Fillable BUILDING DEPARTMENT ACCESSORY PERMIT APPLICATION (RESIDENTIAL) (City of South Bend)

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BUILDING DEPARTMENT ACCESSORY PERMIT APPLICATION (RESIDENTIAL) (City of South Bend)

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The BUILDING DEPARTMENT ACCESSORY PERMIT APPLICATION (RESIDENTIAL) (City of South Bend) form is 4 pages long and contains:

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  • 19 check-boxes
  • 44 other fields

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File type: PDF

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BROWSE CITY OF SOUTH BEND (IN) FORMS

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St. Joseph County I City of South Bend
BUILDING DEPARTMENT
ACCESSORY PERMIT APPLICATION (RESIDENTIAL)
Submit application, supporting documents (see checklist) and
fees in person at Building Department
Property Owner/Occupant doing
construction
Registered Building Contractor
doing construction
POST PERMIT ON SITE
Complete application w/owner info
https://www.southbendin.gov/residents/content/building-permits
PERMIT ISSUED
Staff verifies application submission meets
requirements to issue permit.
BE ADVISED
1. Receipt of application does not mean a permit has been issued; AND
2. If work has been started without a permit, you will be triple fined
Work
must
start
within 6
months
and be
complete
d within
2 years
of permit
issuance.
Failure to
meet
these
deadline
s will
require
reapplica
tion for
permit.
Begin construction
Schedule footing inspection
PASS INSPECTION
Follow procedures for Electrical,
Plumbing, & HVAC work
https://www.southbendin.gov/resi
dents/content/building-permits
Schedule final inspection
Schedule framing inspection
To schedule
inspections
Call: 574-235-
9554
Mon-Fri
7:30-9:00AM
or
3:30-4:00PM
1. Completed Application
2. Site plan showing
a. size of property
b. size and location of all structures on property
c. size and location of proposed accessory
structure
d. If parcel is under 3 acres, it must be drawn to
scale.
e. An example site plan can be found here:
https://goo.gl/VsyokD
3. Special use/exception and/or variance
approvals if applicable
4. Location of septic system and well on property
(if applicable)
5. Cost of labor and materials. This is for the total
project including any mechanicals. (on
application form)
6. All applicable contractors involved in the
project-building, electrical, plumbing, and
HVAC. (on application form)
7. Application fee **SEE FEE SCHEDULE FOR
APPLICABLE PERMIT FEES
Residential Permitting Steps https://southbendin.gov/wp-
content/uploads/2018/08/ResidentialPermitting-Process.pdf
City of South Bend Zoning Ordinance/Variances
http://southbendin.gov/zoning
St. Joseph County Zoning Ordinance/Variances
http://sjcindiana.com/apc
Flood Plain Map
https://dnrmaps.dnr.in.gov/appsphp/fdms
Wetland Map
http://stjocogis.maps.arcgis.com/apps/PublicInformatio
n/index.html?appid=fdd445df825c47739d3cdc2a537909
4f
Historic Properties
http://stjocogis.maps.arcgis.com/apps/PublicInformatio
n/index.html?appid=fe6f472405f14b468e2f983c83ecbba
1
ACCESSORY PERMIT APPLICATION (RESIDENTIAL)
PROPOSED
PROJECT
ADDRESS:
Address
City
Zip
Township
ZONING:
OVERLAY/NNZO:
☐ ☐
HISTORIC DISTRICT:
☐ ☐
Yes No
Yes No
PROPERTY OWNER:
PHONE NUMBER:
EMAIL:
MAILING ADDRESS:
Address
City
State
Zip
PROPOSED
ACCESSORY
VALUATION: $
PROPOSED
ACCESSORY
SQUARE FOOTAGE:
PROJECT TYPE: ACCESSORY BUILDING
POOL
Water depth more 42” deep
OTHER
Describe
PROJECT SIZE:
Accessory Building (sq/ft)
Pool (sq/ft)
Other (sq/ft)
Height (ft)
**If proposed structure is 576 square feet or larger, PROPERTY OWNER must sign the Nonconversion Agreement on page 4.**
EXISTING
STRUCTURES:
Primary Structure (sq/ft) Accessory Buildings (sq/ft) Other (sq/ft)
VARIANCE, SPECIAL USE/ EXCEPTION APPROVAL DATE, IF APPLICABLE*:
*PLEASE PROVIDE APPROVAL LETTER
PROPOSED
ACCESSORY
SETBACKS:
Front Lot Line (ft)
Side Lot line (ft)
Side Lot line (ft)
Rear lot line (ft)
Other (ft)
ACCESSORY PERMIT APPLICATION (RESIDENTIAL)
BUILDING
CONTRACTOR:
OR
OWNER AS CONTRACTOR
PHONE:
EMAIL:
ADDRESS:
Address
City
State
Zip
*All contractors must be licensed and/or registered with our department. For more information on this go to
http://www.southbendin.gov/government/content/contractor-licenses-0
*Application must be signed below
I certify the above to be true and accurate to the best of my knowledge.
The Owner or Assignee obtaining this permit is responsible for determining the location of the property lines and conforming
with the setback, height, and all other requirements of the Zoning Ordinance. Also, the restrictive covenant relating to the
property may be more restrictive and should be checked.
The undersigned Owner or Assignee does hereby accept the above responsibility.
APPLICANT SIGNATURE
DATE
PRINT NAME
ORG/BUSINESS OR OWNER
PHONE
EMAIL
click to sign
signature
click to edit
ACCESSORY PERMIT APPLICATION (RESIDENTIAL)
NON-CONVERSION AGREEMENT
FOR ACCESSORY STRUCTURES (576 SF or larger)
Owner: _____________________________
Address: ________________________________________
In consideration for the granting of the above referenced permit, the Property Owner agrees to
the following:
1) The enclosed area of the improvement, or the enclosed area adjacent to the improvement, shall be used solely
for accessory or storage uses and will never be used for any other purpose without first becoming fully
compliant with the Ordinance in effect for the district in which the address is located.
2) Any variation in construction beyond what is permitted shall constitute a violation and be abatable as such.
3) This Nonconversion Agreement becomes an attachment and an enforceable part of above referenced permit
and grants the City of South Bend/St. Joseph County Building Department the ability to inspect and enforce the
provisions of the Agreement at any time.
Date
Property Owner Signature
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signature
click to edit
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BUILDING DEPARTMENT ACCESSORY PERMIT APPLICATION (RESIDENTIAL) (City of South Bend)

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Completed 16 July 2020

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