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2. Address of proposed construction*
4. Name of owner*
5. Phone*
6. Email
8. Address (City, State, Zip)*
10. Name of Contractor*
11. Phone*
12. Email
14. Address (City, State, Zip)*
16. Check one*

    1. Single-Family Dwelling
    2. Two-Family Dwelling
17. Attach plans or sketch*
19. NEW STRUCTURES ONLY
21. Living Area (Sq. Ft.)
22. Basement (Sq. Ft.)
23. Attached Garage/Carport (Sq. Ft.)
25. Describe (number of stories, type construction, number of bedrooms, etc.)
27. Detached Accessory Structure (describe structure)
29. EXISTING STRUCTURES ONLY
31. Addition (describe structure)
33. Alterations, Repairs, etc. (describe structure)
35. PLANS AND SPECIFICATIONS
    Plans and specifications must be submitted to the Building & Neighborhood Services Division which show features of any building or addition, including floor plans; cross-section and component materials of foundation, wall and roof; and R-Value of the wall and ceiling envelope. All structures must comply with the 2003 ICC International Residential Code, the National Electrical Code, the State of Illinois Plumbing Codes and the Carbondale Residential Energy Conservation Code.
37. ESTIMATED COST OF CONSTRUCTION AND BUILDING PERMIT FEES
    The fee for building permits is two dollars ($2) per thousand dollars of the estimated cost of improvements excluding the costs of the land and the interior chattel furnishings (i.e. the building permit fee for $50,000 of improvements is $50,000 X 0.002 = $100). The minimum building permit fee charge is $5 for improvements costing $2,500 or less. A Zoning Certificate must be obtained for new buildings or additions.
39. ESTIMATED COST OF CONSTRUCTION $
    (Including labor and all materials)
40. BUILDING PERMIT FEE $

42. Once your application has been approved by the City, you will receive a secure link from [email protected] in which to pay your application fee.

44. Please choose how you prefer to receive the secure link:*

    1. Text
    2. Email
45. Cell Phone*
46. Email*
48. Your permit will be emailed to you once your payment has processed
50. Certification*

    I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his agent, and we agree to conform to all applicable laws and ordinances of this jurisdiction.

    1. I agree.
52. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
54. Electronic Signature of Owner or Agent*
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field