HomeMy WebLinkAboutAPPLICATION - 18-00169 - 320 Baldwin Dr - SFRC 2 TY OF Building Safety Department
JG City of Rexburg
—N.— 35 North let East
Rexburg Idaho 83440
SINGLE FAMILY RESIDENTIAL APPLICATION CHECKLIST
The following items should be completed before you submit your building permit application.
*Reasonable accommodations will be made upon request
Submit the Following Documents:
❑
2 sets of site plans (see Site Plan Checklist)
❑
2 sets of building plans drawn to scale Csee box to right)
❑ Foundation Plan,FloorJoist Layout Floor Plan, RoofLayouq Truss Details, Sectional Views, Front Back and Side
Elevations, Mechanical Layout Stair Details and any details required to Illustrate special construction.
Note: All Plans and Construction must conform to IRC2012 standards.
❑
Structural Calculations (see box to right) -stamped by a licensed Engineer
.Seismic Design Category - D
❑
Energy Compliance Report: As per the 2012 IECC, a RESCheck is required
Ground Snow - 50 His. per sq, it
(available online at wwwenergycode eovl
Roof Snow Load -35 Its. per sq. ft
❑
Digital Plans (PDF Format- can be submitted by USE, CD, or Dropbox)
Wind Load -90 MPH
Frost Depth -36"
❑
"Copies of any Contractors State License if not on file already.
Complete the Following Forms:
-0 Site Plan Checklist completed.
,0 Permit Policies Acknowledgment signed.
Property Line form signed by builder.
jY Building Permit Application signed by a registered General Contractor.
(0 Mechanical Permit Application signed by a registered Mechanical Contractor.
A Electrical Permit Application signed by a registered Electrical Contractor.
-a- Plumbing Permit Application signed by a registered Plumbing Contractor.
,Cf Subcontractor list completed.
—O Homeowner's Exemption signed, if Homeowner is doing work on their own home.
__Q Affidavit of Legal interest signed by owner, if applicant is not working directly with owner.
—❑ — Notifications Distribution List.
Note: Please check the Rexburg Development Code for any requirements such as property setbacks,
design board approval, etc
This information is available athttR//rexbure g/p$ /de 1 n t -cod .
Inspection nonOw-(208) 372 23,ri rvwry.rexburgurg Permit TnIminv,-(200)3]22341 RmUed2/2017
O ca%e aAo,v
s{ o cnTv OF
REXBURG
a
AnmkAatmJy Cammuniry
PERMIT POLICIES ACKNOWLEDGMENT
Building Safety Department
City of Rexburg
35 North let East
Rexburg, Idaho 83440
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
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.
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, belong all construed on, only a City Official may remove the red
Itag. If the red tag is removed by anyone but a City Official, citations may be issued.
No 211i.,may be occupied without receiving a signed Certificate of Occupancy.
If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants
maybeevicted.
Is
A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans.
Itis the Applicants responsibility to Nen In digital copies of the As -Built Plans when the project is completed. No
Certificate of Occupancy will be Issued without these plans.
In'
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 a AM will be scheduled far the following business
d
Required Inspections ran be found on the inspection sequence page in this packet If an Inspection is not done, the
inspector may require any measures to be taken 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 ofanystructure can begin ONI when you have received an official Certificate of Occupancy
from the Building Department.
A verbal approval does not constitute approval ofthese documents. Ultimately ifyou do notbave a Building Permit or
Certificate of Occupancy, the above policies will he enforced. These documents most be signed by the appropriate
In la: authorities from the City of Rexburg Any approvals can be verified by calling(208)372.2341.
It is your responsibility to inform anyone on yam project Tithe above policies. All sub -contractors will be held to this
standard with no exceptions.
The above policies will be enforced to all, regardless ifthis informstion is passed onto them or not
In ah of
Applicant's Name (print): �j���---���—Signature :�_Date:
Immotom mustbe sailed In belore aAMon the tlaytheiIspanioa urequest¢tl. Impte onrequests coiledinafteraAM MR be.sheduled torus, netbmiis,ssday.
Inspection Hanlne-f2N)372.234 ww,v.rexhuryorg PermItTechokim-(2nD)372.2341 Jushed2/2017
CITY OP
REXBURG
Arnerlm4Pomily Conunubry
PROPERTY LINES
Building Safety Department
City of Rexburg
35 North 1P1 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. This information is available at madison.rexbure or¢. If you want to request a copy of
your lot information, contact the Community Development Department.
I have read and understand the above requirements.
