Fillable CITY OF SOUTH BEND NEW MANUFACTURED/MODULAR HOUSE PERMIT (City of South Bend)

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CITY OF SOUTH BEND NEW MANUFACTURED/MODULAR HOUSE PERMIT (City of South Bend)

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The CITY OF SOUTH BEND NEW MANUFACTURED/MODULAR HOUSE PERMIT (City of South Bend) form is 5 pages long and contains:

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  • 23 check-boxes
  • 77 other fields

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File type: PDF

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BROWSE CITY OF SOUTH BEND (IN) FORMS

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CITY OF SOUTH BEND
NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION
PERMIT CHECKLIST
*PLEASE NOTE NEW CITY ZONING ORDINANCE UPDATES, EFFECTIVE 1/1/2020:
https://southbendin.gov/zoning/
1. Completed Application
2. Utility Verification Form from City Engineering/Board of Public Works
3. Driveway Permit from City Engineering/Board of Public Works (Please submit application on page 5 & 6 to
rowpermitsoffice@southbendin.gov
; approval is not needed for driveways off of an alleyway)
4. Oversize/Overweight Load Permit from City Engineering/Board of Public Works
5. Legal lot of record in accordance to the City of South Bend Zoning and Subdivision Ordinances, should be checked
with the Zoning Department prior to obtaining ownership of the property
6. Special use/exception and/or variance approvals if applicable
7. Energy Code Certification
8. Site Plan:
a. Must include entire property, property lines, and abutting streets/alleys
b. If parcel is under 3 acres, it must be drawn to an engineer scale, such as 1”:20’
c. Size and location of all structures existing on property
d. Size, type, and location of proposed structure, including anything over 30” above grade
e. *Must include a Porch, Stoop, or Gallery
f. *Primary façade/main entrance orientation and garage door orientation
g. *Location of Walkway from entrance to sidewalk or driveway
h. *Location of Driveway and number of parking spaces
i. *Location of Streetscape Shade Tree
9. *Elevation plans showing Transparency
10. *Basement will include at least one Emergency Egress window or door (per IRC 310.1)
*PLEASE INITIAL OR NO BASEMENT
11. Cost of labor and materials (on application form)
12. All applicable contractors involved in the project (on application form, must be licensed/registered)
13. 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 Ordinance/Variance Applications:
https://southbendin.gov/zoning/
Flood Plain Map:
https://dnrmaps.dnr.in.gov/appsphp/fdms/
Historic Properties:
http://stjocogis.maps.arcgis.com/apps/PublicInformation/index.html?appid=fe6f472405f14b468e2f983c83ecbbal
CITY NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION
NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION PROCESS
FOR CITY PROPERTIES
CITY NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION
PROPOSED
PROJECT
ADDRESS:
Address
City
Township
Subdivision
Section of Subdivision
Lot Number
ZONING:
OVERLAY/NNZO:
☐ ☐
HISTORIC DISTRICT:
☐ ☐
Yes No
Yes No
PROPERTY OWNER:
PHONE NUMBER:
EMAIL:
MAILING ADDRESS:
Address
City
State
Zip
PROPOSED NEW HOUSE VALUATION: $
TOTAL SQUARE FOOTAGE:
PROPOSED
BUILDING
SIZE:
1
st
Floor
(sq/ft)
2nd
Floor
(sq/ft)
Unfinished
Basement
(sq/ft)
Finished
Basement
(sq/ft)
Porches/Decks over 30”
high and/or covered
(sq/ft)
Garage
(sq/ft)
Building
Height
(ft)
VARIANCE, SPECIAL USE/ EXCEPTION APPROVAL DATE, IF APPLICABLE*:
*PLEASE PROVIDE APPROVAL LETTER
MODULAR/
MANUFACTURED
HOUSE
INFORMATION:
☐
☐
MODULAR OR MANUFACTURED Modular Numbers Make
HUD #1
HUD #2
Serial Number
Roofing Materials
Pitch
Siding Materials
Date of Manufacture:
*If not yet manufactured, we will only issue a Foundation Permit.
Once manufactured, we will issue the New House Construction Permit.
*Please also provide proof of project submittal to Engineering for Right-of-Way Permit.
CITY NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION
HAVE YOU
INCLUDED:
PORCH
OR
STOOP
OR
GALLERY
EMERGENCY
EGRESS
AND
IN BASEMENT
PLEASE INITIAL
WALKWAY FROM ENTRANCE
TO SIDEWALK TO DRIVEWAY
AND
PARKING
SPACE(S)
AND
STREETSCAPE
SHADE TREE
PROPOSED
BUILDING
SETBACKS:
Front Lot Line (ft)
Side Lot line (ft)
Side Lot line (ft)
Rear lot line (ft)
Other (ft)
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
*Please note that if there is an existing structure, or has previously been an existing structure on this lot that will not
remain, even due to fire damage, a demolition permit application must also be submitted and approved.
*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.
I hereby understand and agree that this structure will not be occupied until a final inspection has been carried out and
approval given by the Building Commissioner.
The undersigned Owner or Assignee does hereby accept the above responsibility.
APPLICANT SIGNATURE
DATE
PRINT NAME
ORG/BUSINESS OR OWNER
PHONE
EMAIL
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CITY OF SOUTH BEND NEW MANUFACTUREDMODULAR HOUSE PERMIT (City of South Bend)

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Completed 16 July 2020

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