HomeMy WebLinkAboutAPPLICATION - 18-00219 - 273 Rebecca Ave - AdditionC IT Y ^ F
REXI LAG
America's Family Community
PERMIT POLICIES ACKNOWLEDGMENT
Building Safety Departmen
City of Rexburj
35 North 1st Eas
Rexburg, Idaho 8344(
The City of Rexburg Buildirig Safety Department is determined to provide excellent customer service. In an effort to help 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.
o APPROVAL OF CONSTRUCTION. Construction on any project can begin ONLY when you have received a Pink Building
d Permit from the Building Department Occupancy of any structure can begin ONLY when you have received an official
Initials Certificate of Occupancy from the Building Department. These documents must be signed by the appropriate authorities
from the City of Rexburg. Any approvals can be verified by calling (208) 372-2167. Even if you hear from an inspector that
'you're good to go', ultimately if you do not have a Building Permit or Certificate of Occupancy, the above policies will be
enforced.
o SCHEDULING INSPECTIONS. 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 8 AM will be scheduled for the
- Initlais - following business day. 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.)
o STAIRWAYS REQUIRED. On jobsites for multi-level buildings the contractor must provide temporary stairs so that
workers and inspectors can safely access upper levels of the building. If these stairs are not provided, inspections may
initials not be completed. Extenuating circumstances will need to be approved by the Building Department.
o DIGITAL AS -BUILT PLANS. A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans. It is
the Applicant's responsibility to turn in digital copies of the As -Built Plans when the project is completed. No Certificate of
initials Occupancy will be issued without these plans, extenuating circumstances will need to be approved by the Building
Department.
�o OCCUPYING A FINISHED BUILDING. No building 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 may
Initials be required to vacate.
S o MAKING KNOWN POLICIES. 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. The above policies will be enforced to all, regardless if this
initials information is passed on to them or not.
Applicant's Name (print): Xayylq_ Tfe�4�e gnature: Date: / ZB .2OlB
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 next business day.
Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016
CITY OF
MXBURG
America's Family Community
I
PROPERTY LINES
Building Safety Department
City of Rexburg
35 North 15t 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 anew 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.
-1 have read and understand the above requirements.
lk4, 4 �
Signature DD td e
L/(%Gt ���lCl G
Printed Name
Inspection Hotline -(208)372.2344 vv w.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016
CITY OF
1�rXDlJl\G BUILDING PERMIT FORM �02
h� updavd 10i2016-
Americn's Family Community
BUILDING APPLICATION
Single Family Residence Addition
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: Zoning: Application Fee Paid: O $100
1. Property Owner
Name: 6{i
Address: G[Gc 41,14 City: elm State: II% Zip Code: >T7�
Phone: 2DA �20�' 3'% Email: XcA //G e 6 zel elm
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?
XYes (Skip to #4 and complete the Homeowner's Exemption)
❑ No, 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: 19u/OtI-1 - Registration #: 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. If this is the first timeyou have done work in the City of Rexburg, please provide
a photo copy ofyour license. lfyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
-4. Project Descriptio} Ave—AA " f
Address: 273 /�t6ec6cL /T//fC(G(1.1,*,'fe exlw,l q Q/IfG J
Project Description:
• Square Feet of Addition: sq. ft.
• Estimated Total Cost: $ 504 Li 00
-• Fireplace(s) Being Installed? O YesX No
Building Permit fees for new homes are charged based on square footage and the City's estimated valuation. For details on how fees are calculated, contact
the Building Department There will also be a plan reviewfee totaling 10% of the building permitfee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, 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 me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg
shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the
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 of the 2012
International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoid ifnot
started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): Q/aN - fC Ce CN(JG11 Signature: G� Date:7 2018
Inspections must be called in before 8 AM on the day the inspect nis requested. Inspection re quests c Ile in after 8 AM will be scheduled for the next business day.
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
� oQopxeuq�'>
0
_For Office Use
Permit Number:
CITY OF
REXBURG
0&
Americas Family Community
Building Safety Department
BUILDING PERMIT FORM112 City of Rexburg
a°""°'n"°" 35 North 1st East
Rexburg, Idaho 83440
BUILDING APPLICATION
❑ Mechanical Fee Paid
1. Property Owner
Name: Aal-Oit- 7. �cµel(Ctil.O� / ,'//''//��
Address: -7� e «a- Ale City: "a State: lh Zip Code: llw
Phone: ZDB -201- 3% Email: C ala 6 al. of
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?
XYes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, I am working With the homeowner
2. Mechanical Contr�i ctor
Business: 04&el7ef State License #:
Address: City:
Phone: Email: _
Contact/Rep. Name: Phone:
Exp.:
State: Zip Code:
Email:
Mechanical Contractor Authorized 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 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
Address:
Descripti
❑ New Sl�K t.onsirucuon:
sq. tt.
• Feesforadditions are charged bysquarefootage:Upto1,500sq.Jt.=$130+$65foreachadditional 1,000sq.fkorportion
thereof.
Square Footage
Total Cost
Up to 1,500 sq. ft.
$130
Up to 2,500 sq. ft
$195
Up to 3,500 sq. ft
$260
Up to 4500 sq. ft
$325
Add $65 per additional thousand sq. ft
❑ Number of Fireplaces:
• Note thatfireplaces are not included in square footage costs and will be charged $65 per inspection as shown below.
o ❑ Built-in $130 ❑ Free-standing $65
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l have read this application and state thatthe 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 of
Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized
representatives of the 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 of the 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was
based. Permit void if not started within` 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): AaMAT frC{?�(wfDeJ SignatureJ_V�_Ow Date: *14 ZOIp
Inspections must be called in before SAM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day.
