The URL can be used to link to this page

Home My WebLink AboutAPPLICATION - 16-00669 - 601 Canyon Springs Dr - SFRBuilding Safety Department City of Rexburg 35 N Id E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 C I TY OF RFMURG America's Family Community Office Hours: Monday -Friday 8:00am-4:00pm Single Family Residential Pre -Construction Checklist Seismic Design Category — D Ground Snow — 50 lbs. per sq. ft. Frost Depth — 36" Roof Snow Load — 351bs. per sq. ft. Wind Load — 90 MPH The following items sbould be completed hgLoreyou submityour buildingpermit application. Completion of BuildingPernutAPPlicatron: You may print this application from our website www.re�xbutn.ore or pick up a copy at the City Hall Annex Building (address above). For Residential Permits: (the following is required to be submitted before the Application can be apptoved) 2 sets of site plans and 2 sets of building plans (must be drawn to scale) -Plans must include foundation plan, floor joist layout, floor plan, roof layout, sectional views, front, back, and side elevations, mechanical layout, stair details and any details required to illustrate special construction. .f Energy Compliance Report: The State of Idaho has adopted the International Energy Conservation Code (IECC). A Compliance Review must be completed and submitted (the rescheck software is available online at www.energycodes.gov). ❑ Page 2 of the Application must include the Idaho Contractor's Registration Number or the exemption form must be completed and steed, see Page 10. �5 Page 5 of the Application must be completed and signed by your Plumber. �j Page 6 of the Application must be completed and signed by your Mechanical Contractor. �t Page 8 of the Application must be completed and signed by your Electrician. ❑ Home owners: please complete page 6 of the application if you will be doing your own electrical work. Ae' Truss details including engineered floor joists are requited. Property Line form needs to be signed by the builder or owner, see Page 4. Subdivisions If you plan to build in a subdivision please check the Rexburg Development Code for any requirements such as, property setbacks, architecture board approval, etc. This information is available from the Planning & Zoning Department at the Annex Building located at 19 East Main. New Residential Homes If your building permit is for a new home, you will need the parcel number (a parcel number is the county'sprnpery identification whicb rrcognhZes aplot of land) and a new physical address will be issued. If you do not know the parcel number and cannot find a record of it, please bring the name of the subdivision, phase, and the lot and block numbers. The correct location is vital to assure correct addressing. Remodels If you are considering a remodel, a gM of the bid or estimate for the remodel must be submitted with the Permit Application. • 2 sets of Plans are required (may need IECC Review). • Additions are the same requirements as new construction. CITY OF REXBURG t1i+ Ametiw's Family Community Please Complete the Entire Application! If the question does not apply fill in NA for non applicable RESIDENTIAL BUILDING PERMIT APPLICATION 35 N 1`11, REXBURG, ID 83440 208-372-2326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: EDklnQ�r lc—q UNIT#BLOCK# LOT#57 (Addressing is based on the informatio - must be accurate) Dwelling Units: Parcel Acres: PROPERTY PHONE #: Home ( ) Work ( PHONE #. Cell ( ) .STATE. _ ZIP:J 0/ APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY. STATE: ZIP EMAIL FAX PHONE #: Home ( COArTRACTOR: Work ( Cell ( MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( ) Work ( ) Cell ( ) EMAIL FAX IDAHO REGISTRATION # & EXP. DATEn?1S �� 7 I low many buildings me located on Did you recently pu se this property? No Yes (If yes, fist previous owner's' name)_ Is this a lot split? NO YES (Please bring co new legal description of property) PROPOSED USN: F1 h G ISL %GLM. i 1 U (i.e., Single Family Residence, Multi Fadily, Apartments, Re model Garage, Commercial, Addition, lite) APPLICANT'S SIGNATURE, CERTIFICATION AND AUI'I IORIZATION: 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. NOTIE: The building official may revoke a permit on approval issued under the provisions of the 2003 International Code in cases of y se statement resenution of fact in the application or on the plans on which the permit or approval was based. Permit void if not staged h' 180 days. ermrt votd i work stops for 180 days. n�i o �� Signature of Owner/Applicant DATE WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SPTEI Plan fees are non-refundable and are paid in full at the time of application beginning ]^u=1.2005 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** � Building Safety Department City of Rexburg 35N NE Phone: 208.372.2326 Rexburg, 10 83440 www.rexburg.org Fox 208.359.3022 Property Lines C I T Y O F REXBURG nu Amedwd Family romnnmay Each site plan that is submitted to the City of Rexburg for the Building Permit process requites 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 tight -of -way, other adjoining property lines, the street, other structures and all utility lines. The Developer should find property pins that ate still available at the lot in question. If these pins do not exist or have become untecogni2able 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 prop" 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. 