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HomeMy WebLinkAboutAPPLICATION - 17-00290 - 1150 S 2nd E - New Shop.F yueva� c If Y OF REXBURG N• A ...... o6 Fdwily Connounily PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North 1st 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 nothave 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 .als 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. V 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 B 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 nitlals 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 (2 08) 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. 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. I rials Applicant's Name (print):RO&V y� Signature: Date: "Zr"/3 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 nest business day. Inspection Hotline -(208)392.2344 vnvsv.rexburg.org Permit Technician -(208)3]2.2341 Revised 10/2016 ♦4 pti XBVRr, ci'rr o REXBURG w Anicrimi Fua if), Cent onity 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, seethe front counter at the Community Development Department. I have read and understand the above requirements. Signature 1 1?-�o N I, . VQ:D� Printed Name Date Inspection Hatline-(2011)392.2344 wenv.reXhur&mg Permit Technician -(208)3]2.2341 Revised 10/2016 C IT Y O F REXBURG 0 Anadiai Rowdy Communliy BUILDING PERMIT FORM 404 4hima is/mr¢ BUILDING APPLICATION Residential Accessory Structure Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use. Permit Number: Zoning: Application Fee Paid: O $100 1. Property Z Name: Of Owner kJC—i.Mti �ID�IAR� Address: I ICO S Z"-°` E; City: RAX 6lJ)2y, State: CO _ Zip Code:�y2. Phone: _20 A - C0-4 - 3 9C,' I Email: LL . GDM 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) 4L11o, l am a contractor working for the homeowner 2. Applicant Name: Qogww Role: (Owner, Tenant, Contractor, etc.) CV t lTi4L\.eT0R, Address: 2A?D c, \l El!D1n)STOt GE $7l: City: T -F State:_ Zip Code: Phone: ZDtP — ZDO —SR 9`� Email: t2D6y](�InllnjbRl(/�tPG011ft72UCS11l Contact/Rep. Name: _R'DEWK 3. General Contractor n Name: w I I1 D R I VER %�fJ,STRU (--n D al Registration #: -41 Exp.: Address: 2 4'ZO S `(EL 1 l7WS7bN16 S_W� 7r�State: -T-V Zip Code: 0,H r) Phone: 'LOA-Z2(—®66.j Email: Q[)Iggf) VJIKID&L0VC-LCV&15T'K -'Tl Contact/Rep. Name: &0 l Phone:221'066A Email: ll Le General Contractor Authorized Signature: Date: 5_2_G_ I'k A copy of your state registration/license is required to be on file. if this is the fir st titne you have done work fn the City of Reebutg, please provide a photo copy ofyour license. Ifyou are unsure ifyour ficense 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, of ti a zone in" which they are bull!. Address: IIS© S 2 Rs y6t-✓ Project Description: IDe.TNJ::,� SA_ Y 'P - 1y�VJ Gpf�Il $ rleU Cx • Estimated Total Cost: $ --1S t nOO Square Feet of Addition: 2[x00 sq. k. • Type of structure: ❑ Deck ❑ Garage/Car port Shed/Shop ❑ Other: Explain • Check All Included in Scope of Work: ❑ Mechanical Work Cost: $ .D— ❑ Electrical Work Cost: $ ❑ Plumbing Work Cost: $ _B— Note: Any contractors involved will need to fill out their respective application. Building Permitfees for accessory structures are charged based on square footage and the City's estimated vobmtion. For details on howfees are calculated, contact the Building Department There will also be a plan reviewfee totaling 1046 of the building permit fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury,I hereby rectify that l have read this application and state that the information here]. 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 Chis 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 afany false statement or misrepresentation offact in the application or on the plans on which the permit or approval was based. Permit void ifnot started within 180 days. Permit void ifwork stops for 180 days. Applicant's Name (print): R.0 k'N N )6$EW Signature: \r�l l.V/l Date: S`Z le 'l Inspections. must be called In before 8 ASI on the day the Inspection Is requested. Inspection requests called In afterVAAMM will be scheduled far the next business day. I nspe,tion Hotline- (208) 372.2344 www.rexburgorg Permit Technician - (2 0 0) 372 23 41 J- 63AJ Int • "M Jt•fxau"° C IT 4 Or Building Safety Department REXBURG BUILDING PERMIT FORM 112 City of Rexburg c CVe"" °r 35 North 1st East Ancrhas tam;ly rmno"""ny Rexburg, Idaho 83440 BUILDING APPLICATION L Addition SFR Mechanical N 1 For Office Use Permit Number: 1. Property Owner Name: _ Address: Phone: Email: Under Idaho Building Code, a homeowner is allowed to