CITY OF EVANSTON

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					                                           CITY OF EVANSTON
                     INTERIOR REMODELING WORKSHEET
            MUST be completed by the licensed Architect or Engineer for the project

Property Owner/Tenant:

Property Address:                                           Floor/Suite No.:

Owners Phone #:                                        Owner's Fax #:

In order to process the permit at the above address, it is necessary to complete this form. This form
MUST be submitted to the Building and Inspections Services Division (Phone: 847-866-2932 Fax:
847-448-8020) along with the permit application for remodeling/renovation of other than one and two
family dwellings. All Code references are to the International Building Code (IBC), 2003 Edition

1. Intended Occupancy:                           Previous Occupancy:

2. Is this a mixed use building? Yes                No              (Section 302.3)

3. Use Group Classification in the Building Code:                              (Section 302.1)

4. Building Construction Type Classification in the Building Code:              (Section 602.1)

5. Is the building fully sprinklered? Yes           No              Partial
   If partial, describe location(s):
   Will the building be fully sprinklered as a part of this project? Yes                No
6. Building Height (entire building):                    feet                 stories

7. Floor Area:                        SF   Remodeled Area:                     SF

8. Does the above comply with Tables 503 and 601 in the Building Code?
   If not, explain
If the remodeling is less than an entire floor of a building, one key plan MUST BE SUBMITTED, to
scale, indicating the entire floor of the building, including exits, exit corridors, elevators, public toilets,
etc.

Architect or Engineer completing the Worksheet:

Name:                                                    Phone: (        )
                     (Please Print)

Date:                                                  Fax:     (    )

				
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