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Building Permit Application - Residential
Applicant Information

Applicant Name
Address, City State, ZIP
Phone
Email
Date Filed (mm-dd-yyyy)
Owner's Name and Mailing Address

Owner Last Name

Owner First Name

Phone
Street
City
State
Zip
Builder's Name and Mailing Address                                        Click Here to add new builder information
Builder_Code
Builder Code
Name
Address
City
State
ZIP
Phone
Contact
Property Use:
        
Improvement Use:
      
Part of TL Reg. Sewer Dist
Estimated Value of Project $

    

      
Basement
      
Basement
    
Foundation
    
Grade: 30"
    

I am using this structure for (list exact/specific use planned for structure; if for storage, list example items to be stored):
Structure Details
Type of Structure

Width

Length

Eave Height
Total Square Footage
Height to Peak
Roofline Change? (Y/N)
Fee

Energy Path
Total Fee

*Setbacks are measured from the foundation to the property line or right-of-way, whichever is most restrictive, when the eave is 16" or less. For eaves greater than 16", setbacks are measured from the edge of the eave to the property line or right-of-way line, whichever is most restrictive.
REQUIRED FOR ALL

I understand that, should my building project deviate from what I have submitted in my building permit application, or should I not meet building setbacks as shown on my site plan, etc., I may be subject to a civil zoning violation investigation. I understand that a civil zoning violation may result in fines as shown below.


White County Board of Zoning Appeals - Civil Zoning Violations - Revised April 30, 2013

The following fine schedule shall be applied if a civil zoning violation citation has been issued. The Executive Director, on behalf of the Area Plan Commission, may issue an immediate fine of no less than $10.00 and no more than $300.00. The violator will receive written notice of the fine and be given thirty (30) days for payment unless arrangements acceptable to the Executive Director are made otherwise. If payment is not received within the time frame established, a late fee of $50.00 per month will be added to the fine. This fine will remain in place whether the violator corrects the violation or abates the violation as prescribed by Chapter 13 of the White County Zoning Ordinance. If the violator wishes to contest the fine, the violator must appeal as provided for in Chapter 13 of the White County Zoning Ordinance. The appeal will be scheduled to be heard before the Area Board of Zoning Appeals. The Area Board of Zoning Appeals reserves the right to increase, decrease, or remove a fine depending on evidence presented.

I acknowledge receipt of this document (may be signed by Owner, Builder, or Agent).

Print Name
REQUIRED FOR NEW DRIVEWAYS

If this construction includes placement of a driveway, you must obtain a driveway permit from either the City/Town Road Department (if within city or town limits) or the White County Highway Department (219) 984-5851.

Applicant Initials & Date
Covenants/Restriction

Note: The applicant accepts full responsibility to verify that the proposed construction is compatible with the covenant and restrictions of the platted and recorded subdivision.

Applicant Initials & Date
WHITE COUNTY AREA PLAN
NOTICE OF AGRICULTURAL OPERATIONS

REQUIRED IF PROPERTY IS ZONED A-1 OR A-2, OR ABUTS AGRICULTURAL LAND


TO: ALL APPLICANTS FOR LOCATION IMPROVEMENTS PERMITS FOR DEVELOPMENT OR REZONING OF PROPERTIES ABUTTING AN AGRICULTURAL DISTRICT WITHIN WHITE COUNTY

REQUIRES OWNER SIGNATURE - PLEASE TAKE THIS FORM TO OWNER FOR SIGNATURE PRIOR TO SUBMISSION


You are receiving this notice because you have applied for a location improvement permit to develop or rezone a property abutting an Agricultural District within White County.

Indiana Code 32-30-6-9 protects agricultural operations from private or public nuisance suits by neighbors with property abutting existing agricultural operations. Agricultural operations do not constitute a nuisance under Indiana law so long as they are not negligently operated. Agricultural activity may include, but is not limited to, grazing of livestock, confined feeding of livestock, application of animal manure to land, application of pesticides to fields and growing crops, creation of dust from field operations and noise from livestock and machinery operations.

This notice advises persons choosing to develop or rezone a property abutting agricultural areas that agricultural operations may be occurring nearby and that they may change. The conversion of one type of agricultural operation to another type of agricultural operation does not affect the statutory protections provided by IC 32-30-6-9.

Effective July 1, 2016, if you build a new residence on a parcel not previously home to a residence, a CFO/CAFO, digester or other intense agricultural activity will be entitled to build on a parcel abutting or near you and is not required to keep those structures 1,320 feet away from your residence.


By initialing & dating below, I am acknowledging that I understand and agree to the above setback exception.

Applicant Initials & Date
White County is providing you this notice to confirm that you are aware of and understand Indiana law prior to your issuance of a White County location improvement permit or consideration of your request for rezoning. By receipt of this notice you are not giving up the right to seek redress for a nuisance resulting from the negligent operation of an agricultural operation or its appurtenances, but only confirming that you have been advised of the foregoing and understand the same.
Please review Indiana Code 32-30-6-9 in its entirety for further details.
Date Signed (mm-dd-yyyy)