,
Signatul=
Printed Name
Daft£ L
Inspecclon Hotle,e-(200)3]22344 ..renbu1og NMIftledWdan-(208)3]2.234] Revised 10/2016
ne,axnn+aa n�CITY Or Building Safety Department
REXBURG Cit of Rexburg
BUILDING PERMIT FORM 100 Y B
on, """"°"°" 35 North in East
Amadrda firmly mmmnwry
_. Rexburg, Idaho 83440
BUILDING PERMIT APPLICATION
New Single Family Residence
For Office Use
Permit Number. Lg-WIA Zoning: LoW I)tnt IZ[51 q13 Application Fee Paid: P$500
1.Prope1 Own r 1
Name: ,r3���f �
Address: Ciry: VCU Y LX NFI State: Zi Cade:
Phone: .7 E'ma�ilT
Underldaho Building Code, a homeowner is allowed to do work an their htyme.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #4 and complete the Homeowner's Exemption)
IRTgo, I am working with the homeowner
Name: �i-t RoIc Own p Tenant, Contractor, etc.)
Address: CiTy: i�n1LG�DaS f �' /1 Zi Cade:
Phone:%fX^s"L — t l Email: g r
Contac Re
Name:
3. Gener 1 antrac[ar g�
Name: egis aeon #: (J7 D Exp.:
Address: S, City:U/'YT State:�_Zip Code:
Phone: � Email:
Contact/Rep. Name: _ Phone:) / Email:
General ContractorAbtliorizedSignature: `'V !I t.�,��t ,Y�� Date:��
Acopy ofyonrstate rcgtstrafion/llrense is requiredroti�pn(rle. ffthis istl Jtrst timeyou hove done wm'k fn Me City a/Rexburg, pleaseprovide
a photo copy ofyour license. Ifyou are unsure ifYaur Ikense is onFle, pleasE check wfth the Penn@Technfctan by calling (209) 372-2341.
4. Project Description p� �y
Address: -OR- Lat #:g Block#: �Subdivlsfon:fl'S S
Project Description:
Square Feet: Building Total: 1 -sq, Ft . #-f Water Meters: / WaterMeterSize:-
-o Main Floor: 5[(�_-sq. ft. • Fireplace(s) Being Installed?yeNo
y—Additional Floors:- sq. ft. . Hydrant Heating Being lnstat�d?❑ YeKNo
��Basement
Finished sq. ft. euiidl Pe.mit
19Z_ nB fensfm newhomes are ehargedbasedonsware
Unfinished sq.R g
a
Garage Lft, footage and the City's estimnred valnndon. Fprdetoilrml hpwfees
g cost:
s q' n- ralcakhat concoct the ledldfag 0epmlment rinm will also he
Estimated Total ost:2�P�t �'b27 BQ aPlan —Inlwf Unahal 10% arts,lallding pemiitRe.
-.._.—., ma,.P. m,n.'."acorn.mma°am m'an"rmlvpaalanxwNnwe. uoT& rhn
.1WM1---1 nnl—w enpmllbnn ,,nnInnn'..'n' Ne pI.noo,I W131n.rnaion' I&'n—n earl W. n.....fir mlvep ....°mffna I Ihn apPI"am or nn Ike Orme In
prmlt°reppmnlwas k.Ii p¢r ,.a Ilw[54netlwnn,.no Evyx pe,mltwlEllmn,kabpshrl6lEryn
i<I
Applicants Name (print):.., tCJ l_th1IC\ Signature: - Date: (y
Ipspxll°ns must U. 111114 In bef°ree AMInn,e,layday Hrelnayertl—Is rtqueskd lnspeRi°n regl¢s rolled lnaRer AM w111 Leaheduled For Hw nmt business da
insperli"n HOJeIe-(208)372.2344 rmvw.r. ar,.ore Perm1t7tt1mi ,(208)3]2.2341
c t T r OF Building Safety Department
1���G BUILDING PERMIT FORM 11 City of Rexburg
35 North let East
MmlmtamMy ewn,nunky
_. Rexburg. Idaho 83440
BUILDING APPLICATION
New SFR Mechanical
For Office Use
Permit Number: ❑ Mechanical Fee Paid
1. Prop Ow er
Name: Address:CityStale: Zip Code:
Phone: &�N� Email:
Underldaho Building Code, ahomeownerisallowedto do warkon thehown me.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #3 and complete the Homeowner's Exemption)
0,1 am working with the homeowner
2. Mechanical Contractor
Business: wcl+• b State License#: &P; S }f
Address: o City; Smt:�_Zip Code: b';yyZ
Phone: . N - - 7_� Em il: O 4S p -'14256 t �.
Contact/Rep.Name:, {-1 I Phone: S= Z Email: t
Mechanical ContractorAuthorized Signature:"Date: - 4 -!
Acapy ofyourstate reglslmtion/I(cense 6required ro be anfge.IftMsist frstthneyou have done work in the Cityofgexbarg• pleaseprovlde
a photo ropyofyourlirense. Ifyml are unsure tfymtrlirense is on fIIG please check with the Permit Technician by calling (208) 371.2341.
