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HomeMy WebLinkAboutAPPLICATION - 17-00088-00093 - 565 Pioneer Rd - Rockcreek Townhomes #191-196of pexa UgC CITY OF �A� o l7 XB m!"� Submit By Email iw V 113 Americas Family Community Permit Policies Acknowledgement 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 not have a pink building permit signed by the Building Inspector, then you do not have an approved permit. cs 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 Initials Official may remove the red tag. If the red tag is removed by anyone but a City Official, citations will be issued. No building may be occupied without receiving a signed Certificate of Occupancy. cs o If a`building is occupied without receiving a signed Certificate of Occupancy, citations will be issued and the occupants will be evicted. Initials Calling in inspections is the responsibility of the applicant and their contractor. Inspections need to be called into the hotline and snot to the inspector. Inspections called in later than 8 Aide 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 cs perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been mitlala put up, the inspector may require the sheetrock be removed in order to perform the electrical. rough in inspection.) Any approval for Certificate of Occupancies and Building Permits is only verified through the Permit Technician. If an inspector says something like "You're good to go", understand that you still Saeed to receive all relevant documentation from the Permit Technician before you are truly good to go. cs 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. initials -. It is your responsibility to relay this information an anyone who this would be applicable to for your project. All sub -contractors will be held to this standard with no exceptions. a o The above policies will be enforced to all, regardless if you pass this information on to them or not. initials Applicant's Name (print): Chad Shirley Signature: Chad Shirley Date: 05/26/2016 Inspections must be called in before SAM 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)3722344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 C P Ty OF REXBURG Amenwa Family Community Building Safety Department submit ey email City of Rexburg 35 North 1ST East Rexburg, Idaho 83440 BUILDING APPLICATION Commercial/Multi-family Residence For Office Use Digital Plans Included: ❑ CD ❑ USB ❑ Dropbox ❑ Not Included Permit Number: 1-7-00099-13 Permit Type: ❑ New ❑ Remodel ❑ Addition Deposit Amount: ❑ $1000 New Const ❑ $250 Addition O $100 Other Deposit Included with Application: ❑ Yes ❑ No 1. Property Owner Name: Greg Nelson Address: S65 Pioneer Rd. City; Rexburg. Stater ID Zip Code: 83440 Phone &Type: 208-754-9385 ❑ Office ❑Mobile Email: greg@nelson-electricllc.com' Under Idaho Building Code, a contractor must do the work for aCommercial Building. 2. Applicant Name: Chad Shirley Role: (Owner, Tenant, Contractor, etc.) contractor Address 565 Pioneer Rd.#112 — City; Rexburg State: ID Zip Code: 83440 Phone&Type: 208403-7763 ❑ Office ❑Mobile Email: chadiames88@aol.com Contact/Rep. Name: Chad Phone: 208-403-7763 Email: 3. General Contractor Name: Northern States Development Registration #: RCE -78770 Exp.: Address: P.D. box 142 �jij; Menan State: ID Zip Code: 83434 Phone&Type: 208-754-5389 ❑ Office 13Mobile Email: Chadlames88@aol.com Contact/Rep. Name: Chad > Phone: 208-754-5385 Email: General Contractor Authorized Signature: Chad Shirley Date: 05/29/2016 4. Project Description Address: 565 Pioneer Rd IqL -OR- Lot #: 2 Block #: 14 Subdivision: Rockcreek Hollow Type of work: . Check one: El New Construction ❑ Remodel* []Addition* Check all that apply: O Framing ❑ Mechanical 0 Plumbing O Electrical NOTE: Any sub contractors involved will need to submit their mini signed applications. Description of work: New Construction *Total cost of project - materials and labor: $ (used to calculate permit fees) # Of Buildings: Building 1: la• i Units