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Home My WebLink AboutAPPLICATIONS - 17-00701 - 1204 Franklin Dr - New SFRCITY OF REXBURG 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 approvedpermit. 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 tag. If the red tag is removed by anyone but a City Official, citations may be issued. No buildjpg 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. Ini ial A Cert' tate of Occupancy will not be issued without digital copies of the As -Built Plans. o It is the Applicants 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. iY 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 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 betaken 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 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 t uilding 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 Qs 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 standar with no exceptions. o The above policies will be enforced to all, regardless if this information is passed on to them or not. nidal Applicant's Name (print):�,%/y� Signature. Date: 1741 Inspections must be called in before SAM 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 w ..rexburg.org Permit Technician -(208)372.2341 Revised2/2017 0 CITY 9F REXBURG tn. America's Family Community Building Safety Department BUILDING PERMIT FORM 100 City of Rexburg °,daustl0/2016 35 North 1st East BUILDING PERMIT APPLICATION New Single Family Residence Rexburg, Idaho 83440 For Office Use Permit Number: Zoning: Application Fee Paid: ❑ $500 1. Property Owner Name: 0 , 14(SrN ,iff,,(1,1r-1I(S Address: PO, Pev Z757 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 #4 and complete the Homeowner's Exemption) ❑ No, l 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: ��Q�Yy/�� Registration #: arli�%8 Exp.: Z�ld Address: hD 50,K 2 ZZ91 City: _-r� 1w Ir State: -zi) Zip Code: 534/03 Phone: 009-Zo(o 11111/ Email: /I & P.,-,,.,, Contact/Rep. Name: .116LS17A/ S76vb�nl5 Phone: Email: General Contractor Authorized Signature, Date: ///7//:Z A copy ofyour state registration/license is requiredb on file. /f th' is the first timeyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure if o lcense is on #,e`please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: 1204 FrArlldiw Dr -OR- Lot #: Block #: � Subdivision: Subdivision://44f Project Description: Square Feet: Building Total: sq. ft. • # of Water Meters: Water Meter Size: / r o Main Floor: 4 w sq. ft. 0 Fireplace(s) Being Installed? 0`Ves ❑ No o Additional Floors: sq. ft. • Hydronic Heating Being Installed? O Yes "o o Basement: Finished sq. ft. Unfinished 2r 3d l sq. ft, Building Permitfeesfor new homes are charged based on square o Garage 100 sq. ft. footage and the City's estimated valuation. For details on howfees are calculated, contact the Building Department There will also he • Estimated Total Cost: $ /fe � -0 () a plan review fee totaling 10%of the building permitfee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under panalty 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 complywith 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 20121 aternational 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 scatted within 180 days, Permit void if work stops for 180 da • y Applicant's Name (print): cIUS4l .�i+Gt rib q Signatu � � / Date:&Z7 Z Inspections must be called in before 8 AM on the day the inspection is requested. Inspecti or tests called' after 8 AM will be scheduled for the next business day. Inspection Hotline- (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 __..�...� __._.� ..r......_... �;, ,d City of Rexburg a 35N NE Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 C I TY OF REXBURG IW Americai Family Community Office Hours: Monday -Friday 8:00am-4:00pm Single Family Residential Pre -Construction Checklist Seismic Design Category - D Roof Snow Load - 35 lbs. per sq. ft. Ground Snow - 50 lbs. per sq. ft. Wind Load - 90 MPH Frost Depth - 36" The following items should be completed beoreyou submityour building permit application. Completion ofa Building PermitAppllcsdon: You may print this application from our website www.re_ x ebur sore or pick up a copy at the City Hall Annex Building (address above). For Residential Permits: (the following is required to be submitted before the Application can be approved) V'2 sets of site plans and 2 sets of building plans (must be drawn to scale) -Plans must include foundation plan, floor joist layout, floor plan, roof layout, sectional views, front, back, and side elevations, mechanical layout, stair details and any details required to illustrate special construction. Gam Energy Compliance Report: The State of Idaho has adopted the International Energy Conservation Code (IECC). A Compliance Review must be completed and submitted (the rescheck software is available online as www.energycodes.gov). m�Page 2 of the Application must include the Idaho Contractor's Registration Number or the exemption form must be completed and &' ed, see Page 10. Page 5 of the Application must be completed and steed by Wur Plumber. Page 6 of the Application must be completed and signed by your Mechanical Contractor. ra," Page 8 of the Application must be completed and signed by your Electrician. ----e--Home owners: please complete page 6 of the application if you will be doing your