Fillable Madison County Property Improvement Check List (Madison County Government)

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Madison County Property Improvement Check List (Madison County Government)

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The Madison County Property Improvement Check List (Madison County Government) form is 5 pages long and contains:

  • 3 signatures
  • 8 check-boxes
  • 91 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Madison County Government

BROWSE MADISON COUNTY GOVERNMENT (NC) FORMS

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Madison County Property Improvement Check List
Property Owner:______________________ Previous Owner:_______________________
Phone:_________________ Cell:________________ Email:_____________________
Department
Initial
Date
Township
MA Number
Tax Assessor
Parent Pin
Temp Pin
Street Name of Property
Vacant Property
Yes
No
Notes
Town Limits?
Sewer
Yes
No
Yes
No
Yes
No
Zoning
Town Signature:_______________________
Department
Initial
Date
Special Notes
Environmental Health
Department
Initial
Date
Special Notes
911 Center
Fixed Address
Department
Initial
Date
Disposal Card
Solid Waste
Disposal Card
Town of
Department
Initial
Date
Residential
Commercial
Building Inspections
Zoning
Revised: 04/07/2014
Property Owners:_________________________ Phone:____________________________
Madison County
Application for Zoning Permit
Applicant/Owner Information:
Name: ______________________________ Date: ___________________
Address: _____________________________________________________________
Phone #: Day: _____________________ Evening: ___________________
Property Information:
PIN#:_____________________________ LOT SIZE (acreage):__________________
Property Address: _______________________________________________________
Zoning Classification: __RA __C __A-O
__N-C __R-1 __R-2
__I-D __CMU
Flood Plain: Watershed:
Floodplain: ____Y ____N Watershed: ____Y ____N
Protected Ridge: ___Y ___N
Setbacks:
Please provide a property map showing the location of your project with the
setbacks marked.
New Construction Dwelling Accessory Structure
15’ side setback 10’ side and rear property line
20’ rear 20’ street or highway right of way
40’ front
There shall be a 30’ setback from all creeks in the Watershed District.
NOTES: Permit #:____________
Certifications:
If a permit is granted I/We the undersigned agree to conform to all county ordinances and codes.
Furthermore we agree to meet all state mandated standards such as health, building safety, and fire. I
hereby swear that the above information is truthful and accurate to the best of my understanding.
Signature of Applicant: _________________________________ Date: __________
www.madisoncountync.org/zoning.php
828-649-3766
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APPLICATION FOR MANUFACTURED HOME BUILDING PERMIT
MADISON COUNTY INSPECTIONS
OWNER______________________________________ DATE________________________________
MAILING ADDRESS___________________________________________________________________ TELEPHONE________________________________
BUILDING LOCATION/DIRECTIONS______
_______________________________________________________________________
__________________________________________________________________________________________________________
PIN NUMBER_________________________________ ACREAGE__________________ ZONING CLASSIFICATION__________________
TOWN JURISDICTION Y___N___ TOWNSHIP_______________
USE OF PROPERTY-CIRCLE ONE OWNER OCCUPIED RENTAL SALE
TYPE: SINGLEWIDE______________ DOUBLEWIDE __________________________ TRIPLEWIDE ______________________________________
YEAR MAKE ___________________ MFR ___________________________________ MODEL__________________________
LENGTH_____________ WIDTH_____________ # BEDROOMS__________________ BATHROOMS________________
TOTAL SQ FT._______________________________ ESTIMATED COST ________________________________
PERMIT COST: BUILDING __________________ ZONING _______________ TOTAL _________________
MO
BILE HOME DEALER_________________________________ LICENSE NO.____________________________
Co
ntact Number ______________________________ Address ________________________________________________
SETUP CONTRACTOR ______________________________________________ LICENSER NO. ___________________
Cont
act Number ______________________________ Address __________________________________________________
GE
NERAL CONTRACTOR ___________________________________________LICENSE NO.____________________
Co
ntact Number _____________________________ Address____________________________________________________
SUB
CONTRACTORS:
EL
ECTRICAL CONTRACTOR__________________________________________ LICENSE NO.____________________
Co
ntact Number _____________________________ Address____________________________________________________
PLUMBING CONTRACTOR___________________________________________ LICENSE NO.____________________
Co
ntact Number _____________________________ Address____________________________________________________
ME
CHANICAL CONTRACTOR________________________________________ LICENSE NO.____________________
Co
ntact Number _____________________________ Address____________________________________________________
SE
TUP BOND PROVIDED IN ACCORDANCE WITH
N.C.G.S. 143-139.1 ____________________________
The undersigned hereby certifies that he/she is the contractor and authorized agent of the owner and the above information is correct to
the best of his/her knowledge and hereby makes application for a permit and inspection of work described above. All work will be done
in accordance with all applicable State and local laws and regulations.
__________________________________________________ _________________ ____________________________________________________________
Signature Date Printed name
AP
PROVED BY:__________________________________ DATE____________ PERMIT NUMBER:_________________________________________
www.madisoncountync.org/permits.php
828-649-3766
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ELECTRICAL
AMPERE SERVICE:______________________
TYPE: UNDERGROUND__________________ OVERHEAD__________________
PREMISE OR ACCOUNTY NUMBER: _______________________________________
French Broad Electric ______
Progress Energy _______
Haywood Electric_______
PLUMBING
NUMBER OF FIXTURES:___________________________
SEPTIC APPROVED FOR ________ NUMBER OF BEDROOMS
Septic (new) _____
Septic (existing) ______
Town Sewer ________
HEATING
TYPE OF HEAT: Electric______________
Gas: LP ________ Natural ___________
Oil _________________
FIREPLACE: Yes ____ No ________
www.madisoncountync.org/permits.php
828-649-3766
MADISON COUNTY INSPECTIONS AND ZONING
Before you call for any inspection please make sure that your manufacturer’s setup manual is present at the time of inspection.
• Marriage wall connections and fasteners per manufacturers setup manual. Do not cover up end walls.
• All piers are installed, tie down straps and anchors installed and comply with manufacturers setup manual
• Water and sewer lines installed to State Code. Insulate the water line above ground except in crawl
spaces when masonry underpinning is used.
.
• Install vapor barrier on the ground in the crawl space where required.
• All electrical work must be completed to current National Electric Code.
• All porches, steps, and decks installed per the N.C. Residential code for decks.
• All heating and air-conditioning work including cross over ducts is completed per State Code.
• The home must have positive drainage under the home so that no water can run underneath the home. Please make sure that
water is running away from the home.
The undersigned affirms that all requirements will be met and all codes will be followed.
Name ____________________________________ Date ______________________
Signature _________________________________
www.madisoncountync.org/permits.php
828-649-3766
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Madison County Property Improvement Check List (Madison County Government)

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Completed 18 July 2020

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