HomeMy WebLinkAboutAPPLICATION - 18-00295 - 773 S 2275 W - New SFRrte' r� CITY OF
• REXBURG
CNN
America's Fatttily Cotntntinity
Building Safety Department
City of Rexburg
35 North 1st 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 FoHowing 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 IRC2012 standards.
❑ Structural Calculations (see box to right) -stamped by a licensed Engineer
Seismic. Deslgri Categorg D
❑ Energy Compliance Report: Asper the 2012 IECC, a RESCheck is required Ground Snow='S0 5lbM. s. rft
Roof Snow Load - 35 lbs peerr sq. ft.. .
(available online at www.energycQdes.gov) Wind Load - 90 MPH
❑ Digital Plans (PDF Format -can be submitted by USB, CD, or Dropbox) FrostDep.th.73 6"
❑ "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.
Li 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 at httl2:ffrexburg.orgJpages-/development-code.
Inspection Hotline - (208) 372.2344 wtvmrexburg.org Permit Technician- (208) 372.2341 Revised 2/2017
CITY OF
1WSW VR
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America's Fandly Connnunio,
PERMIT POLICIES ACKNOWLEDGMENT
Building Safety Department
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
The City of Rexburg Building 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 yopr.prpject
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 withoutthe 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
minas 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.
� al
A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans.
o It is the Applicant's responsibility to turn in digital copies of the As -Built Plans when the project is completed. No
Certificate of Occupancy will be issued without these plans.
Initials
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.
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 perform the inspection. (Example: If the
k4electrical rough in inspection is not done and the sheetrock has been put tip, the inspector may require the sheetrock to
Initials 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.
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
In. .al authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2341.
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 information is passed on to them or not.
Inn ials
Applicant's Name (print): _' ' Signature:
inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be
Inspection Hotline - (208) 372.2344 www.rexburg.org FermitTechnician- (208) 372.2341
- � A01-1 K
forthe next business day.
Revised 2/2017
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CITY OF
REXBURG
America's Family Conununify
PROPERTY LINES
Building Safety Department
City of Rexburg
35 North 1St 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.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.
r
Dat
Inspection Hotline- (208) 372.2344 %vww.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016
CITY OF
REXBURG
AnwriaA Family Community
BUILDING PERMIT FORM 100
Updated 10/2016
BUILDING PERMIT APPLICATION
New Single Family Residence
Building Safety Department
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
For Office Use
Permit Number Zoning:Application Fee Paid: 0 $500
1. Property 0 vne
Name: I�1(�rOtV��
Address: City: F,PX')Qr-Ci State: � _ Zip Code:
Phone: M&-52. Z10,k Email:
nrii'1n�Qr-�low.as . G'alr,-�
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?
D Yes (Skip to 44 and complete the Homeowner's Exemption)
No, I am working with the homeowner
2. Applicant,, `_
Name: ar�r,� Aomo,5 Role: (Owner, Tenant, Contractor, etc.)
Address: City:.* 0%.e L— �— State: �_ Zip Code: �3yy o
Phone: — mail: Nlf\(10Y1^QS C�
Contact/Rep. Name: j Xlcbl2. c�li�t
3, Gene 1 Con ractor
Name: S Registration #: y Exp.: (2 31 1
Address: 2."City: -%2 tx 6 State:,_ Zip Code: g y o
Phone: — Email: S . C1.Sry1
Contact/Rep. Name: —T Phone: 208-Z3o-g129 Email sea
General _Contractor Authorized Signature: Date:
A copy ofyoltr state registration/license is require to be on le. f this fs the first ale you have done tiporlc in the City of Rexburg please provide
a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please the Ic with the Permit Technician by calling (208) 372-2341.
