HomeMy WebLinkAboutAPPLICATION - 17-00501 - 685 Tanglewood - New SFRCITY OF
REXBURG
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America} 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
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.
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.
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
ni Is 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.
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.
he above policies will be enforced to all, regardless if this information is passed on to them or not.
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Applicant's Name (print): Ay\, Signature: Date: V dk
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 Revised 10/2016
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CITY OF
REXBURG
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AmerW Family Community
PROPERTY LINES
Building Safety Department
City of Rexburg
35 North 151 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.
1 have read and understand the above requirements.
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Signature Date
ViLI
Printed Name
Inspection Hodine - (208) 372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016
�,� `� ep"q., CITY OF Building Safety Department
�o nrvn Cit of Rexbur
• i��G BUILDING PERMIT FORM 100 Y g
rnr UOrfni 10/2016 35 North 1st East
Amerfedss Family Community Rexburg, Idaho 83440
BUILDING PERMIT APPLICATION
New Single Family Residence
For Office Use
Permit Number: Zoning: Application Fee Paid: O $500
1. Property Owner
Name: H*gIgy Devpinnmentc I 1 r DBA Fall C rppk Hnmpc
Address: Higley Developments LLC DBA Fall Creek Homes City: Rexburg State: ID Zip Code: 83401
Phone: 208-522.4505 Email: 208-5224505
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?
O Yes (Skip to #4 and complete the Homeowner's Exemption)
O No, I am working with the homeowner
2. Applicant
Name: Higley Developments LLC DBA Fall Creek Homes Role: (Owner, Tenant, Contractor, etc.) Contractor
Address: 282 N Pointe Drive City: Idaho Falls State: ID Zip Code: 83401
Phone: 208-522-4505 Email: mikehaycock anfallcreekhomes net
Contact/Rep. Name: Mike Haycock
3. General Contractor
Name: Higley Developments LLC DBA Fall Creek Homes Registration #: 28918 Exp.:
Address: 282 N Pointe Drive City: Idaho Falls State: ID Zip Code: 83401
Phone: 208-5224505 Email: mikehaycock(affallcreekhomes.net
Contact/Rep. Name: Mike Haycock Phone: 208-522-4505 Email: mikehavcockpfallcreekhomes.net
General Contractor Authorized Signature: Date:
A copy ofyourstate 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- Lot #: 5o Block #: 2 Subdivision: Stonebridge #4
Project Description:
• Square Feet: Building Total: 3152 sq. ft. • # of Water Meters: I Water Meter Size:
o Main Floor: 1605 sq. ft. • Fireplace(s) Being Installed?�Yes O No
o Additional Floors: sq. ft. • Hydronic Heating Being Installed? O YeWNo
o Basement:
Finished 1546 sq. ft Building Permitfeesfor new homes are charged based on square
Unfinished sq. ft footage and theCity's estimated valuation. Fordetailson howfees
o Garage 8.53 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 SIGNATURR CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that 1 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 1 agree to comply with all City
regulatbns and Some laws relating an the subject matter ofthis application and hereby authorized reprexntatives 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 ofthe 2012 International Code in cases ofany false statement or misrepresentation affect in the application or on the plans on
which the permit or approval was based. Permitvoid ifnotstarted within 180 days. Permit void ifwork stops Por 180 days
Applicant's Name (print): Michael Haycock 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.rexburgorg Permit Technician - (208) 372.2341
CITY OF
REXBURG
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America's Family Community
BUILDING PERMIT FORM 110
upd.b 10/2016
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 Homeowners Exemption)
❑ No, I am working with the homeowner
2. Mechanical Contractor
Business: High Country Heating State License #: 012552 Exp.: 05-31-18
Address: 3939 E 240 N City: Rigby State: ID Zip Code: Rsn49
Phone: 208-745-7021 Email: office@modernphe.com
Contact/Rep. Name: Vince Byram Phone: 208-313-3145 Email:officeofflce m��rphe cnm
Mechanical Contractor Authorized Signature: Date:
A copy ofyaur 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 ofyaur 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 #: 50 Block #2 SubdivisioGionebridge #4
Description of work:
❑ SFR Construction: 3152 sq. ft.
• Feesfor new construction are charged by squarefootoge: Up to 1,500 sq.)t.=$130+$65for each additional 1,000 sq.)t. or
portion thereof.
0 Up to 1,500 sq. )t. = $130. Up to 2,500 sq.)t. = $195. Up to 3,500 sq. JG = $260. Up to 4,500 sq. R = $325, etc. (i.e. a
home with 3,675 sq. ft will be charged $325)
❑ Number of Fireplaces: 1
• Note that fireplaces are not included in square footage costs and will be charged $65 per inspection.
