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Home My WebLink AboutAPPLICATION - 13-00107 - 565 Terra Vista Dr - SFR¢¢XBLRC p C11'Y Of n r• r - BURG Please Complete the Entire Application! 1�+ Brne yne¢ann aces not apply fiu in Nn fnr mn,pp4cable rtrnenmi Family fnm mumry RESIDENTIAL BUILDING PERMIT APPLICATION 35 N I" E, REXBURG, ID 83440 208-372-2326 PARCEL NUMBER: ( We will provide this for you) SUBDIVISION: UNIT# BLOCK#LOT#_� (Addressing is based on the information -must be accurate) Dwelling Units: Parcel Acres: PROPERTY ADDRESS: �d ,& 4 i le) PHONE #: Home �S`13 Work Cell OWNER MAILING ADDRF...¢.¢- ti) .?-7R ---, APPLICANT (If other than owner) (Applicant if other than oumer, a statement authonvng applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE: ZIP EMAIL FAX PHONE #: Home Work Cell MAILING. PHONE #: Cell IDAHO REGISTRATION # Be EXP. u e you recently Parc this pmpem? pp No C3 Yes (If yes, list previous owner's name) Is this a lot split? NO DYES 1 ,copy fneal�e/aal des tion ofproperry) PROPOSEDCSE: I /i L.Sgr, Co i.c., Single Family Revaene u t dg Apartmepel, Remodel, Garage, Commercial, Addition, Cry.) APPLICAN't"S:M? P ,ERTIFIfU TI0N AND AUTH0MZATI0N: Under pemtry of perjory, l hereby wmfv that l have read this aPlahas.on and start that the no.menton herein is correct and I swear that any ioformstio s which may hereafter be given by or, in hearings before the Planting and Zoning Commission or the City Council for the City of Rexburg shall be tmthfW end coreeee I agate ro comply with all City mgulatiovs and Stam laws a ns po m the subject matter of rhu applicatlon end hereby authorised repcesentauves of dse Grp ro enmr upon the above-mendnned peoperry for insopccdotu purposes. NOTE: The b 'ng ofEual may revoke a Pamir on approval issued under, the pro oiovs of the 20031nmmationat Code in s f any false vamtnevc or misrepres anon of fact in the apphcadov or on the plans on which rhe permit or approval wasbased. Pe mdr wid if not anrte 180 days Permit v ork srops For 180 days. .. ^ Si gnamm of Own at WARNING— BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION IT'E! ATE Plan fees are non-refor dable and are paid In full at the early of application beginning f 2Ms City of Rexburg's Acceptance of the plan review fee does not constitute plan approval**Building Permit Fears are due err rime of application** **Building Permits are void if your check does nut class** Building Safety DepartmentRMURG C 1 T r OF City of Rexburg o 35N Phoe: 208n.3122326 to 8 Rexburg, ID 83440 www.rexburg.or9 Fox'208.359.3022 a„k,im's Fundy Cnmmwlry 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 fines. The Developer should find property pins that ace 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 fine location is with a land survey. The City of Rexburg has aerial photos and a parcel fine 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. 3 signature Date [IUwner or KBuilder Printed Name Bu' ig Safety Depar mme Ctry OF 35 N. la E,Reeburg, Id 83440 City of Rexburg DnvnT rnn RG Phone - (208)359-3020 / Hotline - (208)372-2344 / Fax - (208)359-3022 V amsnm;aw;N[:ammway OWNER'S NAME < PROPERTY ADDRE S S Permit# ?j oo O SUBDIVISION G. mss.....-, I .�e..r PHASE / /I,OT�_BLOCK o T etwP�'lef-'tPOV✓?.