do work on their own Are you a homeowner doing work on your own home? ❑ Yes (Skip to 93 and complete the Homeowner's Exemption) ❑ No,.I am working with the homeowner 2. Mechanical Contractor Business: Address: Phone: Contact/Rep. Name: Mechanical Contractor Authorized Signature: Sta�e'License #: City: / State: Email: Phone: Email: 1771 Mechanical Fee Paid Zip Code: Exp.: - Zip Code: A copy of your state registration/license is required ty'be on file. If this is the)irst time you have done work in the City of Rerhurg, please provide a photo copy ofyour license. If}mu are unsure ifyg 't license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: Description of work: ❑ New SFR Construction: sq. ft. • FeesforaddiU sore charged by squarefootage: Up to 1,500 sq. ft=$130+$65for each additional 1,000 sq.A orportion thereof. ❑ Number o IfJpto 1,500sq.ft.=$130. Up to2,500sq.f.=$195. Up to3,500sq.Jt.=$230. Upto4,500sq,fh=$295, etc. (i.e. a home with 3,675 sq. ft will be charged $295) thatfireplaces are not included in squarefootage costs and will be charged $65 per inspection. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury,I hereby certity that l have read this application and state that the information herein is correct and 1 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, [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 Cade In cases ofany 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 100 days. Permit void If work stops for 180 days. Applicant's Name (print): Signature: Inspections must be called in before 8 AM on the day the Inspection is requested. Inspection requests called In after 8 ANI will be scheduled for the next business day. Inspection Ilotline-(208) 372,2344 wtnv.roburgorg Permit Technician -(208) 372.2341 dy l l I r n l !F1) 1l,�(; sujhDlNG I>rltmu I FORM 11 Jr% X,1 311 BUILDING APPLICATION Addition .SYR Gfectrlctll Fell Office Use Permit Nomber: Huildi il; Safety Department I. Property naencr Ai, ,N, m\1 Adds ess: k 1 W .`7 IAT.. City:_L � Ileal -(.n State: _ -1 Phone: 2-0 (7 C.) "'lJJ4, Filmil: NM iNN`I p1%^•l Under Idaho IDtihlinU Code, a honteovner is allowed to do ivorh on their cows home. Are you a homeowner doing work oil your own home? O Yes (Skip to 113 and complete the Homeowner's Exemption) PNo, I am working with the homeowner City of Rexburg, 3..5 Not tit V Gast Rexburg, Idaho 83,140 D Electrical fee Paid Lip Code: '2. Ftectrical C.nnt,utor �) / t, Business: _l S fit -;'':-C _.j-��(�. State Licells 11: [.1YJ tL Exp.: Address: (pAmioA C.YpC (:ity: k &A Vw \S S(at�e�: V-) Zip Code: �4Di Phone: -G Entail- ' tftV6 b\G\k\GQ CµvtwN Wim' Conhtet/Iiep.Namc: L(7�J I.E CSI'�%oNplicallG3! anail:`If`(Uy,(;ISI�-MG�-Ni SAU`U._.C'o/-1 Electrical Contractor Authorized Signature. Date: :I cop}, of}vui state reyfsti anon/thense is required to be on )ile. 1f this is the f cit tfnteyo a hove done u'urh in I hr City of resInug, please pi ovidu o photo copy o)yau'th ense. lj you (tie unsure ifruur ficense is ml file, pleose elhech with the Permit' Toohaiciao 1)v cullmy (21111) 372,2311. 3. Project Desa iption Address: I 1 SD S Z� OR - Description of work: hirckJ r,A tS,STR.t/C- laNen• Sfli Consuvctinn: 2�ed sf]. fl. Lot 11: _ Block 11: _ Subdivision: a Eeesforadditionsareehnr0edbysqunrefoom(le: Up to 1,500sq.fc=S130aS65foreach additimm11,000sq.f. or poetion thereof. o Uplo 1,500sq.ft.=S130. Up to 2,SOOsq.ft = $195. Upro3,500sq.ft.=$2.30.. Upto•t,500sif.ft=5295, etc.fte. a horse tvith 3,675sq. ft. will be chm0ed $295) D spas/Pools/Gouermors: O YeOM No %late that spas/pools/0etterators are not included in square jaotgge costs nail will be thnr'0ed $65 per inspection. APPLICdeT•S SIGNATURE. Cf.RTIFICATION ANO AUTIIORIZ1TION: Under penalty of perjury, I hereby certify that I have read this application and state that the information heroin Is corfeclsnd I seen Itel anyli fnnnal on which Orly hereaftef be Riven by ale in beatings More the Planning anti Cosmnlsslan or the City Council for the City of Retburg shall hevuthful and correct- Iagree 10conply cvah all City regulationsand Stale boa's relating In the atbiect matter of this applic.rtian.vui hereby auihorlzed representatives ofllie City to enter upon the above wentloned property for bupeenons purposes. NOTE: lbw bttllAing viRclal may revoke a permit on appmeal Issued under the pruvlsmns of the Eai2 International code in cases Of any false statement or nusiopresentatWo of last In the application or on the plans on which Ure pennil or approval vias bused. Pennii vvid if not started within 100 days. Perntlt vvid if work etapsAor 100 drys. Applicant's Name (print): r\06co, IkA\1`WLA1 Signature:, L .