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Home My WebLink AboutAPPLICATION - 18-00071 - 342 E 5th S - SFR Basement Finishnp°mea°sb CITY o e Building Safety Depat'trtlent 0 fi B'RG' BUILDING PERMIT FORM 104 City of Rexburg 35 North 1•t East anmm;e m,Ty cmmma.dq Rexburg Idaho 83440 BUILDING APPLICATION Single Family Residence Basement Finish For Office Use 'Ff) ti 1 Permit Number: /g'0007� Aisiglicatiml Fee Paid: In 1. Property,Owner Name: cf2 Address: 3'1.2.a-6`ak City: i��9 Stare: SD Zip Code: B3ysY0 Phone: Email: Z $afoot iy /-hrwsj 0'0 Underldaho 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 section 4 of this application and complete the Homeowner's Exemption page as well) ❑ 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: Registration if: 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. Ifthis is the firstameyou have done work In the CiryofRexburg, please provide a photo copy ofyourlicense. ffyou are unsure ifyourlicense is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: _,31S, -gtf/ 5-7y' Project Description: erg c / ddbe, &,r_4,d Flcwt fAan'tf vovr( fcw- $parafdC- • Square Footage being Finished: 00 sq. ft • Check All Included in Scope of Work: Kmechanical Work (Electrical Work ❑ Plumbing Work Note: Any contractors involved will need to fill out their respective application. • Fireplace(s) Being Installed? ❑ Yes )B,.No Building Permafeesfor new homes are charged based on square footage and the City's estimated valuation. For details on howfees ore calculated, contact the Building Department There will also be a plan reviewfse remains, 10% of the building permit fee. APPLICANTS SIGNATURE CERTIFICATION AND AUTHORIZATIO N 5� . Untlerpemjordpepury, 'hereby certify ad the - read Mis application and state thattheinformaHon herein Is corrM it I swear that any iNormIIion which may hereafter be given by mein hamlets before the Planning and Zoning Commission or the City Com n[il for the City of Rexburg shall be trundil and rorred. I agree to comply with all City radlaHmu and Some pass mix ingm rhe subject matter of this applembon and hereby authorized repre entatives ofde Citytoenterupon Neabove-mentionedpmpertyrorinspet' nspuMoses. NOTE: The building official may revoke a permit on approval issued under the provisions oflhe 2012 InRrommial Code in cam mare ble, s[a ntor misrepresentation of fact In the application or on the plans on which the permit or approval was based. Perradvoidifnot start N wRhin 180 days. Rairitvold if o nrkax ra for 188/0 days Applicant's Name (print): h,mr*e_ Signature: Date: ae_,Q cry Inspections must be called in before 8 AM on Me day the inspection is requested. Inspection r quests called in after AM will be scheduled for the next business day. Inspection Hodge -1208)3]2.2344 yorys laurg.org Permit Technician -(20a) 372.2341 ce ren °Ac, CIPY OF REXBURG a,n.,;ms r®,ng commumry 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. Iso,eg.�ly LP' '/ a3ds6 101F Signature Date Print Name Permit TeeMimn-(208) 3]2.2341 www. .bur&mg RMsed 10/2016 aa�Pa•4 circ OF 0 REXBURG q Amarirai r.miy Cummunay % - OLID -1 \ BUILDING PERMIT FORM 113 nw.renaae„ BUILDING APPLICATION Basement Finish SFR Mechanical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: ❑ Mechanical Fee Paid 1. Property Owner Name: ZnTb•- &b*K Address: _31 7 12 IZ T tS +k 5cxd( City: RQ)e 3 State: -,TD Zip Code: 849e/V0 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 section 3 of this application and complete the Homeowner's Exemption page as well) ❑ No, 1 am working with the homeowner 2. Mechanical Contractor pI Uh}Business: State License#: 'kGip.yL 2_07( Address:'�Inr. State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Mechanical ContractorAuthorized Signature: '--& Date: A copy ofyourstate registration/license is required to be on file. If this is the first timeyou have done work in the City ofkexburg, pleaseprovide a photo copy afyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: Description of work: ❑ SFR Construction; sq. ft. • Feesfor hnsement/inales are charged bysquarefoatage: Up to 1,500artiG $130+$65far each additional 1,000sq. ft or portion thereof. o Up to 1,500sq.)t=$130. Up to 2,500sq.f-=$195 Up to 3,500 sq.ft.