HomeMy WebLinkAboutAPPLICATIONS - 18-00307 - 583 Eaglewood Dr - New SFRC I TY OF
REXBURG
Americas Family (:ommunity
Q� Building Safety Department
PERMIT POLICIES ACKNOWLEDGMENT
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
f ne t,Iry 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 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 ermit.
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
Initials tag. If the red tag is removed by anyone but a City Official, citations may be issued.
No buildin 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.
In ials
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. 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 following business
ay.
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 perform the inspection. (Example: If the
Initials
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.)
Construction on any project can begin DAU 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
Initials 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.
�) r o The above policies will be enforced to all, regardless if this information is passed on to them or not
Initials✓✓ t
Applicant's Name (print): D /d Signature: Dzu A 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) 3722341 Revised 2/2017
OF g6XB("R
1 T Y OF Building Safety Department
u° REXBURG City of Rexburg
35 North 1st East
America's Family Community
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.
Signa re I -T
Dyi �0 rl
Printed Name
Date
Inspection Hotline — (208) 372.2344 www.rexburg.org Permit Technician — (208) 372.2341 Revised 10/2016
OF R'EXB VRC
CITY ) o F {(/��• Building Safety Department
[B��L=JILDINGERMIT FORM 1 � � Gty of Rexburg
Cly Updated 1012016 35 North IStEast
e o Arnericns Famil}' Community
Rexburg, Idaho 83440
BUILDING PERMIT APPLICATION
New Single Family Residence
Office Use
Permit Number: 18- 00303 Zoning:
Application Fee Paid: ❑ $500
1. Propertt ()\v ner
Name: e rw • C i tr �s I ; w✓^
Address: 20 3 7 ljot-; a, to City: F� I�
Phone: D7 (0 State:Zp Code: D
Email: I w► i a►,~ %Io 6 Nu i al
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)
V,No, I am working with the homeowner
2. Applicant
Name: Role: (Owner, Te nt, Contractor, etc.)
Address: b -c.r� Gty: �cltt��w a
Y (= State: - r b Zip Code:
Phone: ?,b R - 3 5 I� Email:of K-vrti h .4�o @ q
I.
Contact/ Rep. Name: '[��t,�
3. General Contractor
Name: r v I' obn Re istration #:
Address: gyp"
Gty' a State: _Zip Code: D
Phone: U9_3&1_ Email:C�-eycw� L
�%� 1 w� S O✓1 (2r4wt al (.'f4
�
Contact/ Rep. Name: _ °""�T�r a urlvs ova Phone: vM-35/ VM..nii. A* 0
General Contractor Authorized Signature:
Date:
A copy of your state registration/ license is required to be on file. If this is the first time you have done work in the Gty of Rexburg, please provide
a photo copy of your license. If you are unsure if your license is on file, please check with the Permit Technician by calling (208) 372-2341.
4. Project Description JJ �
Address: 583 Gam" t woy �74bUrJ -OR-
V '
Project Description:
• Square Feet: Building Total: sq. ft.
o Main Floor: 10 6� sq. ft.
o Additional Floors: sq, ft.
o Basement:
Finished sq.ft.
Unfinished �-sq. ft.
o Garage X03 L s .ft.
• Estimated Total Cost: $ d <
Lot #: _Block #: _Subdivision:
• # of Water Meters: Water Meter Size: _
• Fireplace(s) Being Installed? ❑ Yes ❑ No
• Hydronic Heating Being Installed? ❑ Yes ❑ 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 review fee totaling 10% of the building permit fee.
APPIICAM'5 SIC NATURH, CERTIRCATION AND AUTHORIZATION: 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 mein hearings before the Planning and Zoning Commission or the Gly council for the City of Rexburg shall be truthful and correct. I agree to comply with all Gty
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): �A ` SOA Signature: _ ` 1 ��
Date:
Inspections must be called in before 8 Anton the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business ay.
Inspection Hotline —(208) 372.2344 www.rexburg.org Permit Technician —(208) 372.2341
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BUILDING PERMIT FORM 110
Upda- 10(3016
BUILDING APPLICATION
New SFR Mechanical
Building Safety Department
City of Rexburg
35 North 15t East
Rexburg, Idaho 83440
ror Office Use
Permit Number: ❑ Mechanical Fee Paid
1. Property Owner
Name:�J,;,,_-,,
��+LtttGsv✓
Address: Liz IC � City: State: 'Tb Zip Code: 4b 3 U
Phone: 26— "d Email: +?t W i c,.w.. t i U I -c-4J
Under Idaho Building Code, a homeowner is allowed to do work on their own Ii
Are you a homeowner doing work on your own home?
