HomeMy WebLinkAboutAPPLICATION 1 - 17-00754 - 1093 Arctic Willow Dr - ShopR -Od �5`t
CITY OF
REXBURG
ti
A"nras Family Commnnl ,
Building Safety Department
City of Rexburg
35 North 1s' East
Rexburg, Idaho 83440
SINGLE FAMILY RESIDENTIAL ACCESSORY STRUCTURE APPLICATION CHECKLIST
The following items should be completed before you submit your building permit application.
*Reasonable accommodations will be made upon request.
Submit Following Documents:
2 sets of site plans drawn to scale
2 sets 5 building plans drawn to scale (see box to right)
Include the following as applicable: Foundation Plan, Floor Joist Layout, Floor Plan, Roof Layout, Truss Details,
Sectional Views, Front, Back and Side Elevations, Mechanical Layout, Stair Details, and any details required to
illustrate special construction.
structural Calculations (see box to right) - stamped by a licensed Engineer
❑ 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.
Property Line form signed by builder.
❑ 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.
Seismic Design Category - D
Ground Snow - 50 lbs. per sq. ft.
Roof Snow Load - 35 lbs. per sq. ft.
Wind Load - 90 MPH
Frost Depth - 36"
[3 Subcontractor list completed.
(�6 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 athttp•//rexburgorg/pages/development-code.
Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016
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CITY OF
REXBURG
ti
America's Family Community
HOMEOWNER'S EXEMPTION
Building Safety Department
City of Rexburg
35 North Ist East
Rexburg, Idaho 83440
As of January 1, 2006, the Qty 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 sellingthe 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 here ti above information is true and correct to the best of my knowledge.
t 7- ^-`-t - I I
ature Date
Prfn Name
Permit Technician—(208)3722341 wwwxcxburg.org Revised 10/2016
CITY OF
REXBURG
ti
America's ramify Com ty
PROPERTYLINES
Building Safety Department
Qty 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. 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.
Signature
Printed Na ere
Date
Inspection Hotline—(208)372.2344 www.rexburg.org Permit Technician—(208)3722341 Revised l0/2016
V4
CITY OF
REXBURG
Amrri ris Family Commmdty
BLULDINGPERMIT FORM 13 2
ll�md lU/3016
BUILDING APPLICATION
New SFRPlumbing
Building Safety Department
City of Rexburg
35 North lar East
Rexburg, Idaho 83440
For Office Use
Permit Number: ❑ Plumbing Fee Paid
1.Propert Ow r f� �,�/j� �/'��
Name: �� 6 � I 1 /1 eJ p
Address: (�I ti;'—) Qty: Stat Z 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, I am working with the homeowner
2. Plumbing Contractor
Business: State License #: Exp.:
Address: Qty: State: Zip Code:
Phone: Email:
Contact/ Rep. Name: Phone: Email:
Plumbing Contractor Authorized Signature: Date:
Acopy ofyour state registration/ license is required to be on file.Ifthis 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.
3. Project Description ' -^
Address: W `J �3 L v 6 -OR- Lot #: _Block #: _Subdivision:
Description ofwork:.. •uk_
?I -New SFR Construction: 4 l (% 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.
o Up to 1,500 sq. ft. =$130. Up to 2500 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)
❑ Hydronic (In -floor) Heating: ❑ Yes ❑ No
• Note that hydronic heating is not included in square footage costs and will be charged $65 extra.
APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, [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 ofRexburg
shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter ofthis 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 ofany false statement or misrepresentation offset in the application or on the plans on which the permit or approval was based. Permit void ifnot
started within 180 days. Permit void ifwork stops for 180 days.
Applicant's Name (print):
6`� = SignatuZZI te: (Z' - n
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 near business day.
Inspection Hotline —(208) 372.2144 www.rexburg.org Permit Technician —(208) 3722341
0
C IT Y OF
REXBURG BUILDING PERMIT FORM 444
ey Lfd.i*J 1012016
Amental Family Community
BUILDING APPLICATION
Residential Accessory Structure
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: Zoning: Application Fee Paid: ❑ $100
1. Property Own
Name: Vii°_ 1 f L/dytn/1SY D
Address: p q A RrJ-[� 9 0U? City: n& J State Zip Code: tD
Phone: ZQEn — 3S/ — /(2q(« Email:�f3�i�/►._Y2[!.( 614111
Under Idaho Building Code, a homeowner is allowed to do work on their own home. rV'1
Are you as homeowner doingwork on your own home?