4. Project Description
Address: J 5• ��S U-) • -OR- Lot #:;5131ock#:9 Subdivision: jjI�YYLYhfJf`-4-1'C',1C:i
Project Description: r
® Square Feet: Building Total: j . sq. ft. • # of Water Meters: --I_ Water Meter Size: w
o Main Floor: :jZ I sq. ft. ® FirepIace(s) Being Installed? D Yes�TNo
o Additional Floors: ,TVS-'R sq. ft. . Hydronic Heating Being Installed? D Yes�<No
o Basement:
Finished sq. ft. Building Permitfees for new homes are charged based on square
Unfi fished sq. ft. footage and the City's estimated palliation. For details on hoivfees
o Garage I UI sq. ft. are calculated contact the Building Department There will also be
Estimated Total Cost; $_,Zlo a plan review fee totaling 10% of the building peimitfee. I
APPLICANT'S SIGNATURE, CERTIFICATION AND AU'f HORIZATION: Under penaltyofperjury, 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 I-eaRerbe given by me in hearings before the Planning and Zoning Commisslon or die City Council for the city of Resburgshall be truthful and correct. ]agree to comply with all City
regulations and State laws relating tothe subject matter ofthisapplication and hereby autliorized representativesofthe City to enter upon theabove-mentioned property for inspections purposes. NOTE: The
but Idl ng 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 ifnot started within 100 days. Permitvotd ifwark stops for 160 days.
Applicant's Name (print): a'if�-�\1 Signature:IPA ate: S
/-3-*0
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection reques called in after 8 will be scheduled for the next business day.
Inspection Hotline– (208) 372.2344 wwmrexburg.org Permit Technician – (208) 372.2341
CITY OF
IXBG
Americas Fnnify Community
BUILDING PERMIT FORM 1 O
Updated 1Cj?316
BUILDING APPLICATION
New SFR Mechanical
Buildijig Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: ❑ Mechanical Fee Paid
1. Property Owner
Name:
Address: HLAN ZO I City: - �` _ _ State: _ Zip LCode:
Phone: 7'�Z —2(t� p Email: l'lt'<<G�Ck �(1�r1oQS, C�YY1
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. Mechanical Contractor Uc_ _
Business: &v�n3,,' 47�,C t4kC State License #: 017-5-5-7— i xp.:
Address: `j C zac, City: 9,74, State: _'Lip Code: `t, •sVIr'Z-
Phone: 7ty7,z _i44 5 - L ( Em iI: C7 tfi e -a i e- , I. -
Contact/Rep. Name: thin t Phone;5 - Z Email-
Mechanical Contractor Authorized Signature; "-�1 Date: -
A copy of your state registration/license is required to be on file. If this is th first time you 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: _ �%i -OR- Lot 4�lock 4:7 Subdivision:,5 V
Description of work:
❑ SFR Construction: � -sq. ft.
• Fees for new construction are charged by square footage: Up to 1,500 sq. ft. = $130 +$65 for -each additlona11,000 sq. ft. or
portion thereof
o Up to 1,500 sq. f . = $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
horne with 3,675 sq. ft. will be charged $325)
❑ Number of Fireplaces: __6 __
• Note that freplaces are not included in square footage costs and will be charged $65 per inspection.
❑ I lydronic Heating:
• Note that hydropic heating is not included in square fbotage costs and will be charged and additional $65 4 ($10 x # of
manifolds/zones)
APPLICANI'S SIC; NATtIlt6, CBR•rIFICATION AND AUTHORIZA 11011; Under penalty of perjury, i hereby certify that I have read (tis appllcadon and slate that the informatlan
heivin is cut i e•ct and 1 swear that any infoi malion which tray het eafter be given by tile in hearings Lctore the Planning and 7.oning Commission or the City Council for the City or
Rexburg shall he truthful and correct. I agree to comply Leith all City 1 egulations and State laws i elating to the subject matter of this a pphcatiou and hereby authorized
representativvs of the City to enter upon the above mentioned propel ty Cur Inspections purposes NOTE: The building official may revoke a permit on approval Issued tinder the
provisions of the 2012 Intel national Code in cases of ally false statement or misrepresentation of fact in the application or on the plans on ivhtcl f et 11t or approval was
based. Permit void if not started within 180 days. Permit void if wcik stops for Inc days. /
t /
Applicant's Name (print): Signature: Date:
Inspections must be called in before RAM oil the day the inspection Is requested. Inspection req ests called in ager 8 AP1 iii Le scheduled For the nest business day.
