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Home My WebLink AboutAPPLICATION - 17-00729 - 155 Elm Ave - Remodel•�' CITY OF REXBURG '•,,� ��.� Americas Family Community Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 SINGLE FAMILY RESIDENTIAL REMODEL APPLICATION CHECKLIST The following items should be completed before you submit your building permit application. *Reasonable accommodations will be made ungquest. Submit the Following Documents: ❑ 2 sets of building plans drawn to scale ❑ Include the following as applicable: Floor Plan, Sectional Views, Mechanical Layout, Stair Details, and any details required to illustrate special construction. ❑ Digital Plans (PDF Format - can be submitted by USB, CD, or Dropbox) ❑ "Copies of any Contractors' State License if not on file already. Complete the Following Forms: ❑ Permit Policies Acknowledgment signed. ❑ Building Permit Application signed by a registered General Contractor. ❑ Mechanical Permit Application signed by a registered Mechanical Contractor. ❑ Electrical Permit Application signed by a registered Electrical Contractor. ❑ Plumbing Permit Application signed by a registered Plumbing Contractor. ❑ Subcontractor list completed. ❑ Homeowner's Exemption signed, if Homeowner is doing work on their own home. ❑ Affidavit of Legal Interest signed by owner, if applicant is not working directly with owner. ❑ Notifications Distribution List. 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 at http://rexburg.org/pages/develOI)iTieiit-co(le. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 --CITY-OF--- REXBURG CW 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 Initials 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. 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 day. o If an inspection is not done, the inspector may require any measures to be taken to allow him to correctly k - I perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been Initlals 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.'1'hese documents must be signed by the appropriate authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-234-1. 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. Initials 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. The above policies will be enforced to all, regardless if this information is passed on to them or not. initials ,�-- - L1 117- Applicant's Name (print): �%.� Signature: Date: f 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 10/2016 C I TY OF REXBURG CW_ Ameriw' Family Cnmmunhy BUILDING PERMIT FORM 1�2 upe to/rots BUILDING APPLICATION Single Family Residence Remodel Building Safety Department City of Rexburg 35 North lst East Rexburg, Idaho 83440 For Office Use Permit Number: Zoning: Application Fee Paid: X$100 1. Property Owner Name: L� Z �101� 6-5 Address: ITIr €L-X� AVS City: Xs -F3-9 ` State: j.b Zip Code: g3 `F�-D Phone: (7c r) 1 �f $ �f9 3 Email: 32;ZbJbJJ6-5 9�0 41F Z IIt_. easy 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? XYes (Skip to 44 and complete the Homeowner's Exemption) D 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: 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 file. /f this is the first timeyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyourlicense is on file, please check with the Permit Technician by calling (208) 372-2341. 1. Project Description Address: /si P2 -A-4,- MS7 Project Description: L'iT-d*&7t1 4MbCZ, fJ?Ar2 6 t4rLJ '&A-TWlZ&&VL•- f AFILµH3 • Estimated Total Cost: $ 72. Ott • Check All Included in Scope of Work: ❑ Mechanical Work Cost: $ ❑ Electrical Work Cost: $ Ito ❑ Plumbing Work Cost: $ 2 QcDO Note: Any contractors involved will need to fill out their respective application. • Fireplace(s) Being Installed? ❑ Yes k No Building Permit fees for remodels are charged based on cost The application fee applies toward the fee total Fordetails on howfees are calculated, contact the Building Department There will also be a plan review fee totaling 10% of the building permitfee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, 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 truthfid and correct. l 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 ofthe 2012 International Code In cases ofany false statementormisrepresentadon offactin the application or an the plans on which the permitor approval was based. Permitwidifnat started within 180 days. Permit voids Ifvoorkk steps for 180 days. Applicant's Name (print) `ice Signature:li;;Date: Inspections must he 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 'TCITY OF REy BUILDING PERMIT FORM 131 Updated 10/2016 0W Americas Family Community BUILDING APPLICATION Remodel SFR Plumbing Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Ilse Permit Number: ❑ Plumbing Fee Paid 1. Property Owner _ Name: ti+' -D J 9-0b_5 077 Address: 161 ANS City: State: ob Zip Code: g.� 4 4-a Phone: $aS'" / 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, 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: W oI[aluGy Date: A copy ofyour state registration license is required to be on file. 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 frle, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: 157— ,P�- Description of work: 00 gem^y (,ai'ro- 1" i tit -w --ba- Apo L l is 7-a ❑ Remodel Cost: $ f -r eBd • Fees for remodels are charge by cost. o First $10,000 = 2% + $6a From $10,000 to $100,000 =1 % + $26a Above $100,000 =.5% +$1,16a i.e. work costing $15,000 will be charged $60 for the frrst$10,000 and 1 % of the remaining $5,000 = $60 + $50 = $110 total f APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein Is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provis1ions of the 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void If not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): LIDe4b Signature: Date: It Inspections must be called in before 8 AM on the day the inspection Is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 OI µE%BUgC A;C IT Y _O_F_— ' REXIiURG O,, Amerimi Family Community BUILDING PERMIT FORM 121 Upd-fm 10/2016 BUILDING APPLICATION Remodel SFR Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: ❑ Electrical Fee Paid 1. Property Owner Name: �- f� Address: ti? It t' XqX_ City: 41,1Z LLP& State: �J% Zip Code: Phone: [_$v{: r =gr(4 3 Email: Under Idaho Building Code, a homeowner is allowed to do work on their own home. Are you asyh��o��meowner doing work on your own home? AkWes (Skip to 43 and complete the Homeowner's Exemption) ❑ 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 timeyou have done work in the City of Rexburg, please provide a photo copy ofyour ficense. lfyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: / I -L- A^ Description of work: Rts+t L1ltlTr >=d.� 1 4�1� &&TrLSf lb 1457.7 3�tflKaoa� ❑ •model Cost: $ /DJ�n 55 i 8i L( AL.q §- 5s uL 0Zs IZ95 tie- ;C-4l—Gil • Fees for remodels are charge by cast o First $10,000 = 2% + $60. From $10,000 to $100,000 = 1% + $260. Above $100,000 =.5% +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = $310 total fee APPLICANT'S 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 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 Iagree to comply withal) City regulations and State laws relating to the subject matter of 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 ofthe 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 Hoot started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): t/"'**T T9'T,65 Signature: Date: IILI ' Inspections must be called in before B 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 )61R- Inspections s2 CITY of REXBURG Americas Family Community HOMEOWNER'S EXEMPTION Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please fill out this form showing your exemption and send it with your permit application. Idaho State Statute allows a homeowner to do work on their own residence: An owner performing construction on the owner's personal residential real property, whether or not occupied by the owner, provided however, this exemption shall not apply to an owner who is otherwise regulated by this chapter who constructs a building, residence or other improvement on the owner's property with the intention and for the purpose of promptly selling the improved property, unless the owner has continuously occupied the property as the owner's primary residence for not less than twelve (12) months prior to the sale of such property; Title 54, Chapter 52, Subsection (2) I hereby certify that the above information is true and correct to the best of my knowledge. Signature Date Print Name Permit Technician - (208) 372.2341 www.rexburg.org Revised 10/2016 oQ SEMP � CITY OPA. '- REXBURG America's Fandly Community DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Please provide the names and emalls of anyone who should be getting automated updates for this project. - Review Notes Name:' g�S Name: Name: Name: Name: Inspection Tickets Name: Name: Name: Name: Name: Email: k. �.� SSS lam• Email: Email: Email: Email: Email: 5(&4mbbJ7iWS50407 Email: Email: Email: Email: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016