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HomeMy WebLinkAboutAPPLICATION - 17-00343 - 500 Edith Circle - Deck and Roof AdditionCITY OF REXBV1\G` BUILDINGPERMITFORM 1OZ ev, uemim 0/2016 America's Family Community BUILDING APPLICATION Single Family Residence Addition Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Lkit2 Permit Number: ��-Wi34+1 Zoning: Application Fee Paid: $100 1. Property Owner Name: J oL, vg LA�(''F tfi 112 Address:S�Oh &1i i k Cf r( f City: Ut' State: Zip Code: __'�3 qq� Phone: 20X^FT32-- UO(PT Email: , kg%(1ltWQU f(4)gV rill, fPU Under Idaho Building Code, a homeowner is allowed to do work on their own home. Are you a ho owner doing work on your own home? m'S'es (Skip to #4 and complete the Homeowner's Exemption) ❑ No, I am a contractor working for the homeowner 2. Applicant Name: Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 3. General Contractor Name: Registration #: Exp.: Address: City State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to be on file. If this is the first timeyou 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. 4. Project Description Address: () deK Cwc II deck, C Project Description: Cogei CI CIPCk Oh buck UT • Square Feet of Addition: sq, ft. 1. Out.S� • Estimated Total Cost: $ T. A OT t� k • Fireplace(s) Being Installed? O Yes 54NO Building Permit fees for new homes 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% of the building permit fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I 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 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. Permitvoidifnot started within 180 days. Permit void if work stops for 180 days. I I ',( Applicant's Name (print): Ohm �� c Vl i.A%4 �, I Signature: Date: (0 Inspections must be called in before 8 AM on the day the lost lian s requested. Inspectionnests called in after 8 AM will be ch ed, or the nett business day. Inspection Hotline - (2 08) 3 72.2 344 www.rexburg.or Permit Technician - (208) 372.2341 ro CITY OF REXBURG ra� America's Family Community 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. ' Date W23 S JA 1� i (CA f AC V"JOU1 Printed Name Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG America's Family Community PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North lst East Rexburg, Idaho 83440 The City 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 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 itials 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 maybe evicted. itials 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 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. itials 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. itials rAn z Applicant's Name (print): Ol Ki kVJJ Signature: Date: " 23 Inspections must be called in before 8 AM on the day the inspection is requested. Inspe . nrequests called in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 0 CITY OF REXBURG cw Ameriw's Family Community HOMEOWNER'S EXEMPTION Building Safety Department City of Rexburg 35 North 1st 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. A homeowner may do work on the owner's own home. If this applies to you, please sign this form declaring your exemption from registration and return 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 shall not 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 selling the 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. Si Lure P ' t Name 23 Date Permit Technician -(208)372.2341 w .rezburg.urg Revised 2/2017 o wExaaQC CITY OF REXBURG , CW Americas Family Community Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: Drywall: Painting: Floor Coverings: Plumbing: Heating: Electrical: Roof Trusses: Floor/Ceiling Joists: _ Siding/Exterior Trim: Other: Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 SUBCONTRACTOR LIST Special Construction (Manufacturer or Supplier) i'2©c�'L Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 2\ 2 \\ � k co , s � _ / _ 2 R OD {{({ ~� z OQ2)!�� ® .} !l;00 , )0\}