=$260. Up to 4,500sq.fL=$325, etc. (i.e.a home with 3,675sq,A will be charged$325) ❑ Number of Fireplaces: • Note thatfireplaces are notincluded in squarefootage costs and will be charged $65 per inspection. APPLIP"^"'"^ here Rexbur repres, pmv al based. Appli hat the information y Councilhathe Cityaf byauthorieed ,#meal Issued under the .in or approval—a Date; Inspeodon In ecomsmu32e23414ed in before 8 AM on the day the animation is onmeatd.he,eoHrequests ts Wled in after I Al will be schemed for am ne#business day. .rexburg.og Permit Technician -(20813]2.2341 1�6 o�0\ �, `jeYUg�y 7t CITY r OF Building Safety Department R v EXBURG BUILDING PBRMIT FORM 123 City of Rexburg d.a °'"°"'°" 35 North lat East Amerlm4Pamily Commumry Rexburg, Idaho 83440 BUILDING APPLICATION SFR Basement Finish Electrical For Office Use Permit Number: ❑ Electrical Fee Paid 1. Property Owner Name. rnr R(.xec Address: 2VP 1-457- a-ak 5o el4 City: 2 State: sD Zip code: E3lwo Phone: ZDi)-S7a5- aVVY0 Email: �rsv<lale� & 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 section 3 of this application and complete the Homeowner's Exemption page as well) ❑ No, I am working with the homeowner 2. Electrical Contractor Business: f o G ate License tk: C/9 Z:- Esp.: Address: 4/S/el- J� of �/ E C Phone: - _ Clty' State:�Zip Code: 83c42/O Email: Ji Ritz n n vbnir�� [� Lam• L� Contact/Rep.Name: Y / hone: -3-5(,-37 mail: Electrical Contractor Authorized Sign/As,€y�— Date: 20� A copy afyourstate registradon/license is quired to be anfil is is thefirot timeyou have done work in the City ofRexburg,please provide a photo copy ofyour license. Ifyou are unsure ifyourlicla se Is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Descri Address: 3 %iiption-SCS �O p Description of work: /�f7J ❑ SFR Construction: 914Z sq. ft. • Feesfor basemeatfinishes are charged by square footage: Up to 1,500 sgfli=$130+$65for each additional 1,000 aq.ft or portion thereof. o Up to 1,500sq.ft=$130. Up to 2,500sq.ft = $195. Up to 3,500 sq.ft=$260.0 . P to 4,500s 9 ft = $325, eta (i.e. a home with 3,675sq.ft will be charged $325) APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under paultyaf penury, l hereby c sCr ibatl have readtMs application and state Na[ the information herein is valmor and l swear that any information which may hereafter be given by me in hearings Inderen. Planning and Zoning Commission or One City Coal far the City of Rexburg shall be truthful and concert I agreero camply with all City regulations and Sam sws relating to Me subject ma¢et ofthis application and hereby auloonztW representatives of the CIVWeneerupon Neabove-mentionedpropertyrorimpe onspurposes. NOTE: The building official mayrevokea Instrument approval n ottedander Me pmvisionsofMe 2012 International rode in cases d ervi Else statement ormlaeprestration road in Neapplicalson or on the plans on which the permit orapprwal was based. Permitv°idifism waded within 180 days. Permitvoid dworksmps for 180 drys. Applicant's Name (print): Signature: 1 Date: 120/6 hupections mmtbe caved mbefore SAM oa the day the Inspection Is requested inspection requests called in after AM will be scheduled for the nest business day. Inspection House -(208)312.2344 www.,anuxur, Permit Technician—(208)3]2.2341 7r. �ti�5ta« ,i 4-1*wC v "'T 10 ORWIna� Fw•ryry�� '•• y. 'IUM1Y WJW /4.+D =ylTaD PYA. {yA l�� _ _, N4a�;M•vw.:"�-MmwrK'bV%-� {A $At�`�s�;r� U,I�.Ouw;l d T P107ap 4NC,Mc c�IrT +D -fo.j"41I W 1 i(. ruw roma 7r 4-. W,'- -70 rr,acn ttic u1aT 1 `�. sT 3 H � V i �4 f 3 - ...ar ® WIIl CJi W�ne�uwl YC croon +o m��i A 7r. �ti�5ta« ,i 4-1*wC v "'T 10 ORWIna� Fw•ryry�� '•• y. 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