HomeMy WebLinkAboutAPPLICATION - 18-00038 - 306 S 3rd W - Relocated Duplexo t% aUBe
city
i T r o r Building Safety Department
V
REXB RG BUILDING PBRMIT FORM 100 City of Rexburg
—"'a "°'°"°" 35 North 1st East
Amen c ramiyromma9ry
Rexburg. Idaho R744n
BUILDING PERMIT APPLICATION
New Single Family Residence
For Office Use
Permit Number:1ff�8 Zoning: MD2 I ��
Application Fee Paidx. isw
1. Property((�rmer r /
Name: fie, Sddti rd( y t'
Address: 274,0 N/a L/pp ,t/' City: k±-KbVW StdCe: �D Zip Code: (J 3 Y70
Phone: Email:
Underldaho Building Code, a homeowner is allowed to do work on their awn 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: Se ..a EIS ilAoark Role: (Owner, Tenant, Contractor, etc.) _
Address: City: State: Zi Code:
Phone: F —
Contact/Rep, Name: Email: -
3. General Contractor /
Name: /h9un (n �Al�t'/ a4l; _. VAIN Registration 4: Ex
Address: f�� p
City! State: Zip Code: _
Phone: Email:
Contact/Rep. Name: Phone:—
Email:
General Contractor Authorized Signature:
AcoPY o g j Date:
fyours[ate re istration license isrequired to be onfile./jrhis is thefirs[dmeyou have done work In the City of Rexburg, please provide
a photo copy ofyour license lfyou are unsure tfyour license is on file, pierce check with the Permit Technician by calling (208) 372-2341.
4, Project Descriptio (-
rd p UM1
Address: 301n�,t� F� _0� Lot#:_Block #:_Subdivision:
Project Description:
• Square Feet: Building Total: 22 14 sq. R • # of Water Meters:Water Meter Size:_
_
o Main Floor: lo r'L sq. R • Fireplace(s) Being Installed? O Yes No
o Additional Floors: IfOi sq.R �
o Basement: �r�Frtt,, Vy{ • Hydronic Heating Being Installed?❑ Yes J( No
Finished sq.R
Unfinisilpdsq. R Building Permitfeesf.rnew hoessare charged based on square
o Garage lJ sq.@. frotggeand Mh aty',estimatedvaluation.Frrdemilsonhowfms
• are calculated, concoct Ne Building Deparbnent There -111.1,. be
Estimated Total Cost: $ l9 rh�iA,r 00 apron reale- ee romh the B.;m;
f ng lob o f ng permitfee.
APPLIGNT5,ILrygNR6,CERTIFId9.Ngrya Allixnnlvnnu. n.�___-_-.�.... ..
Inlarcond. wplN mry herons be 0... by a In oo,"A, bekre noP ZZ", ee -ion, nrythar] coo, —a M."Mranaon an° con.0i[hel c. an. hreln ie tort no l-M,Mat
en -on" "d In- We'Maa,1 he na,.il cove, of co,,,r...n and�ere Pmnn&ewn nor Ne Ciry Lownl lm the Cay of Pexb in eSo1 be nu.MMM`--a.I nei'Mmm l ray
authotlutlxepruenrahvexollhe Clrymenter upon Neabove-mmnone Py'a'Plonees NOTECTh
bulib Me eoaMe,vakexpenait.da"net iu'u¢Gwtler Neprovivionxollhe30121nhrnallonal cadelnuxmfany Boss erylementormlrepmecon., orllae . e.a0 arno, nxan MePli-M,,
whlah lhepetmnonpWovelwarbeveE, permit canE-ouactaCl wa�il lle.dayv. Morni ednwmkrtopa Mt INP days.
Applicant's Name (print): c�Qa1 (5W)6r0k Signature: '.27Ji
Date:
ion H.Mayncy murtbe called In bekre 8 AM on[M1e day Me iaspMion is requestedrexbM tlon requests rolled is.her SAM will beuhetluled forthe Im#bluhlesx day.