Inspection Hotiine - (208) 372.2:i•l 1 Www.reXburg.org Permit Technician - (208) 372.2311
4 ACXe Up�•
rd CITY OF
.tREXBURG
0" Atnerictt§Finally Community
BUILDING PERMIT FORM
UpJakd JO/Z01G
BUILDING APPLICATION
New SFR Electrical
Building Safety Department
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
Fo>, Office Use .:
Permit Ntitnl?er: .0 Electrical Fee Paid
1. Propert Own r
Name: MQ,
Address: city: StAc, Zip Code: ?zY4 2C
Phone: Email: C
Under Idaho Building Corte, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to 93 and complete the Homeowner's Exemption)
I
I am workingwith the homeowner
2. Electrical Contractor rr__ tt
Business: r _ Ke_� liz ewe_ State License #: offp g+so Exp,:
Address: )( /1y City: r' State: ZipCode: 93
Phone: — Email:�1640._i -,r ��.�t.�,%. Ga r✓f
Contact/Rep. Name: a s A Phone: Email;
Electric a] CoriEi lctor �utliorizeii Signature: Date:
A copy ofyourstate retjlstr ation/license is requirebe on file. f tis is the first thneyoit have done work in the City ofRexbttr t3, please provide
a photo copy ofyotir license, lfyoti are misfire 1plow, license is on file, please check with the Permit Technician by calling (208) 372-2341.
3. Project D seri tion /
Address: -®R- Lot 4:�ock#:2.Sub divis 1on: "5_�J111P.t"- /W
Description of work:
❑ New SFR Construction: 451M_sq. ft.
• Peesfornew consti•actionarc chargedbysgitarefootage.-Upto1,500sq.jt;=.130+$65foreach additional 1,000sgfl 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. Jt. = $325, etc, (i.e. a
home with 3,675 sqft. will be charged $325)
❑ Spas/Pools/Generators: C] Yes No
• Note that spas/pool./rgenerators are not hichided in sgtrare footage costs and tvill be charged $65 per hispection.
APPLI(:Atd'i"SS(C,NATURIi,Ct:It'I'1P1CA't•N)NAHDAUI'HORr7.ATION: Under penalty of perjury, I hereby certify th-at I have read this application and stato that the Information 1wrein
Is correct. nd I sviear thatany Inforntafior which may licreafter be given by ane in hea:hngs before the Plaaningmnd'Loning Cuaunissiotr or the City Counck! for (;ie Cita of ltextrurg
';Sroe;os,it,• J 'IC'. e�fr.ti:ci.;x'>:akelatvsrelat'n:Dile-;•';,cicsd(er,•rthts nppllcatfonvtdherelsyaulhorzedrernecenhttvesofthe
CRY o_;acr r:u;::11a::bcvc r:ertlo•red;srcpertyrerInspection,;tmnoces, NOIT: The hnildiugorfichlruayrevolwapormhwtapproval Issued uudertheprevisionsoftbeZOl'L
I i:t, rye trot,: I (',d, :I1 ra"'s t ^:.p, f=Ise shtsnumf ortnisrepresent. tion cIf, et i7 thea=,plication or on the pians on which the permit or nt>in-oval was based. Perin ft volt) if not
tit o"ed,.iit;ilsi - CO c.r,.; o;d a.:t.a. ,s."or--80 ayr.
Applicant's Name (print): 1 Signature: Date:
hispections tuustbe called in before 8 AK on the clay the Inspection is I equested. inspection re -ts called in after AM will be scheduled for• the next business day.
Inspection Hotline- (208) 372.2344 www,rexburg.org Perm(tTechnichn- (208) 372.2311
o�titexougq
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CI'ry OF
REXBURG
A meriea's Fondly Cotnuupli n^
BUILDING PERMITFORM 1?J Q
"6Mea 10/2016
BUILDING APPLICATION
New SFR Plumbing
Building Safety Department
City of Rexburg
35 North Ise East
Rexburg, Idaho 83440
For Office Use.
Pel'n1it,Ntimber: D Plumbing Fee, Paid,
1. Proper Owne -
Name:
Address: $• 20 City: lJi : �_ Zip Code:
Phone: 1l E111,111:
Under Idaho Building Code, a homeowner is allowed to fro work on their own Am—e,
Are you a homeowner doing work on your own Home?
