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Home My WebLink AboutAPPLICATION - 17-00487 - 802 S 2275 W - New SFRCITY OF REXBURG r� Americas 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 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 Official may remove the red Ini ials 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. o If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may be evicted. Initials 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. InHials 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 . o 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 Initials 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 Initials 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. o The above policies will be enforced to all, regardless if this information is passed on to them or not Initials �j''� 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 Perm it Technician -(208)372.2341 Revised 2/2017 CITY OF REXBURG Amrricas Family Community PROPERTY LINES Building Safety Department City of Rexburg 35 North 1s' 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 Date Tara- E`re nSe r. Printed Name Inspection Hotline -(208)372.2344 www.rexlmrg.org Permit Technician -(208)372.2341 Revised 10/2016 exevn CITY OF REXBURG t,y Arnerfcn} Fmnify Canon urety BUILDING PERMIT FORM 10 UO.W 2apela BUILDING APPLICATION New SFR Plumbing Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Off(ce Use Pernilt Number o plumbing Fee.Pald 1,PropertyOwner Name: Same 0a te_viOJS Address: City: State: Zip Code: _ Phone: Entail: Under Idaho Buliding Code, a homeowner is allowed to do worh on their own home. Are you a homeowner doing work on your own home? ❑ Yos (Skip to #3 and complete the Homeowner's Exemption) No, i am working with the homeowner 2.Plumbing Cpraetor / Bus! ness: Les v /aa <^` �� State License 0: /��9 C—l/S/�x�: Address: cG 'urn c /i14. ," /�Stqto: L Zip Code: Phone: 706 53-1- f' U Email: e, e 'r0 4<ti dr r C? �L<,i,. e<�•+ Contact/Rep.Name: acs a Phone: Bm.IL Mantling Con(ractorAuthooozed Sigtatdre: 12 �azt Date: .3 Acopy ofyourstate reglsnatfon/liceuseIsrequired to a oil file. ifthlsls)frstttmeyoutinvedeltaworklittheCityofltedlurg,pleaseprovide a photo copy ofyour license. Ifyou are unsare Ifyour license is on file, please check with the Perms reclinklml by calling (200) 372.2341. 3. Project Descl lo» Address: Sol S• adSIf W • -OR- Lot #:_ Block #:_Subdivision: Description of work: NCWCon- 1r3cS1or III New SPR Construction: I `12-t1< sq. ft, • 12eesfornewconsoltctlona+•ecliargetlbyspunrefootage;Uptol,50asq.jE=$130o$6.5fbreacha(litttionni1,000sq.JGorportton thereof. o Up to 1,500sq.ft.=$130. Up to2,500sq.f.=$195. Up to3,500sq.)t,=$260. Up to4,500sq.Q,=$325, etc, (i.e.(I horse with 3,675sq.)i. tviit be charged $325) ❑ Hyth'onlc (In•Boot)Heatlug: ❑ Yes'M No • Note that lWdronfcheatfngIsnot Included Insquarefootagecostsmtdwill becharged $65r($loxifafranffolds/sones), APPIACANT'SSIGNATUgg, CBftTIPICATION AND AUTIIDAVATIONI Under puooltyofporiary, l hereby eorlifythat l have read this nppllentlon and state that the Information herein he correct and 1 swear food any Information which rely hereafter he given by nae In hearings berate the Planning and getting Commisslon or No City Connell for the City of Rexburg shall he trothhdandcorred I Devoe to mmplywIlh all City regulations and Stale laws relalingto the coblecl o2aller orllds application road herobyneUmrlied representatives afthe City to enter open D2eDbove-menlinnrd property for htsp"tlons fortunes. NOT14 The building ofticki only revokes patelt ala approval issued under Ilse provisions of the 2012 Imlernattonai Code In cases ofanyfalse stalen2wd or ndsrepresenhllon of fact In the nppllcatlon o• on the plans on which tile peradtorapproval was based. Perro6 void lfnot started svllhlu 111U days. vertidt void If work slops for 180 days. Applicant's Name (print): Tecrec Felil-.nie� _ —Signature; T�� Date: —619117 luspeelIons most ho called In before If AM on the day the Inspection Is regnested. inspection rospnesis called In after DAM will be scheduled for the next holiness day. Inspuction Ilotllno- (200) 322.2310 www.roxhorg.org Pern2U Tcchutclan - (200) 372,234! CITY OF REXBURG c1v Americuk Family Community BUILDING PERMIT FORM1�0 uPmnd roams 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: ❑ $500 1. Property Ow er Name: e A70hA e �DA1 QA Address: US°l S. t/e"cac„s-ia•e-Fh-rft'Zol City: �C.