3. Project Description
Address: �t OR- Lot#: Block#:Subdivisin:
Description of work:
❑ SFR Construction: 7( 7*/ sq, R
• Feesfornew construction arechargedbysquardim age:Up[o1,5004ft=$111465foreach additional 1,000sq.f. or
portion thereof.
o Uptn1,500sq.ft=$130.Upto2,500v{.ft=$195.Upto3,500sq.f,=S2w..Upto4,500sq.ft=$325,etc(i.e.a
home with 3,675 sq.ft will becharged$325)
❑ Number of Fireplaces /_
• Note thatfirep res are not ncluded in squarefootage costs and will be charged$65perinspecaon
❑ Hydronic Heating: Iva
• Note that hydronk heating isnot included In sgoaref6mand costsami will be chargedand additionai S65 +($lox#of
manifolds/tunas)
fy ant l Nee and this allinnlou and eanothat nm in0rnarlmt
le Planning and l ning Gmmlulon-Aire eky on.ndn row on, city or
aing a...... nlayrewke n wonatoa eppmvaI Issued under on
app1in11nnor..the plana on which Me perm it orappmal were
Applicant's Name (print): /\il/( 4. li Signature: Dater
InsVeebn HrwPeooWne wi3 o tbe231kM In befure a AM oa the rey the insnollon le oequege4lnspealm quests called latter 9AM will be scheduled for tN beat bw1neas day.
svww.onebumnw ..__.._... __.
eae+2o2m
77��nnm Tr OF Building Safety Department
1\.C.XBJMl7 BUILDING PERMIT FORM 17 City of Rexburg
35 North let East
Anmamt ennJry aunmmlry
Rexburg, Idaho 83440
BUILDING APPLICATION
New SFR Electrical
For ofnce us,
PermitNumber. ❑ Electrical Fee Paid
l.prap 't Dw Fl.
Name:
Address: - City: Elate: Zip Pude:
Phone: — 13 ail: (/�i .t'�t_ r�./1! / N�K
Underldahu Building Code, a homeowner is allowed to do workon their own me.
Are you a homeownerdoingwork on your own home?
❑ Yes (Skip to N3 and complete the Homeowners Exemption)
No, I am working with the homeowner
2. Electrical Contractor
Business: $ A[, !�Ae_ State License N: oISYBo Esp.:
Address: V.0, City: Irir
State:S_Zipccd..
rEmil; 1, r:7Phone: ✓C�a
ContacRone:
_ Small: cr
Electrical tontractorAutliorised Signafi to �Le,
Acopyo/yonrsMtercglslrnNon/license hrequtr be on file.) is Is thsihtanTeyoo hove done work m the Cl oRexbn
a holo co o p p CY f rg, please provide
p copy fyoar llosese. Ifyou are unsure or acense is on le, lease check with the permit Tedmlclon by callbW(200)372-2341.
3. Project Desnlption ry�y
Address: -DR- t _ Blockf:0.Subdlvlskm: f
Description ofwork• /y
❑ New SFR Constivcd-T X� sq.R.
• Peesfornewconstrt¢Nonamehar0edbysgnm"efootage:Upto1,5005q.f,=$130e$65foreachadditfona11,000aq.f.or
portion thereof.
o Up to 1,500eq.f.=$730. Up to 2,500 sq.fb=$195. Up 03,500 sq. f.=$260 Up to 4,500 sq. Jt.=$325,0 c(Lea
hours with 3.675.¢ ft. will becharged$325)
❑Spas/Pools/Generators:❑Yes No
• Note thatspas/panls/enernrorsnrenotlndoded OrsqunrefootrygecostBond rvlll bedmr0ed$65per hrspecfion.
APPIAChN'rF51(;NAI'URE,CEWIIFlUTIONANNAUTIIORIZATION: UnderpenallyefYeriury,I M1erahycerillylliMlllmmaJ lhlaappllcallonantl gMelhalUminlolmarlon bereln
Nmrrniand lsrvearlhnla�lylnfminallonwLldnnaylwreaRerbeglvan bymele,.rlllga
0,A) he MANI and comee(orcthe PWmlhgaxJLunllkf vmuYwion or the CIV [nundl for We[Ityafllexbury
R l enee tornmolvwhh al cuo.....nmm....-a e...............�b_o-M..__.. _ e _..
..._ __...__. ..................................1....=w wnin�mePernnnarapVicevnlarnaha,, Penn 11 teld]feet
xaneJnWin 100 &A pvrmltvdJYm2rknopsfw 700 Rnys.