own electrical work. w -'-Truss details including engineered floor joists are required. u/Property Line form needs to be signed by the builder or owner, see Page 4. Subdivisions: If you plan to build in a subdivision please check the Rexburg Development Code for any requirements such as, property setbacks, architecture board approval, etc. This information is available from the Planning & Zoning Department at the Annex Building located at 19 East Main. New Residential Homes: If your building permit is for a new home, you will need the parcel number (a parcel number is the county's property identification which recognizes a plot of land) and a new physical address will be issued. If you do not know the parcel number and cannot find a record of it, please bring the name of the subdivision, phase, and the lot and block numbers. The correct location is vital to assure correct addressine. Remodels: If you are considering a remodel, a g= of the bid or estimate for the remodel must be submitted with the Permit Application. • 2 sets of Plans axe required (may need IECC Review). • Additions are the same requirements as new construction. TEXBUlt(1 �^ � rlcasc �'U111PIe!e utc MICnPPIlLauuil! cW t 1�+ If the question does not apply fill in NA for non applicable America's Family Community RESIDENTIAL BUILDING PERMIT APPLICATION 35 N 15` E, REXBURG, ID 83440 208-372-2326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: 1/Z7//ey Gaul' UNIT# BLOCK# 0 LOT# s (Addressing is based on th information - must be accurate) Dwelling Units: / Parcel Acres: • 5 PROPERTY PHONE #: Home PHONE # ,'laspIv S1 -eve 1' Work ZOY'-557-0707 Cell OWNER MAILING ADDRESS: P,D- -?ok 0797 CITY:J chk 611Y STATE:-�/ ZIP:<9'//43 eT :eaa APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP EMAIL FAX PHONE #: Home Work Cell 41 ( : I { MAILING ADDRESS: CITY STATE ZIP PHONE #: Home Work Cell ,ce��a'fyg EMAIL FAX IDAHO REGISTRATION # & EXP. DATE How many buildings are located on this Did you recently purchase this property? Yes (If yes, fist previous owner's Is this a lot split? 0'NO Q. YES (Please bring copy of new legal description of property) PROPOSED USE: J4,P (.e., Single Family Residence, Remodel, Garage, Commercial, Addition, Etc.) 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 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 2003 International Code in cases of an a statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Pemut void if not st within 180 tiliys. Permit vpidj wor! or 180 days. 11cant DATE WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITEI fees me non-refundable and are paid in full at the time of application beginning fanuxgX 4ZLY15 owaing barery ueparrmenr City of Rexburg 35 N 10 E Phone: 208.372.2326 Rexburg, ID83440 www.rexburg.org Fax: 208.359.3022 Property Lines REXBURG CW Ameriw' Family Community 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. If you want to request a copy of your lot, see the front counter at the Community Development Department. I have read and understand the above requirements. Si e / (7 Date 11ZA'9 J1FPrWS ❑ Owner or e'Builder Printed Name 35N IdE Rexburg, ID 83440 www.rexburg.org Phone: 208.372.2326 Fax: 208.359.3022 5 REXBURG C'W-- Ame&4 Family Communi( Remodeling YourBullding/Home (need total constructions estimate, excluding fire, electrical, plumbing, and Mechanical valuations) $/� dd4 Residential SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area �. 399 Unfmished Bac ment area Z, 3q Second floor/loft areauusheF d basement area Third floor/loft area Garage area Shed or Barn Carport/Deck (30" above grade)Area Commercial Construction Type: Occupancy SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) New Construction sq. ft. Commercial Remodel sq. Commercial Addition sq. ft. Utility, Misc. Private Garage sq. Storage sq. ft. Multi Famll7/Single Student Housing sq. ft. per Manager Unit sq. ft. 35 N. 15' E., Rexburg, Id 83440 ns.,...e — [W)QVkSo V),N) t u,.a Building Satety Department City of Rexburg OWNER'S NAME J#,t aJ I�Waf..Z,re PROPERTY ADDRESS Permit# Water Meter Quantity: Required./!! Plumbing Contractor's Name Cell Phone Fax **************Water Meter Size: Plumbing Phone Name REXBURG Am¢nmi family Community (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Contracted Amount) $ (Includes the cost of materials installed regardless of the party supplying it The feet hated under this inspection type shall apps# to any and all plumbing installations not specifically mentioned elsewhere on this farm). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ( (total cost of stem — 10,000) x 0.01) + $260 = $ ❑ Over $100,001 ((total cost of system —100.000) x 0.005) + $1,160 = $ RESIDENTIAL New: Single Family Dwelling, including all buildings with wiring being constructed on each property. (*Based on living space, see definition below) ❑ Up to 1,500 sq ft - $130 ❑ 11 501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 r 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x #of additional 1.000 sq. ft. or portion thereof)). New. Multi-Famd7Dwelling (Contractors Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units) ❑ Existing Residence, and Detached Shop: $65 fee plus $10 per fixture up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # of fixtures)) ❑ Gray Water Systems: $130 ❑ Lawn Sprinklers/Backflow Device: $65 ❑ Modular, Manufactured or Mobile Homes: $65 for sewer and water stub connections ❑ Multipurpose Fire Sprinkler and Domestic Water Supply System: $65 fee or $4 per sprinkler head, whichever is greater Sewer& WE ter ❑ $38 Sewer Line ❑$38 Water Line P 5 Sewer & Water- if inspected at the same time ❑ $65 Sewer turnaround under house (change from septic to city) MISCELLANEOUS ❑ Plan Check: $65 per hour Technical Service: $65 per hour Gas Line: $65 Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Hydronic Heating: $65 + ($10 x # of manifolds/zones) *Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. 