D Yes (Skip to 43 and complete the Homeowner's Exemption)
1p No, I am working with the homeowner
2. Mechanical Contractor
Business:_ (� (t � N/_OfZr-1 i+ JACQ U_L State License #: 0 '2j o G U 0 Exp.: 1 3 0 - 2J-)
Address: _[pSPb C��r�tp t<� S 1' City: (wait Fe .l (S State: 1 Zip Code: 93`fn l
Phone: Email: v
Contact/Rep. Name: y)/11t1!e!!r d�Pho • - Email:
Mechanical Contractor Authorized Signature: Date: U Lit —I P
A copy of lour state registration/license is required to be Oil file.Af this is is firs ne you hove done work in the City of Rexburg, please provide
a photo copy of your license. If you are unsure if your license is on file, please check with the Permit Technician by calling (208) 372-2341.
3. Project Des ct �jtion
Address: 43 tr'i�wtrtl� -OR- Lot #: _ Block #: —Subdivision: ff�t,` Je,6A
Description of work: 1V��t)y"+(, tit.vs —T
❑ SFR Construction: 5020 sq, ft
• Fees for new construction are charged by square footage: Up to 1,500 sq. R. = $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 = S195. Up to 3,500 sq. ft. = $260. Up to 4,500 sq. fl_ = $325, etc. (i.e, a
home with 3,675 sq. ft. will be charged $325)
C3Number ofFireplaces:
• Note that fireplaces are not included in square footage costs and will be charged S65 per inspection.
❑ 1lydronic Ileating:
• Note that hydronic heating is not included in square footage costs and will be charged and additional $65 + (S10 x # of
manifolds/zones)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTIIORIZATION: 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 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): gV Iyylj 1/V1 b I[�ignature: Date:
Inspections must he called in before 8 AM on the day the inspection is requested. Inspection reque called in after 8 AM will be scheduled for the next busmess day,
Lap«ru,n hotline- (208) 372.2344 www,rexburg.org
Permit Technician - (208) 372 2341
Scanned with CamScanner
For Office Use
Permit Number:
CITY OF
REXBURG
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BUILDING PERMIT FORM ZZ
Undated 10/2014
BUILDING APPLICATION
New SFR Electrical
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg; Idaho 83440
❑ Electrical Fee Paid
1. Property Owner r
Name: __ ��t/i. .� v�g cs1 �1� (; u...✓1
Address: Z�
Phone: % D,s,r+ u„�
—q r D City: 5F State: _�_ Zip Code: 3 O
_�{ Email: ' ` G (o
Under Idaho Building Code, a homeowner is allowed to do work on their o home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, I am working with the homeowner
2. Electrical Contractor
Business: NOO.Ws :IG ',I'Ca—y-cc— State License #:E LE -C-al �i Qr�
Exp,. Da1311 l
Address: 41ta�L4 Tlur_�4ttt, P1pR� city:State:D
Phone: 1"'�^ �1$' Zip Code: $'32.t�2
Email: In00.hS A.r C ekrf0\rVtA:,1 eA rV1
Contact/Rep. Name: VA Phone:mail:
W
Electrical Contractor Authorized. Signature:4
A co eq ff Date: 1� 5 i Y
If copy o fyour state registration/license is required to be on le, l this is the first ttmeyou 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: ri R3 ase �l[ r.rbt.f
Description of work:
�1 New SFR Construction;.. ?.f2 LIgL_ sq, (t
#: — Block #: ___- Subdivision:
Fees for new construction are charged by square footage: Up to 1,5004A =$130 + $65 for each additional 1,000 sq.1t or
portion thereof.
o Up to 1,500 sq. 1t = $130, Up to 2,500 sq,)t = $145, Up to 3,500 sq. ft = $260, Up to 4,500 sq, 1t = $325, etc. (i e. a
home with 3,675 sq. ft will be charged $325)
Q Spas/Pools/Generators: ❑ Yes ❑ No
• Note that spas/pools/generators are not included in square footage costs and will be charged $65 per inspection,
APPLICAtrrS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein
Is correct and 1 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 if not
started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): _ Signature: T� Date: _k4 s
0
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 - (20B) 372.2344 www.rexhurg org Permit Technician - (200) 377-2341
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C I T v o f Building Safety Department
REXBITRG BUILDING PERMIT FORM 130 City of Rexburg
C,, [Ugleted 10/2016
35 North 1St East
America's Family Community
Rexburg, Idaho 83440
BUILDING APPLICATION
New SFR Plumbing
Permit Number:
❑ Plumbing Fee Paid
Name: > ( is -►,,,1
Address:
_ °16 _ CIty: State: �_ Zip Code:
Phone: Email: ` C
Under Idaho Building Code, a homeowner is allowed to do work on their o n home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to and complete the Homeowner's Exemption)
P9 -.No, I am working with the homeowner
Plumbing Contractor
Business: _ } ttoyM�l� — 7� �; (- State License #: 0I Jj jJ Exp.:30 ZcJ
Address: f 2 {inp;
City: Tarn F A�(�eeState: Ti Zip Code: ����"t(
Phone: Z�4s'S�7.1— S�tq2� Email: 1 s
Contact/Rep. Name: �ciAY �? � Phone: -MS Zi 'MZ Email:
Plumbing Contractor Authorized Signature: Date:
A copy ofyour state registration/license is required to be on file. If this is the 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: 'JAB 3 F_ -OR- Lot #: Block #: _ Sub 'vision:
Description of work:
❑ tit> SiP-. l:ns±rt[cUu;l; V �i S 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)
Of lydronic (In -floor) Heating: ❑ Yes K No
• Note that hydropic heating is not included in square footage costs and will be charged $65 + ($10x # of manifolds/zones).
