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Home My WebLink AboutAPPLICATION - 17-00182 - 733 S 2275 W - SFRC I TY OF REXBURG cw— America's Family Community Building Safety Department BUILDING PERMIT FORM 100 City of Rexburg P'aieINP016 35 North 1sT East BUILDING PERMIT APPLICATION New Single Family Residence Rexburg, Idaho 83440 For Office Use Permit Number: Zoning: Application Fee Paid: 0 $500 1. Property Owner ,r kLL Nnn^�p a\ cVww k Name: 1D"5 Address: g . DW IA• j 5V 241 City:+�!CJ,y State: Code: — Phone:— 5M- .Ilse Email: �1Z�ilp� I4in4•COo4aeJ*a nac.ebq 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? 0 Yes (Skip to 44 and complete the Homeowner's Exemption) No, I am working with the homeowner 2. Applicant comic, . JLC, Abe`rc Name: Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 3. General Contrac or 3 Name: 4Iq" RS Aiowt Registration #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: Date: A copy of your state registration/license is required to be 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. 4. Project Description Address: -OR- ,,11 g Lot #: _31_ Block #: 'I Subdivision: _J U IY�YY1(Q� Project Description: • Square Feet: Building Total: A5 sq. ft • # of Water Meters: Water Meter Size: o Main Floor: III sq. ft. • Fireplace(s) Being Installed? 0 Yes EpNo o Additional Floors: J0_1V sq. ft. • Hydronic Heating Being Installed? 0 Yes' No o Basement: Finished sq. ft. Unfinished sq. ft. Building Permitfeesfor new homes are charged based on square o Garage ytiu sq. ft. footageandtheCity's estimated valuation. Fordetailson howfees �1 • Estimated Total Cost: $ 20�i 1� arecalculated, contact the Building Department Therewfllalso be a plan reviewfee totaling 10% ofthe building f permitfee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, I hereby certify that I have read this application and state that the information herein Is correct and I swear that m y information which may hereafter be given by me In hearings before the Planning and Zoning Commission or the City Council for the City Df Rexburg shall betruthful and correct I agree tommply withall City regulations and State laws relating to the subject matter ofthls application and hereby authorized representatives of the City on enter upon the above mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval Issued under the provisions ofthe 20121 nternaHonal Code in cases ofany false statement or misrepresentation of fact in the application or on the plans on wM1ich the permitorapproval wasbased. Permit void if not started within 180 days. Permit void ifwork stops for 1/80 days. /A ,--i Applicant's Name (print)�QY� ✓ Signature: I+ J1Date: �� 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.rexburgorg Permit Technician - (208) 372.2341 CITY OF REXBURG cllr Arnerlm5 Family Community BUILDING PERMIT FORM 110 osa,u4 inners BUILDING APPLICATION New SFR Mechanical Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 For Office Use PermitNumber: ❑ Mechanical Fee Paid 1. Property Owner Name: �ZA(-Dbw }faYlt.i Address: Kilts! 2yk-Ul City: �`��'i State: ID Zip Code: "44 Phone: 15M -'L mir Email: P VAae t=l'1t' 4 Yt_aLs*p • An, Underldailo 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) 7No,1 am working with the homeowner 2. Mechanical Contractor e Uc, Busllicss:ptoft� tel. b ' State License #: 017-5-5-7— Exp.: S Si Address: t ,DCity: Stat : ;;"_ Zip Code: V:rV!e2, Phone: 7,VLA Z Em il: 0 u.. e M 401 Contact/Rep. Name: 1,? Phone: Iq - 74 Email: 04414 . Mechanical Contractor Authorized Signature: r`^ '� Date: - 7 Acopy ofyourstate reglstrationflicenseIsrequired tobeonfite,lfthis Ist firsttioeyouhavedoneworkIntheCityofRexburg,pleaseprovide a photocopy ofyour license. ifyou are unsure Ifyour license is on file, please check with the Permit Technician by calling (200) 372.2341. 