-&r�l State: 10 83440 Phone: Sd9-211 V Z Email: 4-41ycL kar}cysy\py hnwl.d_ �.�r� Under Idaho Building Code, a homeowner is allowed to do work on their own home. Areyou 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 'k �`— - Name: v L. Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 3. General Co tractor Name: °t W -r- OC11 b'DY{ Registration #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: Tit-aL `( Date: S A copy ofyour state registration/license is required to be on ffle. if this is the first timeyou have done work in the City of Rexburg, pleas provide a photocopy 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: $�2 $ • �2�T W -OR- Lot #: Block #:'a Subdivision: 5s1 m''hsr ' a Project Description: • Square Feet: Building Total: IHLiu sq. ft • # of Water Meters: ( Water Meter Size: o Main Floor: (HKL( sq. ft. a Fireplace(s) Being Installed? 0 Yes)6 No o Additional Floors: sq. ft. • Hydronic Heating Being Installed? ❑ Yes fF No o Basement: Finished sq. ft. Building Permitfeesfor new homes are chargedbasedon square Unfrnished-I ';"� sq. ft. footage and the City's estimated valuation. For details onhowfees o Garage `15ai sq. ft. are calculated, contact the Building Department. There will also be • Estimated Total Cost:$ aplan reviewfee totaling 10% of the building permitfee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l 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 mein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. [agree to comply with all City regulations and State laws relating to the subject matter ofthis application and hereby autimrixed 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 ofany false statement or misrepresentation offset 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 ifwork stops for 180 days. Applicant's Name (print):Jarq fvense n Signature: :T__5T lA Date: `I 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 CITY OF REXBURG cw— Amarkal lIumily Corn uumiy BUILDING PERMIT FORM 1 1 0"'W1a71e16 BUILDING APPLICATION New SFR Mechanical Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: o Mechanical Fee Paid 1. Property Owne1 Name: S%e PMVIOJS- Address: City: State: Zip Code: Phone: Emall: under Idaho Building Code, a homeowner is allowed to do work on their own home. Are you a homeowner doing work oil your own home? 0 Yes (Skip to #3 and complete the Homeowner's Exemption) D/No, l am working with the homeowner 2. Mechanical Contractor� It utZ _ Business: P Iot9�tua1 1 1p t+ (+ b Z State License M 0/ Z SS - Exp.: S y( $ Address: S19 O 11V City:Stat : -Vw Zip Code: V IVY' Phone: `b Em il: O wr" de/ Contact/Rep. Nance: t Phone: - •L Emall v G Mechanical Contractor Authorized Signature: Date: -2 -! Acopy ofyourstatereglstratlon/Ifeenseisrequired tobeon)ite.Ifthis Ist)irsttlmeyouhavedoneworkintheCityofRexburg,pleaseprovide 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: 1601 S . OR- Lot #: _ Block #: _ Subdivision: Description of work: New e''0rnc9Y2 c W-:ja— ❑ SFR Constructlon: V sq. ft. • Feesfor new construction are charged by squarefootage., Up to 1,500 sq. ft. = $130 + $65for each additional 1,000 sq.ft. or portion thereof. o Up to1,500sq.ft=$130. Up to 2,500sq.ft.=$195.Upto3,500sq.ft.=$260. Up to 4,500sq.f.=$325,etc. (i..e.a home with 3,675 sq. f . will be charged $325) ❑ Number of Fireplaces: Q • Note thatf)replaces orenot Included In squarefootage costs and will be charged $65 per Inspection. ❑ liydronic Heating: • Nfl- Note that hydronfc heating is not Included In squarefootage costs and will be charged and additional $65+($]O x#of manifolds/zones) APPLICANT'S SIC HAI IRR. CERTIFICATION AND AUTHORIZATION: Under penalty of per)ury, I hereby certify that I have read this application and stale 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 7.on]AS Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and Stale laws relating to the subject matter of lhli application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building omclal may revoke permit on approval Issued under the provisions of the 20121uternatlonal Code In cases ofany false statement or misrepresentatlon of fact in the application or on tire plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void If work stops for 3RD days. Applicant's