sq. ft Building 2: _Units sq. ft Building 3; _Units sq. ft. Additional Buildings: Utility, Misc, Private Garage: sq. ft. Storage: —sq. 1 APPLICANT'S SIGNATURE CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l have read this application and state that the information herein - is correct and I swear that any information which may hereafter he given by mein hearings before: the Planning and Zoning Commission or the City Council for the City of Rexburg shall he 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 ofthe 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permitor approval was based. Permitvoldifnot started within 180 days. Permit void if work stops for 180 days.'. Applicants Name (print): Chad Shirley Signature: Chad Shirley Date; 05/26/2016 Inspections must be called in before 8 AM an the day the inspection is requested Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline (208)3722344 .1 exbug.org Permit Technician -(208)372.2341 Revised March, 2016. Building Safe Department a cnr of g tY P REXB�� City of Rexburg ' Su6mit By Email -- �� 35 North 1st East Americas Family Convineir)• Rexburg, Idaho 83440 BUILDING APPLICATION Mechanical For Office Use Permit Number: Permit Type: ❑ New ❑ Remodel ❑ Addition ❑ Basement Finish Fees Paid: ❑ Yes ❑ No 1. Property Owner Name: Address: ` City: Rexburg State: Zip Code: Phone & Type: ❑ Office ❑ Mobile Email: 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 page) O No: I am a contractor working for the homeowner ❑ No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need to submit their own signed applications. 2. Mecham of tra tor, ''ll Name: 1 Regy�tra 'on #:V Exp.: Address: r e, City; KB.1 1 V rState:,i4 Zip CQ e: Phone & Type: r 10 r� ❑ Office 51. Mobile Email:') P hSFl + k4/ffi,Q WIG l • cwh Contact/Rep. Name: Nu.l"w Phone: 6LA.� _ Email: J 77 Mechanical Contractor Authorized Signature: Date: J 3. Project Description Address: OR- Lot #: - Block #: _ Subdivision: Check one: ❑ Single-family Residence ❑ Multi -family Residence ❑ Commercial Check one: ❑ New Construction* ❑ Remodel ❑ Addition ❑ Basement Finish Description of work: New Commercial Work: Contracted amount: $ Calculated Fee (See Below): $ ' ❑ Up to $10,000 = (total cost of system x.02) + $60 ❑ $10,001-$100,000 ((total cost of system -10,000) x,.01) + $260 ❑Over $100;001 = ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft ❑ Up to 1,500 Sq. Ft $130 ❑ 1,501-2,500 Sq. Ft = $195 ❑ 2,501-3,500 Sq. Ft. = $260 '❑ 3,501-4,500 Sq. Ft. = $325 ❑ Over 4,500 Sq. Ft. = $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ New Multi -Cannily Residential: ❑ Duplex= $260 ❑ Three or more units= $((130 x # of buildings)+(65 x # of units))$_ New work on anv other residence and Detached Shops: = $(65 + (10x# of HVAC fixtures)) $ N'liscella.:eous: ❑ Gas Pressure= $65 ❑ Furnace or A/C = $65 ❑ Water Heater= $65 ❑ Requested Inspection= $65 ❑ Gas Line = $65 ❑ Fireplace/Solid Fuel Burning Unit= $65 ❑ Technical Service= $65/hour ❑ Plan Check =10% of Contracted Amount APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hot eby certify that I have read this application and state that the information herein is correct and l swear that any information which may hereafter he given by mein hearings before the Planning and Zoning Commission or the city Council for the City of Rexburg, shall he truthful and correct Iagree to comply with all City regulations and State laws relating tothe subject matter of this applicatimn 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 fake statementor misrepresentation of fact in the application or on the plause hich he permit or approval was based. Permitvoidhfnot started within 180 days. Permit void ifwork stops for 180 days \ - Applicant's Name (print): 8L)- St"Idtg, Signature: Date: Inspections must be called in before SAM 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.rexburgorg : permit Technician (208)372.2341 Revised March, 2016 c��lrr-Bt--oTfR-- .. Amerrca's Fa ..1�. Co/nnnt,+/!y