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Home My WebLink AboutAPPLICATION - 17-00097 - 415 W 6th S - Falls Pointe Apt - 42 UnitsC I T Y OF REXBURGBUILDING PERMIT FORM 300 upa.,nv i0oM A,uerim's family Community BUILDING APPLICATION New Multi family Residence Building Safety Department City of Rexburg 35 North 1s1 East Rexburg, Idaho 83440 For Office Use Permit Number: Zoning Application Fee: 0 $1000/Building III (,)Pei IV Ot IIlei' c . Name:( (S �al✓1}C' , (�� Address: 9,0. BOY a G'4 City: VoII-ib _State: ZipCofe: PhoIre:c�DiC-.3(on---1(61 Email:__LLIdenQtAiSt rY1Ct11,(UW\ 2. Applical r _ Name: III AI 1S� Role:Owner Tenant, Contractor, etc.) Address: 3WR'& F f/IV � e ( _ City: State: -j0 ZipCode:9<34dw Phone: D -0k -3 to 0 -Lt U Email: I i 61njq t f tl-I tAf-1)QmaIII , t bhn Contact/Rep. Name: \41P d 3. General Contractor Under Idaho Building Code, a registered � cc�ontractor must do the work fora Multi family Residence. Name: 'f CaIJ U O, -f- S C Dr- """" Lq_j"� Registration #: SCF 2 339 Exp.: 121141701-7 Address: 639 W. 9700S.l54a 1 City: 11,i"r State: SD Zip Code: L3 -H -TC` Phone: toe. 31g . y r; tl✓I lEmail: _ Contact/Rep. Name: 5+.� atc k. I( •� Phone: Z�M1 33144f71/ Email: S iia i a General Contractor Authorized Signature: Date: 3 4 2o17 A copy ofyour state regisrontion/license is required to be on file. If this is the/irst tome you have done work in the Cityof Rexburg, please provldr a photo copy of jour license. 1f You ure unsure if your license is onfile, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description �I/- Address: �/S W, I1 ��u i/y OR- Lot III: _ Block #:_Subdivision: Project Description: /� is # of Buildings: # of Units: n # of Water Meters: Water Meter Size(s): • # of Parking Stalls: • Estimated Cost: $ • Proposed Use: 0 Dormitory Housing "' N,on�-Dorm1Iitory Housing — �r_ 6e_c4rOLNYyn • Construction Type (i.e. VA, VB, etc.): alU2tCh�Snd Q Di11 VYt [b V1 1 U14S)10 Building Permit fees for multi family residences are charged based on square footage and the City's estimated valuation. The application fee applies towards the total fee. For details on how fees are calculated, contact the Building Department There will also be a plan review fee totaling 10% of the building permit fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty calf perjury, I herebycertity 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 mein hearings before the Planning and Zoning Commission or the City Council for the City of Rushing 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 1mernationalCode in cases of any false statement or misrepresentation of fact in the application mon the plans on which the permit or approval was based. PernaRvoirldnot started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): t/ W" w* gnature: A I Date: �-1 I 1 Inspections must be called in before SAM on the day the inspection is requested. Inspection requests calked in after a AM will be scheduled Fur the next business day. Inspection Hotline- (208) 372.2344 www.rexburg.urg Permit Technician - (208) 372.2341 CiI'Y «r RE B V Rice 1. .Americo% Fumiiv Lnmummirl, Affidavit of Legal Interest State of Idaho County of Madison n Name Address alio F�JIS city Being first duly sworn upon oath, depose and say: (if Applicant is also Owner of Record, skip to B) State Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 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 p: operty. 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.__.._ i��U 1 20_6 � zuu 'Signature Subscribed and sworn to before me the day and year first above written. My commission expires: Inspection Hotline - (208) 372.2344 mRmw.rexburg.org Permit "i echn;cian - (208) 372.2341 Revised 10, 2016 Building Safety Department .a CITY OF j_�j' �(.'.'.'.'.. City of Rexburg 'a REX B V 1\�. T ..... __.... - cow _ ___ 35 North 1St East A»ierictt'sFamily Community Rexburg, Idaho 83440 rt,q PERMIT POLICIES ACKNOWLEDGMENT 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 Ini al 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 Initials occupants may be evicted. 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 dray. o If an inspection is not done, the inspector may require any measures to be taken to allow -him to correctly ` 1 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 Building 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. o The above policies will be enforced to all, regardless if this information is passed on to them or not. InitiNls Applicant's Name (print): 1 iSSignature: k l j'1,� 1 Dater 7/0 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 10/2016 ,�4 CITY o FBuilding Safety Department _.... J 0 REXBURG City of Rexburg _...__..._.._...__.. �,�, ___......__._-_ 35 North 15t East Americas Family Community Rexburg, Idaho 83440 PROPERTY LINES 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. Signatu e , WWkkJ Printed Nam a70 Date Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016