Fillable BUILDING DEPARTMENT HOME ADDITION PERMIT APPLICATION (City of South Bend)

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

On average this form takes 14 minutes to complete

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

  • 1 signature
  • 18 check-boxes
  • 43 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
HOME ADDITION PERMIT APPLICATION
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.
Property Owner/Occupant doing
construction
Registered Building Contractor
doing construction
Begin construction
POST PERMIT ON SITE
Schedule footing
inspection (if applicable)
Complete application w/owner info
https://www.southbendin.gov/residents/content/building-permits
PERMIT ISSUED
Staff verifies application submission meets
requirements to issue permit.
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
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
Submit application, supporting documents (see checklist) and
fees in person at Building Department
ADDITION PERMIT CHECKLIST
1. Completed Application
2. Site plan showing size of property
a. size and location of dwelling on the property
b. size and location of any other proposed structures
c. location of septic and well
d. If parcel is under 3 acres, it must be drawn to an
engineer scale, such as 1”:20’
e. An example site plan can be found here:
https://southbendin.gov/wp-
content/uploads/2018/08/Example-of-Site-Plan.pdf
3. Special use/exception and/or variance approvals if
applicable
4. Cost of labor and materials for project (on
application form)
5. Size of dwelling including dimensions of basement,
second floor, garage(s), porches, and decks over 30"
above grade. (on application form)
6. All contractors involved in the project-building,
electrical, plumbing, and HVAC. (on application
form)
7. Energy Code Certification:
https://southbendin.gov/wp-
content/uploads/2018/08/EnergyCodeComplianceProce
ssANDforms.pdf
8. For finished basement applicable affidavit sign by
property owner
9. Application fee **SEE FEE SCHEDULE FOR
APPLICABLE PERMIT FEES
USEFUL LINKS
Residential Permitting Steps
https://southbendin.gov/wp-
content/uploads/2018/08/ResidentialPermitting-
Process.pdf
City of South Bend Zoning/Variance Applications
http://southbendin.gov/zoning
St. Joseph County Zoning/Variance Applications
http://www.sjcindiana.com/306/Division-of-Planning-
Zoning
Flood Plain and Wetlands
http://www.southbendin.gov/government/content/flood
-plains-wetlands
Historic Properties
http://stjocogis.maps.arcgis.com/apps/PublicInformatio
n/index.html?appid=fe6f472405f14b468e2f983c83ecbba
1
HOME ADDITION PERMIT APPLICATION
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 ADDITION VALUATION: $
TOTAL SQUARE FOOTAGE OF PROPOSED ADDITION:
PROPOSED
ADDITION
TO HOUSE:
1
st
Flr
(sq/ft)
2nd Flr
(sq/ft)
Porch/Deck
over 30” high
and/or
covered
(sq/ft)
Height
(ft)
Basement
(sq/ft)
*IF ADDING BASEMENT SQUARE FOOTAGE,
please initial above that an appropriate
means of egress/egress window already
exists, or will be installed as a part of this
addition, where applicable
PROPOSED
ADDITION
TO GARAGE:
Garage Addition (sq/ft)
Existing Garage (sq/ft)
Total Ground Floor (sq/ft)
Height (ft)
VARIANCE, SPECIAL USE/ EXCEPTION APPROVAL DATE, IF APPLICABLE*:
PROPOSED
SETBACKS
OF
ADDITION:
Front Lot Line (ft)
Side Lot line (ft)
Side Lot line (ft)
Rear lot line (ft)
Other (ft)
HOME ADDITION PERMIT APPLICATION
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
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 HOME ADDITION 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