3. Project Description Q �G ��1 Address: -OR- Lot#:Block#: "ISubdivision: Jumr4e-he- k Description of work: EEiBmrre 0 SFR Construction: � _ sq. ft. a Feesfornewconstructionarechargedbysquarefootage:Upto1,500sq.fL=$130+$65foreach additional 1,000 sq.ft. or portion thereof. o Up to 1,500 sq. JL =$130. Up to 2,500sq. f i = $195. Up to 3,500 sq. ft. =$260, Up to 4,500 sq. f . = $325, etc. (le, a home with 3,675 sq. JL will be charged $325) ❑ Number of Fireplaces: 0 a Note thatJirepplaceess are not Included In squarefootage costs and will be charged $65 per Inspection. ❑ Hydronic Heating: ,_t=/f 1 a Note that hydronk hearing is not Included bI square footage costs and will be charged and additional $65 + ($10 If # of monifoldsfzones) APPLICANI'S SIGNATURE,CERTIPICATION AND AUTHORIZATION: Under penalty of perjury, I hereby clarify that I have read this application and state that the Information herein Is correct and I meet that any Information which may hereafter be given by me In hearings before the Planning and Zitumf Commission or the City Council for the City of Rexburg shall be truthful and correct. 1 agree to comply with all City regulations and Suite laws seldlingm the subject matter of lh"Pplicatlmr and hereby authorlud representatives of the city to enter upon the above-mentioned property for Inspections purposes, NOTE: The building official nay revoke a permit on approval Issued under the provisions of the 2012 International Code In cases or any false statement or misrepresentation of fact in the application or on the plans on whkh the permit or approval was based. Permit void Dust started within 180 days Permit void if work stops for 180 days. Applicant's Name (print): �Ar�J'-11 Signature:-/ Date: 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 Hothae - (208) 37 2.234 4 mmstexburgorg Permit Technician - (208) 372.2341 CITY OF REXBURG Amnlca4 Family Commtnslty BUILDING PERMIT FORM 120 uee,nlm/rofa BUILDING APPLICATION New SPR Electrical Building Safety Department City of Rexburg 35 North Ist East Rexburg, Idaho 83440 Foromceuse Permit Nunlbe : .13 Electrical Fee Paid 1. Propert Owner L Name: aY AVr 1'l lifli S Address 40511 S. `.i�oodei+r. tbe+j 22,01 City: � ✓ State: 110 Zip Code: g3 W�a Phone: SSR- 21104,Email: Vn�✓Gr) frons Q• eel — Under Idaho Building Code, a homeowner is allowed to do wot•k on their own home. Are you a homeowner doing work on your own home? n Yes (Skip to 03 and complete the Homeowner's Exemption) 51No, l ant working with the homeowner 2, Electrical Contractor f Business: s,/�(ergfr/ Eke iz f✓4_ State License#c Exp.: Address: Y /ICA City: j2 1isC State: r -b Zip Code: 83yt'� Phone: - - Email: 1(,4;.. y 1�t (OFa4a.%. (z wl Contact/Rep. Nano: la&&Aft Email: Blectrical tontractorAutliorized Signatlirei Date: Acopy ofyourstateregistratlon/itcenseIsrequire beonf/ie. f llsisU:e(irstNnfeyouhavedoneworkIntheCltyWaichurypleoseprovide a photo copy efyounccense,lfyouareunsurel our license Is onfile, please check with tire permit Teclinklan Ilycallf1w (208) 372-2341. 3. Project Description Address: OR- Lot #:�L Block/ t:4-Subdivision:1SAmrAsgf' t44 Description of work: ts$ D New SFR Construction: J Slit sq. ft. • Peesfornewconstruction are charged hysquarefootage: Up to 1,500sq.)t.=$130+$65for each additlonni1,000sq.ft. or portion thereof. o Up to 1,500sq.ft. =$13a Upto2,500sq.ft.=$195. Up to3,500sq.ft=$260. Up to 4,500sq.ft.