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APPLICATIONS - 18-00378 - 449 Rolling Hills Dr - Patio Cover
�� pfd CITY o F : �� - ° REXBURG •<, Americas Family Community Building Safety Department City of Rexburg 35 North 1st East RPV1111V Idaho 83440 SINGLE FAMILY RESIDENTIAL REMODEL APPLICATION CHECKLIST The following items should be completed before you submit your building permit application. *Reasonable accommodations will be made upon request. Submit the Following Documents: ❑ 2 sets of building plans drawn to scale ❑ Include the following as applicable: Floor Plan, Sectional Views, Mechanical Layout, Stair Details, and any details required to illustrate special construction. ❑ Digital Plans (PDF Format - can be submitted by USB, CD, or Dropbox) ❑ **Copies of any Contractors' State License if not on file already. Complete the Following Forms: // Permit Policies Acknowledgment signed. `n 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. Subcontractor list completed. l Homeowner's Exemption signed, if Homeowner is doingwork on their own home. Affidavit of Legal Interest signed by owner, if applicant is not working directly with owner. ❑ Notifications Distribution List. Subdivisions: If you plan to build in a subdivision please check the Rexburg Development Code for any requirements such as property setbacks, architecture board approval, etc. This information is available at httn://rexburg.org/12ages/development-code. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician -(208) ) 372.2341 Revised 10/2016 a ra CITY OF 1�G Building Safety Department RE B City of Rexburg America's Family Community PERMIT POLICIES ACKNOWLEDGMENT 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 your project. I o APPROVAL -OF CONSTRUCTION. Construction on any project cSn begin ONLY when you have received a Pink Building Permit from the Building Department. Occupancy of any structure can be in ONLY when In{ ials Certificate of Occupancy from the Building Department. These documents must be signed by u hevappropriate received an official from the City of Rexburg. Any approvals can be verified by calling (208) 372-2167. Even if you hear omanspe t rles 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 Initials 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.) F7-7. 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. Itis the Applicant's responsibility to turn in digital copies of the As Built Plans when the project is completed. No Certificate of nitials 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. 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): A141, Alr� P;t)n- Inspections must be called in before 8 AM on the day the inspection is requested. Inspection Hotline - (208) 372.2344 www.rexburg.org Date:, N1t 5 requests called in after 8 AM will be scheduled for the next business day. Permit Technician - (208) 372.2341 Revised 10/2016 pRc & C' T Y OF Building Safety Department .'. REXBURG BUILDING PERMIT FORM City of Rexburg Cly Updated 10/2016 1 0 2 America's Family Community 35 North 1St East Rexburg, Idaho 83440 BUILDING APPLICATION Single Family Residence Remodel For Office Use Permit Number: Zoning: Application Fee Paid: ❑ $100 1. Property Owner Name: f Address:' �City: State: _�_D Zip code: Phone: q�q Em �� I 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? I3 Yes (Skip to #4 and complete the Homeowner's Exemption) ❑ No, I am working with the homeowner 2. Applicant Name: Address: Phone: Contact/Rep. Name: 3. General Contractor Name: Address: Phone: Contact/Rep. Name: _ Role: (Owner, Tenant, Contractor, etc.) City: Email: State: Zip Code: Registration #: Exp.: City: State: Zip Code: Email: Phone: Email: General Contractor Authorized Signature: A co oregistration/license9 Date: py fyour state is re uired 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. 4. Project Description Address: wik /%, i& 0& 0 t� lLo L� .� Project Description: /,�Yx�a,,. d,n _ , l 1 1 _I _ Estimated Total Cost: $ • Check All Included in Scope of Work: Zl Mechanical Work Cost: $ ©e°O ❑ Electrical Work Cost: $ ❑ Plumbing Work Cost: $ Note: Any contractors involved will need to fill out their respective application. • Fireplace(s) Being Installed? ❑ Yes No Building Permit fees for remodels are charged based on cost. The application fee applies toward the fee total. 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. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, 1 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): �° �lcH. '— Signatur*ecalled � ..�.--- Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspecin after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexbur Permit Technician - (208) 372.2341 04 gEXB LRC �� fo CITY o F Building Safety Department 1 E U' xBuRG City of Rexburg America' FamlyCommunity 35 North 1St East Rexburg, Idaho 83440 HOMEOWNER'S EXEMPTION 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 54, Chapter 52, Subsection (2) I hereby certify that the above information is true and correct to the best of my knowledge. atur Print a v Date Permit Technician - (208) 372.2341 www.rexburg.org Revised 10/2016