HomeMy WebLinkAboutAPPLICATION - 18-00297 - 2152 Summerfield Ln - New SFRCITY O F
REXBURG
Americas Family Community
Building Safety Department
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
SINGLE FAMILY ll RES]JE)EN ll llt L litPPUCt 1TIO Cll-ilECKUS ll
The following items should be completed before you submit your building permit appHcat cn.
*Reasonable accommodations will be made upon request.
Saubmn t the 7 oRlawing Documents:
❑ 2 sets of site plans (see Site Plan Checklist)
❑ 2 sets of building plans drawn to scale (see box to right)
❑ Foundation Plan, FloorJoist 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.: Design Category D
13Energy Compliance Report: Asper the 2012 IECC, a RESCheck is required Ground Snow SO lbs'per sq ft
. .
(available online at www.energycodes.gov) Roof Snow Load 3S lbs per.sq. ft.
Wind Load - 90 MPH
❑ 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.
. ...... ..................
No:e: Please check the Rexburg Development Code for any requirements such as property setbacks,
design board approval, etc.
This information is available at http•//rexburg org-/cages-/development-code.
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Inspection Hotline - (208) 372.234-4 wtvw.rexburg.org Permit Technician- (208) 372.2341 Revised 2/2017
CITY OF
REXBURG
Americas Fancily Communio,
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 customerservice. 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
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
Inicia s tag. If the red tag is removed by anyone but a City Official, citations may be issued.
No building maybe 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.
i 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 sequencepage 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 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 nothave a Building Permit or
Certificate of Occupancy, the above policies will be enforced. These documents must be signed by the appropriate
Ini ial 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.
Ini lois
Applicant's Name (print): MIN 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 Permit Technician- (208) 372.2341
for the next business day.
Revised 2/2017
v�o RSXUpRC OxC I T Y o f Building Safety Department
o T) r�EG City of Rexburg
R
' 35 North 1st East
•,,,H o America's FamilyCommuni�y 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 mast 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 www.rexburgorg Permit Technician- (208) 372.2341 Revised 10/2016
C I TY O F
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America's Family Cananunify
BUILDING PERMIT FORM 100
Updated to/tote
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: ❑ $500
1. Property0 vne
Name: Iia
Address: g59 �L� dile$ _ Vit"N j
City: State: ��� Zip Code:
Phone: 2Q&-t`�Z -211LQ
Email: CjjtFil I?, karkkaer-kon-,.es , e-QCr-)
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 44 and complete the Homeowner's Exemption)
No, I am working with the homeowner
2. Applic n
N��.,,&`_
Name: i(i�4T Y,�
Role: (Owner, Tenant, Contractor, etc.)
Address: \
City: �V- State: Zip Code:. &5944
Phone: -
Email tjj,jC1i�annorS, nrv�
Contact/Rep. Name: N AR, Q&)k
3. Gene*actorName:
S
Registration #: [� Exp,: 12-Addres.Con
City: 4P1C�o�X1Q State: �-\_ Zip Code: -T39 q o
Phone: -
Email: �iCtilC �k0.f (l'�RY1_o 5 c
Contact/Rep. Name:
Phone: Z08 -Z+0-41 7-9 Email: s
r
General Contractor Authorized Signature:
Date:
A copy ofyolrr state registration/license is require to be onle.
f this is the first rile 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 the k with the Permit Technician by calling (208) 372-2341.
4. Project Description
Address: 2152 !& aa LA) . -OR-
Lot #: -7— Block #: YL Subdivision: c7UM`(Y�•F� f k�_
Project Description:
® Square Feet: Building Total: 0 fs Z sq. ft.
a # of Water Meters: -�_ Water Meter Size:
o Main Floor: sq. ft.
a Fireplace(s) Being Installed? ❑ YesXNo
o Additional Floors:. -(sq. ft.
a Hydronic Heating Being Installed? ElYex No
o Basement:
Finished sq. ft.
