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Home My WebLink AboutAPPLICATIONS, BP - 06-00432 - 592 Sunflower Rd - RemodelZ ~ ~ ~ ~ m m oo ~ c ~ rn v _ ,~ .~ ~ ~• o ~? 3 D ~ ~ D C ~- ~ m 0 0 ~ ~ s o ~ ~D ~ ~ N ~ ° m v n m-° 3 Z O _ v m ~° °' ~ W ' - ~~~~N m m o ~ ~ a ' O '~ °' n ~ o ,9 c ~ ' n C' ~ a 3 w ~ ~ o 1 C / 0 m ~ 3 c ~Na r11 v a~~ o ~? o o ~ ~ ~ °-7f°v, C o ~ y -o ~ o N m v r- ~. ~ ~ s s o v o o `D ~ C ~ 3 ~ s ~ ~ r ~ ~ T o ~ o m W v a ~ Z Z o ~ ~ ~ ' ~ a D = ~-o~ m m aF =~~ ~a TT ~ Z (Cj fQ S ~_ ` C O ~ ~ ~ ~ ^ ~N n = N ° ~ D ~ 1 0 o ~ ~ °' ° m ~ C ~ N ~ O 1 ! q S ~' N $ 7 O 3 x•33 o C7 (/~ a m .~ _ ;oo~o ~ m n n. 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APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP EMAIL FAX PHONE #: Home ( ) Work ( ) Cell ( ) CONTRACTOR: MAILING ADDRESS: Y ~ >< 5~ ~ - ~~ S` ~ - CITY STATE 1 ~ ZIP--=~~~ PHONE: Home# Cell# ~~/ ^ ~-~ S- Fax# EMAIL IDAHO REGISTRATION # & EXPIRATION How many buildings axe located on this pro erty? L/ Did you recently p chase this property? lees (If yes give owner's name `" Is this a lot split? NO "; YES (Please~bri"rig copy of new legal descriptio PROPOSED USE: ~~~ ~#/+"'~ met ~~ ~"o ~~,[~~ V' ~^ ,~~ (i.e., Single Family Residence,'Multi Family, Apartrnfents, Remodel, Garage, Commercial,~dil~On, ~~ APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZ IO Under penalty of perjury, I h eby ce .~ that I have read this application and state that the infom~ation herein is correct and I swear that any information whi r e ua• ore the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I 7:7~ y i a_tio to 1 ws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the ab - ~ ns pu OTE: The building official may revoke a emut on appro ed under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the don or on theplans n which the S~PProval was based. Permit void if not started within 180 days. Pemut void if work stops for 180 days. of you efer to be ~ontac d by fax, email or phone? Circle One V DATE W ING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Pl ees are non-refundable and are paid in full at the time of application beginning januatvl. 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear'' 2 Please complete NAME ~,g tr~~`•~ PROPERTY ADDRESS the ~ ire A lication! • pP If the question does not apply fill in NA for non applicable C:~-~~o ~ss-~ 990 ~ ~ T~ __ Permit# SUBDIVISION --Z Dwelling Units: ~ Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $ ~~~ ~ ~ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Unfinished Basement area Second floor/loft area Finished basement area Third floor/loft area Garage area I Shed or Barn Carnort/Deck (30" above ~radelArea Water Meter Quantity: **************Water Meter Size: Required.~l.~ ~/~ PLUMBING Plumbing Contractor's Name: Business Name: Address City State. Contact Phone: ( ) Business Phone: ( ) Email Fax FIXTURE COUNT (including roughed fixtures Clothes Washing Machine Sprinklers Dishwasher Tub/Showers Floor Drain Toilet/Urinal Garbage Disposal Water Heater Hot Tub/Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature of Licensed Contractor License Number& Expiration Date Date The City of Bexburg'.r permit fee rchedule is the .came as required by the State of Idaho 4 Please com fete the entire ~ • p Application. If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Permit# Required.!! AJ~ MECHANICAL Mechanical Contractor's Nattne: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email F Mechanical Estimate $ (Commercial/Mufti Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fixed appliance Incinerator System Boiler Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor The License number schedule is the ,came as the State Date 5 Please complete the ent~ Applications If the question doe~t apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Permit# Requlred!~~ ~ ~ ELECTRICAL Electrical Contractor's N e Business Name Address City Cell Phone ( ) Business Phone State Zip. Fax ( ) Email Electrical Estimate (cost of wiring s~ labor) $ (Commercial/Multi Family Only) TYPES OFINSTALLATION-RESIDENTIAL (New Residential includes everything contained within the residential structure and attached garage at the same time) Up to 200 amp Service* 201 to 400 amp Service* Cber 400 amp Service* Existing Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and/or Cooling (when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement/Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Licensed Contractor The License number Date Kexburg's permit fee schedule is the ,tame as required by the State of Idaho 6 SUBCONTRACTOR LIST Excavation & Earthwork: Masonry: Roofing: Insula Drywall: ~~y t ~~ K ~R yt Pain Floor Coverings: Plumbing: Heating: Special Construction (Manufacturer or Supplier) Roof Floor/Ceiling J Siding/Exterior EXEMPTIONS FROM STATE REGISTRATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at www.ibol.idaho.gov/cont.htm) ^ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors/Journeyman, 12 Engineers/Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing/Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ^ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ^ Employee of a US Government agency (State, City, County, or other municipality) ^ Public Utility doing construction, maintenance, or development to its own business ^ Involved with gas, oil or mineral operations Or ~ Contracting a project or projects with a total cost less than $2000 a tarm or exempt from Idaho Building Code ^ Any type of water district operations ^ Work in rural districts for fire prevention purposes ^ Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months ^ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ^ Real estate licensee/property manager acting within Idaho Code ^ Engaging in the logging industry ^ Renter working on the property where they live with the property owners approval ^ Construction of a building used for industrial chemical processing per Idaho Code ^ Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify that the above information is true and correct to the best of my knowledge. ~- ~ 4 Print Name Date