Applicant's Name (print):-.Slgna[ure: Date
:
�V
In tHee-(2mu172.anadW befom BAMmnhc JaylLe lmyealon ln,xw, httl..un reyuesWmlleJ Ince ne AMMll hes'LeWJN heuwmalbw..,day.
manenmllxmnne-ROR)R2z.a3t4 wwlerexuurq..rs vemdlTahlxtte-(x0%372.2341
I
eko pnXeagq c3 nv on Building Safety Department
RMORG BUILDING PERMIT FORM 130 City of Rexburg
35 North Int East
A,nnmO I ry emmRexburg, Idaho 83440
BUILDING APPLICATION
New SPR Plumbing
For Office Use -'
Permit Number O Plumbing Fee Pald
1. Proper u!I el
Name: 1
Address: Ity; State: Zip ode•
Phone: —
Em all
Underldolu,BldldbW Code, ahomeowner lsalioved to do workon their awn me,
Arc you a homeowner doing work on your own homele
❑ Yes (Slip to N3 and complete the Homeownet's Exemption)
No, l am working with the homeowner
2, Plumbing C, tractor, -1
Business; QS q.a (p.^• Smte Licenseff:
Address: E E .,.,
/4'"]""�'+ St4M: Zip Code: 8 yep
Phone: cf0b S55- r/ [I Email: ,K(PYBL.00 ccs.-.
Contact/Rep. Name: ed o e Phone: Em il:
Plumbing ConfractorAufforized Signatures& Date: 3 Z111
Ampy o(y0urstate regls[mUon/flceuse is rttlydred to eon/1/a /fthls is /frs[ttlnaynu Aava done work In theb'Ify ofRexhnrg, pleasa provide
aphotompyofyeurllren"..Ifyou ere ensure ffyanrlicenselsenflisplean check wldl the Permit Tschnklml Aymhey,(20N) 372.2361.
3. Project Oescl1ptioo _
Address: -0 ,ot jl:Block ll:bdivlslan: U
Descrlptian of wmk:
13 New SFRConstmctiom sq. ft,
• Ireesfarrrewcmistnmtlonmecoamedhysgnarefoatnge:Upto1,500s9•R•=$130+S65]breachaddltlonall,000s0.fcorportlon
thereof,
o Upw1,500sq.f.=$t30.Upto2,500sp,f,=$19.5,Upm3,500sq.f.=$260.Upto4,500sg.f.=$325,etc(f.e.o
Aolue with3,615sq. ft. will be charged$325)
❑Hydrunlc(In-noor)Posting:❑Yo
Nowt ro
-dcd
ln sglmref00tRAc CWhVand will bachargedy6.5+($10x Nnfmnnlfoids/zones).
APPLIUNrSSIONATUngcERTmmnTION AND,AIMMxl]ATION:
••...m......nmonnYwmrtnnpnnnnepn P: . NMr,:TltabONdltg MkinllxxyrwxkunperndtonnpprnrelkzM6lmenbel:mvinxnmftecxA
Innrmllanxl Cods In mxm ornery rel-notemnntormbreprnenmtmn afnain ln.,,11:m nennxren 1po pinon ,h a:xpermlrer.ppmVawxffinea pmmavnidanor
nmrteJ fnadxyn. PermllvoM lrwnGeto:nrnrlM,lnvn.
I,—
a7 O
Applicant's Name (ptint)I,��` X�Signature:
Inspeellonmm�n4xalloJ b:lufnrxO Mlontbutlnylhx lnspmnmllr mgamxJ.11upatmu ralxa4xmllN lnxper0 nn\mu Ooabed,Axd rm lbe nm[buslnosv Jny. '
Impmnxnllotll0e-C200)3]2.2J99 \VINV.roXhpY6,nrg Por:nINUInslrkn-(200) 37Y,2341
CITY OF
REXBURG
Amnka} Pomlly ram�nvnYy
Excavation &
SUBCONTRACTOR LIST
Building Safety Department
City of Rexburg
35 North I=t East
Rexburg, Idaho 83440
Concrete: 1'JV Lkp\nyid Ott1V' 2(
Masonry: Si J�C,(i�,yack1 Skon{ inl�alC �;n �v s
Roofing: \JIM(i T CoV'PW�ar-��
Insulation:
Painting:\ }CN\ (l, - J)e ll 5 Nn
Floor Coverings:11� Qp (ee-A-
Plumbing: TCD` -CS -��' _ YISv lri,I.
Electrical:_�1���
Special Construction
(Manufacturer or Supplier)
Roof Trusses: lh)( \Ngst �af�CwQ\py�,
Floor/Celling Joists: B/nmc let} Cpr ��{1il
Siding/Exterior Trim: A11 p wzf,&
"'Vecd-"adhle—(2081382399 www.texLmg.mg NMtTetlmlclxn—(208)3]22341 ReOWM ID/2016