Inspersion Hotline -[208] 372.3344
www.rexburg.org Permi[TecM1mrlan-(20H) 372.2341
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un° gaaaa,�b CITY OF Building Safety Department
REXBURG City of Rexburg
""— 35 North lot East
anmao Four commzmar
Rcvhuro TA),-Qa AAn
PERMIT POLICIES ACKNOWLEDGMENT
The City of Rexburg Building Safety Department is determined to provide excellent customer service. In an effort whelp 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
.+ at Lua.>u ucuun whom me 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
a roved eit.
rm
Sf 0 Building without the pink building permit signed by me Building Inspector will result in double fees to be assessed and
the project o be red tagged. If your project is red tagged, halting all construction, only a City Official may remove the red
miosis 71tag. If the red tag is removed by anyone but a City Official, citations may be Issued.
Nobuildin maybe occupied without receiving a signed Certificate of Occupancy.
5 o If a building is occupied without receiving a signed Certificate of Occupancy, citations maybe issued and the occupants
may be evicted.
nROI
A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans.
It is the Applicants responsibility o tum in digital copies of the As -Built Plans when the proj eft is completed. No
5 Certificaof Occupancy will be issued without these pians.
�re
Scheduling inspections is the responsibility ofthe 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
I
f
o Required inspections tan befound on the inspection sequence page In this packet if an inspection is not done,the
inspector may require any measures to be taken o allow him to correctly perform the inspection. (Example: If he
a electrical rough in inspection is not done and the sheetrock has been put up, the inspector may require the sheetrockro
be removed in order o 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 ofany structure can begin ONLY when you have received an official Certificate of Occupancy
fromthe Building Department
5 0 Averba approval does not constitute approval of these documents. Lithratelyffyoudo not have a Building Permit or
Certificate of Occupancy, the above policies will be enforced. These documents must be signed by the appropriate
Inaals authorities from the City of Rexburg Any approvals can be verified by calling(208)3]2-2341.
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.
E
0The above policies will be enforced to ail, regardless if this information is passed on o them or not
Applicants Name (print): gnamre I—Z 3—IiT
Date:
Impecmns must be called In behre 8 AM on the day Ne Oarsman is requested. i-Pn rb o n request, called in after 111 wi II be scheduled for tat neat business day.
Inspection Hotline -(2(6)3]2.2344 wwwmxbur&o
B Permit TerM1NCUn-(2n8)3I2.2341 I(ea45ed 212617
CITY OF Building Safety Department
a x RF)MURG City of Rexburg
am,,;m;Po y�mmwlty 35 North 16t East
Rexburg, Idaho 83440
PROPERTY LINES
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.rexbure 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.
1-03 -ra
Signature
Date
�i�LVh �j �A dG�rcY
Printed Name
Inspection H.Ime-(208)3]2.2344 w .cexbumoq PeemitTechnician -(208)372.2341
Revised 10/2016
v vup
Y GAO CITY OF
s REXBURG
ti
Ametimi Family Community
DISTRIBUTION LIST
Building Safety Department
City of Rexburg
35 North 1�t East
Rexburg, Idaho 83440
Please provide the names and emails ofanyone who should be getting automated updates for this project:
Review Notes
Name:
Name:
Name:
Name:
Name:
Inspection Tickets
Name: �ciM .S7'O�'A rll
Name:
Name:
Name:
Inspertme Hotline -[208]372.2344 ,er,v.rexbur,a,,
Email:
Email:
Email:
Email:
Email:
Email:
Email:
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1/23/2018
= a RE"URG
XBP Confirmation Number: 39284897
Xpress Bill Pay - Payment Processing
City of Rexburg
35 N tat East I PO Box 280
Rexburg, ID 83440
208-359-3020
ub@rexburg.org
ll� Transaction detail for payment to City of Rexburg. Date: 01/23/2018 -2:19:17 PM
Transaction Number: 7950738OPT
Visa — XXXX.XXXX.XXXX-2340
Status: Successful
Acpcount# Item
0 – 000'J8' Building Pennit
Nmes: 306 S 3rd W application fee
Billing Information
Sam Stoddard Sam Stoddard
,83440
sisbusiness@yahoo.com
Quantity Item Amount
1 $100.00
TOTAL: $100.00
Transaction taken by: porterw
haps://secure.xpressbillpa cam/comm0Wpayment_process.php 1/1