Inspection Hotline- (208) 372.2344 www.rexburg.org Permit Technician -(208)372.2341
-I*—
For Office Use
Permit Number:
77� CITY
7O7FF /
1�,1�17 U 1\V
0&.
Amenias Family Community
BUILDING PERMIT FORM 122
Uvdaem 10/2016
F1
APPLICATION
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
❑ Electrical Fee Paid
1. Property A,Owner
�fa
Name: ,,i- C{I /GYLf7f JI _ f
Address: 212 G LGGLLy • City: State: 10 Zip Code:
Phone: 20g ^ 2tl(-2 68 Email: C e Q 6t/21f. eqa
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?
KYes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, I am working with the homeowner
2. Electrical Contractpr
Business: �zq State License #:
Address:
Phone:
Contact/Rep. Name:
City:
Email:
Phone:
Exp.:
State: Zip Code:
Email:
Electrical Contractor Authorized 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 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: 213 Qebu u klG OR- t Lot #: _ Block #:
Description of work: A 1.11ox o GK"j�i1� /lo c. fo iM/1U
❑ New SFR Construction: sq. ft.
Fees for additions are charged by square footage: Up to 1,500 sq.1t = $130 + $65 for each additional 1,000 sq.1t. or portion
thereof.
Square Footage
Total Cost
Up to 1,500sq. 1t
$130
Up to 2,500 sq. 1t.
$195
Up to 3,500 sq. ft.
$260
Up to 4500 sq. 1t
$325
Add $65 per additional thousandsq./t
❑ Spas/Pools/Generators: Cl Yes>( No
• Note that spas/pools/generators are not included in square footage costs and will be charged $65 per inspection,
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l hereby certify that l have read this application and state that the information herein
is correct and 1 swear that any information which may hereafter be given by mein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg
shall be truthful and correct. ! agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the
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 of the 2012
International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): Al40;1 Ve4WeAX Signature:i Date: ! ��
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 next business day.
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
0
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CITY OF
RMURG
OW_
Amerirds Family Community
r
BUILDING PERMIT FORM 13 2
updated 10/2016
BUILDING APPLICATION
New SFR Plumbing
Building Safety Department
City of Rexburg
35 North 151 East
Rexburg, Idaho 83440
For Office Use
Permit Number: ❑ Plumbing Fee Paid
1. Property Owner ' //
Name: /- CNG(/ -eA o T ��,,//////
Address: etc2 c City: len 41 !/ tatLe: S� ip Code: �19 d
Phone: X201- ion cl�tag a �fKt.CQL!
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?
Xyes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, l am working with the homeowner
2. Plumbing Contract r
Business: State License #:
Address:
Phone:
Contact/Rep. Name:
City: State
Email:
Phone: Email:
Exp.:
Zip Code:
Plumbing Contractor Authorized 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 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: M A,_-& cca X oe -OR- L/ot"#: _ Block #:
Description of work: A d %Da o e1w11A!,Z fIUdUIG Ito i%t
❑ New SFR Construction: sq. ft
Fees far additions are charged by square footage: Up to 1,500 sq. fL = $130 + $65 far each additional 1,000 sq. ft or portion
thereof.
Square Footage
Total Cost
Up to 1,500 sq. ft
$130
Up to 2,500sq.ft-
$195
Up to 3,500 sq. fL
$260
Up to 4500 sq. ft
$325
Add $65 per additional thousand sq. ft
❑ Hydronic (In -floor) Heating: ❑ YesX No
• Note
is not included in
and will be charged $65 extra.
APPLICANT'S SIG NATO RE, CERTIFICATIO N A N D AUTHORIZATION: U n der penalty of perjury, t h ereby certify that l have read this a pp lication and state that the information herein
is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg
shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the
-City to enter upon'the above-OtEntioned property for inspections purposes. NOTE: The building official may revoke a permit on approval Issued under the provisions of the 2012
International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
started within 180 days. Permit void ifwork stops for 180 days. / / �j%'I _� p
-Applicant's Name (print): f2rON �rfGAGG jG126 Signature: G�"Z��"'' Date: fO 90/B
Inspections must be called in before 8 AM on the day the inspecton is requested. Inspection requests called in after AM will be s uled for the next business day.
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
1
pP%9 U$
CITY OF
REXBURG
OW
America's Family Community
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete:
Masonry:
Roofing:
-Insulation:- - -
Drywall:
Painting:
Floor Coverings:
Plumbing:
-Heating:
Electrical:
Special Construction
(Manufacturer or Supplier)
Roof Trusses: /^06,
Floor/Ceiling Joists:jAl-176
p
Siding/Exterior Trim: ,l aAipOG
_Other: -
Building Safety Department
City of Rexburg
35 North mxt East
Rexburg, Idaho 83440
Inspection Hotline- (208) 372.2344 w .rexburg.org Permit Technician - (208) 372.2341
Revised 10/2016
{o �!d CITY OF
�6
° REXBURG
ti-
Amencoi Family Community
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 S4 Chapter 52, Subsection (2) l
I hereby certify that the above information is true and correct to the best of my knowledge.
/Y 20/
Dat
Print Name
Permit Technician -(208)372.2341 w .rexburg.org Revised 10/2016
z
C t TY -0 F
REXBURG
OW
Americas Family community
1
Building Safety Department
City of Rexburg
35 North 151 East
Rexburg, Idaho 83440
DISTRIBUTION LIST
-Please provide the names and emails of anyone who should begetting automated updates for this project:
Review Notes
Name:
Email:
Name:
Email:
-Name:
Email:
Name:
Email:
Name:
Email:
Inspection Tickets
Name:
Email:
Name:
Email:
Name:
Email:
Name:
Email:
Name:
Email:
Inspection Hotline - (208) 372.2344 w .rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016