Fillable ST. JOSEPH COUNTY NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION (City of South Bend)

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ST. JOSEPH COUNTY NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION (City of South Bend)

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The ST. JOSEPH COUNTY NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION (City of South Bend) form is 4 pages long and contains:

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  • 24 check-boxes
  • 55 other fields

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File type: PDF

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BROWSE CITY OF SOUTH BEND (IN) FORMS

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ST. JOSEPH COUNTY
NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION
(NOT FOR MODULAR OR MANUFACTURED HOUSES)
PERMIT CHECKLIST
1. Completed Application
2. Septic and well permits from the St. Joseph County Health Department
or Utility Verification Form from City Engineering/Board of Public Works
3. Driveway permit from the St. Joseph County Engineering Department
4. Legal lot of record in accordance to the St. Joseph County Zoning and Subdivision Ordinances,
should be checked with the Zoning Department prior to obtaining ownership of the property
5. Special use/exception and/or variance approvals if applicable
6. Energy Code Certification
7. Site Plan showing:
a. Aerial view of entire property, including property lines and abutting streets
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. Location of septic and well
e. Size, type, and location of proposed structure, including anything over 30” above grade
f. Example: https://southbendin.gov/wp-content/uploads/2018/08/Example-of-Site-Plan.pdf
8. *Basement will include at least one Emergency Egress window or door (per IRC 310.1)
*PLEASE INITIAL OR NO BASEMENT
9. Cost of labor and materials (on application form)
10. All applicable contractors involved in the project (on application form, must be licensed/registered)
11. 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
St. Joseph County Zoning Ordinance/Variance Applications:
http://www.sjcindiana.com/306/Division-of-Planning-Zoning
Flood Plain Map:
https://dnrmaps.dnr.in.gov/appsphp/fdms/
County Floodplain Regulations:
https://www.sjcindiana.com/DocumentCenter/View/1418/Section-154290---FP-Floodplain-Regulations-
COUNTY NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION
NEW HOUSE PERMIT APPLICATION PROCESS FOR COUNTY PROPERTIES
COUNTY 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.
COUNTY NEW MANUFACTURED/MODULAR HOUSE PERMIT APPLICATION
*HAVE YOU
INCLUDED:
EMERGENCY EGRESS IN BASEMENT *PLEASE INITIAL
OR NO BASEMENT
PROPOSED
BUILDING
SET BACKS:
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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ST. JOSEPH COUNTY NEW MANUFACTUREDMODULAR HOUSE PERMIT APPLICATION (City of South Bend)

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Completed 16 July 2020

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