❑ Yes (Skip to #3 and complete the Homeowner's Exemption)
>No, I ani working with the homeowner
2. Plumbing CI tractor
Business: (5 25 AAL 1 /�l`�+_ state License #: xp.; /
65 )Address: > `e ° 2` t;��,�; •^� ` Cd.,.' 1 ,/ A« «e> —7 State: /� Zip Code: 48
Phone: 'Z,-'6 5-35-%' Cs� Email: k-544/oh-i'" 1'.=t a �� V,IA o Ic
Contact/Rep. Nanie: A,d ✓- , /,e `4 Phone: Email:
Plunibin Co nti'adultutho�'izt aSignature: (�/ , ,_ %/ i�r ? � � Date: 3f
A copy ofyour state registratton/license is regtdred to -be on file. If this Is&1� first time you have done work in the City of Rexburg, please provide
a photo copy oj'yori-license. Ifyou ore unsure ifyour license is on file, please check ivith the Peonit Technician by calling (208) 372.2341,
3. 11roject Description
Address: � DR: T,ot#:��Blocic#� Subdivision: ��1 �
Description ofworlc: {� auJ
❑ New SFR Construction;_ sdo ft.
• 1/ees for piety cortsh-frctlor of e chat rgeti by squat e footarge: Up to 1,500 sq, jt, = $130 + $65 for each additlonol 1,000 sg, ft of portion
thereof.
o Up to 1,500 sg, jL =$130. Up to 2,500 sg. ft. =$19.5. Up to 3,500 sg, jt. = $260. Up to 4,500 sg. ft. = $:1'25, etc, (i.e, a
home with '3,675 sq. jt, tvill be char,ge(l $325)
❑ Hydronic (in -floor) Heating: ❑ Yes o
• Note that hydropic heating is I t included in sguore footage costs and will be charged $6.5 + ($10 x # of mnnffolds/zones).
AI'PI,ICANT'SSIGNA7'ORr,CGRTiFICAT10NAt4DAUTIloR17.A'i'ION: Unticrpunaltyofperjwy,lherclryccrlKythattlmvarcadihlsnppllcotinnnndstntethat[hcinfmmatfonhercin
Is correct and I smrar thatnny Infortnntloit whlch may herminer he given by ote in hearings beroru the Planulae and zotdng Cotnmisslon or the City Coundi for the City of Rexburg
shall he truthful and correct. I agree to Comply with all City regulatlons and Statc laws relathtg to the subject matter orthls application and hereby natltorize(l representatives of the
City to enter upon the nbove-mentioned property for Inspections purposes. NOTE: The building official may revoke a permlt on approval Issued tinder the Provisions of the Zo1 Z
international code III cases orally false statement or misroprosen hit ]oil offact In the applIcallon of. Olt tile Plans oil which tile Perniltor approval % eT'F1ermttvoid if lot
slat teclwithh,Itit) days. Perndivolllr%vadtstops for, 1RO(lays. '
Applicant's Name (print): 14A, PW) --signature: Dater �� 1
(uspecllons most bu colied in bcforu a ADi on ale day the Inspection is rcyuusted.Inspection requests carted in after tl Awill bu scheduled for the noxi bnshtess day,
lwpcton Ilotlhto - (2011) 372•2344 T Permit Technician - (209) 372,2311
CITY O P
REXBURG
America's Family Community
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: ?)"i G'QCtnei Co <-\ CACCAJ, � 411,
Masonry: 3 ( J
/ u
Roofing: _ J C. f%5 C 0V Oy�-oC."
Insulation:"
Drywall:
Painting: 0-eN \ (-�'c-- (�eS i 5 V-\
Floor Coverings:
Plumbing: 9
Heating: ro
Electrical:
T
Special Construction
{� � t
(Manufacturer or Supplier)
`V "
Roof Trusses: t'� �_ LCx cy pbrc)'�J ""
Floor/Ceiling Joists: \'Sm(-- WC��}`
Siding/Exterior Trim:
Other:
Building Safety Department
1V)
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
Inspection Hotline - (208) 372.2344 www.rexburg.mg Permit Technician - (208) 372.2341 Revised 10/2016