Business License Application

Business Information
Business Name*
Business Phone*
Business Address*
Street Address Address Line 2 City State ZIP Code
Fax
Emergency Phone*
Cell Phone*
Email*
Property Pin #*
IBT#*
Hours Of Operation*
No. Of Employees*
No. Of SQ. FT For Business And/Or Storage*
Knox Box?*
- Yes
- No
(No License issued without Knox Box)
Type Of Business*
Explain in detail
Business Information*
- Proprietorship
- Partership
- Corporation

Business Owner Information
Name*
First Last
Title
Soc. Sec. #*
Home Address
Street Address City State ZIP Code
Phone*
Cell*
Driver's License/Stated ID #*
Issue State*
Business Owner Information (Addtional)
Name
First Last
Title
Soc. Sec. #
Home Address
Street Address City State ZIP Code
Phone
Cell
Driver's License/Stated ID #
Issue State

Manager Information
Name
First Last
Title
Soc. Sec. #
Home Address
Street Address City State ZIP Code
Phone
Cell
Email
Driver's License/Stated ID #
Issue State

Building Owner Information
Name
First Last
Home Address
Street Address City State ZIP Code
Phone
Cell
Emergency Phone
Email
Driver's License/Stated ID #
Issue State
Business Name (if applicable)
Real Estate Pin#

The Village of Riverdale has adopted the following codes for all permits whether a licensed and bonded contractor or the individual building owner performs the work. Actual blueprints may be required when applying for permits. 1. International Building Code, 2006 Edition 2. International Residential Code, 2006 Edition 3. The NFPA Life Safety Code 101, 2000 Edition 4. National Electrical Code, 2005 Edition 5. Illinois Plumbing Code, 2004 Edition 6. International Mechanical Code, 2006 Edition 7. International Fire Code, 2006 Edition 8. NFPA Codes and Standards 9. International Property Maintenance Code, 2006 Edition 10. International Energy Code, 2006 Edition 11. The CABO/ANSI Standards for Accessible & Usable Buildings & Facilities, 1991 Edition 12. The Illinois Accessibility Code, 1997 Edition
I understand that these codes are to be followed for all work done under a current Village of Riverdale Permit. I further understand that no business shall be conducted until a business license is issued and compliance with all applicable Village regulations is met. I UNDERSTAND THE ISSUANCE OF THIS LICENSE IS CONDITIONED UPON COMPLIANCE WITH ALL VILLAGE ORDINANCES/INSPECTIONS. NO BUSINESS MAY OPEN UNTIL FEES ARE PAID AND LICENSE IS ISSUED.
Signature of Business Owner*
Date*
GENERAL INFORMATION - FEES FOR BUSINESS LICENSES (This list is not all-inclusive. If you business is not listed, you may call Village Hall for more information, or check the Village Municipal Code (www.villageofriverdale.org) General Business $100 for first 2000 sq. ft., plus $25 for each addt’l 1000 sq. ft. Food Permit (not Restaurant or Grocery store) General Business rate plus $100 Dry Cleaners, Beauty/Barber Shops $100 flat fee Service Stations $125 for up to 5 pumps, $25 for each pump more than 5 Cigarette/Tobacco Dealer $125 Processor/Recycler $800 Lumberyard $100 for first 2000 sq.ft., +$25 for addt’l 1000 sq.ft (max $500 fee) Truck Terminal $400 Outdoor Storage $500 plus $.04 per sq.ft over 10,000 sq.ft. Other Fees (Separate Application Forms to be Submitted) Liquor Fee based on Classification with approval of Liquor Commissioner Amusement Tags $200-Electronic/Video Machines; $75-Mechanical Devices Cigarette Machine $100 Vending Machine (Food/Snack) $30 (up to three coin slots), $10 for each additional coin slot All other Vending Machines (including Copy Machines) $15 per coin slot Outdoor Pay Telephones $100 (Subject to Zoning Regulations) Signs Subject to size and permit regulations

Business License Application

Step 1 of 6

Business Information

Business Owner Information

Business Owner Information (Addtional)

Manager Information

Building Owner Information

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