Unfinished sq, ft,
Building Permitfeesfor new horses are charged based on squar-e
710s,
footage and the City's estimated valuation. For details on howfees
o Garage sq, ft.
® Estimated Total Cost: $ f;,63 . UD-
ar-e calculated, contact the Building Department. There will also be
a Fiat review fee totaling 10% ofthe building
permitfee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjmy, I herebyce-tiry that I have read this application and statethaL the information herein is correct anti I swear that any
information which may hereafter be given by ale in hearings before the Planning and Zoning Commission or the City Council for the City of Rexhurgshall be truthful and correct. 1 agree to comply with all City
regulations and State laws relating to the subject matter of this application and hereby authorized representativesofthe City to enter upon the above-mentioned propety for inspections purposes. NOTE: The
building official may revoke a pemit 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 ifnotstarLed within 180 days. Permitvoidifwoikstopsfor180days.
Applicant's Name (print):Signature:JAdo ate:Nkale, S D
Inspections must be called in before II ANI 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 www.rextuirg.org Permit Technician - (208) 372.2341
e%°okG I 'CY O P Building Safety Department
_
7o REXBURG BUILDING PERMIT FORM �� o City of Rexbtir•g
1�G 1pdaeJlO/2016 35 North 1sk East
RU
A,uerirn'sFanill),Cononueiry Rexburg, Idaho 83440
BUILDING APPLICATION
New SFR Plumbing
For Office Use.'...
Ppynjit Number; o Plumbing Fee, Paid
1. Proper Owne
Name:
Address: `J• 8 City: l)r e: — Zip Code: • �
Phone: — Il Small: 5.
Under Idaho Building Code, o homeowner is allowed to do work on their own h me.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #3 and complete the Homeowner's Exemption)
XNo, I am working with the homeowner
Z, Plumbing C I tractol. jj i-�
Business: C;��S�n / `(�1.� �'''` /,4 L State License #: P/— P� x
C /� p.:
Address: `� r:r�r. , � � > Cdn.' Il'G3 "'l ."7 7 • x// t � State: Zip Code: ce3 P X66
Phone: 71"b 5-3 % iii Email:
Contact/Rep, Name: ad Or 0-1'E Phone: Email:
Plumbing Conti•attorAutho •ized Signature: �I_, {, /% "%v r Date: t /
A copy ofyotrr state registratlon/llcense is required thie am file, If this ist llre fast time you have done lvork In the City of Rexburg, please provlde
a photo copy ofy0111' license, Ifyou are unsure Ifyour license is on file, please check with the Pennit Technician by calling (208) 372-2341.
3, Project Description �J�
Address: Lt'1 OR-. Lot #: li8iocic #:L 1 Subdivision: �(��$
Description of work:
❑ New SIR Construction: d sq, ft,
Dees for new construction are chat ged by square footage: Up to 1,500 sq. ft, = $130 + $65 for each additlonal1,000 sq. ft. or portlon
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. (i.e. rt
home witlz 3,675 sq. ft, tvlli be charged X325)
Cl Hydronic (In -Floor) Heating D Yes o
Note that hydr•onle heating Is f t included in square footage costs and will be charged $65 + ($10x# of manifolds/zones).
