The URL can be used to link to this page

Home My WebLink AboutAPPLICATION - 17-00565 - 1135 Stone Dr - New SFRCITY OF REXBURG rnr 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 initial 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. In' lois 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. In 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 ay. 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 Init 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 ON 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 Applicants Name (print): ToY,t Eve tt$et Signature:�/Lc Date: _ (7 Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after a 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 f RE%B UgC CITY OF REXBURG CW - America's Family Communiry 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. ��127112 - Signature Date faYet- Evense,,- Printed Name Inspection Hotline -(208)372.2344 w .rexburgorg Permit Technician -(208)372.2341 Revised 10/2016 tEE%BVe� ,� ' '✓� CITY OF °1 REXBURG C1 America's Family community BUILDING PERMIT FORM 100 UpdatMl0/2016 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: /1 ,h 5 (o5 Zoning: L�� 1 -/ Application Fee Paid: Ia$500 1. PropertywrierName: 8 AM will he scheduled for the next business day, 4l4AA1,,/ Permit Technician - (208) 372.2341 Address: 5. �cPQousiu. liyMn dLo City: bV e- ' State: Zip Code: 9.34410 Phone: S29 ZIIIo V Email:Y,_a h oM cel_ 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 44 and complete the Homeowner's Exemption) `V No, I am working with the homeowner 2. Applicant Name: % a.bay-e Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 3. General Contractor 1 Name: ,, t K'bbyr Registration #: s� Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Email: Phone:c� ma' Contractor Authorized Signature: I e —_Fe ,r � Date: A copy ofyour state registration/license is require to be on file. If this is the first time you 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. 4. Project Description Address: 1135 S 60t DV -OR- Lot #: 4 Block #: % Subdivision: _� Yb �-VS-S7/cW1C Project Description: • Square Feet: Building Total: � sq. ft. a # of Water Meters: ' Water Meter Size: o Main Floor: 1G12!'1 sq. ft. 0 Fireplace(s) Being Installed? O Yes V No o Additional Floors: sq. ft. . Hydronic Heating Being Installed? ❑ Yes 1170 o Basement: Finished Unfinished Sq. ft. Building Permitfeesfor new homes are charged based on square 0 Garage '111� sq. ft. footage and theCity's estimated valuation. For details on howfees are calculated, contact the Building Department. There will also be • Estimated Total Cost: $ a plan reviewfee totaling 10% of the building permltfee. 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 relat ngto the subject matterofthis application and herebyauthorized 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 clan, false statement or misrepresentation of fact in the application or on the plans oa which the permit or approval was based. Permit void Hoof smrted within 180 days. Permit void if work amps for 180 days. Applicant's Name (print):'IVn�_ Signature: late _ Date:. Inspections must be called in before 8 AM on the day the Inspection is requested. Inspection requests called in after 8 AM will he scheduled for the next business day, Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 l a4 p%%BVgP CITY OF ° REXViiITRG syr AmeBm} Fnmlly Com nnmlly BUILDING PERMIT FORM 1 Z 0 utmnalepatt BUILDING APPLICATION New SFR Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Forofficeuse _ Penult Nu ether. ; ..�0 Elects -III Fee Paid. 1. Property Owne • Name: 2C D(eV1oj% Address: �^ City: State: Zip Code: Phone: Email: _ Under, Idaho BulldhW Code, a homeowner Is allowed to do work on their own home. Are you a homeowner doing work on your own home? 11 Yes (Skip to 03 and complete the Homeowners Exemption) ❑ No, I am working with the homeowner 2, Electrical Contractor f Business: �wh�ew') 9ke,hz ti^e_ StateLlcense#: Exp.: Address: ?-.0, Rolf //6, City: Pi/`Iar Stote: :_ Zip Code: Fi34�t�3 Phone: — - Email, as..). a god&%. &.3 la Contact/Rep. Namo: Phone: Email: Blecfrical CoiiEeacEorAufhorlied Slgnaftiiei Date: Acopy ofyourstateregistration/licenseIsrequired beonfle. f its Is tlre/Irstthneyouhave done work Inthe City ofitexhurg,please provide a photo copy ofyoar license, lfymr are unsure W!, our lfcense Is on f ie, please check with the Pern tt Technician by calking (200) 372-2341. 