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Home My WebLink AboutAPPLICATION - 17-00051 - 810 Griffin St - SFRC IT Y OF REXBURG BUILDING PERMIT FORM 100 ppdawd m/2016 America's Family Community BUILDING PERMIT APPLICATION New Single Family Residence Building Safety Department City of Rexburg 35 North list East Rexburg, Idaho 83440 For Office Use Permit Number: Zoning: Application Fee Paid: O $500 1. Property Owner Name: SII�� tyVll� Address: �0 ��5 (70& City: 16hPU F&C State: / b Zip Code: 8�q 0 Phone: (2D0) 1 - A-7bX0 Email: 0 ffi C2 0o oryu dalto - cum 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? ❑ Yes (Skip to #4 and complete the Homeowner's Exemption) XNo, l am working with the homeowner 2. Applicant ppJ Name: �% �A'mo C W, bL A CAS`{, n4 hWRole. wne , Tenant, ntractor tc.) Address: _3416 F -Nvoo,d"t ijmJ� City:%State: Zip Code: 83110/ Phone: ('20 - Email: OffiLe Cw�lu OLhn. (,M Contact/Rep. Name: 3. General Contractor Name: ` 0 &S IA p��" �� Registration #: - ar) ,si7 FCF _ Exp.: Address: M10 F W1. w {' hnV6 City: 10i -State: � S State: _[ Zip Code: Phone: Li --9) S0:1 -�J-MU Email: Contact/Rep.Name:�iPAI Phone: Email: 0 i'a&ar*L1'Lltdti20. CJYt�- General Contractor Authorized Signature: Date: A copy of Vour state registration/license is require to be on file. I his the st h'vV meyou have done work in die City ofReAurg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is on file, lease check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: OR- Lot #: Block #: -E Subdivision: AM& M fl 118-3 Project Description: • Square Feet: Building Total: 'i 11 sq. ft. • # of Water Meters: Water Meter Size: o Main Floor: �_ sq. ft. • Fireplace(s) Being Installed? ❑ YesI No o Additional Floors: sq. ft. Hydronic Heating Being Installed? 13Yes KNo o Basement: Finished 11''��,,� sq. ft. Unfinished sq. ft. Building Permit fees for new homes are charged based on square o Garage jt'0— sq. ft. footage and the City's estimated valuation. Fordetailson howfees • Estimated Total Cost: $MO2 � 3 V I )I1, (i'D are calculated, contact the Building Department There will also he a plan reviewfee totaling 10% of the building permittee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTNORIZA'rION: Under penalty of perjury, l hereby certify that 1 have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and he, authorized representatives of the City to enter upon the above-mentioned property far inspections purposes. NOTE: The building official may revoke a permit an approval issued under the provisions aide 2012 International Code in cases of any false statement or misrepresentation of fact in the application Or an the plans on which the permit or approval was based. Permit void ,feet started within 180 days, Permit void If work stops for 180 days. Applicant's Name (print): ��S Ilt �Q (�Jf)(10 S Signature: u Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in ap AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 wwtv.rin burg.org Permit Technician - (208) 372.2341 C IT Y OF n n BIMG BUILDING PERMIT FORM 120 1�C unauea torzme America's Family Conununity BUILDING APPLICATION New SFR Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: 13 Electrical Fee Paid 1. Property Owner R _"Q Address: 31410 6 IPVuASlq-ni- 6ywy City: tdWno F6LUS State:_ZipCode: ��utit7 Phone: (70n 001- 72MG Email: 6ftp R xyuo101 o - (0 g 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? ❑ Yes (Skip to #3 and complete the Homeowner's Exemption) No, I am working with the homeowner 2. Electrical Contractor s' Business: Awn ��tbty� u State License #: M-10101 Exp.: Address: - 0. F70X_96t- H% City: 4mS'th"cOt�'l State: _LD Zip Code: Phone: 2��- 7� - (0g o2 Email: GYI Contact/Rep. Name: _Dy (IfAj Phone: 2 - Email: Electrical Contractor Authorized Signature: Date: 1'a6' 17 A copy ofyour state registration/license is required to be on file. If this is the first time you have done work in the City of Rexbm-,q, please provide a photo copy ofyour license. Ifyou tire unsure ifyour license is on file, please check with the permit Technician by calling (208) 372-2341. 