Loading...
HomeMy WebLinkAboutAPPLICATION - 18-00294 - 781 S 2275 W - New SFRCITY OF REXBURG CW America's Family Community Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 SINGLE FAMILY RESIDENTUL L APPUCATI ON CHECX LAST The Tbllowtng items should be completed before you submit your building Permit appl5cation. *Reasonable accommodations will be made upon request. SuIlbmt the Following Documents: ❑ 2 sets of site plans (see Site Plan Checklist) ❑ 2 sets of building plans drawn to scale (see box to right) ❑ Foundation Plan, Floor Joist Layout, Floor Plan, Roof Layout, 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 IRC 2012 standards. El Structural Calculations (see box to right) - stamped by a licensed Engineer Seismic. Design Category - D fL ❑ Energy Compliance Report: As per the 2012 IECC, a RESCheck is required Ground Snow =: 50 lS lbs r per q. (available online at www.energycodes.gov) Roof Snow Load 3S lbs per sq. ft `Wind Load - 90 MFH_ ❑ Digital Plans (PDF Format - can be submitted by USB, CD, or Dropbox) Frost Depth- 36 ❑ **Copies of any Contractors' State License if not on file already. Complete the Following Forms: ❑ Site Plan Checklist completed. ❑ Permit Policies Acknowledgment signed. ❑ Property Line form signed by builder. ❑ Building Permit Application signed by a registered General Contractor. ❑ Mechanical Permit Application signed by a registered Mechanical Contractor. ❑ Electrical Permit Application signed by a registered Electrical Contractor. ❑ Plumbing Permit Application signed by a registered Plumbing Contractor. u Subcontractor list completed. ❑ Homeowner's Exemption signed, if Homeowner is doing work on their own home. ❑ 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 athttp:/Irexburg.org/l)ages/"development-code. Inspection Hotline -(208)372.2344 www.rexturg.org Permit Technician -(208)372,2341 Revised 2/2017 ,�o44exnuR�ro U G CITY OF REXBURG AnWica's Family Co»urn+niey PERMIT POLICIES ACKNOWLEDGMENT Bu flding Safely Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 The City of Rexburg Building Safety Department is,detelmin,ed to provide excellent customer service. In an effort to help you under stand the Cityof Rexbur g Permit Policies, listed below ar e sever al 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. o 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, halting all construction, only a City Official may remove the red mit i tag. If the red tag is removed by anyone but a City Official, citations may be issued. No building may be occupied without receiving a signed Certificate of Occupancy. o If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may be evicted. it! Is A Certifi ate of Occupancy will not be issued without digital copies of the As -Built Plans. o It Is the Applicant's responsibility to tarn in digital copies of the As -Built Plans when the project is completed. No Certificate of Occupancy will be issued without these plans. miu s Scheduling inspections is the responsibility of the applicant and their contractor. hlspections 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 day. o Required inspections can 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 perforin 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 mit a1 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 of any structure can begin ONLY when you have received an official Certificate of Occupancy from the Building Department. o A verbal approval does not constitute approval of these documents. Ultimately if you do not have a Building Permit or Certificate of Occupancy, the above policies will be enforced. These documents must be signed by the appropriate nitia authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372 2341. It is your responsibility to inforun anyone on your project of the above policies. AZoo l ' actors will be held to this standard with no exceptions. o The above policies will be enforced to all, regardless if this information is pashem or iot. ni ial Applicant's Name (print): AlLkCSignature: _ Date: ✓v11U Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after will be scheduled forthe next business day, Inspection Hotline - (208) 372.2344 www.rexburg.org PerniRTecbnician- (208) 37 341 Revised 2/2017 Uro "E"°URS% c I Ty OF Building Safety Department .o City of Rexburg G N 3S North 1St East ., America' FamilyCORU77fMR)' 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.rexburg.