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Residential Home Building Permit Application
City of Bedford, Indiana
Residential Home Building Permit
Property Owner Information
Name
(Required)
Email Address
(Required)
Phone
(Required)
Address
(Required)
Street Address
City
State
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New York
North Carolina
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Northern Mariana Islands
Ohio
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Applicant Information
Name
(Required)
Email
(Required)
Phone #
(Required)
Address
(Required)
Complete address including City, State & Zip Code
Individual Responsible for Payment
Name
(Required)
Phone #
(Required)
Home / Contractor Information
Construction Site Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
General Contractor
(Required)
If no contractor has been selected, type UNKNOWN
Phone #
General Contractor
General Contractor Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Type of Use
(Required)
Personal Residence
Rental
Type of Construction
(Required)
New
Remodel
Construction Details
(Required)
Describe work to be completed
# of Bedrooms
# of Units
Wastewater System Connection
Sewer
Septic
Other
Square Footage
Total Square Footage
(Required)
If remodeling, use square footage of proposed work area
First Floor
(Required)
Second Floor
(Required)
Third Floor
(Required)
Basement
(Required)
Covered Decks / Porches
(Required)
Concrete Patio(s)
(Required)
Garage / Carport
(Required)
Attached
Detached
None
Answer Yes / No to the following:
Flood Plain
Yes
No
Unknown
Sink Holes
Yes
No
Unknown
Watershed
Yes
No
Unknown
Estimated Construction Cost
(Required)
Estimated Start Date
(Required)
Supporting File Upload(s):
Drop files here or
Select files
Max. file size: 100 MB, Max. files: 3.
Authorization
The applicant hereby certifies and agrees as follow: (1) I am authorized to make application. (2) I have read this application and attest that the information furnished is correct, including that contained in plans. (3) If there is any misrepresentation in this application, or associated documents, City of Bedford may revoke any permit or Certificate of Occupancy issued based upon this misinformation. (4) I agree to comply with all City of Bedford Ordinances, permit conditions and State statutes which regulate building construction, use, occupancy and site development. (5) I grant and will request City of Bedford Officials to enter onto the property listed on this application for the purpose of inspecting the work permitted by this application and posting notices. (6) I will retain the Certificate of Occupancy in my records upon completion of the project. NOTE: Plans shall mean all site and construction plans and specifications, whether furnished prior to or subsequent to the application date. All plans furnished subsequent to application date constitute an amendment to the original application and must be specifically approved by the City of Bedford with an appropriate endorsement and the signature of the approving official prior to plan implementation. The Permit is not valid, and work is not permitted until signed and issued by the agent of the Planning and Zoning Department. As the Person eligible and responsible for obtaining a permit or permits as required in the City of Bedford Building Code, and based upon information contained within these plans, I certify that these plans are identical to those released for construction by the Indiana Department of Fire and Building Services. I also understand that if it is determined that these plans are not identical, all permits obtained as a result of their submittal may be revoked as stated in the City of Bedford Building Code.
Consent
(Required)
I agree to terms
Enter Name
(Required)