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein
is correct and 1 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.
i 11 --
Applicant's Name (print): 1t e - Signatu
Inspections must be called in before 8 AM on the day the inspection is requested.
Inspection Hotline - (208) 372.2344
Date:
requests called in after 8 AM will be scheduled for the next business day.
Permit Technician - (208) 372.2341
04 pF X a URC
C I T Y o f Building Safety Department
REXBURG City of Rexburg
"''
America's Familp [.omntaniry 35 North 1A East
Rexburg, Idaho 83440
SUBCONTRACTOR LIST
Excavation & Earthwork: Li 5,5-r- I
Concrete: N � kc,�i. k c ('hvu r.C,
Masonry:
Roofing:
Insulation:
Drywall•
Painting:
Floor Coverings:
Plumbing:
Heating:
Electrical:
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor/Ceiling joists:
Siding/Exterior Trim: IF
I--,'Uimo,
Other:
Inspection Hotline - (208) 372.2344 www.rexburg org Permit Technician -208
( ) 372.2341 Revised 10/2016
C ptiXBLSQC
mac �p CITY OF
REXBURG
America's Family C,ommurrity
Affidavit of Legal Interest
State of Idaho
County of Madison
Name Address
_ i 776-f-ta
City
State
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
Being first duly sworn upon oath, depose and say:
(If Applicant Is also Owner of Record, skip to B)
A. That I am the record owner of the property described on the attached, and I grant my permission to:
Name Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability
resulting from any dispute as to the statements contained herein or as to the ownership of the property
which is the subject of the application.
Dated this0
day of (1 2 /
�Si*gne�
Subscribed and sworn to before me the day and year first above written.
BREC WRIGHT
NOTARY PUBLIC
STATE OF IDAHO
Inspection Hotline - (208) 372.2344
otary Public of
Residing at:
--L)i,)ra,--
9.
My commission expires: - i - '2
www.rexburg.org Permit Technician - (208) 372.2341 Revised 10, 2016
opr'.xeukc
CITY Of Building Safety Department
RE)WURG City of Rexburg
America's Fant 1y Community 35 North 1A 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:
Name:
Name:
Name:
Name:
Inspection Tickets y�
Name: 11n�„�o�Q ✓�
Name:
Name:
Name:
Name:
Inspection Hotline - (208) 372.2344 www.rexburg.org
EmailG,,..., �,� Cci
Email:
Email:
Email:
Email:
Email: d-cuav�'ow�.��v,n
Email:
Email:
Email:
Email:
Permit Technician - (208) 372.2341 Revised 10/2016
IDState of Idaho
Public Record Information (Detail)
Public Record
Business Name: HARROW CONSTRUCTION LLC
Owner: DEVAN THOMPSON, STEPHANIE THOMPSON
Profession:
IDAHO CONTRACTORS BOARD
Type:
REGISTERED ENTITY CONTRACTOR
Number:
RCE - 47718
Address Of Record:
City/State/Zip:
IDAHO FALLS ID 83403
Country:
USA
Business Phone:
)208) 351 - 4596
Original Date of Issue:
6/5/2018
Registered/Licensed By:
Apptication
Status:
current
Discipline Status:
Expiration Date:
6/5/2019
Disciplinary Action Documents
None
NOTE: This document is a copy of the electronic record of the person named above and constitutes a verification of that record. If official certification of
this record is required, a written request must be submitted together with a $10.00 fee to the Bureau of Occupational Licenses, 700 West State Street, PO
Box 83720, Boise, Idaho 83720-0063.
NOTE: if a disciplinary document is not available on the Documents tab, please fill out and submit a Public Records Request form.
httos!'seCL,'e.ibol.,raho.govlelBOLpubliclLicerisep�.b..c.Rero 7.asu• tP•ofess�o�=CON&LicensPType=RCF&U,ce �seNo=::7718 6,6 IF, 2:25 ?M
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