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Home My WebLink AboutAPPLICATION - 17-00330 - 376 Pioneer Rd - Relocated Shopc`wrxev*c ��• 'i9 CITY OF REXBURG BUILDINGPERMTFORM 404 0rA, tyeasa taxma Anierirn's Family Community BUILDING APPLICATION Residential Accessory Structure Building Safety Department City of Rexburg 3 5 North Is' East Rexburg, Idaho 83440 For Office Use Permit Number: t 7 - 00 33 0 Zoning: M P 2 '- Application Fee Paid: ►]1$100 1. Propert Owner Name: Qn W Lnr Address: t�OYlt°Lr �City: Rg6t.l-fel State: _Zip Codel3y4U Phone: 10g- 3S6- (,,0.1-1 - Ema� 5I4fStm Ctia• Y1Ct Under Idaho Building Code, a homeowner is allowed to do work on their own home. Are you a homeowner doing work on your own home? )1 Yes (Skip to #4 and complete the Homeowner's Exemption) ❑ No, I am a contractor working for the homeowner 2. Applicant Name: _ S arv, E a 5 C b oye Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/ Rep. Name: 3. General Contractor Name: S e n L C' Y S t'-) Registration #: Exp.: Address: 3 (. FiOnecar FJ City: R,)46—State: :D Zip Code: g3`i40 Phone: —'A 0-e - 3 G - to on -1 Email: SA ari Cjc . nC� Contact/ Rep. Name: Phone: Email: General Contractor Authorized Signature: �G""-- Date: (o- [9 - \-) A copy of your state registration/ license is require o be on file.Ifthis is the first time you have done work in the Oty of Rexburg, please provide a photo copy of your license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Structures less than 200 square feet do not need a building permit. Structures 200 square feet or larger need a building permit and must adhere to the setback rules ofthe zone in which they are built. Address: 31(. P;Oneer 1Ze) lo;,;k i ny Project Description: NIojc P-Y-W+naronto ,pr'opeaa y Estimated Total Cost: $_ca 0 t 0(90.00 _ Square Feet of Addition: sq. ft. Type of structure: ❑ Deck ❑ Garage/ Carport V Shed/Shop ❑ Other: Explain Check All Included in Scope of Work: ❑ Mechanical Work Cost: $ ❑ Electrical Work Cost: $ ❑ Plumbing Work Cost: $ Note: Any contractors involved will need to fill out their respective application. Wilding Permit fees for accessorystructures are charged based on square footage and the City's estimated valuation. For details on how fees are calculated, contact the Building Department there will also be a plan review fee totaling 10%ofthe building permit fee. APPDCAN 'S SIGNATURE, CERTIFICATION AND ALI HORMATTON: Under penalty ofpcoury. I hereby certify that I have read this application and state that the information herein is correct and swear that any information which may hereafter be given by mein hearings before the Planning and Zoning Commission or the Oty Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and Stale laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation offset in the application or on the plans on which the permit or approval was based. Permit void ifnot started within 180 days. Permit void ifworrkk stops for 180 days. J 2 Applicant's Name (print): * Signature: SPGq CG / h (� r 5 �'� pate: 11 T C I TY OF REXBURG AW Amerleas Family Community PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 The Qty of Rexburg Building Safety Department is determined to provide excellent customer service. In an effort to help you understand the City of Rexburg Permit Policies, listed below are several policies which you are required to know prior to proceeding with your project. Any con structimt within the City of Rexburg which requires a permit shall not begin until an approved permit is obtained. If you do not have a Pink Building Permit signed by the Building Inspector, then you do not have an approved permit. o Building without the pink building permit signed by the Building Inspector will result in double fees to be dC' assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City lntlials Official may remove the red tag. If the red tag is removed by anyone but a Qty Official, citations may be issued. No building may be occupied without receiving a signed Certificate of Occupancy. o If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may be evicted. Initials Scheduling inspections is the responsibility oftlte applicant and their contractor. Inspections need to be called into the hotline and not to the inspector. Inspections called in later than 8 AMwill be scheduled for the following business day. o If an inspection is not done, the inspector may require any measures to be taken to allow him to correctly perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been Initials put up, the inspector may require the sheetrock to be removed in order to perform the electrical rough in inspection.) Construction on any project can begin ONLYwhen you have received a Pink Building Permit from the Building Department. Occupancy of any structure can begin ONLYwhen you have received an official Certificate of Occupancy from the Building Department. These documents must be signed by the appropriate authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2341. o Even if you hear from an inspector that fou ie good to go', ultimately if you do not have a Building Permit or Certificate of Occupancy, the above policies will be enforced. In ials, It is your responsibility to inform anyone on your project of the above policies. All sub -contractors will be held to this standard with no exceptions. o The above policies will be enforced to all, regardless if this information is passed on to them or not. Initials Applicant's Name (print): ��.t C�r�A �S�r� Signature: Date: — % Insnectinns must he called m hefnre R AM on the day the in anectinn is reouested, inenectmn rermem., called in atter RAM will he scheduled to, the nein husinesa day. F µtXBDq�_ C I TY OF Building Safety Department c� i a REXBURG Gty of Rexburg ro, 35 North Is' East Amerimi Amity Community Rexburg, Idaho 83440 SUBCONTRACTOR LIST Excavation &Earthwork Concrete: Lynn I��m s 2V Masonry: Roofing: Insulation: Drywall: Painting: Floor Coverings: Plumbing: Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/ Ceiling Joists: Siding/ Exterior Trim: Other: Le,—.ons "v ALF, i" aa,n C IT Y OF REXBURG (714 Americas Family Community PROPERTYLINES Building Safety Department City of Rexburg 3 5 North Is' East Rexburg, Idaho 83440 Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these lines in reference to the public right-of-way, other adjoining property lines, the street, other structures and all utility lines. The Developer should find property pins that are still available at the lot in question. Ifthese pins do not exist or have become unrecognizable then a new survey should be performed. Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal descriptions should be checked. The best way to identify property line location is with a land survey. The City of Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community Development Department. I have read and understand the above requirements. Printed Name Date C I TY OF REXBURG America's Family Community HOMEOWNER'S EXEMPTION Building Safety Department Clty of Rexburg 3 5 North I st East Rexburg, Idaho 83440 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 fill out this form showing your exemption and send it with your permit application. Idaho State Statute allows a homeowner to do work on their own residence: An owner performing construction on the owner's personal residential real property, whether or not occupied by the owner,provided however,this exemption shallnot apply to an owner who is otherwise regulated by this chapter who constructs a building, residence or other improvement on the owner's property with the intention and for the purpose of promptly sellingthe improved property,unless the owner has continuously occupied the property as the owner's primary residence for not less than twelve (12) months prior to the sale of such property, Title 54, Chapter 52, Subsection (2) I hereby certify that the above information is true and correct to the best of my knowledge. . �a� &,r-/9-/� Sighature Date S&#?eer ams®r Print Name