Building Safety Department City of Rexburg suborn ey small 35 North 1st East Rexburg, Idaho 83440 BUILDING APPLICATION Electrical For Office Use Permit Number: Permit Type: ❑ New ❑ Remodel ❑ Addition ❑Basement Finish Fees Paid: O Yes ❑ No 1. Property Owner Name: Address: City: menan State: Zip Code: Phone & Type: - 0 Office ❑ Mobile Email: Under Idaho Building Code, a homeowner is allowed to do work on their own home. Are you homeowner doing work on your own home? [3 Yes (Skip to #3 and complete the Homeowner's Exemption page) ❑ No: I am a contractor working for the homeowner El No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need to submittheir own signed applications: 2. Electrical c tractor Name �U ,tlReistr #. �(7 Exp.: e bs46OUCity: a�Address; ll State:. Zip Code. Phone & T e: ��- 7xV-93, Yp C9•ffffice Mobile Email: dee LL- L- Lb+.�. Contact/Rep: Name: G_rr illv./ hone: Email: Electrical Contractor Authorized Signature: Date: Z—/7 3. Project Description Address: =OR- Lot #: _Block #: — Subdivision: Check one: ❑ Single-family Residence ❑ Multi -family Residence 0 Commercial Check one: ❑ New Construction* ❑ Remodel ❑ Addition ;❑ Basement Finish Description of work: New Commercial Work: Contracted amount:$ Calculated Fee (See Below): $ 0 Up to $10,000 - (total cost of system x.02) + $60 ❑ $10,001-$100,000 = ((total cost of system -10,000) x 01) + $260 ❑ Over $100,001 = ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft. ❑ Up to 1,500 Sq. Ft = $130 01,501-2,500 Sq. Ft = $195 ❑ 2,501-3,500 Sq. Ft. = $260 ❑ 3,501-4;500 Sq. Ft. = $325 ❑Over 4,500 Sq Ft. ='$325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ New Multi -Family Residential: ❑ Duplex = $260 ❑ Three or more units= $((130 x# of buildings)+(65 x # of units))$ 1Vew.work on anyother residence and Detached Shops;= $765 + (10x #of branch circuits))$ Miscellaneous: ❑ Small Works (work costing less than $200 with no change in service connections)=$ 10 (needs no inspection. Central Heating/Cooling Systems $65 ❑ Spas, Hot Tubs, and Swimming Pools= $65 ❑ Requested Inspection= $65 ❑ Pumps -Water, Irrigation, Sewage (per motor) = ❑ $65 up to 25HP 0 $95 26- 200HP 0'$130 over 200HP ❑Irrigation Machine= $65 for center pivot+ $10 per tower of drive motor $ []Technical Service = $65/hour ❑ Temporary Amusement= $65 +$10 per ride, concession, or generator $ ❑ Plan Check =10% of Contracted Amoun OTempor2ry Construction Services ONLY= $65 200 am or less. One location for less than l ear. peuduy u: perjury, i nereoy cernrytnan nave read t is appuration and state that the information herein is correct and 1 swear that any information which may hereafter be given by mein hearings before the Plan 'ng and zoning Commission or the City Council for the City of Rexburg shall be truthful and. correct l agree to comply with all City regulations and State laws relating tothes )act atter of this application and hereby authorized representatives ofthe City to: enter upon the above-mentioned property for inspections purposes NOTE: The building offic Imay. evoke a permit on approval issued under the provisions ofthe 2012 International Code in cases of any false statement or misrepresentation of fact in the application or thepl ns on which the permit or approval. was based. Permitvoid/fnot'.. - started within 180 days. Permit void if worlmqms for �rg0days/ Applicant's Name (print): I M d i✓�. Signature: Date:.,3- -2 -(,7 Inspections most be called in before 8 AM on the day the inspection is requested Inspection requests called in after 8 AMwill be scheduled forthe next business day. Inspection Hotline -(208)3722344 www.rexburgorg Permit Technician: -(208)372.2341 Revised March, 2016 ;C�RiStq.'P�G CITYi)F ' REXB V RG Submit By.Email Americas Coe,ly Community BUILDING APPLICATION Plumbing Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number. Permit Type: ❑ New ❑ Remodel ❑ Addition ❑ Basement Finish Fees Paid: O Yes ❑ No 1. Property Owner Name: Address City: State: Zip Code: Phone &Type: ❑Office ❑Mobile Email: 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 page) ❑ No: I am contractor working for the homeowner ❑ No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need to submit their own signed applications. 