Fee: $___________                                                                                         Permit #__________

Receipt #:________                                                                             Zoning District___________

 

KNOX COUNTY ZONING (BUILDING) PERMIT APPLICATION

 

APPLICANT

            Name:_______________________________            Phone:________________________

            Address:_____________________________             Fax:__________________________

                          _____________________________            Cell Phone:____________________

CONTRACTOR

Name:_______________________________            Phone:________________________

            Address:_____________________________

PROPERTY

            Address:________________________________________________________________

            Block:___________  Lot:__________ Addition:_________________

Legal Location:___________________________________________________________

Township Name:_________________________

STRUCTURE

            New:____________  Addition:___________ Relocation:______________

            Type of Building______________________________________________

Proposed use:_________________ Estimated Cost $_________________

Dimensions:__________________ Height:_________________________

Approx. date of construction           Start_____________  Finish____________________

SETBACKS    Distance structure will be from:                          Required Distance:

            Edge of Public Right of Way___________________   ________________________

            Rear property line____________________________ ________________________

            Side property line____________________________ ________________________

            2nd Front or side property line___________________ ________________________

            Area of property in Acres or size of lot ________________________________________

GENERAL

            Will you need a new septic system?__________ (If so, attach site evaluation)

Is the applicant the owner of the property?________

            If not, owner’s signature of approval:____________________________________

To whom should the improvements be assessed? ________________________________

Will this structure need a new address?___________________

Is the property in a flood plain?_______           If yes, attach Development Application

If the structure is an apartment, commercial, or industrial building, how many off-street

            spaces will be provided?  Parking___________           Loading_________________

How far will the structure be from the nearest livestock feeding facility?______________

Is the structure an agricultural building?__________ (Must be on at least 20 acres that

                        produce more than $1,000 of agricultural products.)

            If used for livestock: number of head and type in this building:_______________

List total number of head on this location:

            Beef Cattle___________         Dairy Cattle__________Sheep________________

            Sows________________        Hogs________________Nursery Pigs__________

            Other Livestock ( Number of Head & Type)_____________________________

 

DRAWING

Include a drawing showing the lot size, existing buildings, distances from lot lines, the proposed structure, and driveway.

FEES   (Payable to:  Knox County Treasurer)

$10 for every $10,000 of construction cost unless an agricultural building on 20 acres or more.  Note:  When building prior to obtaining a permit, the following fees will be assessed to both the applicant and contractor:  $200 up to $10,000 in value   $500 if $10,001 or more in value

 

In consideration of the issuance of this permit, the applicant hereby certifies that the above statements are true and correct, and hereby agrees to comply with the Zoning Regulations, and other regulations, which are in effect.  If in violation of the regulations, or through misrepresentation of the facts, this permit will become null and void.  Signing this application gives the Knox County Zoning department the authority to inspect the above mentioned property.  This permit is valid for 2 years.

 

Applicant’s Signature:______________________________               Date:___________________

□  Approved

□  Denied                   _______________________________            Date:___________________

                                    Zoning Administrator

______________________________________________________________________________

For office use:

 

Date of Inspection________________           

Principal Use____________________

Accessory Use___________________

Agricultural Building______________

 

Allowed in Zoning District_____________                   Complies with NFIP__________________

 

Needs Septic system registered__________

 

Meets Height requirement__________                         Meets setback requirements_____________

Meets Lot coverage_______________

 

Is a Special Exception Permit needed?__________      Is a sign permit needed?________________

 

Is a Livestock Feeding Operation Permit needed?________________

 

Comments:______________________________________________________________

 

      ______________________________________________________________

 

      ______________________________________________________________

 

Reasons for Denial________________________________________________________

 

      ______________________________________________________________