`(- RequiredN ELECTRICAL n Electrical Contractnor's Name ec%. Is'/'�it f /' yMC Business Name / % 'r �- T �p7 Cel]Phone %toil-- /rJ-- Business Phone Fax �08=3SY_ -tS �A � w....,n ), IN-/. -. (COMMERCIAL/INDUSTRIAL) Total cost of electrical system (cnntn 1) Amount) $ (Includes the rust ofmatedak installed regardlers of the parry rupphying it Tlx fees luted under this inspection type shall apply to any and all elold"l ies"llatioer ine! *eqt a,4 m,n4 anxi dseahe, an thisfarm). ❑ Up to $10,000 (totalc_ ost of system x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ( (lord cost of syswm _ 10 000) x 0.01) + $260 = 8 ❑ Over $100,001 ( (totalcostof system - 100 0 x 0.005) + $1,160 = $ Small Works (Contractors ONLY): $10 fee for work not exceeding $200 in cost and not involving a change in service connections. Does NOT require inspecdon. RESIDENTIAL see deT�tm kmflyDw�g, including sB buildings with wiring being constructed on each property. (*Based on Erving space, * Up to 1,500 sq &- $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 ❑ 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1000 q & pd th 1)). New: Multi-Familylhvelling (Coauacrois Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per budding plus $65 per unit: (8140 x # of buildings) + ($65 x # of units) ❑ Existing Residence, Modular, Manufactured of Mobile Homes, and Detached Shop: $65 fee plus $10 per branch circuit, up to the maximum of the corresponding sq. ft of the building 65 + ($10 a # branch 'ta)l ❑ Central Heating/Cooling Systems: $65 When NOT put of new residential or HVAC permit with no additional Wiring ❑ Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect Pumps -Water, Imgaaon, Sewage (each moms) ❑ $65 up to 25HP ❑$95 - 26 to 200HP ❑$130 over 200 HP MISCELLANEOUS ❑ Temporary Construction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65 ❑ Temporary Amusement: $65 fee plus $10 per ride, concession or generator ❑ Irrigation Machine: $65 for center pivot plus $10 per tower of drive motor ❑ Technical Service: $65 per hour ❑ Planhe to $65 per hour "Living Space — s �� within a dwe �(nK e o an habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washin ecreati titration pu oses. An fished basement is considered part of the living space. Signa[y o�.Zicensed Contractor License number&exp. 6, 1-75IyY Date Building Safety Department City of Rexburg 35N Phone: 208.372.2326 Rexburg, ID 83444040 �'�'a'.rexburg.orq Fox: 208.359.3o22 SUBCONTRACTOR LIST Excavation & Earthwork SZ t 1.4 /j — OQIWUflC V, CITY Of -ow-- G A.nJ.' Family Community Floor Plumbing: Z/ (� G/= f Special Construction (Manufacturer or Supplier) Floor/Ceiling Joists:_ jll r_ Siding/Exterior T.:��t�i' 35 N. Sr E., Rexburg, Id 83440 r, Building Safety Department City of Rexburg OWNER'S NAME __&�7� M, PROPERTY ADDRESS � -1 i/1 Permit# Water Meter Quantity: **************Water Meter Size: /U ACqutred111 �7 Plumbing Plumbing Contractor's Namcd] � -/�� Business Name Cell Phone Business Phone CITY OV REXBURG Amenmi M.a, tsm -y (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Contracted Amount) $ (ixeludes the east Ifmataials i,A,11ed agardlus Oftheparty supplyeug it The fees farted under obis ixape kox type sballapply to 1V and allplumbutg iastallx ss, W speafieally mexkoxed elsewbem off thufnrm). ❑ Up to $10,000 (total cost of crr x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ((total cost of02? x 0 $ + $260 = $ ❑ Over $100,001 ( (to cosi of w t -100 000) x 0.005) + $1,160 = $ RESID NTIAL New gle PamilyDwdliag, including s/I buildings wittr wiang being coasmrcted m each property. (*Based on Ging apace, see d anon below) Up to 1,500 sq ft- $130 " ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq Et - $260 ❑ 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional L40 sq ft o n ti rh �). New.