53
VILLAGE OF LA GRANGE
APPLICATION F'OR BUILDING PERMIT
SOUTHLA GRANGE ROAD
LA GRANGE,IL 60525
NAME OF OWNER
PHONE QA8) 579-2320
FAX (708) 579-0980
OWNER'S EMAIL
ADDRESS OF PROPERTY
OWNER'S PHONE
IDENTIFY AND DESCRIBE WORK
TOTAL CONSTRUCTION COSTS
**PLEASE INDICATE WHO SHOULDBE CONTACTED WITHZONING, ARCHITECTURAL,
ANDENGINEERING COMMENTS**
NAME
PHONE
FAX
R
NAME
B
ADDRESS
PHONE
GENERAL
EXCAVATOR
CARPENTER
ROOFER
BRICKMASON
ASPHALT/CONCRETE
PLUMBER
SEWERBUILDER
ELECTRICIAN
HVAC
SPRINKLER
SCAVENCER
OFFICAL USE ONLY
READYTO ISSUE
PLANNING APPROVAL
BUILDING APPROVAL
ENGINEER APPROVAL
PRE.DEMOLITION
PRE.CONSTRUCTION
ENGINEERINGREQUIRED
YES
NO
BUILDINGPERMIT
SQ.FT-BASEMENTDEMOITION
c.o.
BUILDING PLAN REVIEW
ENGINEER PLAN REVIEW
WATERMETER SIZEWATERTAP
SIZE_
CONSTRUCTION WATER
SEWERTAP
STIBTOTAL
DEPOSIT PREVIOUSLY PAID-UARCO #
BALANCE DT'E
ESCROW $
UARCO#
NOTICE -ALL COSTS INCURRED BY
THE VILLAGE INCLUDING OUTSIDE
CONST]LTANT FBES SI{ALL BE PAII)
PRIOR TO ISSUAIYCE OF TIIE BUILDING
PERMIT. AI\TY AI{D ALL FEES PAID TO
THE VILLAGE ARE NON. REFUNDABLE!
THIS APPLICATION MUST BE SIGNED
BY TIIf, OWNER OF TIIE PROPERTY OR
A DULY AUTHORIZED AGENT.
DATE
DATE
PERMIT
ISST'ED BY
CHECK #
P.I.N.
LINDER PENALTIES OF INTENTION
MISREPRESENTATION AND/OR PERruRY,
I do declare that I have examined and/or made
this application and it is true and correct to the
best of my knowledge and belief. I agree to
construct said improvement in compliance with
all provisions of the Building and Zoning
Ordinances of the Village of La Grange and all
amendments thereto. I realize that the
information that I have affrmed hereon forms a
basis for the issuance of a building permit.
#
SIGNATURE
PRINTNAME
Address
Date
Residential Site Development Permit Packet
SITE DEVELOPMENT DATA SHEET
Department of Community Development
Village of La Grange
TABLE 1 -BUILDING SETTING
Zoned
o
Lot Width:
!g Classification: I R-
Lot Area:
Lot Depth:
Existing
Zoning Disf ict Requirements
Proposed
o
Front Yard Set-Back Dimension
FT
FT
FT
o
o
Side-Yard Set-Back Dimension
FT
FT
FT
Side-Yard Set-Back Dimension
FT
FT
F1
Rear-Yard Set-Back Dimension
FT
FT
F1
.d
TABLE 2 - BUILDING COVERAGE
\o
a
3€
F
o
o
t/)
Existing
Net Change
Proposed
Primary Structurs Area
SF
SF
SF
Accessorv Structure Area
SF
SF
SF
Total Building Area
SF
SF
ST
%
o/
/o
oa
Percent Building Coverage
o/
/o
Maximum Permissible Building Coverage from Table 5
TABLE3-LOTCOVERAGE
I
Existing
Net Change
Proposed
Primary Structure Area
SF
SF
SF
Accessorv Structure Area
SF
SF
S}
o
Driveway Surface Area
SF
SF
sI
F
o
q
Patio/Deck Surface Area
SF
SF
ST
Walkway Surface fuea
SF
SF
SI
Total Impervious Surface Area
SF
SF
sI
Percent Imoen'ious Area
o/
/o
%
%
€d
(A
TABLE 4 - LOT COVERAGE ALLOWANCE CALCULATIONS
Total Proposed Impervious Area from Table
Area Values
I
Ifthere is an opon front porch, enter total
3
Enter actual open front porch surface area, up to a maximum of I 60 square feet
4 Enter total foundation/floor area ofdetached rear-yard
garage I
Enter half of the value of Line 4, up to a maximum of 330 square feet
6 Enter driveway surface area serving detached garage, up to
a
ntaximum of450 sf
7
Enter total area ofapproved pervious pavement surface. (Specification Section M)
8
Enter
9
TOTAL IMPERVIOUS AREA WTTH ALLOWANCES
tle
sum of areas (line 3 + line 5 + line 6 + line 7)
Subtract value in Line 8 from line
l0
I
to determine adjusted values
Maximum Permissible Lot Coverase from Table
ofTotal
%
SF
3
area
2
5
Percent
SF
SF
SF
SF
SF
SF
SF
o/
/o
SF
%
5
SITE DEVELOPMENT DATA SHEET
Residential Site Development Permit Packet - v02l413
Page
l0 of60
TABLE 5 - ZONTNG DTSTRICT REQTTTREMENTS
Description / Residential Zoning Classifi cation
R-l
R-2
R-3
R-4
R-5
35 feet
35 feet
35 feet
35 feet
35 feet
U
24 feet
17 feet
t7 feet
l7 feet
r0%
t0%
t0%
t0%
Minimum Front Yard (1)
Minimum Comer Side Yard (2)
Minimum Interior Side Yard (3)
t0%
feet
Minimum Interior Side Yard
8 feet
Total Minimum lnterior Side Yard (4)
N/A
Minimum Rear Yard
8 feet
N/A
5 feet
5 feet
5 feet
12 feet
12 feet
12 feet
20% of lot depth or25 ft.,whichever is greater, 35 ft maximum
Maximum Building Coverage - Interior Lot (5)
25%
?5%
30%
30%
Maximum Building Coverage - Corner Lot (5)
30o/o
30%
35%
35%
40%
Maximum Impervious Lot Coverage (5)
45%
45%
45o/o
45%
450in
l:
2:
Note 3:
Note 4:
Note 5:
Note
Note
35o/"
The front yard setback is based on the average of the two adjacent properties, minimum 25 ft.
