Fillable BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION (City of South Bend)

Fill Online, Printable, Fillable, Blank BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION (City of South Bend) Form

Use Fill to complete blank online CITY OF SOUTH BEND (IN) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION (City of South Bend)

On average this form takes 11 minutes to complete

The BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION (City of South Bend) form is 3 pages long and contains:

  • 0 signatures
  • 11 check-boxes
  • 38 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of South Bend

BROWSE CITY OF SOUTH BEND (IN) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
St. Joseph County I City of South Bend
BUILDING DEPARTMENT
DEMOLITION PERMIT APPLICATION
PASS INSPECTION
Submit application, supporting documents (see checklist) and
fees in person at Building Department
Property Owner/Occupant
Performing Demolition
Demolition Contractor
Performing Demolition
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
Utility Disconnects Confirmed
(Forms attached)
OR
Inspection prior to back
fill if applicable
To schedule
inspections
Call: 574-235-9554
Mon-Fri
7:30-9:00AM
or
3:30-4:00PM
Inspection for water
cap if applicable
Final Inspection
Complete demolition work
following guidelines to the left
Work must start
within 6 months and
be completed within
2 years of permit
issuance. Failure to
meet these
deadlines will
require reapplication
for permit.
1. Completed Application
2. All applicable contractors involved in the demolition OR
if the property is within CITY limits AND the property
owner is doing the work AND the structure(s) is larger
than 600 sq/ft a bond must be registered with the
building department.
3. For County Demolitions, an Abandonment Permit from
the Health Department is required for septic AND well.
4. Utility Release verifications
5. Application fee **SEE FEE SCHEDULE FOR APPLICABLE
PERMIT FEES
DEMOLITION GUIDELINES
1. Be sure to obtain any other applicable permits required
(eg. Occupancy Permits for occupying Public Right-of-
Way.)
2. For County Demolitions, an Abandonment Permit from
the Health Department is required.
3. Ensure asbestos or other hazardous/toxic materials are
identified and disposed of properly.
4. Demolition of the building(s) includes removal of the
following: accessory buildings and sheds, sidewalks,
driveways, slabs, fences, retaining walls, basements,
dead trees, bushes and all other such items that might
be a part of the property that should be removed.
5. Septic tank and drywells must be filled with clean fill.
6. In the case of a demolition including a basement all
debris must be removed from the remaining and hole
and visual inspection by the Building Department
completed prior to backfilling.
7. Fill must be to grade level and completed with clean fill.
8. Unless specifically requested by the client all live trees
must be left standing.
9. Demolition must begin within 6 months of permit
issuance and completed within 2 years of permits
issuance. Failure to comply with these timelines will
require reapplication for permit.
10. All debris and residue as a result of demolition is to be
hauled away or removed by an approved landfill.
11. Upon completion schedule an inspection to verify.
DEMOLITION PERMIT APPLICATION
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
STRUCTURE TYPE
TO BE
DEMOLISHED:
PRIMARY
STRUCTURE
INCLUDING
BASEMENT
INCLUDING
ATTACHED GARAGE
ACCESSORY
STRUCTURE
FLOORS:
1
ST
Floor
2
ND
Floor
3
RD
Floor
Basement
sq/ft
sq/ft
sq/ft
sq/ft
Attached
Garage
Accessory
Structure
TOTAL
sq/ft
sq/ft
sq/ft
VERIFICATION OF UTILITY DISCONNECTS:
*Proof of utility disconnects must be provided with this application.
ELECTRIC GAS WATER/WELL/SEPTIC
DEMOLITION PERMIT APPLICATION
DEMOLITION
CONTRACTOR:
OR
OWNER AS CONTRACTOR
*Please note that properties within
City limits that are over 600 sf may
NOT be demolished by a property owner
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 a true and accurate to the best of my knowledge.
APPLICANT SIGNATURE
DATE
PRINT NAME
ORG/BUSINESS OR OWNER
PHONE
EMAIL
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

BUILDING DEPARTMENT DEMOLITION PERMIT APPLICATION (City of South Bend)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document