HomeMy WebLinkAboutAPPLICATION - 17-00165 - 244 Jefferson Dr - SFRC I TY OF
REXBURG
CW
Ameriwd Family Community
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
SINGLE FAMILY RESIDENTIAL APPLICATION CHECKLIST
The following items should be completed before you submit your building permit application.
*Reasonable accommodations will be made uuon request.
Submit the Following Documents:
❑ 2 sets of site plans (see Site Plan Checklist)
❑ 2 sets of building plans drawn to scale (see box to right)
❑ Foundation Plan, Floor Joist Layout, Floor Plan, Roof Layout Truss Details, Sectional Views, Front, Back, and Side
Elevations, Mechanical Layout Stair Details, and any details required to illustrate special construction.
❑ Structural Calculations (see box to right) - stamped by a licensed Engineer
Seismic Design Category - D
❑ Energy Compliance Report: As per the 2012 IECC, a RESCheck is required Ground Snow - SO lbs. per sq. R.
(available online at www.energycodes.gov) Roof Snow Load - 35 lbs. per sq. ft.
❑ Digital Plans (PDF Format - can be submitted by USB, CD, or Dropbox) Wind Load - 90 MPH
❑ "Copies of any Contractors' State License if not on file already. Frost Depth - 36"
Complete the Following Forms:
❑ Site Plan Checklist completed.
❑ Permit Policies Acknowledgment signed.
❑ Property Line form signed by builder.
❑ Building Permit Application signed by a registered General Contractor.
❑ Mechanical Permit Application signed by a registered Mechanical Contractor.
❑ Electrical Permit Application signed by a registered Electrical Contractor.
❑ Plumbing Permit Application signed by a registered Plumbing Contractor.
❑ Subcontractor list completed.
/13 Homeowner's Exemption signed, if Homeowner is doing work on their own home.
/❑ Affidavit of Legal Interest signed by owner, if applicant is not working directly with owner.
❑ Notifications Distribution List.
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 at http://rexburg.org/pages/development-code.
Inspection Hotline -(208)372.2344 w .rexhurg.org Permit Technician -(208)372.2341 Revised 10/2016
CITY OF
REXBURG
ro,
America's Family Community
SITE PLAN CHECKLIST
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
❑ 1 Site plan must be drawn to scale, be legible and also be submitted electronically if possible.
❑ 2. Adjoining streets labeled.
❑ 3. Right-of-way location and width, curb to curb widths and sidewalk location.
❑ 4. Building location, sq footage and dimensions, with distance to property lines and distances
between buildings.
❑ 5. Show existing and proposed easements.
❑ 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains).
❑ 7. Proposed utilities including tie in location to existing services and new easements.
❑ 8. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins).
❑ 9. Storm drainage plan for parking lot and roof areas, with calculations.
❑ 10. Fire hydrants and fire suppression lines (including tie to City lines).
❑ Sprinkled ❑ Not Sprinkled
❑ 11. Indicate Fire apparatus access
❑ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total
numbers).
❑ 13. Landscaping (type and total area, including dimensions).
❑ 14. Trash facilities.
❑ 15. North Arrow Included
❑ 16. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.)
❑ 17. Legal description of proposed building site included.
❑ 18. Percent of lot covered by building or paving calculated.
❑ 19. Show 10% snow storage area.
❑ 20. Distance of entrances from street corner indicated.
❑ 21. Current Vicinity Map. (8 1/2 x 11") at 1" = 300' scale, showing location of the property.
❑ 22. Lighting Plan
SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON
THE PLANNING & ZONING AGENDA.
Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016
CITY OF
REXBURG
Amerfoas Family Communily
PERMIT POLICIES ACKNOWLEDGMENT
Building Safety Department
City of Rexburg
35 North lot 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
Initials 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.
Initials
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
Initials 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 Buildln`g permit or
Certificate of Occupancy, the above policies will be enforced.
Initials
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.
Awl o The above policies will be enforced to all, regardless if this information is passed on to them or not.
Initials
Applicant's Name (print): /IAw W• ignatu ✓', Date: 3 _ZY-0
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection req called inter8 AM will be scheduled for the next business day.
Inspection Hotline -(208)372.2344 wwwxr hurg.org Permit Technician -(208)372.2341 Revised 10/2016
C I TY OF
REXBURG
Americas Family Community
PROPERTY LINES
Building Safety Department
City of Rexburg
3S North 15C 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.
