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HomeMy WebLinkAboutAPPLICATIONS - 17-00645 - 762 S 2275 W - New SFRCITY OF REXBURG r� America's 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 Intag. 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. tr 0 If a building is occupied without receiving a signed Certificate of Occupancy, citations maybe 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. 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 ay. 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 �j 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. 0 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. I -e- 0 The above policies will be enforced to all, regardless if this information is passed on to them or not Initials Applicant's Name (print): Signature: �t� Date: [0/1* -7 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 Revised 2/2017 FQpXe VqC CITY OF ° REXBURG cW Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison Name �p , F"� 'J r� City Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 P2b) Address /J0 State 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 -fD— r .2017 Signature Subscribed and sworn to before me the day and year first above written. DARCEY E. VALERIO 11 lli NOTARY PUBLIC STATE OF IDAHO Inspection Hotline - (208) 372.2344 �rcRN Notary Public`QUO Residing at: EX V 96 U My commission expires: w .rexburg.org Permit Technician -(208)372.2341 Revised 10, 2016 CITY OF REXBURG AmericA 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. 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 :t-grd-1r -Wan. Printell Name Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 OQ 0.4%hUpC R{ .� cltx of °„ ' REXBURG' BUILDING PERMIT FORM 100 (7410Upd,h 1013016 Americds 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: ❑ $500 1. Property 0 Name: �ner ay+0h'neC Homs -3 Address: t1l S• `JcZeOt Jst-YV N t! lJg 1�qbt City: 1k Q- r State: I D Zip Code: S --104 to Phone: SaGis Email: ey 0? V-1 Yfi h n,�4 hoart-- 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 #4 and complete the Homeowner's Exemption) 'F No, I am working with the homeowner 2. Applicant p/ Name: Ga site b DV Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 3. General Contractor 11 _ Name: Registration #: I `I S1 Exp.: 12/3 V/T Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: Date: A V 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 Address: -OR- Lot #: $ Block #: t8 Subdivision: SQ-tYN)O e OS— Q4 Project Description: • Square Feet: Building Total: 1'61 C sq. ft. • # of Water Meters: Water Meter Size: o Main Floor: "13 r1 sq. ft. • Fireplace(s) Being Installed? 13 Yes R No o Additional Floors: l0'10 sq. ft. 0 Hydronic Heating Being Installed? O Yes q,No o Basement: Finished sq. ft. Building Permitfeesfor new homes are charged based on square Unfinished sq. ft. footage and the City's estimated valuation. For details on howfees o Garage 64'4%0 sq. ft. are calculated, contact the Building Department There will also be • Estimated Total Cost:$ oplan reviewfee totaling 10% ofthebuilding permitfee. APPLICANTS 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 hereafterbe given by mein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree m comply with all City regulations and State laws relating to the subject matter ofthis application and hereby autheriud representatives ofthe City m 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 crony 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 Too days. Applicant's Name (print):�CtT a E✓V_n ph Signature: — e � Date: _LV_ )�2 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 ovasxevaa CITY OF o 'ft Ta ,BURG BUILDING PERMIT FORM 13� Y 11P� uN.va lepras w Arnericn5 FmnityCamnumly BUILDING APPLICATION New SPR Plumbing Building Safety Department City of Rexburg 35 North 1st Bast Rexburg, Idaho 83440 For Office Use Permit Number: b Plumbing Fee. Paid , 1, Property Owne` , Name: �C preyI axis Address: City: State: Zip Code: Phone: Entail: Under Idaho Building Code, a homeowner is allowed to do work on their olvn home. Are you a homeowner doing work on your own home? 0 Yes (Skip to 83 and complete the Homeowner's Exemption) D No, l am working with the homeowner 2. Businelbing Cplriracto` j n� .n. � c. PZ I�-[-/15-%,� Business: v 25�rt� I'" tl.