❑ Hydronic Heating:
• Note thathydronic heating is not included in square footage costs and will be charged and additional $65 + ($10x # 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 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 clars. Permit void if work slops for 180 days.
Applicant's Name (print): 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 Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
CITY OF
REXBURG
>it
Amenra's Family Community
BUILDING PERMIT FORM 120
UpdaW 10/1016
BUILDING APPLICATION
New SFR Electrical
Building Safety Department
City of Rexburg
35 North 181 East
Rexburg, Idaho 83440
For Office Use
Permit Number: 0 Electrical Fee Paid
1. Property Owner
Name:
Address: City: State: Zip Code:
Phone: Email:
UnderIdaho 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: Ideal Electric State License #: 1029 Exp.: 07/31/18
Address: 1057 1111195 S City: Rlarkfnnt State: In Zip Code: AA221
Phone: 208-681-4615 Email: )waynenoc@gmail.com
Contact/Rep. Name: Wayne Van Orden Phone: 208-681-4615 Email: Iwayneno@lgmail.com
Electrical Contractor Authorized Signature: Date:
A copy ofyourstate 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 photo copy ofyour license. Ifyou are unsure ffyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
3. Project Description
Address: -OR- Lot #: �rpBlock #: _2_ Subdivision:
Description of work: Stnnebridg #<1
❑ New SFR Construction: 3152 sq. ft.
• Feesfornew construction are charged by square footage. Up to 1,500 sq. ft. = $130 +$65 for each additional 1,000 sq. f . 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 3,675 sq. It will be charged $325)
❑ Spas/Pools/Generators: O Yes 0 No
• Note that spas/pools/generators are not included in square footage costs and will be charged $65 per inspection.
APPLICANTS 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 me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg
shall be truthful and correct 1 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. Permitvoidifnot
started within 180 days. Permit void if work stops for 180 days.
Applicants Name (print): Signature: ozk=Date: % (d 1
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
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CITY OF
America's Family Community
BUILDING PERMIT FORM 13 0
updam 10/2015
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 43 and complete the Homeowner's Exemption)
❑ No, I am working with the homeowner
2. Plumbing Contractor
Business: Kent Rolfe State License #: PLB-C-9441 Exp.: 08/31/17
Address: 3939 E 240 N City: Rigby State: ID Zip Code: 83442
Phone: 908_745-7091 Email: office@moderphe.com
Contact/Rep. Name: (cent Rolfe Phone: 9nn_7er._7r2,i Email: ofice0moderphe.00m
Plumbing Contractor Authorized Signature: Date:
A copy afyour 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 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 #: 50 Block #2_ Subdivisioatonebddae #4
Description of work:
❑ New SFR Construction: 3152 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. f- or portion
thereof
o Up to 1,500 sq. Jt = $130. Up to 2,500 sq. JG = $195. Up to 3,500 sq. ft = $260. Up to 4,500 sq. Jt. = $325, etc. (i.e. a
home with 3,675 sq. /t. will be charged $325)
❑ Hydronic (In -Floor) heating: O Yes ❑ No
• Note that hydronk heating is not included in squarejbotage costs and will be charged $65 + ($10 x # of manifolds/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 he 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): , I � _ Signature: AA�Date:y` sb( f
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 neat business day.
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
CITY OF
REXBURG
CB
Americas Family Community
SUBCONTRACTOR LIST
Excavation & Earthwork: Fife Excavation
Building Safety Department
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
Concrete:
Garcia Construction
Masonry:
A&S Masonry
Roofing:
Gutierrez Construction
Insulation:
BDI
Drywall: Hatcl
Painting: r,,,s(
Floor Coverings:
Plumbing: M
Heating: Mod
Electrical: IdP,
Special Construction
(Manufacturer or Supplier)
Roof Trusses: Snaky River Tri icc
Floor/Ceiling Joists: Franklin Rodding GI Innr4Pg
Siding/Exterior Trim: Mnllnlaincrwct
Other:
Inspection Hotline -(208)372.2344 w .rexhurg.org Permit Technician -(208)372.2341 Revised 10/2016
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Fy, ,tea CITY OP
REXBURG
14
Amerrm4 Family Community
DISTRIBUTION LIST
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
Please provide the names and emails ofanyone who should begetting automated updates for this project:
Review Notes
Name: Mirhad Havnnrk
Name:
Name:
Name:
Name:
Inspection Tickets
Name: Justus Whitworth
Name:
Name:
Name:
Name:
Email
Email
Email
Email
Email
Email
Email:
Email:
Email:
Email:
InSPeCdOn Hotline -(208)372.2344 www,rexburg.org Permit Technician -(208)372.2341 Rcvised 10/2016