3. Project Description Address:•OR• Lot #:-&- Block #:1 Subdivision:, cjndeyg_�;ilwre Descriptionofwoi•k:�_pJcQ n2lc ❑ Now SFR Construction: 9--111 sq. ft. 4 Peesfornew constnrctlon are charged by squarefootage: Up to 1,500sq.ft.=$130+$65for each addittonn11,000 sq.ft. or portion thereof. o Up tol,500sq.ft.=$130. Up to 2,50osq.ft.=$195. Up to3,500sq.ft.=$260. Up 1o4,500sq.ft.=$325, etc. (i.e.a home with 3,675 sq. ft. tvill be charged $325) ❑Spas/Pools/Generators:O YesC!(No A Note thotspasItenalslyeneiratars are not Included In squarefootege costs and U,111 be charged $65 per Inspection, APPLICANT'S SIONKfURI?, CERTIFICATION AND AUTHORISATION: Under penally orvatiury, I better certify that l have read this application And state that ilia Information herelo Iscorra t and I swear lbal any Information which may Itereaaer he given by mo In hearings before the Planning and ZoningCounmisslon or like City Council for ilia City of Itexburg shallbetmthfulnodcorrect. 1 agree to cmnplywllh all City regulations And Slate laws relating to the subject rnntlerofodsapplicatlon and hereby authorized representatives of he City lu elder upon the ubuvnumu110imd property for Inspections purposes. NOTC: The bulldingofactol may rovokea pennll on approval Issued underthe provisions of the 2012 International Code In cases ofauy raise statement or 1111si epresentatlon of fact in the Application or on ilio plans on which the permit or approval was based. 1'e111,11. void If not started within 100 days. permit void If workshops far 100 days. Applicant's Name (print • 4r0 FWrl5=jc, Signature: T�� Inspectluns umslbe called In before BAM an Ilia day the Inspection Is requested, hwpectlun requests called lit after 0 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.rexburg.org PernUtTecludclan-(200)372.2341 o°"rxe°qo CITY O F Building Safety Department S, o R,XBURG BUILDING PERMIT FORM110 City of Rexburg ia, �° r.Wlamm 35 North 1st East AmMcal Mreliv community Rexburg, Idaho 83440 BUILDING APPLICATION New SFR Mechanical For Office Use Permit Number. O Mechanical Fee Paid 1. Property Owner Name. �42%YC'VItrJS 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 Contractort W, Business:j�4. l.w r treus&&C State License #: 017s-5-7— Exp,: S jt Address: tc Cfly: Stat:_9W Zip Phone: `A -L Em ll: O u ds/ d Contact/Rep. Name: I Phone: 7 Email: - a Mechanical Contractor Authorized Signature: r" �-^'i Date: -i Acopy ofyourstate reglstration/(icenseisrequired to beori le. If this Ist)IrsttfineyouhavedoneworklntheCityofflexburg,pleaseprovide a photocopy ofyour license. Ifyou are unsure Ifyour license Is on file, please check with the Permit Techniclon by calling (208) 372.2341. 3. Project Description Address: -OR- Lot #:-(p- Block #:-1 Subdivision: Eovn i_�rr Description of work: t1 �Y4-a ❑ SFRConstruction: 7 l 1 sq. ft. a Fees for new construction are charged by square footage: Up to 1,500 sq. ft =1130 a $65 for each additional 1,000 sq. ft. or portion thereof. o Up to 1,500 sq. ft. =$130. Up to 2500 sq. ft. = $195. Up to 3,500 sq. ft. = $260. Up to 4,500 sq.ft. . C $325, etc. [i.e. a hoine with 3,675 sq. ft. will be charged $325) ❑ Number of Fireplaces: 0 a Note that flrepiaces are not included in square footage costs and will be charged $65 per inspection. ❑ Hydronic Heating: a Note that hydronkheating lsnotincludedinsquorefootagecosts and will be charged and additional $65+($f0x#of manifolds/zones) APPLICANTS SIGNAL'URE, CERTIFICATION AND AUTHORIZATION: Under penaltyefperjury, I herebycerNfy that l have read this application and state that the Information herem 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 he truthful slid correct I agree to comply with all City regulations and stale taws relallug to the subject matter of thfropplintlon and hereby authorized representatives of the City to enter upon the above-mentioned property for Inspections purposes. NOTE: The building of iclal may revoke a permit on approval Issued under the provisions of fire 2012 International Code In cases ofany false statement or misrepresentation of fact In the application or on the plans on which the permit or approval was based. Permit void Want surfed within 180 days. Permit void If work stops for 180 days. Applicant's Name (print): Mrlf �4&.r Signature: �—' �n Date: 71 Inspections must be called In before 8 AM on the day the Inspection Is requested. Inspection requests called In after SAM will be scheduled for the next business day. Inspection Hotline - (209) 372.2344 wsvw.rexburgorg Permit Tattle lclan-(208) 372.2341 pexeuk CITY OF Building y Safer Department S; o � r�IMG BUILDING PERMIT FORM 1 � City of Rexburg " Up1.4G10/1016 35 North lit Bast •'•„a • ,,.