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. Signatu Da Printed Name ln3pection Hotline- (ZOU) 372.2344 mvw.iexbuig.oig Per mit Technician- (ZOO) 372.2341 Revised 1O/ZO16 CITY OF 1 EXE V . G CW America§ Family Community BUILDING PERMIT FORM updated to/zofe BUILDING PERMIT APPLICATION New Single Family Residence I3uflding Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For :Office. Use Permit Number: Zoning Application Fee Paid: 0 $500 1. Prp Ov n r o Name: Address: City:4_�C State: Code: �s3�Ey o0 Phone: ? S'S"L9 Z1 l� "s��—Zip Email: Cd�e ri-tiyL S . at 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 #4 and complete the Homeowner's Exemption) No, I am working with the homeowner 2. Appli ant Name: Role: (Owner, Tenant Contractor, etc.) Address ) City: P—M State: :;W Zip Cod : Phone: l S.Q Email: Yl i OyLc e.KCAY`Ee hyy— ^ hwn2QS • CdWA Contact/Rep. Name: N.�C CXe QNyi c l 3. General Cont actor Name:Registration #:`�Exp.: Z Address: City: G1 State: _ Zip Code: Phone: Email: 11 Contact/Rep. Name..rq\ik-S> _ Phone: - - 2 mail: ne �LtA�os General ContractorAuthorized Signature: Date: A copy ofyour state recgistration/license is require to be on le. 1f this is the f st time you have done work in the City of Rexburg, p ease provide a photo copy ofyour license. Ifyou are unsure if your license is on file, please heck with the Permit Technician by calling (208) 372-2341. 4. Project Description a2 & 2Za57 (A_) Lot #: AiD lock #: Subdivision: L)lJ(�1rY�Q;! 2L Address: c5 • -OR- Project Description: Square Feet: Building Total: sq. ft. © # of Water Meters: _ Water Meter Size: fo Main Floor: X39 sq. ft. Fireplace(s) Being Installed? ❑ Yes, No �0 o Additional Floors: 4 01U. ..sq. ft. o Hydronic Heating Being installed? Ye NO o Basement: / Finished sq. ft. Building Permitfees fornew homes are charged based on square Unfinished— sq. ft. o Garage Yy(.e sq, ft./ footage and the City's estimated valuation. For details oil howfees Building Department There be -��, oO Z ll are calctdated, contact the will also a reviewfee totaling 10% of the building o Estimated Total Cost: $ plan pennitfee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I herebycertify, that 1 have read this application and state that the information herein is correct and I swear Utat any information which ntay hereafter be given by me in hearings before the Planning and Zoning Commissioner Ute City Council for Ute City of Rexburg shall be truthful and correct. 1 agree to comply with all City regulations and State latus relating tothe subject matter ofthis application and hereby authorized representativesofthe City to enter upon tite above-mentioned pro or inspectionspuposes. NOTE: The huilding official may revoke a permiton approval issued under the provisions ofthe 2012 International Code in cases ofany false statement or misrepresentation (act in thea plicationorontlieplanson which the permit or approval was based. Permit void lfnotstarted within 180 days. Permitvoid if work stops for 100 days. Applicant's Name (print):JA�Signature: Date: O Inspections must be called in before 8 AM on the day the Inspection is requested. Inspection requests ed in after DAM wiI be scheduled for the next busin s day. Inspection Hotline- (208) 372.2344 www.rexhurg.org Permit Technician - (208) 372.2341 � ovp¢XUUR�,,Q 0 „ :1 c t Ty O F REXBUrtG rw Alaerlcas Fandly Contnunirty BUILDING PERMIT FORM Q Updated n0/3010 BUILDING APPLICATION New SFR Plumbing Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 For Office Use. permit Number: O Plumbing Fee.Paid 1. Propel•Owne Name: Address: S • Si City; vY e: _ Zip Code: , $ -ELJ b Phone: 1l Entail: Under- Idabo Building Code, a lionieowner-is allowed to do work on their own 11me. Are you a homeowner doing work on your own hone? ❑ Yes (Skip to #3 and complete the Homeowner's Exemption) ><No, I am working with the homeowner 2. Plumbing C ntractor Business: U Asn /"��t�y��"` ��L State License rtP�, /%�1s x _ p.: Address: `E ' e'c ��.' ,• ,l A-7 — -tState: Zip Code: J_ 15&W Phone: 'Z-6 5-35- 1106 Email: 1),1e3� �,_4p ti".j Contact/Rep, Name: lid or 0-t /E Phone: ' !f� Plumbing ContractorAutliorized Signature: / (C � Date: A copy ofyour state registration/license is required to Ye on fele. If tills lsttl e first tinteyou have done work In the City of Rexburg, please pravlde a photo copy ofyour license, If you ore ensure If your license is on file, please check with the Permit Technician by calling (208) 372.2341. 