-PamilyDwelliag (C-orscmrs Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 per unit: ($130 # f buildings) + (S65 # E ^1 ❑ Existing Residence, and Detached Shop: $65 fee plus $10 per fixture up to the maximum of the corresponding sq. ft. of the building $6( 5 + ($10 x # f fl n,1 ❑ Gray Water Systems: $130 ❑ Lawn Sprinklers/Backflow Device: $65 ❑ Modular, Manufactured or Mobile Homes: $65 for sewer and water stub connections ❑ Multipurpose Fire Sprinkler and Domestic Water Supply System: $65 fee or $4 per sprinkler head, whichever is greater Sewer& Water ❑ $38 Sewer Line ❑$38 Water Line ❑$65 Sewer & Water- if inspected at the same time ❑ $65 Sewer turnaround under house (change from septic to city) KISCELLANEOUS ❑ Plan Check:. $65 per hour ❑ Technical Service: $65 per hour ❑ Gas Line: $65 ❑ Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Hydronic Heating: $65 + ($10 x # of manifolds/zones) Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized fon sleeping, eating, cooking, cathing, washing, res rsaion, and sanitation purposes. An unfinished basement is considered part of the living space. -�1 (3- C -1 -?n> License number & Exo. date Building Safety Department 35 1 E., Rexburg, Id 83440 City of Rexburg Phone — I20R1iso_'tmn t .—e— .��....... ...... . _ OWNER'S NAME &Zn t :S;az:%' -- PROPERTY ADDRESS Pemut# SUBDIVISIO l+f-1 , y,. PHASE_ 4 LOT /f/ BLOCK Required!!! Mechanical Contractor's Name Mechanical T Cell Phone —'t2f—:j t Business Phone Name I CITY OF RmuRG Amertmi k'niilYCommunuy (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Connacted Amount) $ (Includes the mvg ofmaterials installed mgo,dle,r of the party supplying iG Thefeer luted under this inpe<Yion type sha!lapply to ami arcd all mahanica! Installations #or pecficaJ v memdoned elsewhere on tbuform). ❑ Up to $10,000 (m W cost of yet x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ( (LQW cost of Mt _ 10 nun) x 0.01) + $260 = $ ❑ Over $100,001 ( RESIDENTrnI (QW cost of sPtcm —100 OOOQ) x 0.005) + $1,160 = $ New: Single F mByDweBing, including aBbuBdings with wing being cm smucted on each m Based on Going space, see dell 'tion below) P Pay (e` 7 Up to 1,500 sq ft - $130 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft- $260 ❑ 3,501 to 4,500 sq ft- $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of addioio al 1 000 sq ft p ti ch fl). New: Multi-PamilyDweBmg (Cemracrota Only) ❑ Duplex Apartment $260 ❑ Them or more multi -family units: $130 per building plus $65 per unit: ($130 x # of h Wig) + ($65 # f i ,) ❑ Existing Residence, Modular, Manufactured or Mobile Homes and Detached Shop: $65 fee plus $10 per **HVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building MISCELLANEOUS ❑ Plan Check $65 per hour ❑ Technical Service: $65 per hour ❑ Gas Line: $65 ❑ Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Fireplace/Solid Fuel Burning Appliance: $65 per inspection 'Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, '-thing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. *Examples of 1A7AC Equipment -furnace replacement, solar, water heater, etc. t�Lf-c-Ia61 �7 Atgnature of Licensed Contractor License number & Exp. date Date 35N NE burg, In 83440 Builaing Safety Department City of Rexburg Phone: 208.372.2326 Fax: 208.359.3022 REXBURG RemodeAng Yawl B7i1Mng/Home (need total constructions estimate, excluding fire, electrical, plumbing, and Mechanical valuations) S Residential SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) Fust Floor Area &9 Unfinished Basement area Second floor/loft area Finished basement area Third floor/loft area Garage area f Shed or Barn Carport/Deck (30" above grade)Area Commercial Construction Type: SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) New Construction sq. ft. Commercial Remodel sq. Commercial Addition sq. ft. Utility, Mise. Private Garage sq. ft._ Storage sq. fr. Mull Family/.Single StudentHouslag sq. ft. per unit_ Manager Unit sq. ft. I