� � � State License N: xp•: Address;3%�if3 ,+� 5•'c GGr:ft! AI+TeKa ��S te: 1 Zip Code: 0 Phone: X08 5'3i /' O Email: /o a '.c a+n�+"n2 see . Contact/Rep, Name: Aad or Unite Phone: Em il: PlunibiegContraef6rAutlioi'Izei signaim'e: c c Date: Acopy ofyourstate registration/llceuseIsrequired to eonple.Ifthlsis)lrstUmeyouhavedoneworklittheCityofltexburg,pleasoprovide a photocopy ofyour license. lfyou are misure Ifyon' license Is on file, please check with the Pornilt Technician by calling (200) 3722341. 3. Project Description Address: OR- Lot h:e�Block#:46 Subdivision: S'jrhme✓1q*g2i Description of work: %`1e''J cl- 0 New SPR Construction: I S 1 r sq. ft. • iteesfornewcotlstrvtetlw;nrochargedbysgumefootage:Uptol,500sq.)t.=$130+$6.5Jbreachad<IlNonn11,000sg.)Lorportlon thereof. o Up to 1,500sq.ff.=$130. Up 02,500sq.f.=$195.Up1o3,500sq.ff.=$260. Upto4,500sq.f.-$325, etc. (i.e.ft home hvlth 3,675sq. ft. tvlll be charge(1$325) ❑ Hydronic (In -floor) Heating:0 Yes Ir0 • Note Not lWdronlcheathlg lsnotlncluded In squmefoologe costs and will be charged $6.4♦($Iox O ofmmnfoids/zones). APPIACANT'S SICNATURF., CERTIFICATION AND AUTHORIZATION: Under penallyotporfury, I hereby ear111ylhat l love read this application and slate that the information herein Is correct and I swear [lint ally Information, winch only horenAerhe given by new In hearings berate Ilse planing and Zonnnti Caminlssio, or Ilia City Coonlctl for the City of texbttrit Fllall IIC Inllhrlll illi Cary `rl. I agree to comply with all City regtdal Ions and State lows relntlllg to the subject onaIter or this application and hereby nuthinke111epYC5en1a11VOF of the City to onto, upon the nllove-oenlloned property for Inapwlinns purposes. NOTE The building official may revoke permit oil approval issued under ilia provisions or Ilia 2012 International Code In cases fany ralseslnlament or n0erepreseutallnln offact In leo application oron the plans on which Ilio penult or approval was based. Permit void lhlnt sotledwlthlWlmdnys. Pernnit void lfwnrk slops for loo days. Applicant's None (print): J'a rWt-EUerU"_ —Signature: �R >z — Date: 1%`lipWf hnspedlons most be called in before U AM on the day Ilia Inspection Is requested. Inspection regaesls called In after U AM will boschoduled far Iho next business day. Inspudion Ilollino- (200) 372.2314 www.rexhurg•nng Porndt Technician -(200) 3722341 CITY OF REXBURG (w Americn3 Mrnib• Co ns unfry BUILDING PERMIT FORM 110 aod.w tones 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 Own r Name: G P(eVt�JS. 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,1 am working with the homeowner 2. Mechanical Contractor f WL Business: bwWWtr, State License lh O/ Z SS Z Exp.: S j/ Address: c ' City: Stat : YkP Zip Code: Phone: �0• Em II: O 4' t .00 6040, d Contact/Rep. Name: !N 1 Phone: 2 Email: Mechanical Contractor Authorized Signature: r _ 1 Date: - AcopyofyourstatereglstrallonflicenseIs required to beonfile.ifthisIst firsttraeyouhavedonewarkfittheCityofRexburg,pleaseprovide a photo copy ofyour license. lfyou are unsure Ifyour Ifceilse is on file, please check with the Permit Techn lelon by calling (208) 372.2341. 3. Project Description pp Address: OR- Lot M.2,Block#:bSubdivision: Description of work: Nevi 1b,Mc ❑SFRConstruction: l$)T sq. ft. • Feesfornewconstructionarechargedbysquarefootage:Upto1,500sq.A-$130+$65foreachadditional1,000sq.f.at portion thereof. o Up to 1,500 sq. jt. = $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. R will be charged $325) ❑ Number orFireplaces: 0 • Not, thatfireplaa� ces are not included (it squarefootage costs and will be charged $6S per inspection. O Hydronic Heating: _h1/ • Note that hydromic heating Is not Included In squorefootage costs and will be charged and additional $65 + ($10 x #of inanifolds/zones) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penaltyofperjury, Ihereby 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 on, 