AI'PI.ICANT'SSIC,NATl1Rr,CRRTIPICATIONAI4DAUTIIORIZA'TION: Underpanaltyofporjury,IherebycerllfythatlllnvoreadthisappIIcatiOnntdstntelhattiwinrormatlonherabl
Is correct and I stvrar thntany Information which may herenRer be given by me In hearings beroro the PInuIIIg and •Lomdng Calla nission (n,1110,. City Council for the city of Rexburg
shall he truthful and correct. I agree to comply %v lilt all City regulalloits and State laws relating to the subject Inatterof this application and hereby authoriz( (I representatives of the
City to enter 1111011 the all ove•nnoil tioned pOpen tyro r Inspections purposes. NOTE: 'rhe building official nay revoke a permit on approval issued under the provisions or the 2oi 2
IaternationalCodeIIIcasesofanyfalsestatcmentormisrepresentotlOiloffactIntheapplicationaronthoplansonwhichthepermitorapprovalteas (.HermitVold iflint
started within 1(30 days. Permit void if watt stops for 1171) days. m
Applicant's Name (print): K&/zzSignature:aterf
Inspc ions must bu culle(I in beroro 0 AM un the day the InspvWun is regnoled. htspectlon reRuesta called In after 0 Alf! will be scheduled for the next bttshws° (fay,
Inspection I lotlino - (209)372,2344 lvvmrexburg,0ry, Pern ll Technician - (209) 372.2341
. 0.; RRxneRC� CITY OF Building Safety Departnierlt
d
o� BUILDING PERMIT FORM L� � City of Rexburg
i� Updakd70/ZO1G 35 North 111 East
Artierrra's Frunrly caminu,irry Rexburg, Idaho 83440
BUILDING APPLICATION
New SFR Electrical
For.OfFce Use
Perm! Number: ° o Ei_ect•ical Fee Paid
1. PropA00wName:AddresCity: S_ Zip Code;
Phone: Email: C
Under Idaho Building Cotte, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to 43 and complete the Homeowner's Exemption)
I
I am working with the homeowner
2. Electrical Contractor
Business: � Jj#4z , rte State License #:-0/860 Exp.:
Address: :V-6. J1C� City:T I /`�� State: Eb Zip Code: yf�
Phone: 2nA — Email:
f
Contact/Rep. Name:a Phone: Emall:
EleciricalCoiifr�ctor tluthoxized Signature: Date:
A copy ofyourstate registration/license is require be on file. f ifs is the first tfineyou have done ivork in the City of Rexburg, please provide
a photocopy ofyour license. lfyoii are unsure ifllour license is oil file, please check ivith the Permit Technician by calling (208) 372-2341.
3. Project Description �J r
Address: T -OR-. Lot #: ::Block dL Subdivision: <3 ('Y1
Descriptionofwozlc; N-60 TJ_
❑ New SFR Construction, -�� sq. P.
® Teesfornew construction are charged bysquare footage: Up to 1,500 sq. f. =$130 x-$65 for each additiona11,000 sq, f7. 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. tvill be charged $325)
El Spas/Pools/Generators: Cl Ye1No
0 Note that spas/pools/ erterators are trot included in square footage costs awl ivill b e charged a65per inspection.
hPPi:It:AN'! SSK NA1'Uiti; Clilt'I'iftCh'fEOPV AftD AUTtiORt'hATIQN: IJnderpenatty of perjury, I hereby certify that I have tread this application and state that the 6ifmrmation herein
is correct and I swear that any Inforn7atlmr whlclr stay hereafter ba given by me In heor;ugs before the Ph no1:igand 2,ouhtg Commission or the C-ty Council for ;ie City ofneAtirg
::hrlibetrntrd,dandca,rect. Irgreetocr.,;iply th;,ItC':yrebutrtionsr III State laiv.:r^laV'Ig to therl''J ct:..'.t=t' •rthts itplication:+rdherebyF1,0iorizedrenresentativesofthe
City:o:n'.crtl;7ond; ::Lore=iseetioud property Far !aspOdious purposes.},to't'G;7habuildingofficialnc,yIeVoltaaperuiho❑approv:dlssuOct onderthe provisiarsofthe 2012
''4' I u; t (' id 'n ca<•. e': ,i f, `se shteiuent m rnlsrepresenl:,tionaf fret l t the y7tlkicetian nr on the pians an which the permit or allwoval %vas based. Pernlh votd if riot
A:o,m]'1417t ;006v"'." 7 r,n:r Cd : w,n:cstt star_'0otlay_.
