Fillable RESIDENTIAL MOVING PERMIT APPLICATION (City of South Bend)

Fill Online, Printable, Fillable, Blank RESIDENTIAL MOVING 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.

RESIDENTIAL MOVING PERMIT APPLICATION (City of South Bend)

On average this form takes 11 minutes to complete

The RESIDENTIAL MOVING PERMIT APPLICATION (City of South Bend) form is 3 pages long and contains:

  • 1 signature
  • 0 check-boxes
  • 41 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
 
RESIDENTIAL MOVING PERMIT APPLICATION
Prior to applying for a Moving Permit, both a Demolition and Foundation Permit must be obtained:
a.
Demolition Permit for any building(s) or structure(s) to be demolished at the property where building(s) or
structure(s) will be moved from: https://southbendin.gov/department/building/building-permits/
b.
Demolition Permit for any building(s) or structure(s) to be demolished at the property where building(s) or structure(s)
will be moved to: https://southbendin.gov/department/building/building-permits/
c.
Foundation Permit for property that the building(s) or structure(s) will be moved to (Complete our New
House/Accessory Structure Application(s) and provide all required documents. However, the fee will be a $40 flat rate
for foundation only, per building, and the contractor listed will be that who is doing the foundation work.):
https://southbendin.gov/wp-content/uploads/2019/02/newhome20192-1.pdf
CITY PROPERTY MOVING PERMIT REQUIREMENTS:
1.
Complete Moving Permit Application
2.
Moving Contractor must provide a Certificate of Insurance naming the City of South Bend as co-insured, showing:
a.
Property damage coverage in the amount of one million dollars ($1,000,000.00)
b.
Liability coverage in the amount of five million dollars ($5,000,000.00)
3.
Provide affidavits from such applicable companies with facilities along the proposed route, certifying that the applicant has
deposited with such company or agency satisfactory surety to cover the cost of any damage or changes in facilities resultin
g
fr
om the moving of the structure over the proposed route:
a.
All public utility companies
b.
Railroads
c.
Service companies
d.
Cable television companies
4.
Provide approval documentation from the following departments:
a.
Bureau of Traffic and Lighting
b.
Police Department
c.
Park Department
d.
Engineering Department
e.
State Highway Department (if route includes any state highway)
5.
All information shall immediately be forwarded to the Board of Public Works
Once all items and application have been completed and submitted to the Building Department, the Building
Department will provide a letter to the Board of Public Works, along with a copy of all related documents, requesting
application and all related documents to be reviewed at the next Board of Public Works meeting
After the Board of Public Works meeting, they will respond to our request, letter, application, and related documents
with a stamp of approval, which will then allow the Building Department to issue this moving permit
In the event that the Department denies the moving permit, the applicant shall have the right to request a hearing to
review such denial
6.
City of South Bend Code of Ordinances (Sec. 6-6.3.- Moving permit.):
https://library.municode.com/in/south_bend/codes/code_of_ordinances?nodeId=SUHITA_CH6BU_ART2BURUPR_S6-6.3MOPE
7.
Permit fee
a.
Any one or two story building over public streets or alleys: $125
b.
Any building greater than two stories in height over public streets or alleys: $175
MOVING PERMIT APPLICATION (RESIDENTIAL)
COUNTY PROPERTY MOVING PERMIT REQUIREMENTS:
1.
Complete Moving Permit Application
2.
Moving Contractor must provide a Certificate of Insurance:
a.
Providing for a limit of not less than $500,000 for all damages arising out of bodily injury or death in any one
occurrence
b.
Provide for a limit of not less than $100,000 for all damages arising out of injury to or destruction of property in any
o
ne occurrence
c.
Subject to that limit per occurrence, an aggregate limit of not less than $300,000 for all damages arising out of injury to
or destruction of property during the policy period
d.
Shall include coverage for premises, operations, contractor’s protective liability, products, completed operations, and
blanket contractual liability
e.
See additional, general requirements at the link below for County Code of Ordinances (152.11)
3.
Comprehensive Automobile Liability Insurance:
a.
The contractor shall carry for the duration of the contract comprehensive automobile liability insurance providing for a
limit of not less than $500,000 for all damages arising out of bodily injury or death in any one occurrence
.
b.
The policy shall also provide for a limit of not less than $100,000 for all damages arising out of injury to or destruction
of property in any one occurrence.
c.
Such insurance shall include coverage for all owned, non-owned and hired vehicles.
4.
Provide letters of inspections and affidavits of approval from companies with facilities along the proposed route, certifying that
the applicant has deposited with such company or agency satisfactory surety to cover costs of any damage or changes in
f
acilities resulting from the moving of the structure over the given route:
a.
All public utility companies
b.
Railroads (when required- see link for County Code of Ordinances, 152.09 & 152.10)
c.
Municipal departments (including County Engineer, etc. regarding trees, bushes, signs and/or structures located on
c
ounty property)
d.
If the structure to be moved will be using state roadways and/or city streets during transport, provide state and/or city
pe
rmit approval document(s)
5.
All information shall immediately be forwarded to the Board of County Commissioners
Once all items and application have been completed and submitted to the Building Department, the Building
Department will provide a letter to the Board of County Commissioners, along with a copy of all related documents,
requesting application and all related documents to be reviewed at the next Board of County Commissioners meeting
The County Commissioners shall hear all evidence pertaining to the moving of the structure in question, as the move
may affect the public health, safety or welfare of the citizens of the county, and/or any possible physical damage to
streets, roadways, sidewalks and/or any other facilities or properties
Within ten working days following the hearing, the County Commissioners shall issue an order to the County Building
Commissioner to either issue or deny the requested permit
In the event the County Commissioners should fail to issue such an order within the ten days, the County Building
Commissioner shall automatically issue the permit.
Please note: Prior to move, 72 hours’ notification must be provided to all local law enforcement agencies, fire
d
epartments, Civil Defense Agency and County Engineering Department.
6.
Saint Joseph County Code of Ordinances (Chapter 152: Building Regulations):
http://library.amlegal.com/nxt/gateway.dll/Indiana/stjosephco_in/stjosephcountyindianacodeofordinances?f=templates$fn=de
fault.htm$3.0$vid=amlegal:stjosephco_in
7.
Permit fee
a.
Any one or two story building over public streets or alleys: $125
b.
Any building greater than two stories in height over public streets or alleys: $175
MOVING PERMIT APPLICATION (RESIDENTIAL)
APPLICANT INFORMATION
DATE:
APPLICANT:
ORG/BUSINESS:
PHONE:
EMAIL:
ADDRESS:
Address
State
Zip
PROPERTY OWNER:
PHONE:
EMAIL:
ADDRESS:
Address
City
State
Zip
PROJECT INFORMATION
STRUCTURE BEING MOVED FROM:
TO:
DIMENSIONS OF STRUCTURE WHEN MOUNTED (please note dimensions of ALL structures separately):
LENGTH:
WIDTH:
HEIGHT:
WEIGHT:
AXLE SPACING:
PROPOSED ROUTE:
FROM:
TO:
FROM:
TO:
FROM:
TO:
FROM:
TO:
FROM:
TO:
FROM:
TO:
MOVING CONTRACTOR:
*Must provide Certificate of Insurance showing requirements as listed in the City or County Code or Ordinances
I certify the above to be true and accurate to the best of my knowledge.
APPLICANT SIGNATURE
DATE
PRINT NAME
VERIFY CONTACT IF DIFFERENT THAN APPLICANT
EMAIL
PHONE
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

RESIDENTIAL MOVING 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