The corner side yard is defined as the longer ofthe two yards fronting on the street right-of-way.
The interior side yard percentage is based on the average lot width.
The total minimum side yard is computed as the sum of the two interior side yards,
The maximum coverage is shown as a percentage oftotal lot area.
TABLE 6 - AREAS TO BE INCLUDED IN ZONING & LOT COVERAGES
Project Type / Building or Lot Coverage Calculation Required
BUILDING
LOT
New Building Construction
Yes
Yes
Building Addition
Yes
Yes
Garage (new or replacement)
Yes
Yes
Interior rernodel, limited to work inside existing building walls and roof
Bay window or chinmey
No
No
Yes
No
Cantilever building projections
Yes
No
Porch, "Open" or screened
Yes
Yes
Building eaves less than three feet from lot line
Yes
Yes
Shed or similar accessory buildiug
Yes
Yes
Dormer a44ition to existing structure
No
No
Swimming pool
No
Yes
Wood deck (Note 2)
No
Yes
l)
No
Yes
Patio constructed ofpermeable materials (Note 2)
Aggregate pathway (Note 2)
No
No
No
Yes
Driveway, sidewalk, orpatio pavements (Note
Note 1:
Note 2:
New or expanded pavement surfaces require lot coverage calculations; pavement replac€ment projects do not requife
calculations, unless associated with other building project that requires calculation.
A determination as to whether a particular surface material is impervious or permeable will be made by the Village
Engiqeer. All proposed permeable or pervious pavement surhce areas must satisfy design and construction cffiria
issued by the Viliage for passive dissipation systerns. All pavement surfaces are tobe regarded as impervious unless
otherwise designated by the Village Engineer following the review of plans.
SITE DEVELOPMENT DATA SHEET
Residential Site Development Permit packet -
v12l4l3
Page
1l of60
Village of L,a Grange
Community Development Department Customer Satisfaction Survey
{- ContractorfBuilder a Homeowner
i- RealtorlAPPraiser t* Other
License
2. Type of service requested (please check one):
f Building Permit f Business
Inquiry
l- Contractor f Commercial/Residential
Regisrration
Code Enforcement
Zoning
Question ;- Other
f
f Signage Permit
1- Disagree
3. Deparrment staffanswered questions andfor returned calls i- Strongly Agree
promptly'
f Strongly Disagree
t Agree
Lr^-,!-^r
j
i\trulrar
f NotApplicable
StronglyAgree f Disagree
4= Deparfmentstaffwasfriendi-vandcourteous. i1.- Sti'onglY Disagree
1_ Agree
i- Not APPlicable
f l{eutral
r. Customer
type:
S.Departmentstaffcommunicatedinaneffective,timelyfStronglyAgreeJ-Disagree
manner.
Agree
i- StronglY Disagree
1_ NotAPPlicable
1"- Neutral
6. Deparrment staffwas knowledgeable and professional. 1- StronglyAgree |- Disagpe
l- StronglY Disagree
l- Agree
f NotAPPlicable
l- Neutral
:-- No
7. Di&you receive clear and aecurate information?
7 Yes
f No
8. Did we meet your expectations?
: Yes
9.
f
If not, how could we better meet your needs?
10. On a scale of r to 5, 5 being "best", how would 1'ou rate
service{s} you received?
the 1_
t--
1
i-4
o
la
3
rr. Other eomments or suggestions you might offer to help us
improve our services?
re. Is there any empioyee in particular who assisted you?
Ilris survey is confidential. If you would like
us to eontact you for follow-up, please provide the following::
13. Name
r4. Telephone Number:
r5. E-Maii Addressr
Thank you for taking the time ts help us to learn how to serve you better.
We value Your oPinion!