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Home My WebLink AboutAPPLICATION - 17-00438 - 935 Pine Brook Ln - New SFRCITY OF REXBURG cv Americas 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 upon 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. Note: All Plans and Construction must conform to IRC 2012 standards. ❑ Structural Calculations (see box to right) - stamped by a licensed Engineer ❑ Energy Compliance Report: Asper the 20121ECC, a RESCheck is required (available online at www.ener cg�gov) ❑ Digital Plans (PDF Format- can be submitted by USB, CD, or Dropbox) ❑ **Copies of any Contractors' State License if not on file already. Complete the Following Forms: Seismic Design Category- D Ground Snow- 50 lbs. per sq. ft. Roof Snow Load - 35 lbs. per sq. ft. Wind Load - 90 MPH Frost Depth - 36" ❑ 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. ❑ 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. Note: Please check the Rexburg Development Code for any requirements such as property setbacks, design board approval, etc. This information is available at http://rexburg.org/pages/development-code. Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 2/2017 CITY OF REXBURG 0& Ameriru3 Family Community SITE PLAN CHECKLIST Building Safety Department City of Rexburg 35 North Ist 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. (81h 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 w .rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 CITY OF REXBURG C* A merim's Family Community PERMIT POLICIES ACKNOWLEDGMENT 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 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 I itials tag. If the red tag is removed by anyone but a City Official, citations maybe issued. No buildin 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. Initia A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans. 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. Intt 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 day. o Required inspections can he/ound 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 In Is 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. 0 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 In@ia s 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. I A I o The above policies will be enforced to all, regardless if this information is passed on to them or not nk4ls L Applicant's Name (print): ASI Signature: Date:'Z 2017 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 C IT Y OF REXBURG Americoi 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. ---PwJW, Si nature 6stun* fk►yl S Printed—Name 201] Date Inspection Hotline -(208)372.2344 v .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG CW Amedca3 Family community BUILDING PERMIT FORM 100 updared10/2016 BUILDING PERMIT APPLICATION New Single Family Residence Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Zoning: Application Fee Paid: ❑ $000 1. Proper Owner`/ Name: �sl{Ly�vn �{�YV1P.S Address: I City: State: �_ Zip Code: B3 O Phone: %QQj� GJGI % _ �j \I Email: 6 46'UtVrn-h l d a h n . - _ Under Idaho Building Code, a homeowner Is allowed to do work on their own home. Are you a homeowner doing work on your own home? ❑ Yes (Skip to #4 and complete the Homeowner's Exemption) ❑ No, I am working with the homeowner 2. Applicant Name: fASi YDf/K ti � /, Role: (Owner, Tenant, Contractor, etc.) Lieu Address: %ilijji ayorfalnt h1 VQ _- (�$ City:�h0 Fallf State: /_Zip Code: 934/01 Phone:1D Email: bFFi (2 60 lttdah n , cn_ rvt Contact/Rep. Name: 3. Gene a] Contr cto Name: Q Registration #: (ZGE - 6og'50 Exp.: Address- tipCity: Idako FAS State: 1_Zip Code: Phone: _ Email; fT I (� m(v bt: Gtct �O EiUh, �' Contact/Rep. Name: mail: 0IFA(L(pCinh-gidLi4n • LWn _ General Contractor Authorized Signature:/' /lP•hone:,:2096567- Date: A copy ofyour state registration/license is required to be on file, is is the first time you have done work in the City of Rexburg, please provide a photocopy ofyour license. lfyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: OR- Lot #:Block #: k Subdivision:'T`1A4, hVOOK 2 Project Description: �y� • Square Feet: Building Total: sq. ft. B # of Water Meters: Water Meter Size: o Main Floor: 1090 sq. ft. a Fireplace(s) Being Installed?4 Yes ❑ No o Additional Floors: ft. _sq. a Hydronic Heating Being Installed? ❑ Yes ❑ No o Basement: Finished sq. ft. Unfinished sq. ft. Building Permitfeesfor new homes are charged based on square o Garage g�3_ sq. ft. footage and the City's estimated valuation. Fordetafls on howfees are calculated, contact the Building Department There will also be 0 Estimated Total Cost:$ a plan mviewfee totaling 10% of the building permftfee. APPLICANTS 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 1 swear that any Information which may hereafter be given by me in hearings before the Planning and Zoning Commission or me 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 she 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 me 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): Q S�U {�i Signature: Date: Inspections must be called in before 8 AM on the day the