• ArnntrnSFnatlyComrm1°try Rexburg, Idaho 83440 BUILDING APPLICATION New SFR Plumbing ForOftce.Use. Pe1'naltNumber: b plumbing Fee.Pald 1. Property Owner Name: See Airey -s Address: City; State: Zip Code: Phone: Email: Under Idaho Building Code, a homeowner is allowed to do wont on theb' own !tome. Are you a homeowner doing work on your own ]ionic? ❑ Yes (Skip to 03 and complete the Homeowner's Exemption) O No, i am working with the homeowner 2: Plu nbing C nlractortt /n� Business: oJZAlvf lJ1ti,H�r^� GGA StateL(censeff: Ptj?,-e"Ils/7xp.: �� d Address: 33998 E r,U41 I A-n'"0-1State:..L zipCode:� Phone: 7013 5-35- /' Email: Te / a'r0 v.adr rCH? �tivo. ecw, Contact/Rep.Name: Nod 0 Phone: P1MAI; Plumbing ContraeforAutho('ize8 $igna(uee: Date: .3 Acopy ofyourstate reglstivalmt/llcenseIsrequired to eoilfle.Ifthlsls fi-stHmeyouhavedeltaworkIntheCityofRexharg,pleaseprovide a photo copy ofyour license: lfyou are mtstne if yore' Ilcense Is on file, please check with the Par niltTechnician by calling (200) 372.2341. 3. Project Description Address: OR- Lot A:�Block k: Subdivision: Descriptionofwm'k' f�IPt,S Yee • New SPR Constructlow —a -i -I 17 1—sq. R, • IreesforDow consavctlonare Chargedbysquarefaotage:Upto1,500sel.ft.=$130+$65foreach arkllNmnal1,000sq.f,orporton thereof. o Upto 1,500sq.ft. -$130. Upto2,500sq.ft=$19.5.Uptn3,soosq./t.=$260. Upto4,500sq.f.-$325,etc. (i.e.it hone with $675 sq. fi, will be ctrarged $325) ❑ Hydronic (In -floor) Heating: O Yes LYNo • Note that h(vdrolikheating hsnothncudedbnsquarefoolagecostsordwill hechoDed$6.5+($10xtlofmmnffolds/xones). APPLICANT'S SIGNATORR.CERTIFICATION AND AUTNDRI7.ATI0N: Under penallyofporlury, I herebycarlify that l have read this application and stole that thelnformation humin Iamrroetnnd I swrarlhat any information whteh may hereafter begiven by tine In hearin6sbefore the Plamlug aal2sxiing Commission or tire City Cenral for @o city of Itaxburg shall he lnnhud nnA mercer Ingrre to comply with nil City relplallans and Statelosys relating to lhosablerUnalter ofthis application and hereby nuthorliell representatives oflhe City in enter upon the piove tnrnllnnnd vropnry liar hispectli nsprrpnsrs NDTPo Tito bulldhigofficial nilly revoke a permll all opproval issued ander the provisions or line 2012 international Code la cases orarkyrals. statement or misrepresentation ofract in like application wren the Plans on which Wo perndtorapprovll cons based. Perailt void if oat stated wllhhn 1110days. Permit void Ihvak stops for 100 days. Applicant's Name (print):T-f yoc eve(gyn ..—Signature: TLE—<— Date: _ ��/ lospedIons must be called In before 0 AM on thv day Ilia inspatien Is requested. Inspection requeas called In after 0 AM will be scheduled for the next bnslnoss day. Inspecilon Ilotilno- (200) 372.2314 wwivmxIcurg,nrg Firms Technician -(200) 372.2341 CITY OF REXBURG A medrd Family Community SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: 9),j cVAanA LonSArAk k fn f' e Insulation: Drywall: Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 �V) TAO1X►lli�[3��f►7aZ�4r=�iT�i1�GL�� Q. Painting: 0e,4\n•e. OQ$15y\ Floor Coverings: _ CG- \ peALQ1 Ceok— Plumbing: Heating: Electrical: iJ Special Construction (Manufacturer or Supplier) Roof Trusses: Wer VjgEi C -or v-., Floor/Ceiling joists: IR TY) WC'S"}' co('tDad' 'a, Siding/Exterior Trim: Other: Inspection 14o8lne-(208)372.2344 tvwmmburgorg Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG Americas Family Community Affidavit of Legal Interest Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 State of Idaho County of Madison I, y,�,"ocros AvNe Name Address P,(2 ybU !�� City U 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 I 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. r.. Dated this 1 j 2 F' day of b,'y 20LZ_ Signature Subscribed and sworn to before me the day and year first above written. 0mo Notary Public/of Idaho �J DARCEYE.YALERIO Residing at: f En �U�C7 NOTARY PUBLIC g STATE OF IDAHO I I,nn In My commission expires: LrG I Inspection Hotline -(208)372.2344 wvwvxexhurgorg Permit Technician -(208)372.2341 Revised 10, 2016