multi No of Units
     5. Manufactured
     6. Modular
     7. Garage
     8. Carport
117. Proposed use of Property

     1. Commercial
     2. Industrial
     3. Pool
     4. Vacant Lot
     5. Type
     6. Other
119. Has any structure on this lot previously been altered?

     1. Yes
     2. No
121. Has any variation, special use permit, or rezoning been granted for this property?

     1. yes
     2. No
123. PART 4 – CONTRACTOR INFORMATION Contracting Services Name Phone/Cell No. License No.
125. BUILDING CONTRACTOR
127. First Name
128. Last Name
130. Address1
132. City
133. State
134. Zip
136. Phone Number
138. ELECTRICAL CONTRACTOR
140. First Name
141. Last Name
143. Address1
145. City
146. State
147. Zip
149. Phone Number
151. PLUMBING CONTRACTOR
153. Company's Registration Number
155. Company Name
157. Company Address
159. City
160. State
161. Zip
163. Company Phone Number
165. Plumber's First and Last Name
166. Plumber's License Number
168. Plumber's Address
169. Plumber's Phone Number
171. Plumber's City, State, Zip
173. MECHANICAL CONTRACTOR
175. First Name
176. Last Name
178. Address1
180. City
181. State
182. Zip
184. Phone Number
186. SEWER CONTRACTOR
188. First Name
189. Last Name
191. Address1
193. City
194. State
195. Zip
197. Phone Number
199. ZONING
201. First Name
202. Last Name
204. Address1
206. City
207. State
208. Zip
210. Phone Number
212. FIRE INSPECTION
214. First Name
215. Last Name
217. Address1
219. City
220. State
221. Zip
223. Phone Number
225. Provide the following information for all existing and proposed structures:
227. Existing Structure
228. Height in Feet
229. Number of Stories
231. Number of Units
232. Number of Employees
233. Parking Spaces
235. Proposed Structure
236. Height in Feet
237. Number of Stories
239. Number of Units
240. Number of Employees
241. Parking Spaces
243. SITE PLANS
245. Upload Files
246. Upload Files
247. Upload Files
249. Upload Files
250. Upload Files
251. Upload Files
253. Draw a plan of the property to scale, including all of the following: ( a larger plan can be substituted). Check each item once you have included it in your plan.

     { } The names and locations of all adjoining streets { } The location and dimensions of all lot lines, easements, underground utilities, etc. { } The location and dimensions of all existing and proposed buildings, driveways, and parking areas. { } The distances between all lot lines and every building or structure, and between buildings.

255. ****** YOU MUST ALSO SUBMIT THE FOLLOWING ATTACHMENTS WITH YOUR APPLICATION: ******
     --------Detailed drawings or plans for all proposed structures (including indicating, North, scale 1" = __ft) ------------------------ The legal description for property in question
257. BY MY SIGNATURE BELOW, I CERTFY THAT ALL OF THE ABOVE STATEMENTS AND THE INFORMATION CONTAINED IN ANY DOCUMENT OR PLANS SUBMITTED HEREWITH, ARE TRUE AND ACCURATE. I HEREBY CONSENT TO THE ENTRY IN OR UPON THE PREMISES DESCRIBED HEREIN, BY ALL AUTHORIZED OFFICIALS OF THE VILLAGE OF SWANSEA FOR THE PURPOSE OF INVESTIGATING THIS APPLICATION, INSPECTED THE PROPOSED WORK, AND POSTING, MAINTAINING, AND REMOVING ANY NOTICES REQUIRED BY ORDINANCE.
259. Signature (please print)
260. Date
Leave This Blank:


262. 1. Receive an email copy of this form.
263. Email address

     This field is not part of the form submission.

264. Submit Submit and Print

* indicates a required field