2. Plumbing Contractor Name: NV_P nezy P1_V !;J 1y6 Re stratioTI M EZa--G-10655 , Exp.: Address: A1703 F_' ? j1) v Ci State: Zip i� ZipCode:_26_ � Phone &Type: LfzGL &r POA(A-1( 1:1 Office' Mobile Email:e,rd`LVolt."'liy(, rrn�i4•f-)�^ Contact/Rep. Name: hone: 5A-',¢ Email: ✓"r Plumbing Contractor Authorized Si nature:S cz.., '%Z r Date: Z6--// 3. Project Description Water Meter Quantity: Water Meter Size: Address: -OR- Lot #: - Block #: _ Subdivision: Check one: ❑ Single-family Residence ❑ Multi -family Residence ❑ Commercial Check one: ❑ New Construction* ❑ Remodel ❑ Addition ❑ Basement Finish Description of work: New Commercial Work; Contracted amount: $ Calculated Fee (See Below): $ ❑ Up to $10,000 = (total cast of system x.02) + $60 ❑ $10,001-$100,000 = ((total cost of system -10,000) x.01) + $260 ❑ Over $100,001= ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft ❑ Up to 1,500 Sq. Ft =$130 ❑ 1,501-2,500 Sq: Ft = $195 ❑ 2,501-3,500 Sq. Ft. = $260 ❑ 3,501=4,500 Sq.Ft. $325 ❑ Over 4,500 Sq. Ft.= $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ NewMulh-Fancily Residential: ❑ Duplex = $260 ❑ Three or more units= $((130 x# of buildings)+(65 x # of units))$_ ❑ Gray Water Systems = $130 ❑ Lawn Sprinklers/Backflow device= $65 ❑Multipurpose Fire Sprinkler & Domestic Water Supply System = $65 or $4 per sprinkler head (whichever is greater) New work cn any o her residence and Detached Shops: _ $65 for sewer and water stub connections ❑ Miscellaneous: ❑ Sewer Line = $65 ❑ Water Line = $65 ❑ Sewer and Water Line= $BS ❑Requested mspectton - $65 ❑ Sewer Turnaround (septic to city) = $65 [J Hydronic Heating ,= $65 + ($10 x# of manifolds/zodes) ❑ Technical Service - $65/hour ❑Plan Check=10% of Contracted Amount APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, Ihereby certify that 1. 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 I agree to comply withal] 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 permit on approval issued under the provisions of the 2012 International Code incases of any false statement or misrepresentation of fact 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): 4/66mr/ Signature: Ski u__ 7Date: 3/067 r< Inspections must he called in before SAM on the day the inspection is requestaclAnspection requests called m after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344. wwwrexburgorg Permit Technician (208)372.2341 Revised March, 2016- AF6` a4 C i TY OF Building Safety Department 4 j Z l V BURG �•V 1\G1\c�). Submit By E nail City of Rexburg > — 35 North lstEast -4mcr@n5rnmilycommvn8y Rexburg, Idaho 83440 BUSINESS USE SUMMARY The following questions will help speed the review process along. Please take the time to answer all of them. Is this business occupying an existing building? ❑ Yes ❑No Will the business be doing any structural/or remodeling changes to the building? []Yes [:]No Any changes to the electrical? ❑Yes []No Any changes to the plumbing? El Yes ❑No Any changes to the mechanical system? ❑ Yes ❑ No Is the business type changing? Yes, it will change to ❑ No Is this business changing ownership? ❑Yes [:]No Is the business registered with the City of Rexburg? ❑Yes, License #: []No *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? ❑Yes []No Will there be any cooking of foods? ❑Yes❑No Will there be any deep fat frying? []Yes ❑ No Will you have food disposal on site? []Yes ❑No Will there be sumps or floor drains in the facility? []Yes ❑No I Will the business have any chemicals on site? ❑Yes ❑No 208-403-7763 05/26/2016 Applicants Signature Phone Date I certify that the information that I have provided above is to the best of my knowledge accurate and true. Inspection Hothne 6 (208) 372 2344 yr .rexburg.org Permit Technician (208) 372.2341 Revised March, 2016