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HomeMy WebLinkAboutAPPLICATIONS - 17-00691 - 1051 Larch Dr - Shopae�F.z•ugc, CITY OF MiXBLTRG BUILDING PERMIT FORM 404 CIA updaW 10/2016 A irriml, Family Community BUILDING APPLICATION Residential Accessory Structure Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office UseO�R I 1 `ls Permit Number: Zoning: Application Fee Paid:k $440 1. Property Owner,, Name: 7&1,1,A16 16 .Q. ,n Address: '7,5_0 G2 JW ll.d YQZ /ST. City: JZl� 000.0 State: Zip Code: g%3 y yD Phone: Z079 , .31 3 . 9 7 2 I Email: GOvh 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) R No, I am a contractor working for the homeowner 2. Applicant Name: XJ3. 1Ca y (,O/JSi"jXr014 Role: (Owner, Tenant, Contra etc.) Address: 15d YI S7—A City: 12%J(&&6 State: �_ Zip Code: e umq Phone: 2014 • 71 V • 2_.3 7 Ll Email: TAP.,fA e_oOrWOGnON. M41 Contact/Rep. Name: 3. General Contractor Name: .SAME Registration #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 1--,^,,�[/Phone: �/�"� Email: General Contractor Authorized Signature: Aryy , 40• l�.a Date: A copy ofyour state registration/license is requiredVtbe on file. If this is the l st timeyou have done work in the City ofRexburg, please provide a photo copy ofyour license, Ifyou are unsure ifyourlicense is on file, please check with the Permit Technician by calli 208) 372-2341. 4. Project Description Structures less than 200 square feet do not need a building permit. Structures 200 square feet or larger need a building permit and must adhere to the setback rules of the zone in which they are built Address: %oi/ Lf} 14 .67— Project IProject Description: _ S)4 &P ao • Estimated Total Cost: $ 7 2 I OcV, • Square Feet of Addition: 7W sq. ft. • Type of structure: ❑ Deck ❑ Garage/Carport IN Shed/Shop ❑ Other: Explain • Check All Included in Scope of Work: ❑ Mechanical Work Cost: $ Q Electrical Work Cost: $ qAV. � ❑ Plumbing Work Cost: $ Note: Any contractors involved will need to FlII out their respective application, Building Permit fees for accessory structures are charged based on square footage and the City's estimated valuation. For details on how fees are calculated, contact the Building Department There will also be a plan reviewfee totaling 10% of the building permitfee. �GL 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 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 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. pp. Zorn Applicant's Name (print):JAAI�/c Signature: fes' Date: IO• �l Inspectionsmus[becalled inbfoe SAM on the day the' pection is requested. Inspection es Is called in after SA will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.or Permit Technician - (208) 372.2341 CITY OF REXBURG CW.. Ameri&6 Family 64n2munky BUILDING PERMIT FORM 1 2 2 pd.. 10/2016 BUILDING APPLICATION Addition SFRElectrical Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 For Office Use Permit Number: D Electrical Fee Paid 1. Property Owner Name: ZJ-,gfr 7.(7GG//Jr 1 p Address: �� %rP. ! 1;AJk'W GT City: PCX'90� -rl State: �� Zip Code: �/Jy '40 Phone: 7_ d$ . 313. 9 U. I Email: M9 TO(L/N44Z 03 6M411— WM 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? D Yes (Skip to #3 and complete the Homeowner's Exemption) IR No, I am working with the homeowner 2. Electrical Contractor J Business: %}�/1 l�liLrGGYIZI [_ State License#: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: Date: Acopy of your state registration/ license is required to be on file. Ifthis is the fust 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: j aS-) i',Afi:61r1 -OR- Lot #: _ Block #: _ Subdivision: Description of work: J5 Flo P D New SFR Construction: 77,0 sq. ft. • Fees for additions are charged by square footage: Up to 1,500 sq. ft. =$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. ft. =$195. Up to 3,500 sq. ft. =$230. Up to 4,500 sq. ft. =$295, etc. (i.e. a home with 3,675 sq. ft. will be charged $295) D Spas/Pools/Generators: O Yes D 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, 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 days. Permit void tf work stops for 180 days. Applicant's Name (print): K Signature: Y/ • Q Date: W/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 CITY OF REXBURG -- r r Amerlcai 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 aal: 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. o If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may be evicted. OIIId S 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. o 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 tial: 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. o 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. Rials 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. I rials Applicant's Name (print): CJ ,49,1V 6 94 Signature: Date: •JO W Inspections must be call ad 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 10/2016 CITY OF REXBURG ---IW America's FaWly Community SUBCONTRACTOR LIST Excavation&Earthwork: KAvitt- e'A/NS-r2VCr) OAt Concrete: if9,E471VE— tZ96"r., G 0,1< Masonry: c i�i�©i1/leY Roofing: /� (%�L J�1iOil J�4N01E Z Insulation: 40V,4Arv3 17 sL) L,4Y)ON Drywall: N A \W' S (Z�b)/• b t— Painting: ,Sj AZ2 ` F-1`0 PA)Nr Floor Coverings: Plumbing: Heating: Electrical: Lf%G„q�j/ 35'! f�*) C Special Construction (Manufacturer or Supplier) Roof Trusses: '94)<f- ( m5a -rfz S Floor/ Ceiling Joists: '6 MC Siding/ Exterior Trim: u M G Other: 13YV'\ L 6J)101nl�_/Y{4Tf(l/.9G 5 Building Safety Department City of Rexburg 35 North Ist East Rexburg, Idaho 83440 Inspection Hotline—(208)372.2344 www.rexburgorg Permit Tech. ician —(208) 372.2341 Revised 10/2016