Signature/ Date
Printed p e
Inspection Hotline -(208]372.2344 www.rezburg.org Permit Technician -(208)372.2341 Revised 10/2016
CITY OF
REXBURG
cU+
America's Family Community
BUILDING PERMIT FORM 1 ��
ureamd toizme
BUILDING PERMIT APPLICATION
New Single Family Residence
Building Safety Department
City of Rexburg
35 North 1gt East
Rexburg, Idaho 83440
For Office Use
Permit Number: 176 "S Zoning:
LnP_'I" Application Fee Paid ./$500
1. Proper w
Name: ro
/
Address: o ,'UQ.
City: Lf�Ge N State: TO Zip Code: •f O
Phone: .211-ys�.- !249/
Email:
Under Idaho Building Code, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #4 and complete the Homeowner's Exemption)
❑ No, l am working with the homeowner
2. Applicant
///
Name: AdYi7Od/ W 71$M.'��
/—
Role: (Owner, Tenant, Contractor, etc.) COArc4�
Address: E
City: G. State: Xd. Zip Code: V.J fiYY
Phone: .35r/— /Yo/
mail: caw
Contact/Rep. Name:
3. General Contractor
Name: Art A&I UJ. '%
Registration #: 12Ce ZS'3L Exp.: /Z'LO —4017
Address:lul w. /` it E
CityC. State: X& Zip Code: Y3'Ydl
Phone: r357- 0490/
mail: Tl1•/ri/iGGgs>�/v 04/lCQ f�a C"
Contact/Rep. Name:
Phone: Email:
General Contractor Authorized Signature:
Date: 3-0r—/,7
Acopy ofyour state registration/license is required to be an fl f[his is thef ttimeyou have done work in the City of Rexburg, please provide
a photo copy ofyour license. Ifyou are unsure ifyour license i
n file, pleas check with the Permit Technician by calling (208) 372-2341.
4. Project Description
Address: -OR-
Lot #: Block #: Subdivision:
Project Description:
• Square Feet: Building Total: Z053 sq. k.
/ff
• # of Water Meters: Water Meter Size:
o Main Floor: Z05'3 sq. ft.
• Fireplace(s) Being Installed? lag Yes ❑ No
o Additional Floors: • 0 . sq. ft.
• Hydronic Heating Being Installed? O Yes Id No
o Basement:
Finished -0- sq. ft.
Building Permitfeesfor new homes are charged based on square
Unfinished ' 01 sq. ft.
footage and the City's estimated valuation. For details on howfees
o Garage 69R sq. ft.
are calculated, contact the Building Department. There will also be
• Estimated Total Cost:$
a plan reviewfee totaling 10% of the building permitfee.
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. Permit void if not started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): Signatur Date: 3 -ZV-/
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests ed in after BA dill be scheduled for the next business day.
Inspection Hotline — (2 08) 372.2344 www.rexburg.org Permit Technician — (208) 372.2341
CITY OF
G
BUILDING PERMIT FORM 110
iioaim 10/201e
Amerira's Family Community
BUILDING APPLICATION
New SFR Mechanical
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: ❑ Mechanical 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 own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, I am working with the homeowner
2. Mechanical Contractor
Business: �CYAL(KCa Pju,+P_,1_1 '�a4=j7_,U0 State License #:I4C, C- (/-j-16 Exp.: 9-30-1 e
Address: City: State: Zip Code:
Phone: Email:
Contact/Rep. Name: Phone: Email:
Mechanical Contractor Authorized Signature: !� Date:+'? t%
A copy ofyour state registration/license is required to be on file. If this is t! 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.
3. Project Description
Address: -OR- Lot #: _ Block #: _ Subdivision:
Description of work:
❑ SFR Construction: sq. ft.
• Fees for new construction are charged by square footage: Up to 1,500 sq. ft. = $130 + $65 for each additional 1,000 sq. ft or
portion thereof,
0 Up to 1,500 sq. jt. = $130. Up to 2,500 sq. ft. = $195. Up to 3,500 sq. ft. = $260. Up to 4,500 sq.)t = $325, etc. (i.e. a
home with 3,675 sq. ft will be charged $325)
❑ Number of Fireplaces:
• Note that fireplaces are not included in square footage costs and will be charged $65 per inspection.
