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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
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