1�Yes (Skip to #4 and complete the Homeowner's Exemption)
Yes
I am a contractor working for 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:
Acopy of your state registration/ license is required to be on file. Ifthis is the first time you have done work in the City of Rexburg, please provide
a photo copy ofyour license. If you are unsure if your license is on file, please check with the Permit Technician by calling (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 ofthe zon��jin hich I are built.
Address: Ja ( L u/t I ( 07.1)IJ Q.
Project Description C�fKitiG S
Estimated Total Cost: $—&:5 1 DDii__ Square Feet of Addition: _ f �i 4 y sq. ft.
Type of structure:
❑ Deck ❑ Garage/ Car port Shed/ Shop ❑ Other: Explain
Check All Included in Scope of Work:
❑ Mechanical Work Cost: $ ❑ Electrical Work Cost: $ ❑ Plumbing Work Cost: $
Note: Any contractors involved will need to fill out their respective application.
Building Permit fees for accessory structures are charged based on square footage and the Qty's estimated valuation. For details on how fees are calculated,
contact the Building Department. There will also be a plan review fee totaling 10% ofthe building permit fee.
APPLICANTS SIGNATURE, CERTIFICATION AND AUFHORIZATION: Under penalty fperjury, 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 mein hearings before the Planning and Zoning Commission or the Oty Council for the City ofRexburg
shall be truthful and correct. I agree to comply with all Ory regulations and State laws relating to the subject matter ofthis application and hereby authorized representatives ofthe
City to enter upon the above-mentioned property for inspections purposes.NOTE: The building official may revoke ermirona val issued under the provisions ofthe 2012
International Code in cases ofany false statement or misrepresentation offact in the application or o 1 o hicht permit or ap roval was based. Permit void ifnot
started within 180 days. Permit void ifwork sto s for 180 days.
Applicant's Name (print):"Stg'nature: Date: V-14-17
Inspections must be called in before 8 AMon thl day the inspectio requested.Inspection requests called in after 8 AMwill be scheduled for the next business day.
Inspection Hotline —(208) 372.2344 t www.rexburg.org Permit Technician —(208) 3722341
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CITY OF
REXBURG
tic
Americas Fay Commmrity
BUILDING PERMIT FORM 122
y,mmm
d1or±s
BUILDING APPLICATION
Addition SFRElectrical
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: ❑ Electrical Fee Paid
1. Property OvAR er
Name: `14
Address: 1 ti4 -rry2 • auk City: Stat Z p Code -8 / 7
_ v
PhoneEmail: t kw l b 1;4
Under Idaho Building Code, a homeowner is allowed to do work on their own home. U
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. Electrical Contractor
Business: 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 first time you have done work in the Gtyof 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 Descn tion
Address: 1 o R -OR- Lot #: _Block #: _Subdivision:
Descriptionofwork: 9In12, 6W 2 SLIT
�
Vew SFR Construction: �rsq. 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.
o 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)
❑ Spas/ Pools/ Generators: ❑ Yes ❑ No
• Note that spas/ pools/ generators are not included in square footage costs and will be charged $65 per inspection.
APPLICANTS SIGNATURE CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, I hereby certify that 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 ofRexburg
shall be truthful and correct. I agree to comply with all aty regulations and State laws relating to the subject matter ofthis application and hereby authorized representatives ofthe
Qty 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 statement or misrepresentation offact in the application or on the plans on which the permit or approval was based. Permit void ifnot
started within 180 days. Permit void ifwork stops for 180 days.
Applicant's Name (print):
Inspections must be called in before 8 Anton the day the inspection is requested. Inspection requests called in after 8 Ah1will be scheduled for the near business day.
Inspection Hotline —(208) 372.2344 www.rexburg.org Permit Technician — (208) 372.2341