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209 West North Shore Drive_AA 2024-0702
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209 West North Shore Drive_AA 2024-0702
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Last modified
7/2/2024 3:39:32 PM
Creation date
7/2/2024 3:37:53 PM
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South Bend HPC
HPC Street Address
209 West North Shore Drive
HPC Document Type
Certification
HPC Local Historic District
i. West North Shore Drive
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CITY HOME RENOVATION PERMIT APPLICATION <br />PROPOSED <br />PROJECT <br />City Zip Township Address <br /> <br />ADDRESS: <br />PROPERTY OWNER: <br />PHONE NUMBER: <br />MAILING ADDRESS: <br />DOES THIS PROJECT INCLUDE ANY WORK IN THE BASEMENT? YES ☐ NO ☐ <br />*IF YES, WILL AN EGRESS WINDOW BE INSTALLED AS A PART OF THIS RENOVATION? <br />*IF NOT, PLEASE INITIAL THAT AN APPROPRIATE MEANS OF EGRESS ALREADY EXISTS WHERE APPLICABLE <br />YES ☐ NO ☐ <br />OWNER ☐ CONTRACTOR ☐ <br />Address City State Zip <br />DUE TO FIRE DAMAGE: YES NO NO <br />**IF THE PROPERTY OWNER WILL NOT BE PERFORMING THIS WORK AND A CONTRACTOR IS BEING HIRED, THE SIGNED CONTRACT SHOWING COST OF CONSTRUCTION MUST BE PROVIDED UPON APPLICATION SUBMITTAL** <br />*TOTAL COSTRUCTION COST: $8,395.00 <br />*If adding square footage, please also complete Addition or Accessory Application listing Construction Cost* <br />SCOPE OF PROJECT: <br />DUE TO STORM DAMAGE: YES <br />KITCHEN REMODEL WINDOWS- REPLACEMENT ONLY? <br />BATHROOM REMODEL DOORS- REPLACEMENT ONLY? <br />WHOLE HOUSE REMODEL DRYWALL <br />OTHER DESCRIPTION NOT LISTED: <br /> INITIALS <br />*PLEASE NOTE THAT THE HEALTH DEPARTMENT MAY NEED TO BE NOTIFIED OF ADDITIONAL BEDROOMS OR <br />PLUMBING IN THE BASEMENT @ (574)235-9750. <br />IF THIS PROJECT INCLUDES ANY ROOFING OR SIDING, LIST SEPARATE CONSTRUCTION COSTS BELOW. <br />SEPARATE FEES WILL BE DETERMINED BY THESE CONSTRUCTION COSTS, SEPARATE FROM RENOVATION FEE. <br />TEAR-OFF/RE-ROOF $________________ SIDING $ ________________ <br />PAYMENT: <br />CHECK # __________ <br />CARD <br />CASH <br />ROOF OVERLAY $________________ <br />*Vinyl siding prohibited <br />in NC and DT districts <br />YES NO <br />YES NO <br />*BE SURE TO PROVIDE ELEVATION PLANS SHOWING TRANSPARENCY WHEN APPLICABLE <br />(2ND STORY, TOWARDS FRONT/CORNER OF LOT, CLOSING OR ALTERING THE SIZE OF EXISTING WINDOWS) <br />INTERIOR DEMO ONLY
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