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 n elating to the subject matter orthlsappllcatlon and hereby authorized representatives of the City to enter upon the above-mentioned property for Inspections purposes. NOTE: The building official may revoke a perm It on approval Issued under the provisions ofthe 2012 1 ottmational Code In cases or 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): alit &D 6. SO n Signature: 1 OL KJ �� Uate: ) A -_1 1_Q Inspections must be called In before SAM on the day the inspection Is requested. Inspection requests called In after B AM will be scheduled for the next business day. Inspection Notlha- (209) 372.2344 www.rexburg.org PennitTechnlcbn-(200) 372.2341 CITY OF REXBURG tti Aumrfea'slke fly Cannnanhy BUILDING PERMIT FORM 12011 urlauase/rasa BUILDING APPLICATION New SFR Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Por Office Ike- PermitNumber: ❑ Electrical Pee Paid 1. Property Owner Name: so—c t�JS Address: City: State: Zip Code: Phone: Emalif Under Idaho Building Code, a If anneowner 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) 17 No, I ant working with the homeowner 2. Electrical Contractor f Business: S!yA ra)f 61et Nz tit_ State License#: �����' Exp.: Address: Y //6, City: tP IPis 11 State: r-6 Zip Code: F35!;,✓3 Phone:– Email: ✓ qi,d 11�!5P J ^e IOaN.a%, C. ALI Contact/Rep. Nanle: —Ph—e- Email: Electrical'Co: " torAuthorizedSignattirei Date: A copy ofyour state registration/Ifcense is regrdre be on file. f iffs lstlrefirstthneyou have done work In the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure t our license is of file, please check with the Permtt Technician by callhtg (200) 372.2341. 3. Project Description Address: -OR- Lot#Block#: vSubdivislon: S0Vy%Yric 66nQ Description of work: j/eW Tire— ❑NewSFRConstruction: b) sq. sq. it. e peesfornewcotistructfolareclrargedbysqumefootage:Uptol,500sq.ft.=$130+$65foreachndditlonni1,000sq.ft.or portion thereof. o Up to 1,500sq.f.=$130. Up to2,500sq.f.=$195. Up to 3,500sq.ft. = $260. Up 10 4,500sq.ft,=$325, etc. (ie.a home wlth 3,675 sq. ft. ivlli be charged $325) • Spas/Pools/Generators: O YesV No e Notethntspns/pools/genernrors meant Included In squarefootage costs and fvlll be charged $65 per Inspection. APPI.ICAN'rSSIGNATI)RI?,Celt•1'IFICATI()N AND AUTHORIZATION: under penally of perjury, I hereby certify (flat l have read this application and state that Ilia Information herein Is correct and 1 swear that any Information which unity hereaRer be given by um In hearings before the Planning and Zoning Commission or the City Cmmcll for the City of Rexburg shall be lrolhful And correct. I agree to comply with all (3ty regulations and State laws relathig to tile subject m:dlerof this application unit hereby authorized representatives of the City to eatm'up0rr tine abuveanentloned properly far bsspectlons purposes. NOTE: The bulldhigomcial may revokes permilmi nppruv d Issued under the provisions of the 2012 International Mile In cases ofauy false sudemmnl or wha epresentzllon of fact in the application or on the plans on which litepennil or approval was based. 1'erndl Vold If not started within 100 days. Penni) void Ifwork stops for 100 days. Applicant's Name (print): / �Y'LE✓Jl�lp� Signature:/< vR� Dnte:.__J(l7 �— Inspeclluos must be called fn before 0 AM all the they file Inspection is requested. Inspection request&called In after 0 AM will be scheduled Act tile next business day. lnspecllon pliable - (208) 372.2344 www.rexOnrg.org PermltTedwidau-(200)372.2341 epE%EUq° CITY OF v� REXBURG c Amvlml Fumily Conon My Excavation & Earthwork: 1 l SUBCONTRACTOR LIST Concrete: -` ,I ('QCtYIA 6(\(N&k,t, 1 0 [, V Roofing:CJ�(� \��5� Coy Q0fe' Wr , Y Insulation: Drywall: Painting: \ e'A\ n -e— oe$i 5V' Floor Coverings: CG -r; QeA— QICeot— Plumbing: Heating: ty Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Vim) (. w21sr Ca(�eo oY. Floor/Ceiling Joists: \L\jq-�'± CocWpLa-&k,�. Siding/Exterior Trim: Other: Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 1i in Inspection Hotine-(2011)372.2344 www.rexburg.org Pennit'I'edudcinn-(20H)377.2341 Revised 10/2016