i
Applicant's Name (print):_R�e Signature: Date:
Iiispections tuustbe called fn before HAM on the day the hispecltmt is requested. inspection re ' •ts called Inafter Abt ivill be scheduled far the iiextbusiriess day,
hispection Hotline- (20H) 37.2.2344 ihviv.rexburg.org Permit f echniclan - (200) 372.2341
6� %t.X H URC
�i fd CT TY OF
U, RnV1\G BUILDING PERMIT FORM i 1
n,d=m 1012at6
c —
a x•Prien's Fvtrnit Caen ❑t i
Building Safety Department
City of Rexburg
35 North 1st East
r,,,,,p 0 inty Rexburg, Idaho 83440
BUILDING APPLICATION
New SFR Mechanical
For Office Use
Permit Number: ❑ Mechanical Fee Paid
1. Property Owner
Name:
Address: Hw Z6City: r<_kX _ State:_ Zip Code: ��Q
Phone: 71 SZ 'Z%/�,Q Email: Cl t t tC'e ��-hmnNh ,COY►
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)
t , I am working with the homeowner
2. Mechanical Contractor t (�
Business: M"maw i�rw�� t'e5State License #: o/ Z 5-5- 2— L'xp,: S6I I ks
Address: l . City: State: 'Lip Code: �
Phone: 7t>'t _444' 5 — 'r/ t e -
r 3^-
Contact/Rep. Name: ikk - + Phone: q5 - Z Email: _,. [
Mechanical Contractor Authorized Signature: "`~-^�1 Date: -�
A cop}, ofyour 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. Ifyoir are insure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
3. Project Descriptio
Address:/,11 -ORLot: Block i#: 12
Subdivision:5naa�
Description of work: `
D SPR ConstrUCtiOW �/ sq, ft.
Fees for new construction are charged by square footage: Up to 1,500 sq. ft. = $130 f $65 for each additionall, 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
bonne with 3,675 sq. ft. will be charged $325)
C) Nit niber of Fireplaces: 0
• Note that fireplaces are not included in square footage costs and will be charged $65 perinspection.
❑ jlydronic Heating: 0
• Note that hydronic heating is not included in squore footage costs and will be charged and additional $65 3 ($10 x # of
manifoldsjzones)
APPLICANT'S SIGNATURL•', CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l hereby certify that I have read this application and state that the information
herein Is cut r "t and 1 swear chat any information which way hereafter be given by me In hearings before the Planning and Zoning Commission or the Cny Council for the City of
Rexburg doll be truthful and correct I agree to comply with all City regulations and State laws i elating 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� et nit or approval was
based. Permit void if not started within 180 days. Permit void if work stops for 180 days. / i
Applicant's Name (print):_�k&, Signature: Date:
inspections must be called in before 8 A on the day the inspection Is requested. Inspection req ests called in after 6 A ill be scheduled foi the next business day.
Inspection Hotline -(208)372.2341 www.rexburg.org t PernnitTeclinician-(208)372.23.11
O�µEXDURC CITY OF Building Safety Department
,4 �O
o RE)MURG City of Rexburg
N, 35 North 1St East
'•,, America's Family Community
Rexburg, Idaho 83440
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: 9)U ck.\a,,d concw&kA. � 0f
Masonry:
/ u
Roofing: �j 1 C. I �J i oV d01(�-or"
Insulation:
Drywall:
Painting: -CNS 0'c-- ��S Y1
Floor Coverings: QLec-A7
Plumbing:`'�—� 'C}1�S,M br^., r,
{
Heating:
Electrical:
v CNID i ()-- --V - n
. ec"Wit, \ aC, .
Special Construction
(Manufacturer or Supplier)
Roof Trusses: 9m) N gst GO fZy
Floor/Ceiling Joists: q L We S± Co r \Q o:f' �,
Siding/Exterior Trim: tU , j WAr -N
Other:
�V)
Inspection Hotline- (208) 372.2344 www.t-exburg.org Permit Technician - (200) 372.2341 Revised 10/2016