=$325, etc. (i.e.a halne fvith $675 sq.n. tvlll he charged $325) n Spas/Pools/Generators: n Yesif No Is Note thatspos/pools/generatafsare not Included III squarefootagecosts and ivil(hecharged $65per Inspection. APPI.ICAN'rs SIGNAI'URU,CEII'1'IFICATION AND AZITHORIZA71ON: Under penalty of perjury, I hereby certify that l leave read tills application and stale thal file Information bereln Is correct and I swecv that any information which unnyberooner be given by me In hearings before the Planning and'Wning Commission or the City Cnuncll for the City of Rexburg shall by Irulhhd maul wrrecl. I agree to eaniplywidl all City regulations and Slalelaws rolaling to lhosub)ecl lnatterutthisappllcalion and hereby authorized representatives of Um Clly to enter upon nu nbuverusenioned property for Inspections purposes. NOTE: TbobullAhigoMctil may revokea perudl on opprov d Issued under the Inovlsionsof the 7012 International Code In cases orally false statement or ndsrepresentalion of fact In the application or an the plans on which the penult or approval was based. i'ennit Vold It not started wltbbh 100 days. Perna t vold If wekstops for 100 days. Applicant's Name (print): 14aSm- Signature: �_—"-� Date: /3 - Inspections muslbe called in before DAM en the day the Inspection Is regnestel. Inspection requests called In after 0 AM will besewdeled fo'the next business dly. rnspectlan llotllne- (200) 372.2344 www.res aulg.org PersNt Tochaldan- (200) 372.2341 �oaeexapgR, CITY OF Building Safety Department 0 s° •'•.xss •sss BUILDING PERMIT City of REX URG MW'°"°'° 35North latEast Rexburg, Idaho 834.40 BUILDING APPLICATION New SFR Plumbing For Office Use. Pei'naitNumber: O Plumbing pee.Paid 1. Property Owner Name, Property, 9`IY�O�1 Address: B5"1 S. :State: ,.(QZlpCode: 8:�LI`D Phone: °5det-2Ii4 Ent19.492 n•�I'lath:a-can-, Under Idaho Building Code, a /ronreowrer is allowed to do work on their own home. Are you a homeowner doing work on your own hone? 0 Yes (Skip to A3 and complete the Homeowner's Exemption) 6�rNo, i am working with the homeowner 2•Plum1)(ngC itracto• t /�/ Business: �esApL !t /er46,:44 1,t6 State License N: /V ;a �V � Address: `E ' 'ur :5, Gln: en,-e� Stqtc: -t Zip Code: c1 CI Phone: 7°� 5 3S /' Email: v/Poo Ora •• Contact/Rep, Name: AM oc IN/f- Phone: Em, Il: Pluni6ingConira6torA6tiiofizddsli na(pre: Date: 3 A copy ofyour state reglsoYalon/llcense is required to a ample. Ifthls is pest thneyou have dare work In the Cy ofnexburg, please provide a photo copy ofyour Incense. Ifyou are lanae ifyour license Is on ple, please check with the penult Technician by calling (200) 372.2341. 3. Project Description Address: -OR- LotN:•U•Blockil: f Subdivision: 5JmrnesAfQ W Description of work: et fFj7— 13 New SPR Construction: sq. ft• • 17eesfor flaw constructfar are charged byspuafefootage; Up to 1,500sq.)t=$130+$65for each additional 1,000sq.ft. or portio: thereof. o Upto 1,500sq•p.-$130. Up to2,500sq./L=$195. Up to 3,500.sq.p.=$260. Upto4,500sq.p.=$325, etc. (to.it hone ivlth 3,675sq. p, wilt be charged $325) 13 Hydrotic (In -floor) Heating: O Yas NAO • Note Umtltvdroolcheating Isnot Included lasquaefoolagecosts and will becharged $6S+($10x7/afmmrilfolds/zonea). APPLICANT'S SIGNATIIRR.CRRTIPICATION AND AUTHORIZATION: Under penallyofporlury, I herdsycerlifytbnt i have read this application and slate that the Information heroin 1. correct and 1 swear Thal any Information which may bartender be given by me In hearings berate the Planning and ZoningGammisslo, or His City Council for the City of heaburg shall he 1nnhDd and carrel. 