3. Project Description Address: lqs Jam' - Z2 -OR- Lot #:013lock #: _�?Subdlvlsiom Description of work• � ❑ New SFR Construction;sq, ft. • bees for new construction are charged by square footage: Up to 1,500 sq. ft. = $130 + $65 for each addltlonal 1,000 sq, ft, or portion thereof. o Up to 1,500 sq, ft. =$130. Up to 2,500 sq, ft. =$19.5. Up to 3,500 sq, ft. = $260. Up to 4,500 sq, ft. =$325, etc, (t v, a home with 3,675 sq. f , will be citar,ged $325) 0 Hydronic (In -floor) Heating: ❑ �0-t �Inciwded o o Note that hydronic heathrg Is in square footage costs and will be char rged $65 + ($10 x If of manifolds/mons). APPLICANT'S SIGNATUR13, CERTIFICATION AND AUTHORIZATION: Under penalty orporJu'y, I hereby cerllfy that I have read this appitcatloo and state that the Information herein Is correct and I swear thatany Info nrintlon which may hereafter be given by Ilia In hearings before the Plannhlg and'LonbngCommission or the City Council for the City of Itexb11rg shall be truthful and correct. I anrec to comply wlth all City regulatlons and State laws relating to Ilia subject matterof this npplleation and hereby authorized representatives or the City to enter 1111011 the nbove•tnentinned property for Inspections purposes. NOTE: The baliding official stay revoke permit oil approval Issued ander the provision of the vi •2 International Code it, cases orany raise statement or misrepresentntian of fact In the nppilention or on the plans on which the perndtor approval 756177-1111t ermit votd If lint Started within 1130 days. Permit Vold if wore stops rnr rnU days. Applicant's Name (print); �1�Ca�e�+rl _ Signature: ate:qW, 04 Inspections must be called In before U Abi on the stay the inspection is requested. inspection request.v called In after 0 Awill be scheduled for the next business clay. Inspection I loilhne - (200) 372.2344 www.I'0Xbtlrg.m'g Pm'ndl Technician - (200) 372.23,11 �� 44exnuR�,� CITY OF Building Safety Department e o Ti r,G BUILDING PERMIT FORM City of Rexburg 1211 35 North 1St East `w a,er;ar�Fran;ryRexburg, Idaho 83440 BUILDING APPLICATION New SFR Electrical For.Ofilce Use :. Permit Number: e Paid Ele.ch 1cs1 Fe 1. Prop jer10"8,nrg, Name:AddresCity: St_ Zip Code:�� Phone: Email: C 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 #3 and complete the Homeowner's Exemption) I am working with the homeowner 2. Electrical Contractor j Business: C kelriz rbc_ State License #: 01g4'� Exp.: Address: k. r x / ko —City: � ret State: S1� Zip Code: � ' _ Phone: nA��L`L� $S Email: +� �I ,+ �► �,�•1,�' Gey r� Contact/Rep. Nam e:a Phone: _ Email: Electrical:Coiifi,ictor Authorized Signature: Date: A copy of your state recdlst+ation/license is require Geon file. // ris !s theFrst timeyotr hove done lvork !n the Ctty o�Rex6to� please provide u photo copy afyour license. Ifyou are inisure i our be is on file, please check with the Permit Technician by calhag ('208) 372-2341. 3. Project Des i t10 , Address: w - -OR- Lot#•z�Blocic#:� Subdivision: Description of work: O New SPR C0IIStI'l1Cti0I1: sq. ft. • Pees for new construction are charged by square footage: Up to 1,500 sq. fi. =$130 +$65 for each additional 1,000 sq. f. or portion thereof. o Up to 1,500 sq. fl: =$130. Up to 2,500 sq, ft = $195. Up to 3,500 sq, ft. =$260. Up to 4,500 sq. ft. =$325, etc. (Le. a home with 3,675 sq. ft. will be charged $325) ❑ Spas/fools/Generators: ❑ Yes ® Note that sparjpnnlsj eneratots rrre not included in square footage costs and ivill be charged $65 per Inspection. APPLICANT'S SIGNATURE., Clilt'I'IFICATION AND AUTHORIZATION: Underpettalty of perjury, l hereby certify that I have read this application and state that the information herein is correct and i swear that