inspection is requested. inspection requests called infter AM wile scheduled for the rest:business day. w Inspection Hotline - (208) 372.2344 ww.rexburg.org I Permit Technician - (288) 372.2341 R4�Bp4C�Q T� CITYY OF REXBURG BUILDING PERMIT FORM 12 O upa,ua m/zme Amerfml 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: 13 Electrical Fee Paid 1. Property Owner Name:-,tK_ haws LLL MA wil0_r uj. Ra" j Address: NII E P�UASa** b WV City: td&410 FeLUS State:Zipcode: SNO i Phone: (Wpo) MT 1F%u Email: Offi ID, G1 W dOtil0 tt 1 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. Electrical Contractor Business: ASD6Y1 F� btyI L State License #: 6201C167 Exp.: Address: _0 • bw 4t L459 City: 94*i t- S'W" State: ID Zip Code: a3�aa, `' Phone: 0 - -tlqvs, Email: Contact/Rep. Name: Phone: Email: V1111 - Electrical Contractor Authorized Signature: Date: 1 A copy ofyour 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. 3. Project Description 'n Address: -OR- Lot #: � V Block #: Subdivision: 0 #� _ Description of work: eN CDy1d'lMfifn)Yl —QOCIdQenha New SFR Construction: %25 sq. ft. Fees for new construction are charged by square footage: Up to 1,500 sq. ft = $130 + $65for 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 = $230. Up to 4,500 sq. ft = $295, etc. (i.e. a home with 3,675 sq. ft. will be charged $295) ❑ Spas/Pools/Generators: ❑ Yes 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 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 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): V0 j�'� c1 $YVt,t S 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 Auth.ntisign ID: IECOA68A.55804FD744FC-C3F36DSBEFF9 1' o`µxeu�4 C IT Y OF Building Safety Department y4G Ci of Rexburg n r. vn G BUILDING PERMIT FORM 110 City g 1�G�Ca aa�'�'"'a°'" 35 North 1St East 4yr AmeriraiRmRyCommunity Rexburg, Idaho 83440 BUILDING APPLICATION New SFR Mechanical For Office Use Permit Number: ❑ Mechanical Fee Paid 1. Proer Owner 1 Address: 116 tpn hG1,nw0PJ( NQCity: iAQb0FuS State: IQ_ Zip Code: V Phone: 1 UQt' CA1 '119)1A Email: Of 1(1 (22 "AdOb n • PA rn 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 Homeowners Exemption) I No, I am working with the homeowner 2. Mechanical Contracto t tt Business: 12 Ar "AAM TLIY State License #: HV�i'i Cl T Y OF REXBURG ow America's Family Community BUILDING PERMIT FORM 130 Upd,ted 10/3016 BUILDING APPLICATION New SFR Plumbing Building Safety Department City of Rexburg 35 North 111 East Rexburg, Idaho 83440 For Office Use Permit Nuintier: ❑ Plumbing Fee Paid 1. Property Owner Name: 0 Address: Nip E JIM0 POWC City: OW Fall State: ID Zip Code: 83410 Phone: ' 3 l0 Email: OV 6 W@ fX(il Ck0 h1%- UW& 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. Plumbin ontracttor BusinesaGA 00 C Wm� �t/() State License #: 019)(L2,4 Exp.: 0311901 Address; City: Au ll" State: _,D Zip Code: 933Tl Phone: OR NU - 2470 Email: Contact/Rep. Name: 00hVIVUft&A1 P Email: Plumbing. Contractor AuthorizedSighattife: Date: )223 - 2011 A copy ofyour state registration/license is required to on file. If this is the first time you have done work in the Citycf 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 ��,,�� ``(, u Address: OR- Lot #: Block #: - (R_ Subdivision: Pik a'c'v K ri -2- Description Description of work: wil hs (�(1bYl JznkdPm{ib ❑ New SFR Construction: ;5626_.— sq. ft. • Fees for new construction are charged bysquarefootage: 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 = $230. Up to 4,500 sq. ft = $295, etc. (i.e. a home with 3,675 sq. ft will be charged $295) ❑ Hydronic (In -floor) Heating: D Yes 1�No • Note that hydropic heating is not included in square footage costs and will be charged $65 + ($10x # of manifolds/zones). APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, I hereby certify that l have read this application and state that the information herein is correct and 1 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 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 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): I IAS UVWgfl Q U[ Signature a C Date: -1-2b- 201, Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 13 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www,rexburg.mg Permit Technician - (208) 372.2341 C IT Y OF REXBURG 0& Americas Family Community SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: & �(AYI�GIIIS Drywall: M WOtie, (.11)1KbtA(."I DA Painting: Floor Coverings: Plumbing: `C1A\ t �IUUI\��VIU Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses:__1hAYi Floor/Ceiling Joists: Siding/Exterior Trim: U FX M Other: Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 Cl T Y OF REXBURG iti America's Family Community DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Please provide the names and emails of anyone who should begetting automated updates for this project. Review Notes Name—TVAW SII l'. 1 Ili Name: Name: Name Inspection Tickets Name:I,QSN_Vn L� b!nA1 S O"WWWWO— Name Name: Name: Email: Of f I(g @ clri11da i o • (AIYVI Email: �D�A1�, n0 Ida • apt Email: Email: Email: Email: 6 1(g (6) CAW G♦ Aho. (pj/Y1 Email: Email: Email: Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016