Loading...
HomeMy WebLinkAboutAPPLICATIONS - 17-00637 - 290 Baldwin Dr - New SFRgE%9 Vg CITY OF ° REXBURG t� Amesica4 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. The best way to identify property line location is with a land survey. The In addition to finding existing property pins, le al descriptions should be checked. g 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. Sign ture Printed Name Inspection Hotline -(208)372.2344 w .rexburg.org Da0e Permit Technic Man -(208)372.2341 Revised 1012016 CITY Or REXBURG C� America's Homily Community PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 3S North 1st East Rexburg, Idaho 83440 The Cityof 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 approves permlc 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 maybe issued. Nobuild 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 IfyV 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. urinals 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 B AM will be scheduled for the following business day. o Required inspections can be found an 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 Ininais 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 �n� G1 Vorvr�. Si nature: �' r'"— Date: Applicants Name (print): g Inspections must be called in before 8 AM on the daythe inspection is requested. Inspection requests called in after SAM will be scheduled for the mxtbussinesd Inspection Hotline -(208)372.2344 www.rexhurg.org Permit Techniclan -(208)372.2341 Revised 2/2017 CITY OF Building Safety Department of oG S 5 B 0 City of Rexburg REXBUR35 North 1St East America's Rmi) Community Rexburg, Idaho 83440 Affidavit of Legal Interest State of Idaho County of Madison Name Address 12 ._l1 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 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. Dated this day of (064bbe" 20j-7— Signature Subscribed and sworn to before me the day and year first above written. [:: DARCEY E. VALERIO NOTARY PUBLIC STATE OF IDAHO Inspection Hotline- (208) 372.2344 Notary Publi d Residing at: 0 W4& My commission expires: 117 I q www.rexburg.org Permit Technician -(208)372.2341 Revised 10, 2016 CITY OF 1tC1lUU1\U' BUILDING PERMIT FORM100 CW updated go/zags America's Family Community 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: D $500 1. Property Owner Name: Keo( -AY)er Vrw z� Address: BS'1 $ tie�A Xi +Y S!� Ciiy: 94.?cburf_State: In Zip Code: 93q4n_ Phone: EJc%`q� 2111, Email: g�cfhY(L�/'Y/dYhaw',.i�n� Under Idaho Building Code, a homeowner is allowed to do work on their own home, y Are you a homeowner doing work on your own home? D Yes (Skip to #4 and complete the Homeowner's Exemption) WNo, l am working with the homeowner 2. Applicant Name: %S q CVNA Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 3. General Contractor Z Name: SriVVe_ ab -1Wrc Registration#: I` _Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: :TAY -t Date:01 /-//:7 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. 4. Project Description �'(40,� (, Address: -OR- Lot #: Block #: _Subdivision: Val Project Description: • Square Feet: Building Total: ),%-�j sq. ft. • # of Water Meters: --I— Water Meter Size: o Main Floor: IlAo sq. ft. • Fireplace(s) Being Installed? D YesT No o Additional Floors:I�sq. ft. • Hydronic Heating Being Installed? D Yes' No o Basement: Finished sq. ft. Building Permitfeesfor newhomes are chargedbased on square Unfinished 0?4`1 sq. ft. footage and the City's estimated valuation. Fordetails on howfees o Garage sq. ft. are calculated contact the Building Department There will also be • Estimated Total Cost:$ a plan reviewfee totaling 10$16 of the building permitfee. 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 1 swear that any Information which mayhereafterbe given by me in hearings before the Planning and Zoning Commission or the CityCouncil for the City of Rexburgsball be truthful and correct. 1 agree to complywlth all City regulations and State laws relating to the subject matterof Udsapplastion and hereby authorized representatives of the City to enter upon the above-mentioned property for Inspections purposes NOTE: The bulldingofflcial may revoke a permicon approval issued under the provlslonsofthe 2012 International Cade in cases of any false statement or misrepresentation of fact In the application area the plans on which the permit or approval was based. Permit void if not started within 180 days. Permltvoid ifworkstops for 180 days. Applicant's Name (print): �M 61120 � Signature: 14-i_�2 Date:JD D 7 Inspections mustbe 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 Building Safety Department AexRUq C I T Y C P City of Rexburg o nr7 mG BUILDING PERMIT PORM 13U 35 North 1k1 East 'Y 11�t.CC2�ytt Upd@4I0/2016 rib,Rexburg, Idaho 834.40 "•oro ��,, NnerfmS FanilyConunurdty BUILDING APPLICATION New SFR Plumbing Por.OfflceUse.'