any Informatimi witch may hereafter be given by me In hearings befm'e the Plminiug and ZouWg couunission or Hie City Council for the City of RexUurg shall be truthful and correct. I agree to comply lvlth all City regulatious and State laws relating to the enbjecl matlerof (Ills application and herehy authorized representatives of the City to cuter upon the above-mentioned property for inspections purposes. id0.1'r; The building, official stay revoke per JIM on approval Issued under the provisions of the 201'2 IoternaHon:d Code iu cases ofany false Statement or misrepresentation of fact io the application or on the plans on which (lie permit or approval was based. Mink void if not storied within 100 days, Permit void ifwor't:stops for 100 days. Applicant's Name (print): R�eA�I Signature; Date: 1_�W Iaspect lons must be called ht before 0 AM on the day the Inspection k retptested.Iuspcdion re ' 4s culled III after Aht mill be scheduled for the next bUSInBSS day. lospertion Hotline- (208) 372.2344 www.rexburg.org PermitTecluddan - (200) 372.2341 CITY OF REXBURG BUILDING PERMIT FORM 110 ltpdwd 1012916 Building Safety Department City of Rexburg 35 North 1st East Americ,6ra tilyCommurnity Rexburg, Idaho 83440 BUILDING APPLICATION New SFR Mechanical For Office Use Permit Number: 0 Mechanical Fee Paid 1. Prope-ty Owner Name: ��� �, Address: City: State: Zip Code: �,�q v Phone: Z "Z Email; r1l lG r 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? 0 Yes (Skip to #3 and complete the Homeowner's Exemption) I am working with the homeowner 2. Mechanical Contractor Business: M" q— ' State License #: 017-55-2— Exp.: Address: 0 City: State: Zip Code: 1r, 1V Phone: 12!1 - Z f EAl: 19 4g— Contact/Rep. Name: 4q,+ _... Phone: 71— Email: Mechanical Contractor Authorized Signature: �`� '`-'{ Date: Y A copy of your state registration/license is required to be on file. if this is t first tfnleyou have done work in the City of Rexburg, please provide a photocopy ofyour license. Ifyou are unsure ifyour license is on Fite, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: 'SZ -OR- _ Lot #:Block #: I Subdivision: Description of work: 0 SFR Construction: sq. ft. • Fees for new construction are charged by square footage: Up to 1,500 sq. ft. = $130 + $65 for each additional 1,000 sq. ft, or portion thereof. o Up to 1,500 sq. ft = $130. Up to 2,500 sq -ft. = $195. Up to 3,500 sq. ft. = $260. Up to 4,500 sq. ft. = $325, etc. (i.e. a home with 3,675 sq. ft, will be charged $325) 0 Number of Fireplaces: _A"' • Note that fireplaces are not included in square footage costs and will be charged $65 per inspection. 0 Hydronic Heating: D • Note that hydropic heating is not included in square footage costs and will be charged and additional $65 + ($10 x # of manifolds/nines) APPLICANI"S SICNA'I URB, t;ER'P11:ICAI`ION AND AUTHORI7.A1'ION: Under penalty of perjury, I hereby certify that i 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 t11e 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 tine 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 ort which et tit or approval was based. Permit void if not started within 100 days. Permit void if work stops for 180 days. _ Applicant's Name (print): 110&Signature: - - ---- Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspection req ests tatted in after 0 AM III be scheduled for the next business day. Inspection Hotline - (200) 372.2344 www.t-exburg.org Permit Technician - (200) 372.2341 h�O� `t8X0 URc,7 V.� o CITY or REXBURG OW America's Family Co mnunio, SUBCONTRACTOR LIST Building Safety Department Excavation &Earthwork: 1 f i'Q � f C-) he oN � n ty) Concrete: ?)y 6<Ac nel cdfiCNt R. r Masonry: ')C_ J —U �3 fe6k S`pa-C C012&( 1 q f IV '- Roofing: Insulation: l O'c�iD Drywall: Painting: o-( . 1 )QS t 5 h Floor Coverings: c,:5�- ( oeA- Q\ Led - Plumbing: \�R`-0—SY L V 9 Heating: 1`j t`Nyi o-� '� , C 1 n ) Electrical: ac, Special Construction (Manufacturer or Supplier) Roof Trusses: Caf`i��� Floor/Ceiling Joists: �'t C-0 t' Siding/Exterior Trim: Other: City of Rexburg 35 North 15t East Rexburg, Idaho 83440 Inspection Hotline - (208) 372.2344 www.rexborg.org Permit Technician - (208) 372.2341 Revised 10/2016