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Home My WebLink AboutAPPLICATION - 17-00630 - 1085 Greenside Loop - New SFRCITY OF REXBURG BUILDING PERMIT FORM ci100 v upanualoinui il America's Family Community BUILDING PERMIT APPLICATION New Single Family Residence Building Safety Department City of Rexburg 35 North 1gt East Rexburg, Idaho 83440 For Office Use Permit Number: Zoning: R a Application Fee Paid: 0 $500 1. Property Owner Name: Q6c&4 SIQ CSM Ucs PeJ Address: /085 iii,crxiLa Lades City: Aeyheooeq State:3 Zip Code: S3y,� Phone: ao8-.34D-tLla3 Email: eiara4mk10 ggcl.or.4�/_Coon Under Idaho Building Code, a homeowner is allowed to do work on theft own home. i Are you a homeowner doing work on your own home? 19Yes (Skip to #4 and complete the Homeowner's Exemption) 0 No, I am working with the homeowner 2. Applicant Name: Role: (Owner, Tenant, Contractor, etc.) _ Address: City: State: Zip Code: Phone: Email: _ Contact/Rep. Name: 3. General Contractor Name: Srw%t wS owYk+- Registration#: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to be on ffle. If this is theffrst timeyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: /D 85 Aeaotc,do OR- Lot #: (2 Block #: L Subdivision: Pi vG Pfrvok F' 6r4i! Project Description: • Square Feet: Building Total: sq. fL • # of Water Meters: _L Water Meter Size: o Main Floor: AoW.0 sq. fL • Fireplace(s) Being Installed? ® Yes ❑ No o Additional Floors: 0 sq. ft. 0 Hydronic Heating Being Installed? 0 Yes 0 No o Basement: Finished 0 sq, fL Building Permitfresfor new homes are charged based on square Unfinished 0 sq. fL footage and the City's estimated valuation. For details on howfees o Garage 608 sq. ft. are calculated, contact the Building Department There will also be • Estimated Total Cost:$ aplan reviewfee totaling 10% of the building pennitfee. APPLICANTS SIGNATURE. CERTIFICATION AND AUTHORMATION: Under penalty cfpenury,l hereby certify that I have read this application and state Instate information herein is emrectand i swear Ihatany informatton which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Conned for the City of Rexburg shall be truthful and mrcao. I agree m comply with all City regulations and State laws relating to the subject matter of this application and hereby authorised representatives of the City to enter upon the abovommdoned property for Inspections purposes, NOTE: The building official may revoke a permit on approval Issued under the provisions aide, 2012 International Code In cases afany 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 ifwork gaps for 180 days. Applicant's Name (print): Domy RAS &.ussat Signature a f'% Date: _ / d -!V?'C 7 Inspections most be called in before 8 AM on the day the inspection is requested. Inspection requests calledi er 8 AM win be scheduled for the next business day, Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 ioQpxxep�Q'o CITYY OF Building Safety Department J,� MURG BUILDING PERMIT FORM110 City of Rexburg U CW 35 North 1St East America's Family Community Rexburg, Idaho 83440 BUILDING APPLICATION New SFR Mechanical For Office Use Permit Number: ❑ Mechanical Fee Paid 1. Property Owner ( Name: D.atul A.n.cQ d',o ItuRA9PX6tV.00✓ Address: /oils CerGa)sida Loop City:�Awbu,fj State: ZipCode:93Yuo Phone: elog– 390-9/?7.. Email: douc)Yth–,ds6tomAiz.Perrr 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? V Yes (Skip to section 3 of this application and complete the Homeowners Exemption page as well) ❑ No, I am working with the homeowner 2. Mechanical Contractor Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized Signature: Date: — 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, 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: / 015 CwQ eew Sid a6 .lab n -OR- Lot #:1a. Block #: _L Subdivision: P/.NG #root. Description of work: ❑ SFR Construction: sq. ft. • Fees for new construction are charged by square footage: Up to 1,500 sq. jt = $130 + $65 for each additional 1,000 sq. ft or portion thereof. 0 Up to 1,500 sq.ft = $130. Up to 2,500 sq. jt = $195. Up to 3,500 sq. ft = $260. Up to 4,500 sq.R = $325, etc. (ie. a home with 3,675 sq. ft will be charged $325) ❑ Number of Fireplaces: —L zft"O -ivt • Note thatfireplaces are not included in square footage costs and will be charged $65 per inspection. ❑ Hydronic Heating: • Note that hydronk heating is not included in square footage costs and will be charged and additional $65 + ($10 x # of manifolds/zones) APPLICANTS 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 ccrrecL 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 Cade 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. Applicants Name (print); Doris (?ASmussp✓ Signature`---� Date: �A.J7 Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called after B M will be scheduled for the nest business day. Inspection Hotline- (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 vvexev c CITY OF Building Safety Department REY-B G BUILDING PERMIT FORM 120 City of Rexburg �� aw °^°'mai'°t' 35 North 1st East Amerimk Family Community Rexburg, Idaho 83440 BUILDING APPLICATION New SFR Electrical For Office Use Permit Number: ❑ Electrical Fee Paid 1. Property Owner Name:_ DofLT A A SA41N %6fSr/tassex✓ Address: /oSK t32eo./e:10 J 3e,2 City: A0XA, ora State: Zip Code:83us4p Phone: 390—qt7a Email Jac 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? 