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FY2016-17 ISC Building Permit Checklist Directions: Complete all relevant sections and bring one (1) copies to permit application meeting. School Name: Project Number: Project Start Date: Project Description: ISC Evaluator: Date Submitted District #: Project End Date: Conference Date: Required Forms (Form Number) Building Application (36-10) Plan Review Statements (36-11) Licensed Certification (36-12) Review Conference Checklist (8-03) Review Life Safety Checklist (1-12) Review Conference Checklist for Sprinkler App (1-13) [If applicable] Sprinkler Application (35-72) [If applicable] Heating/Ventilation/AC Evaluation & Report [If applicable] Plans * Specs Fire Dept [REQUIRED] Plans & Specs Building Dept [For Reference] LETTERS REQUIRED *County/Local Health Dept [Food Service Dept.] **Ill Dept of Public Health [Plumbing Inspection] * ** *** **** RDE/rde Requirements Seal / Signature Seal / Signature Seal / Signature Seal / Signature Check off Completed Items Seal / Signature Date Checked Seal / Signature Summarization Report Acknowledged Acknowledged Notice of Letter Sent Notice of Letter Sent Notice of Letter Sent Completion Dates Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Letters of Transmittal: ***Metropolitan Water Reclamation Date: District of Greater Chicago / ****Thorn Creek Sanitary District ~ District Number: Permit Metropolitan Water Reclamation District / Thorn Creek Date: Sanitary District ~ District Number: Complete @ App Meeting Intermediate Service Center Project Permit Number: Date Issued: FOR ASBASTOS ABATEMENT ONLY Building Application (36-10) Signature Date: State of Illinois Asbestos Abatement Project Notification Form Date: Complete @ App Meeting Intermediate Service Center Project Permit Number: Date Issued: FOR DEMOLITION OF PERMANENT or TEMPORARY SCHOOL FACILITIES Notification to utility company(s) (gas, water, electric, sewer) Letter Sent Date: Notification to Illinois Dept of Public Health Letter Sent Date: Notification to Fire Marshal Letter Sent Date: Notification to Adjacent Building Owners Letter Sent Date: OBTAINED RELEASES FROM: Illinois Dept. of Public Health Letter Received Date: Office of the State Fire Marshal Letter Received Date: UST Letter (Underground Storage Tanks) Letter Received Date: Utility Company(s) Letter Received Date: Application for Demolition Permit (36-33) [If applicable] Seal / Signature Date: Send notification letters to Cook County Dept of Public Health – 1010 Lake St, Suite 300-Oak Park, IL For IDPH inspection appointments contact Joe O’Connor, Regional Supervisor @ (630 293-6800 – 245 For MWRD permit information look @ www.mwrd.org/forms/engineering/default.htm or (312) 751-5600 Thorn Creek Permit Information @ www.thorncreek.dist.il.us or call (708) 754-0525 7/01/2016