14 i0�_�C �%1 <1 D lei q . Signature Date —IP' Owner or 4 Builder Printed Name 4 Building Safety Department CRY of Rexburg 3SN,>F �• I�1;xBUR(, Phone: 2CB.372.2326 • n Rexburg, AD 83110 w-Jextav wQ Fac 201L33a,3p22 " _i NAME r �iFL 11ttAPnTS PROPERTY T)R SBDPpe*^*T J Permit PHASE `C4J _ LOT_ 61 BLOCK„ -,R Remodeling Your Buildiag%q H` 2me (need Estimate) S SURFACE SQUARE FOOTAGE-- (Shad include the exterior wall measurementsof the building) 'First Floor Atea_lt.M5 I, 1 Unfinished Basement ma-- J `{ (!Q i Second floox/lo&area_ Finished basement str, 1 Third floor/loft area Garage area, $ 53 _ i Shed or Bam Carport/Decx (W above gmdc)Area Water Meter Quantity, ...,��..,.,.., _. . 'Water Meter Size.. Required!!! PLUMBING Plumbing Co [n�ttryraayctoes Name: --K�,n hA P -j 1 pe Burins Names ' Address --S'I , q '-`tnA) �ry Conmcb �7� i Business Pb- ) 7�jL -76?rl FIX7 AF r0 7NT/n 7 ' o �6ed -- 1 Clothes Washing Machine Sprinklers Dishwasher FTub/Showers loor Drain — ---let/Urinal Garbage Disposal Water Heater _ Hot Tub/Spa Water Softener. ,. Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (COMMERCIAL/MULTI-FAMILY ONLY) 1� n�- f2�i- gy�islQ a in f ti[8[[anue of]Jceaed Contracror Lic*Me Nomher& w Expiration Dam Date J. 5 Building Safety Department CRyoiRexburg 3514 ME 0 H Phone: 209.3722926 Rexburg, ID 3JI0 W W-rexbug.o/g F=2M.M.3022 .. ��•�+% urtn�Mfh TJ. PROPERTY AD SS_ SUBDIVIcrnt\t ^�f� Permit# PHASE_ '{ LOT r�y` � BLOCK a Required/./! MECHANICAL . Med ianieal Contractor's Name V SY1CP. 1."Nl fj( lsa Business Name 1-itY naaress - - " Cin Cell Phone �/YviI_ai3 — �j��/,�-usincs, Fax 1�) /�� _ Fm: Mechanical Estimate $ (Commercial/Multi Family Only) FLM1BBS&APPLI4NCBSCOUNT (SibgleFamflyDwef(/ng pafP) ' ,�_ Furnace Exhaust or Vent Ducts (ftj dAwr) Furnace/Air Conditioner Combo _ Dryer Vents Heat Pump ' _ Range Hood Vents Air Conditioner Cook Stove Vents Evaporative Coolet o_Z 3ath Fan Vents Unit Heater other similar vents & ducts: Space Heater Decorative gas -feed appliance Incinerator System Boller i Pool Heater RL Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic tiiapanue of Li eosrA Conenemr �.-10 _) Lieenu umber ..Lk Date I I i Building Safety Department City of Rexburg 35N ME Rexburg ID 83440 OWNER'S NAME PROPRRTY AD SR 1 SUBDIVTeT�wr `7 PHASE_ www.(exbwg.org Phone: 20B.372.2M Fox; 208.359.3022 n�vF/aa�r�rl fs Y Permit# _ BLOCi{--,,� __ Req t fired./// ELECTRICAL Electrical Contractor's Name " �`:'{'7 �.,i n O;K✓k Business Name J"'?' Address_ .i % �� t 4 _ `� � City lJld.cf_•./(,.�1 State � � Ceil Phone (,,L,,F) / Z. i_� � BusinessPhone (Jts) f Fax ( ) r}•s.r!n! Finatl rJ ,:Ja- yk> ve%: -5,m a : / • I i ✓yl Electrical Estimate (cost ofwid g & t.bnr) $ (COMMERCIAL/MULTI-FAMILY ONLY) (fnr/1/dfl the mrt of wntaiah iartaAed regard/ar s(fh parry ix#/y sg ijA TYPES OPINSTALLATTON (Ne 1?edd8ndaf1nchrdes eseryfhbe conddaadmidt& thelmidenttalremeftur andatmchedgemga at Goosame Nme) RESIDENTIAL ONLY ❑ *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 s ft 120 C1 *2,501 to 3,500 sq ft - $168 '� * q - $ 3,501 to 4,500 sq ft - $216 ❑ x'*Over 4,500 sq ft - $216 plus $.04/sq ft �sq ft total ❑ Existing Residential (# of Branch Cirruits) - $40 plus $10 per circuit: _# of circuits ❑ Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40 ❑ Spa, Hot Tub, Swimming pool - $40 plus $40 grounding grid where applicable ❑ Electric Central Systems Heating and/or Cooling(ubra aatpwfa new rzridrndalroneriaryonpnarit a ad no addiSoaateaid -$40 ❑ Modular, Manufactured or Mobile Home - $50 plus $10 per circuit ❑ Other Ins aations: Wiring not specifically covered by any of the above: Cart of V1ring &limbo, • f (1,,& A, mrtafmmniah rnd.W rep as oftbr pa#y ugp/j ttA ❑ Pumps (Domestic Water, Irrigation, Sewage): 14)rse power ❑ Requested Inspections (of existing wiring) - $40/hr (1 hr minimum) plus $40/hr thereafter "Includes a mndmum of 3 inspections Additional insPections charged at requested inspection we of 540 per hour. ** Includes a maximum of 4 inV ectlons. Additional inspections chuged at requested inspection este of S40 Per h( t . Sigartm of Licensed Coates .nr License number Date Excavation & Floor SUBCONTRACTOR LIST Special Construction (Manufacturer or Supplier) /1) L 1'eS7 ('6A