1A Yes (Skip to section 3 of this application and complete the Homeowner's Exemption page as well) ❑ No, I am working with the homeowner 2. Electrical Contractor Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: Date: — 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 Address:—/O$!!5 art ee ✓ 4,d v. 'P -OR- Lot #:1=1 Block #: L Subdivision: &/y 15 rmA. 5 Description of work: ❑ New SFR Construction: sq. ft. • FeesJornew construction are charged bysquarefootage.- Up to 1,500sq.ft = $130 + $65foreach additional 1,000sq.ft or portion thereof. o Up to 1,500 sq, A = $13a Up to 2,500 sq. ft = $195. Up to 3,500 sq. Jt = $260. Up to 4,500 sq. jt = $325, etc. (i.e. a home with 3,675 sq. ft- will be charged $325) ❑ Spas/Pools/Generators: O Yes"K 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 than 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 previsions 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 ifnot started within 180 days. Permit void if work stops for 180 days. Applicant'sName (print): t)!2&e g 1!E4Smd tee.✓ Signature. Date: 10—J 7 Inspections mustbe called in before SAM on the day the inspection is requested. Inspection request ailed 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 Americas Family Community BUILDING PERMIT FORM 1� up"W 21zot> BUILDING APPLICATION New SFR Plumbing Building Safety Department City of Rexburg 35 North 1S1 East Rexburg, Idaho 83440 For Office Use Permit Number: ❑ Plumbing Fee Paid 1. Property Owner Name: T)nige, aw eP e5A41V rPAIt"Ll- SAp— Address: 'tog -'s CrLiP S.e(e lAa(e City: tQPkbrtxq State: --XZk._Zip Code: ff3SFSL0 Phone: 390-c{/7a-- Email:Z" n Ar.,�Js lVapu;/. Cain UnderIdaho Building Code, a homeowner is allowed to do work on their own home. Are you a homeowner doing work on your own home? 5 Yes (Skip to section 3 of this application and complete the Homeowner's Exemption page as well) ❑ No, I am working with the homeowner 2. Plumbing Contractor Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Plumbing Contractor Authorized Signature: Date: — 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 Address: 10RES (°rFf er4,J3cWe -OR- Lot #: IZ_ Block #: J_ Subdivision: Pii7 a B rook Es--I5><�s Description of work: ❑ New SFR Construction: sq, ft. B Fees for new construction are charged by square footage: Up to 1,500 sq. ft = $130 + $65 for each additional 1,000 sq. ft or portion thereof. o Up to 1,500 sq.IL = $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. ft will be charged $325) ❑ Hydronic (In -Floor) Heating: 0 Yes ❑ No • Note that hydronk heating is not included in square footage costs and will be charged $65 + ($10x # of manifolds/zones). APPLICANPSSIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury,thereby certify that 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 comect. 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 1f work stops for 180 days. Applicant's Name (print):06 L14 /QASrn it Ssel,✓ Signature: Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in her 8 AM will be scheduled for the next business day. Inspection Hotline -(208) 372.2344 www.rexbu%org Permit Technician -(208) 372.2341 C i TY OF Building Safety Department REXBURG City of Rexburg OW 35 North 1st East Ameriw' 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. 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 Printed Name fd..) y' Date / Inspection Hotline -(208)372.2344 www.rexhurg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG tn� Amerirni 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 Inl Is tag. If the red tag is removed by anyone but a City Official, citations may be issued. No buildin maybe 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 via may be evicted. Initials A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans. Itis the Applicant's responsibilityto turn in digital copies of the As -Built Plans when the project is completed. No Certificate of Occupancy will be issued without these plans. 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 da . o Required inspections can be 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 nitials 7 ��L Applicants Name (print): Sign e: Date: t0.)�, Inspections must be called In before 8 AM on the day the inspection is requested. inspection requests called in aft 8 A MAII be scheduled For the next business day. Inspection Hotline -(208)372.2344 s .rexburg.org Permit Technician -(208)372.2341 Revised 2/2017