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

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BUILDING DEPARTMENT HOME RENOVATION PERMIT APPLICATION (City of South Bend)

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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
HOME RENOVATION PERMIT APPLICATION
INCLUDES WINDOWS, SIDING & ROOFING
Submit application, supporting documents (see checklist) and
fees in person at Building Department
Property Owner/Occupant doing
construction
Registered Building Contractor
doing construction
Begin 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
PASS INSPECTION
Follow procedures for Electrical,
Plumbing, & HVAC work
https://www.southbendin.gov/resi
dents/content/building-permits
Schedule final inspection
Schedule framing inspection
(If applicable)
To schedule
inspections
Call: 574-235-
9554
Mon-Fr
i
7:30-9:00AM
or
3:30-4:00PM
Work must
start
within 6
months
and be
completed
within 2
years of
permit
issuance.
Failure to
meet these
deadlines
will require
reapplicati
on for
permit.
HOME RENOVATION PERMIT CHECKLIST
1. Completed Application
2. Special use/exception and/or variance
approvals if applicable
3. Cost of labor and materials (on application
form)
4. All contractors involved in the project-
building, electrical, plumbing, and HVAC.
(on application form)
5. Energy Code Certification if applicable
6. For finished basement applicable affidavit
sign by property owner
7. 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/con
tent/flood-plains-wetlands
Historic Properties
http://stjocogis.maps.arcgis.com/apps/PublicIn
formation/index.html?appid=fe6f472405f14b4
68e2f983c83ecbba1
HOME RENOVATION PERMIT APPLICATION
PROPOSED
PROJECT
ADDRESS:
City
Zip
Township
ZONING: OVERLAY/NNZO:
☐ ☐
HISTORIC DISTRICT:
☐ ☐
Yes No
Yes No
PROPERTY OWNER:
PHONE NUMBER:
EMAIL:
MAILING ADDRESS:
Address
City
State
Zip
TOTAL PROJECT COST FOR RENOVATIONS DUE TO FIRE/STORM DAMAGE:
*PERMIT FEE WILL BE CALCULATED BY TOTAL COST FOR RENOVATION
*IF RENOVATION IS NOT BECAUSE OF FIRE/STORM DAMAGE, TYPES OF WORK MUST BE SEPARATED.
PERMIT FEES WILL BE CALCULATED SEPARATELY FOR EACH OF THE THREE CATEGORIES BELOW:
ROOFING COST
TEAR-OFF/RE-ROOF: $
OR
OVERLAY: $
INCLUDES SOFFIT/FASCIA:
YES
☐
NO
☐
SIDING COST: $
INCLUDES SOFFIT/FASCIA:
YES
☐
NO
☐
INCLUDES MASONRY:
YES
☐
NO
☐
INCLUDES CHIMNEY WORK:
YES
☐
NO
☐
TOTAL COST OF ALL OTHER RENOVATIONS:$
INCLUDES:
WINDOWS
☐
DOORS
☐
OTHER INTERIOR (DRYWALL, ETC.)
☐
DOES THIS PROJECT INCLUDE ANY WORK IN THE BASEMENT?
YES
☐
NO
☐
*IF YES, PLEASE INITIAL THAT AN APPROPRIATE MEANS OF EGRESS/EGRESS WINDOW ALREADY EXISTS, OR WILL
BE INSTALLED AS A PART OF THIS RENOVATION, WHERE APPLICABLE
HOME RENOVATION 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 a true and accurate to the best of my knowledge.
APPLICANT SIGNATURE
DATE
PRINT NAME
ORG/BUSINESS OR OWNER
PHONE
EMAIL
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BUILDING DEPARTMENT HOME RENOVATION PERMIT APPLICATION (City of South Bend)

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Completed 16 July 2020

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