3. Project Description Address: OR- _L1o,_ Lot #: -W-Block #: � Subdivision: * OYSOY\ li 11N1 `� Description of work: NQ,I CPA &" {()Nl — Qt jt (7t.b I ( New SFR Construction: 231P2 sq. ft. (Add QjtDC5 y 10-* ,Q,) • Fees for new construction are charged by square footage: Up to 1,500 sq. ft. = $130 + $65 for each additional 1,000 sq. ft. or portion thereof. o Up to 1,500 sq. ft = $130. Up to 2,500 sq. ft = $195. Up to 3,500 sq. ft = $230. Up to 4,500 sq. ft = $295, etc. (i.e. a home with 3,675 sq. ft will be charged $295) ❑ Spas/Pools/Generators: ❑ Yes No • Note that spas/pools/generators are not included in square footage costs and will be charged $65 per inspection. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l hereby certify that 1 have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by mein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives ofthe City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a per mit on approval issued under the provisions ofthe 2012 International Code in cases of any false statement or misrepresentation offact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Colo lx"W 1101N1.1 S Signature: Date: L _ Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 ww,v.rexburg.m g Permit Technician - (208) 372.2341 Authentisign ID: tECOA68A.55804FD7-84FC-C3F36D58EFF9 Building Safe Department clTv of _ g Safety P 7� r.7 Tiy� BUILDING PERMIT FORM City of Rexburg 1�-G- �v1�- - --- -no., 35 North ls'East nS f4mil, cunrnennr Rexburg, Idaho 83440 BUILDING APPLICATION New SFR Mechanical For Office Use Permit Number: ❑ Mechanical Fee Paid 1. Property Owner ryt Name:& A-bmSit {�q�� _ Address:?Zl}�� Q.��t tiY1)lttQ/ City: 1,400f�S State:/I') Zip Code: _ Phone: 1.021 -CAI -7)1q)\_t Email: OFi1(l PUCOAWL WR 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? ❑ Yes (Skip to 43 and complete the Homeowner's Exemption) M No, l am working with the homeowner 2. Mechanical Contract( Business: WI CMW 44no 9k Air State License #: HV(j"(j (00971 Exp.: ' CJI' 201 Address: 20'1% 19f" N City: f1VYlYln State:Zip Code: Phone: �J Email: a A R~ jam, Contact/Rep. Name: WCA Phone:IZ�flirJn 23 i�7 Email: r`W(A& W! K1 Auxrentiv" Mechanical Contractor Authorized Signature:ga1!/Za Date: 1/27/2017 A cogv oli state regist) otionlileen.sc is Iell, ail time you have done work in the City of Rexburg, please procidc a photo Colo, o(your license. 1/you are car Sri r Ifyaur license is on file, please check with the Permit Technicion kr calling (208) 372-2341. 3. Project Description Address: / -OR- Lot #: A!� �lock #:I Subdivision: F�ITtci,WWY\ Mdltft Description of work: �i r lo n , O SFR Construction. ?-3I0% sq. ft. (0,1655 � "d"",l-`""�"� • Fees for new construction are charged by square footage: Up to 1,500 sq. ft= $130 + $65 for each additional 1,0005q. ft or portion thereof. Up to 1,500 sq. ft. = $130. Up to 2,500 sq. ft. _ $195. Up to 3,500 sq. ft = $230. Up to 4,500 sq. ft. = $195, etc. (i.e. a home with 3,,675 sq. ft will be charged $295) Nilinhrr of Fireplaces: 0 • Note thatfireplaces are not included in square footage costs and will be charged $65 per inspection. 1 Hydrollk Heating: � LN • Note that hydronic hearing is not included in square footage costs and will be charged and additional $65 + ($10 x # of APPLICANT'S SIGNATURE:, CEPTi FICATION AND AUT14ORIZAI ION. Under penally of per)ury, I hereby certify that I have read this application and state that the information herein is correct and t swear that any intormation which may hereafter be given by me in hearings before the Planning and Zoning Coanmission m the Cry Council for the City of Rexburg shall be truthful and correct. 1 agree to comply with all City regulations and State 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 ofOcial may revoke a permit on approval issued under the provisions of the 2012 Into, Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): CMt"�� Signature:�Zan�� Date: Inspections most be called ie before 8 AM an the dny the i nspection is regocsted. Inspection re quests ca,,e ,after B AM will be schedulM for the nect busuness day. I napecoo n Ratl ire - ( 208) 372.2341 ..,w.rc,,burg.org Permit Technician -1208} 3722341 C I T Y OF REX BURGBUILDING PERMIT FORM 13 0 urmma m/zine 011, America's Family CormauneD BUILDING APPLICATION New SFR Plumbing Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: 13 Plumbing Fee Paid 1. Property Owner Name:a A 6 Addres_ s: City: State: Zip Code: Phone: Email: OF 6 LQ (0) OrLtnCkOJAn- (Zl'Vl_ 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? Cl