Name (print): Signature: -Tee— Date: 8'I Inspections must be called In before 0 AM on the day the Inspecion is requested. Inspection requests called In after 8 AM will be scheduled for the next business day. Inspection Holllne- (208) 372.2344 www.rexburgmg Permit Technlclan - (200) 372.2341 CITY OP REXBURG civ Auialco} a fly Camm. tndry BUILDING PERMIT FORM ZZ� utdaluiliv ssa BUILDING APPLICATION New SFR Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For.OfllciiUse Permit Number: ] Electrical Fee Paid 1. Property Ownf r Name:. Address: City: State: Zip Code: Phone: Email: Under Idaho Bulldhng 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) Ii No, I am working with the homeowner 'L. Electrical Contractor Business: V,Itco)e 6kielJtz t✓i� State License#: oIB�'8a Exp.: Address: Y IMA City: jR f r, 1,r State:�M_ZipCode: f33yy3 Phone: —- Email: AksIIS40. ego � 9,44 Y, (a3 stn Contact/Rep. Name: Phone: Email• Blecfrlcal Contracfor4uthoriied Slgiiattlreo Date: Acopy ofyaerstateregisn•anon/Ilcmtseisrequirbeon/ile. f ifs lsthe)Irstthneyouhave done Heorkfit tile CltyofRoarbur0,pleaseprovlde a photo copy ofyourlicense.lf)ouarelmsnrel ourllcenseIsonflhe, please check MththelaermitTechnician bycalihtg(200)372.2341. 3. Project D so iption Address, S• aX7S V.,/ -OR- Lot #:_ Block #:_Subdivision: Description of work: fens C -on,% rv�-fiar- 17NewSFRConstruction: 1`i Jig sq, ft. • Feesfor new construction are charged by squarefootage. Up to 1,500 sq.f,=$130t$65for each additional 1,000 sq.ft. or portion thereof. o Up to 1,500sq.ft.=$130. Up to2,500sq.ft. = $195. Up to3,500sq.ft. = $260. Up to 4,500sq.ft.=$325, etc. (Lo,a Horne with .?,675 sq. ft. tvill be charged $325) n Spas/Pools/Generate s: O Yes WNo • Note that spns/pnols/generatos are not Included In squarefootage costs and will be charged $65 per Inspection. APPI.iCAN'I'SSIGNATURE,CER3'IFICATION AND AUTHORIZATION: Underpenalty of perjury, I hereby certify that l have read this application and slate that thoUrfnrmatlon bereln Is correct and 1 svear that any Information whiAunay hereafter be given by u, In hearings before the Planning and Zoning Commission or the City Council for the City ofitexburg shall be trnlhhd and correct. I agree to comply wish all (:try regulations age Stntolasys totaling to the subject mndterortideappitcatlmn and hereby authorized representatives of the City W emerupou the above-alli loaed propndy far Inspections purposes. NOTE: The building ofMal may ievokea pennll cot approval Issued under the provlslons of the 2012 International Code In cases areas false statement of into epresentatlon of fact in the npplicaltoil or an the plans on which the permit or approval was based. 1'ennit Vold Ifmot started within 100 days. penult Vold if war kstops for 100 days. Applicant's Name (print):. �-��t'�ae✓'� Slgnature: / loei � Date: 8 7 Inspections must be called in before DAM on the day ilio Inspection Is requested. hrspectlou requests culled In after 0 AM will be sclu dried for Ilio next business day. InspecUml Nation - (208) 372.2344 immexhurgorg Permit Technician - (200) 372.2341 CITY OF REXBURG Amrdra3 FaMly Camra unity SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: I)V (,k,\Ctyld Co<( Cut k kol. Building Safety Department City of Rexburg 35 North let East Rexburg, Idaho 83440 �V) iT . • Zai'.��i�C�ls��►��S��GG[niwG'��'� t 4e ► �/ Insulation: Drywall: Painting: \IQy\nIf— Oesl5YN Floor Coverings: CG f \Qep1 a Leok- Plumbing: Heating: Q ate. Special Construction (Manufacturer or Supplier) Roof Trusses: Ca(0(-aJ1kzNoY—, Floor/Ceiling joists: R V)<- West Co C'V pLsb� �. Siding/Exterior Trim: Other: Inspection flet] ine-(200)372.2344 wmv.re%hurgorg Permit Technician -(206)372.2341 Revised 10(2016 CITY OF REXBURG t� America's Family Community Affidavit of Legal Interest Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 State ofldaho County of Madison I, _ Tazre; Fye- zi ` S .'J fr 201 Name Address Re'v' 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 1 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. Dated this day of 201-7 Signature Subscribed and sworn to before me the day and year first above written. KARIN V ANGELL Notary Public State of Idaho Inspection Hotline- (208) 372.2344 of Residing at: My commission expires: qr. at -1 w .rexburg.org Permit Technician -(208)372.2341 Revised 10, 2016