% Date: 1 Inspections muss be called to before OAST on the it ay the Inspection Is requested. insilvaiun or,lo is called in vfter9 All will bescheduled for she nast hutines. day, Inspection Ilvaline - (200)172.2341 v,v o, retburgorg permit r,cbml, no - (200) 9!.2701 "4µs%6Ugr• Building Safety Department � CITY nr g Y P REXBURG BUILDING PERMIT FORM 13 2 City of Rexburg e, "` °"°" 3S North 151 East Amarrcni 14unilp 6onmumiy. Rexburg, Idaho 83440 BUILDING APPLICATION ( / New SFR Plain bitrg V U� For Office Use Permit Number: X13 lumbing Fee Paid 1. Property Owner Name: Address: City: State Zip Code: Phone: Email: Under Idaho Building Code, a homeowner is allowed to do work on their mvn h e• Are you a homeowner doing work on your own home? ❑ Yes (Skip to 03 and complete the Homeowner's Exemption) ❑ No, I am working with the homeowner 2. Plumbing Contractor Business: S<Email: nse #: Exp.: Address: City: State: Zip Code: Phone: Contact/Rep. Name: Pone: Email: Plumbing Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to on file..//'this is the first ttmeyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are Unsure ifyoi (cense is on fie, please check with the Pennit Technician by calling (208) 372-2341. 3. Project Description Address: -OR- Lot #: —Block #: —Subdivision: Description of work: ❑ New SFR Con1,Mt,675sq.ft. sq. ft. • Fees for iged by square footage: Up to 1,500 sq f . = $130 +$65 for each additional 1,000 sq. f . or portion thereof. OO 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 5sq. ft. will be charged$295) ❑ Hydronic (In -g: O Yes ❑ No Notethating is not included in square footage costs and will be charged $65 extra. 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 1 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 Iagree 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 olLrial may revoke a permit on approval issued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation affect 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. Applicant's Name (print): Signature: Date: Inspections must be called in before 8 ANI on the day the inspection is requested. Inspection requests called In after 8 AAI will be scheduled for the next business day. Inspection Hotline- (208) 372.2344 mew.rexburg.org Permit Technician - (208) 372.2341 C IT S O F REXBURG Cy drnceirn's Family G mmmnhg Building Safety Department City of Rexburg 35 North lxt East Rexburg, Idaho 83440 SUBCONTRACTOR LIST Excavation & Earthwork: T 1 C,0 QTR/-.ir—T 0►V Concrete: Gol.► CP-Z'TIC-- Masonry: TkNk e3e 2Lt t -4:r ` 'fj10V Roofing: /�,t�Z, (2oaFII'd (,% Insulation: caI til. S U" -T, D N Drywall: Painting: W R1 �C'Y-� GD N S T12 VCC(0 Floor Coverings: Plumbing: Heating: Electrical: L Special Construction (Manufacturer or Supplier) Roof Trusses: S Npa,)<-E 2\yepz- -T<Vs S Floor/Ceiling Joists: Siding/Exterior Trim: 1V (/-*- Other: STUGtc I o/ AGF 2--tK�C Inspection Hotline -(208)372.2344 w v.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 cl"rS o t REXBURG �w Arnrrimi himiily U.rnnwniry HOMEOWNER'S EXEMPTION Building Safety Department City of Rexburg 35 North ht East Rexburg, Idaho 83440 As of)anuary 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 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 (Z) I hereby certify that the above information is true and correct to the best of my knowledge. N C Signature Print Name Date Perm It Techdclan-(20B)372.2341 mn rexburg.org Revised 10/2016 C IT Y OF REXBURG — rw A ....... ns Fa n. ily Corrnnnniry State of Idaho County of Madison I, Name Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Affidavit of Legal Interest q' - Address city State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That 1 am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this day of Signature 20 Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: I mpection potline -(208]372.2344 www.reshnrg.org Perm it Technician -(208)372.2341 Revised 10, 2016 }FXBURr, `;o a C 1 'f 1' Q. F RE"URG rw Amedin5 Family Canmumiry DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Please provide the names and emails of anyone who should begetting autmnated updates for this project: Review Notes Name: 1Z013qN �op Name: Name: Name: Name: Inspection Tickets Name: k)Ag � H{✓SS Name: Name: 4pp - V G\m j Name: Name: Email: goeym �WI1NDR1U09.00lQ7K>— 'C1aM • ly0m Email: Email: Email: Email: Email: �/� � /�tp V\I11�D 1Z Email: GAJt�(ST(�UC-TIUM Email: 0 gyL( W I k(D 'R1 llffi(Z Email: Kl STOUcrL o (q • C -DM Email: Inspection Hotline -(208)372.23" www.rexburgorg Permit Technician -(208)372.2341 Revised 10/2016