1 ogree to comply with nil City regulallons and State laws raising to Ow subject malterorthis application and herebymaboth ed representatives oftlle City to enter upon the above-mentioned properly for Inspections purposes. NOTR: The bulhling oalclnl may revoke a permit oil approval Issued under the prnvldous of Iho 2012 International Code In cases orally false statement or misrepresenbil[on of fact In the application oron the plans on which the permit or Approval sups based. Permltvnldlfmot startedwidth,100dnys. PermitvoidlfwnikstopsforlBOdays, Applicant's Name (print); TUr-4 H -_Signature: Date:_ 3/3 t//-? Inspections most beamed in before n AM on nw daylhu Inspoalmr Is requested. Inspection rmpiealn called In after UAM will be scheduled for the next business day. Imspucilon Ilotllno- (200) 372.2314 www.roxburg•nrg Pormll Teeludchn - (200) 372.2341 CITY OF REXBURG Americai Family Community PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North 15C 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 ermit. 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 Official may remove the red Innials tag. If the red tag is removed by anyone but a City Official, citations may be issued. No buildin may be occupied without receiving a signed Certificate of Occupancy. 0 If a building is occupied without receiving a signed Certificate of Occupancy; citations may be issued and the occupants may be evicted. mit Is A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans. c It is the Applicant's responsibility to turn in digital copies of the As -Built Plans when the project is completed. No Certificate of Occupancy will be issued without these plans. Ini Is 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 da . 0 Required inspections can he found on the inspection sequence page in this packet 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 Inilals 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. o A verbal approval does not constitute approval of these documents. Ultimately if you do not have a Building Permit or Certificate of Occupancy, the above policies will be enforced. These documents must be signed by the appropriate Initial authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2341. 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. F::� o The above policies will be enforced to all, regardless if this information is passed on to them or not Innials C �---�/nX Applicant's Name (print): alk J _ Signature: Date: % 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.rexburg.org Permit Technician -(208)372.2341 Revised 2/2017 CITY OF REXBURG rn� 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. This information is available at madison.rexburg.org. If you want to request a copy of your lot information, contact the Community Development Department. I have read and understand the above requirements. Signature aYeu Printed Name 3/51/17 Date Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG xw Anlerlmk FamilyCommuulty SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: V ('QCtn6( Coocy Al, Masonry: Roofing;CJS ,L v Insulation: Painting: o Zv\ n'p– l )2S f b y\ Floor Coverings: C \ Pe -`t- Q1(eok- Plumbing: Heating: \a(,. Special Construction (Manufacturer or Supplier) Roof Trusses: '�'mGateCo-'�\oy-, Floor/Ceiling joists: IRV)(. West CoC'tDada�jJ�. Siding/Exterior Trim: Other: Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 Inspecllanllatline-(208)372.2344 wvnv.rexburg.org permit'i'echnlclan-(208)372.2341 Revised 1012016 CITY OF REXBURG en, Amerlmn Family Community Affidavit of Legal Interest Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 State of Idaho County of Madison ro I,fi6Gyr6.,2sx nn� bv( oS� S L✓yWb�✓� Sic Z�� Name4,or'C rwfbti' Address k C'%/b IJ City State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That I 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. L� t�- Dated this day of 20-L:,7— Signat re Subscribed and sworn to before me the day and year first above written. r JANAE BINGHAM NOTARY PUBLIC STATE OF IDAHO My commission expires: Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10, 2016