Yes (Skip to #3 and complete the Homeowner's Exemption) No,1 am working with the homeowner 2. Plumbin ontractor Business &(lb \LVY'l'n�(l \U) State License #: (0 GJ4 Exp.: 'a_P1 20 Address: 0 Mt. City: dull" State: _//b Zip Code: f332%J4 Phone: (,2Qm 2}i�P " `�ti1 Email: p1hipf olumhi l3 - 0) gnoiA • cffns � D Contact/Rep. Name: � P "-3i4iV A14Email: 3 . Plumbing Contractor Authorized Signature; Date: A copy ofyour state registration/license is required to Ve on file. If this is the first time you have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: -OR- Lot #: Block #: Subdivision: lCtWSQn I?l'W 3 (/1 Description of work: NW NS M —PP,�Id➢iYl�'11 ❑ New SFR Construction: Z,;�(P Z sq. ft. (add 805 (u] gwaa p • Fees for new construction are charged by square footage: Up to 1,500 sq. ft. = $1130 + $65 for each additional 1,000 sq. ft. or portion thereof. o Up to 1,500 sq. ft. = $130. Up to 2,500 sq. ft. = $195. Up to 3,500 sq. ft = $230. Up to 4,500 sq. ft = $295, etc. (i.e. a home with 3,675 sq. ft. will be charged $295) ❑ Hydronic (In-tloor) Heating: ❑ Yes 11�,No • Note that hydronic heating is not included in square footage costs and will be charged $65 + ($10x# of manifolds/zones). APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that 1 have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter ofthis 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 of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Caw affl/lD S Signatur� Date: G Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.i exburg.org Permit Technician - (208) 372.2341 MAM of pexeugc CITY OF REXBURG America& Family Community SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: I uA"IL' JI Ili,ffi Insulation: pp Drywall:_bnA Ch Painting: -4U-1 Floor Coverings: Plumbing: Heating: AM Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: � M�-(" Floor/Ceiling Joists: R"/1"1(/ Siding/Exterior Trim: Other: Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 C IT Y OF REXBURG -CW ---- Amedmi Family Community DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 Please provide the names and emails o/anyone who should be getting automated updates for this project: Review Notes Name: %, �Kh )'� nn f, Email: Loq)('l/Y'IlAdak U �/��" `.rn^ o - WIVE . J Name: (XA Email: awju( CotoOl D � WIVN- Name Y& G S Email: ,tovp�Uts2RidG1 • juf Name: Email: Name: Email: Inspection Tickets Name: �USY� �1U1 �" " Email: SUS @ CKklAM0. CXV\ Name: Iko,m � W Email: 0 llZ.(p c^l(i(VIG��I 6. LAYVl Name::Iy— ., ATL" Email: h?00,1 l� ( (L, Vu l Name: Email: Name: Email: Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 C IT Y OF REXBURG Amerlms rnmilpG inumury PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North 111 East Rexburg, Idaho 83440 Any construction 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 assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City nibs Official may remove the red tag. If the red tag is removed by anyone but a City 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. Initi s Scheduling inspections is the responsibility of the applicant and their contractor. Inspections need to be called into the hotline and not to the inspector. Inspections called in later than 8 AM will 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 nitia� 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 ONLY when you have received a Pink Building Permit from the Building Department. Occupancy of any structure can begin ONLY when 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'you're good to go', ultimately if you do not have a Building Permit or Certificate of Occupancy, the above policies will be enforced. 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. Initial Applicant's Name (print): I AS WA -0 I � Signatures_ 1 Date: 2" t 4 Inspections must be called in before SAM on the day the inspection is requested. Inspection requests called in after a AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 C IT Y OF REXBURG CI& - --- Arnerims Family Commwuty PROPERTY LINES Building Safety Department City of Rexburg 35 North 1st 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. If these 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. Signature ` 7dkWA, 1Uri,S Printed N e Date Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016