.. " 6 Pintnbing pee,Palfl. Pei'Iiait Numbel 1, Property Owneu/(yJs Name: Ste �f Address:City:,--State: Zip Code: Phone: Email: Under Idalfo Butldhf© Code, a Honfeowner is allowed to do worh off tlfelf• own !forme. Are you a homeowner doing warlc on your own 11011107 13 Yes (Skip to 43 and complete the 110meownces Exemption) I] No, l am wm Idng with the homcowller 2,PhmlbingC uh•actot G c pig�x l� o Business: U G 5 State License H: p^ /t �Zi Code: Address: /.e,y,y drti� cE 7ner iC r / �/es� �G Phone: Z°� 5 3$ /' U� Email: ec or 2. Phone: Ent, II: Contact/Rep, Name: /, r iCnfaciAiiizeii+at: , PhinbiittoofiexbTu+O,plensaprorv provide Acopy ofyourstateregistralon/IlcenseIsrequired to eonfile.ifthlsis efrstttmeynnhnvedonewarna a photo ropy ofyour license, lfyou are mlaore Ifyourllcense is on pla, Please check with the pe+ndtTechnician by tatting (208),772-2341, 3, Project Description, -OR- Lotll:�Blncic8:� Subdivision: �n(e � 51trc Address: Description of work: y 2 5 s . ft. El New SPR Construction: �— 9 1 � Pees for newcmistructlannrechmaedbysgum•efootnge:Uptoi,500sr$65fa•each nddlflonnll,000s, or ortlml thereof o Up ta1,50gsg.n.=$130. Up fa 2,500 sg.Ji.=$195. Up to 3,500.ag.Jt.=$2617. Up to 4,500 sg./t=$325, etc (I.e. f] home with 3 675 sg. ft. tvilt be cbnrgefl $325) ❑ Hydronlc (In -floor) Heating: ❑ Yes Ghplo R Note that llydrontcheath+gisnatincludedlnsguarefootagecostsmndWill beehneDed$55+($10x1/nfmnnlfotds/zonas). is And rmation dllfsn APPLICANT'aaoNUla• Willett In hearings fplanning moftile city Councll for the that tile city ofllexbltg is rnrfact And 1stvrr Ilnln Infnr nlntihnYheferheRiven by Ine shall he Imidnnal etpall City repilallolittand Ilbalftimle[tile city to pollme-mmlloted prnrrlY fMhlspeimisantpnseeNOTE:ThehtllI11IRofk;tl only revolla arnit on Rpgrovl lssncIntdltration or tile pr,uof tli 2012 International tOdC In fdSCSO(RIIyf015e 510i<Olept or n,I StCpte5C11t0110n Of (net Ill tile naplenfl0l, ol'On 1110 plane oil 1V111ft1tile pelnll nl OapNVAI {Y115 hniell. Pel'IIIt V01d l IIOt slarlel {vithln 1110Ixys. Perini vold If{vnrk stows for 10D days. Applicant's Name (print): -- _Signature: —Date;— - far at Inspections nntet hu called It before 0 AM m] the lay the lnepecllot Is regi ested.w{vvarexborg•nrB equeslt called Rafter 0 AM svili ho schePer ult Te 1 i Ilii- (s 200)372 2341 Inspacuon Ilolllne- (200) 372.2344 Building Safety Department p9 ys%ene4 c I TY OF City of Rexburg BUILDING PERMIT FORM 110 REXBURG nra.aaia7aa,a 35 North 1St East "" Rexburg, Idaho 83440 Nnnlm} Rtrnlip Grnnuudty BUILDING APPLICATION New SFR Mechanical For Office Use D Mechanical Fee Paid Permit N umber: —� 1. Property Owner Name: City: �State: Zip Code: Address: Email: Phone: 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? 13 Yes (Skip to #3 and complete the Homeowner's Exemption) D No, I am working with the homeowner 2. Mechanical Contractor r LLLj/ $ Business: o b �i State License #: 01 z 5'S � Ex: 4. Stat : F41' --Zip Code: `y sy% r Address: o City: Em Il: Phone: �6 ' -1 Z Email Contact/Rep. Name: `I^ I Phone: _. h_y-if ..i' Mechanical Contractor Authorized Signature: ofReItburg, please aA copy photocopy astote license, lfy un aree is required to ge on unsurelfyo dice se sl oilfle, lease check with thethis is thifirst throyou lave dOSe %vork in the Per it Technician by cl�ing(208)372-2341. provide PY fY n p 3. ProjectDescriptiolF.7`1(letCdr3 ,�yli Address: -OR- Lot#: SBlock#:Subdivision: Description of work: U SFRCo» struction:-� sq. R. . Fees -for for eachaddldmlal1,000sq.Jtm portion thereof. .=$105. Up to 3,500 sq. ft.=$260. Up to 1500 sq. ft.=$325, etc (l.e.n o Up to 1, 500 sq. ft.