[3Hydronic Heating:
• Note that hydropic heating is not included in square footage costs and will be charged and additional $65 + ($10 x # of
manifolds/zones)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l 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 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 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. Permit void if not started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print):
Signature:
Date:
Inspections must he 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
CITY OF
1�CG BUILDING PERMIT FORM 130
ued,tm 10/2D16
F1
America's Family Community
BUILDING APPLICATION
New SFR Plumbing
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: ❑ Plumbing 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 own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, l am working with the homeowner
2. Plumbing Contractor
Business: State License #: Exp.:
Address: City: State: Zip Code:
Phone: Email:
Contact/Rep. Name: Phone: Email:
Plumbing Contractor Authorized Signature: Date:
A copy ofyour state registration/license is required to be on file. If this is the first Gime 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.
3. Project Description
Address: -OR- Lot #: Block #: Subdivision:
Description of work:
❑ New SFR Construction: sq. ft.
• Fees for new construction are charged by square footage: Up to 1,500 sq. ft. = $130 +$65 far each additional 1,000 sq. ft. or portion
thereof.
o Up to 1,500 sq. ft = $130. Up to 2,500 sq.ft. t. = $195. Up to 3,500 sq. ft. = $260. Up to 4,500 sq. ft. = $325, etc. (i.e. a
home with 3,675 sq. ft. will be charged $325)
❑ Hydronic (In -Floor) Heating: ❑ Yes ❑ No
Note that hydropic heating is not included in squarefootage costs and will be charged $65+($10x#ofmanifolds/zones).
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 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 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. Permit void if not
started within 180 days. Permit void if work stops for 180 days.
�l
Applicant's Name (print): C_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
i RR%B �qC
F; .a clrs of
o REXBURG BUILDING PERMIT FORM 120
„ V
unaav�e toizms
to,
Amerfm's Family Community
BUILDING APPLICATION
New SFR Electrical
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: 0 Electrical 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 own home.
Are you a homeowner doing work on your own home?
0 Yes (Skip to #3 and complete the Homeowner's Exemption)
0 No, I am working with the homeowner
2. Electrical Con actor1
Business: �tS� �lecT�� c- State License #: l9 3�}
Exp.:
Address: �1- e City: State: Zip Code: 7��`-�--
Phon&'% -596-561,(0 Email: 16`� LQL&k N`�/ 19, (-'dt ! t
Contact/Rep. Name: Phone:' '377CEmail: 1
Electrical Contractor Authorized Signatures Date: `_d= 1 7
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 photocopy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
3. Project Description
Address: -OR- Lot #: Block #: Subdivision:
Description of work:
0 New SFR Construction: sq. ft.
• Fees for new construction are charged by square footage: Up to 1,500 sq. ft. = $130 +$65 for each additional 1,000 sq. ft. or
portion thereof.
o Up to 1,500 sq. ft. = $130. Up to 2,500 sq. ft. = $195. Up to 3,500 sq. ft. = $260. Up to 4,500 sq. ft. = $325, etc. (i.e. a
home with 3,675sq. ft. will be charged $325)
0 Spas/Pools/Generators: 0 Yes 0 No
• Note that spas/pools/generators are not included in square footage costs and will be charged $65 per inspection.
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 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 ofany 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):
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
0
CITY OF
REXBURG
rs�
America's Family Community
SUBCONTRACTOR LIST
Excavation & Earthwork: kZ u rrjAKMr-a,TiON
Concrete:
Masonry
Roofing:
Insulation:
Drywall: _
Building Safety Department
City of Rexburg
35 North 1s1 East
Rexburg, Idaho 83440
Painting: 7VAd7_S ) 11,1r,P
Floor Coverings: S 4 ow
Plumbing:
Heating:
Electrical: / Bolo' �P h�Ji 4�✓✓
Special Construction
(Manufacturer or Supplier)
Roof Trusses: 3 o, S e CWC Aa C �/
Floor/Ceiling joists: /�/Vl. d . .r j"'K /
Siding/Exterior Trim:
Other:
Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016
CITY OF Building Safety Department
REXBURG City of Rexburg
ro, 35 North 1st East
Amenca's Family community Rexburg, Idaho 83440
DISTRIBUTION LIST
Please provide the names and emails of anyone who should be getting automated updates for this project:
Review Notes
Name:
Email:
Name:
Email:
Name:
Email:
Name:
Email:
Name:
Email:
Inspection Tickets
Name:
Email:
Name:
Email:
Name:
Email:
Name:
Email:
Name:
Email:
Inspection Hotline -(208)372.2344 w .rexhurg.org Permit Technician -(208)372.2341 Revised 10/2016