13y 3 "1 -�L IUo V 2-"'3 q- Building Safety Department REXIiUIZG 35 N. Pt E., Rexburg, Id 53440 City of Rexburg w Phone — (208)359-3020 / Hotline — (208)372-2344 Fax ^ (208)359-3022 1uuencasrimilyCommunity OWNER'S NAME PROPERTY ADDRESS Permit# SUBDIVISION PHASE LOT BLOCK Required!! Mechanical Mechanical Contractor's Name ��dyll Business Name Address Ci State Zip Cell Phone Business Phone Fax Email (COMMERCIALANDUSTRIAL) Total cost of plumbing system (Contracted Amount) $ (includes the cart of materials installed regardless of the party supp#iug it. The fees h"sted under this inspection type shall apply to any and all mecbanical installations not rpeaficalfy mentioned elremhere on thin form). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ( (total cost of system — 10,000) x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost ofsstem —100,000) x 0.005) + $1,160 = $ RESIDENTIAL New: Single FamilyDwelling, including all buildings with wiring being constructed on each properly. (*Based on living space, see deBnidon below) Cl Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 p/3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1,000 sq. ft. or portion thereof)). New. Multi -Rami rDwalling (Contractors Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units) ❑ Existing Residence, Modular, Manufactured or Mobile Homes and Detached Shop: $65 fee plus $10 per **HVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # of fixtures) MISCELLANEOUS ❑ Plan Check $65 per hour ❑ Technical Service: $65 per hour ❑ Gas Line: $65 ❑ Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Fireplace/Solid Fuel Burning Appliance: $65 per inspection *Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. **Examples of HVAC Equipment -furnace replacement, solar, water heater, etc. I LA ((r, 3- AJ6 U Signature of Licensed Contractor License number & Exp. date Date 35 N. lsr E., Rexburg, Id 83440 City of Rexburg Phone — (208)359-3020 / Hotline — (208)372-2344 / Fax — (208)359-3022 OWNER'S NAME _ PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Required!!./ Electrical Contractor's Name WA Permit# ELECTRICAL Name REXBURG Amerim's Family Community Yyo Cell Phone 208 390 - 3-�W Business Phone 35 9 ' 010 2— Fax Email hq 1 o i—f le4 Sh g h f �- (COMMERCIAL/INDUSTRIAL) Total cost of electrical system (Contracted Amount) $ (Includes the cost of materials installed regardless of the party supplying it. The fees listed under this inspection type sball apply to any and all electrical installations not speafically mentioned elrewhere on this four). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ( (total cost of system — 10,000) x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost of system— 100.000) x 0.005) + $1,160 = $ Small Works (Contractors ONLY): $10 fee for work not exceeding $200 in cost and not involving a change in service connections. Does NOT require inspection. RESIDENTIAL New: Single Fam&Dwehing, including all buildings with rung being constructed on each property. (*Based on living apace, see dvBmdon below) ❑ Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additiona11,000 q ft. or no thereof ($325 + ($65 x # of additional 1,000 sq. ft. or portion thereof)). Now. Multi -Family Dwelling (Contractors Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 per unit•. ($130 x # of buildings) + ($65 x # of units) ❑ Existing Residence, Modular, Manufactured of Mobile Homes, and Detached Shop: $65 fee plus $10 per branch circuit, up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # branch circuits ❑ Central Heating/Cooling Systems: $65 When NOT part of new residential or HVAC permit with no additional Wiring ❑ Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect Pumps -mater, Imgation, Sewage (each motor) ❑ $65 up to 25HP ❑$95 — 26 to 200HP ❑$130 over 200 HP MISCELLANEOUS ❑ Temporary Construction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65 ❑ Temporary Amusement: $65 fee plus $10 per ride, concession or generator ❑ Irrigation Machine: $65 for center pivot plus $10 per tower of drive motor ❑ Technical Service: $65 per hour ❑ Plan Check: $65 per hour ❑ Requested Inspection: $65 *Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, wa5laia , ation, and saint. ' n purposes. An unfinished basement is considered part of the living space. Ylature of Licensed Contractor License number & exp. date Date OE pExBUBC U; Iy CITY OF Building Safety Department REXBURG City of Rexburg OW 35 North 1st East Amenm's Family Community Rexburg, Idaho 83440 SUBCONTRACTOR LIST Excavation &,,//Eaarthwork-:AmO Aii- 4Lf ZOV Concrete: M COQ lL Masonry: _ Roofing: Insulation: Drywall: J Painting: _ Floor Cove Plumbing: . Heating: y Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Other: Inspection Hotline -(208)372.2344 w ..rexburg.org Permit Technfdm-(208)372.2341 Revised 10/2016