=$130. Up to 2,500 Sq. ft home with 3,675 sq. A will be charged $325) D Number of Fireplaces: 0 . Note thatfireplaces are Hot included III squarefootage costs and will be charged $65 per Inspectlo?) D Hydropic Heating: Note that hydronic hearing is not included in square fODtage costs and wUl be charged and addiUona) $65 + ($f O x N of man(olds/zones) ION AND AUTHORIZATION: Under penalty of Penury, I hereby Certify that I have read this appllotlou and suite that the Information APPLICANT'S SIGNATUItg, CBR'1'll'ICATtile In heroin on which may hereafter be is correct shall be trtuthful slid cr ri e'ct.lI agree lin comply with xll Chy reg dalton s aven �d stale laws elatingrto the Sublede ami of lids applleellon and be leby aulhorlaedWe city of ! The building provisions rcruesenixtives 2012 International Code In rases or anyraise tatem statement or nhe above-mentlorted property for tdseyreseectionsntilon of factInnthe application or on the plans oay n wldcl Ie perermit on mtora aproval proval was under the based. Permit veld if not started within 180 days. Permits void lfwork stops for 180 days. Applicant's Name (print):�� rsj POtlt e P` Signature: �(/`�— Date: �� wsvw. inspection Perdfor di next -sine)372., Inspections mustbe railed In before SAM on lbeday the lnzyeclion is requested.Inspecllon requests called In after BAM will be scheduled for Ute next business ay. Inspection Hotline- (20B)372.2344 o5 p¢%Up Building Safety Department CITY OF City of Rexburg BUILD INE PERMIT FORM 120 o a,n,aarnnnr, 35 North 1St East . nv ,.ac• AnnrkniPnndlyCunhnhanhy Rexburg, Idaho 83440 BUILDING APPLICATION New SFR Electrical Pui::Ofrice Use PermitNuniber; p Clectricil Fee Paid 1. Property Ow cr t� •�( Name: I r My + f 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? 13 Yes (Skip to #3 and complete the Iiorneowner's Exemption) ❑ No, I am working with the homeowner 2• Electrical Contractor Business: 'nz e14t StateLlcenseth ��8�� Exp.; Address; /1ia City I r State: —Zip Code: 13 s Y Phone: – Email: �' ii Contact/Rep. Name: Phone: Email: Elect&Dl boh(ractorAutlioriied SlgriaEurei Date: Acopy ofyourstate reglsan[ton/licensefsrequir been/fle. f its isthefirsttf+neyouhave done worlcintile city afRexburg,please provide a photo copy ofyour•license.lfyouare Unsure 1 om•11onseisonille,pleaseCheckivithtileYerniftTechnicianbycnlling(208)372.2341, 3. Project Description [ao.�,nd�r� S��ypP Address: OR- Lot#: Block#: -9 Subdivision: Description of work: fila W ❑ New SFR ConstrUCHml: 9 ) sq. ft. • peesfornew construction are charged by squarefoottlge: Up to 1,500 sq.ft.=$130+$65for each additional 1,000 sq•ft. or portion thereof. o Up to1,500sq.f,=$130. Up to 2,500sq•ft.=$105.Upto3,500sq.ft.=$260. Up to4,500sg.ft.=$325,etc. (i.e.a home with 3,675 sq, ft. will be charged $325) ❑ Spas/fools/Generatm•s: I] Yes t"O • Notethatspos/pnois/genera[osaretintInch+dediasquarefootagecostsandivfllbednoped$65per•Inspection. APPIdCAN'I S SIGNATUfill (Till IFICATION AND AIITHORI•LA710N: Under penally of perptry, I herebyrertify, that l crave read this application and state that If. Il formatio tberebh Is correct and I swear that any Infaunallen eviddnnay hereafter he given by Ilia in hearings before the Planulng and'loning Commission or the City Council for the City of ilexbtlrg ,loll be truthful Snd torreel. I agree to comply with oil City rognlatious Slid Statolasys totaling to the SubjecUnnllerof lhls opI)II,tioll and herehy, authorized representatives of the City to enter upon the nbovrmeulioued properly for Inspections purposes. NOTE; 711SbldidhlgOnhial may revoke a penniroil appromd Issued ander the inovislons of the 2012 l ulenh:dlonnl Code II cases orally false statenhmht or Itdsrrymceeutallon of fad In the application or an the plans on tvhlell the perndt or approval %vas based. Terni t veld If not slm'ted tvlthhrlo0 clays. Permit void If uolkslops for 100 days. Applicant's Name[print)�GIi�� Signature: TeL I ,,�`--'L---Date:10113117 Inspections mut becalled Ii before DAM oil the day the Inspection Is I'equested. inspection requnstscaifed [natter 0 AM nlll be scheduled fertile noxi business day. Inspection fintline-(20X) 372.7.344 w4vlv.rexburgorg Pei Sir Technician -1200) 372.2341 peXUUgC CITY OF REXBURG Amerlcai Fn rnily Conmmn0y SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: 1`)V Gv'\Ctnd Co Masonry: ') ' J-. /tpf\-t oli Roofing:�,V(���ST t oY�O/la� Insulation: \", xv es-� LID,( ID,( � Drywall: v Painting: {rev\n-e- Qlesl�y-\ Floor Coverings: ce r peA- Ql (ed -- Plumbing: Heating: (VL Special Construction (Manufacturer or Supplier) Roof Trusses: V `' 1 Floor/Ceiling Joists: �mC- wed} Siding/Exterior Trim: Other: Building Safety Department City of Rexburg 35 North 15C East Rexburg, Idaho 83440 �V) Inspection I1001ne-(200)372.2344 tvww.rexburg.org Permit Tedmieian-(200)372.2341 Revised 10/2016