HomeMy WebLinkAboutAPPLICATION - 18-00457 - 310 Bluebell - Addition°�� CITY O F
J
REXBURG
Agreriuts Fa�rrily Conunurti[y
Building Safety Department
City of Rexburg
35 North 1St East
RaSrhi l
SINGLE FAMILY RESIDENTIAL APPLICATION CHECKLIST
Idaho 83440
The following items should be completed before you submit your building permit application.
*Reasonable accommodations will be made upon request.
Submit the Following Documents:
M� 2 sets of site plans (see Site Plan Checklist)
l� 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,
I� Structural Calculations (see box to right) - stamped by a licensed Engineer Seismic Design Category - D
❑ Energy Compliance Report: As per the 2012 IECC, a RESCheck is required Ground Snow - 50 lbs. per sq. ft.
(available online at www_.energycodes. ov) Roof Snow Load - 35 lbs. per sq. ft.
E3Digital Plans (PDF Format - can be submitted by USB, CD, or Dropbox) Frosdt Depth Load -936" PH
❑ "Copies of any Contractors' State License if not on file already.
Complete the Following Forms:
EY Site Plan Checklist completed.
i/ Permit Policies Acknowledgment signed.
Property Line form signed by builder.
0/ Building Permit Application signed by a registered General Contractor.
d Mechanical Permit Application signed by a registered Mechanical Contractor.
C9� Electrical Permit Application signed by a registered Electrical Contractor.
1� Plumbing Permit Application signed by a registered Plumbing Contractor.
T� Subcontractor list completed.
C/ Homeowner's Exemption signed, if Homeowner is doing work on their own home.
d 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 httr�://rexbu o_ ig/lea es develo meiA code.
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
Revised 2/2017
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c> TY OF Community Development Department
-- ------
REXBURG City of Rexburg
Americas Fanuly(,omnttnrity 35 North 1St East
Rexburg, Idaho 83440
SITE PLAN CHECKLIST
❑ 1. Legal Description of proposed building site
❑ 2. North Arrow
113. Drawn to scale
134. Lot Dimensions
❑ 5. Building locations, and dimensions with distance to property lines and distances between buildings
❑ 6. Distance of entrances from street corners dimensioned
1:17. Show 10% snow storage area
❑ 8. Drainage Plan (with arrows)
139. Fencing/Screening
❑ 10. Landscaping/Buffering
❑ 11. Lighting Plan (if needed)
❑ 12. Existing and proposed easements
1:113. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains)
❑ 14. Existing right-of-way location and width, curb to curb widths
❑ 15. Existing streets labeled
❑ 16. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.)
❑ 17. Parking (Lot dimensions, distance between rows, loading areas if required)
❑ 18. Sidewalks - both along rights-of-way and internal (existing and proposed)
1119. Fire hydrants and fire suppression lines (including tie to City lines)
o Sprinkled
o Not Sprinkled
❑ 20. Fire apparatus access
❑ 21. Proposed utilities including tie in location to existing services and new easements
❑ 22. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins)
❑ 23. Trash facilities (dumpsters for right-hand truck)
0 1 Dumpster per 20 doors (non -dormitory)
0 1 Dumpster per 50 beds (dormitory)
❑ 24. Numbers needed:
o Building square footage
o Percent of lot covered by building
o Paving Area
o Drainage Plan Calculations
o Parking space numbers (tenant & visitor, handicap, private)
SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON
THE PLANNING & ZONING AGENDA.
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 359.3020
Revised 3/2018
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Cl TY o F Building Safety Department
REXBURG
CW
City of Rexburg
America' hunily 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.
f` o APPROVAL OF CONS a. 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
Initials Certificate of Occupancy from the Building Department. These documents must be signed b the a
authories
from the City of Rexburg. Any approvals can be verified by calling (208) 372-2167. Even if you hear promriataninspector 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.)
o 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, then inspections
Initials may 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. It is
` 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
nit'ai5 information is passed on to them or not.
Applicant's Name (print):✓A4-0, qpA�V,,,A�_Z, Signature: 17/l
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) 372.2341
Revised 10/2016
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CITY OF Building Safety Department
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REX-BURG City of Rexburg
American Family yCommunity 35 North 1St East
o
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.
Signature
Printed Name
Inspection Hotline - (208) 372.2344 www.rexburg.org
!(z 4(
Date
Permit Technician - (208) 372.2341 Revised 10/2016
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1EXBURG BUILDING PERMIT FORM 100 City of Rexburg
<1il Updated l0/2016
Arneriuts Family Comm35 North 1st
unity East
Rexburg, Idaho 83440
BUILDING PERMIT APPLICATION
New Single Family Residence
For Office Use
Permit Number: Zoning:
Application Fee Paid: ❑ $500
1. Prope ty Owner{
Name- Jy • t&, 4
,5 , 1�
Address: (D 1, t t � t
Phone:
Ci +t)C1 ,
�'' State: Coder
Email:_
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?
1�LXes (Skip to #4 and complete the Homeowner's
Exemption)
❑ No, I am working with the homeowner
2. Applicant
Name:
Role: (Owner, Tenant, Contractor, etc.)
Address:
Phone:
Cit –
Y State: Zip Code-
Contact/Rep. Name:
Email:
--
3. General Contractor
Name:
Address:
Registration #: Exp.:
Phone:
_
City: State: Zip Code:
Contact/Rep. Name:
Email:
Phone: Email:
General Contractor Authorized Signature:
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.
4. Project Descr}ption
Address: 310 3kAQ,L'11t,1\ -OR-
Lot #:30 Block #: Subdivision: Mt i N [ (n
— A w
Project Description:
• Square Feet: Building Total:
s q ft.
# of Water Meters: Water Meter
o Main Floor: sq. ft.
Size:
o Additional Floors: sq, ft,
Fireplace(s) Being Installed? ❑ Yes Iii. No
o Basement:
Hydronic Heating Being Installed? ❑ Yes 9 No
Finished sq, ft.
ft
Unfinished ft.
Building Permitfeesfor new homes are charged based on square
o Garage s ft.
q
footage and the City's estimated valuation. For details on how fees
• Estimated Total Cost: $ S�f dad
are calculated, contact the Building Department. There will also be
a plan review fee totaling 10% of the building permitfee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHDn17AT1n N. n.,ao.. ,....._... ..,__..:..__..
----- r-••-••- ••• Psi, n , —... y canny mac 1 nave reap 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 he truthful and correct. I agree to comply wid, all City
regulations and State laws relating to the subject matter of this application and hereby authorized representatives orthe 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): . —54'+h " A fY\ -Signature:�! (?
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 wvvw.rexburg.org
Permit Technician - (208) 372.2341
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A. .a c > TY OF _ Building Safety Department
"^ REYC BIMG BUILDING PERMIT FORM 110 City of Rexburg
0V Updated 10/2017
America' Family Community 35 North 1st East
Rexburg, Idaho 83440
BUILDING APPLICATION
New SFR Mechanical
For Office Use
Permit Number:
❑ Mechanical Fee Paid
1. Property Owner
Name: 3'A 54 -AA,
Address: State: �� Z�i,PCode:PhoneEmail:
�
`COZ„t
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?
C' -Yes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, I am working with the homeowner
2. Mechanical Contractor
Business:
Address:
Phone:
Contact/Rep, Name:
State License #:
City:
Email:
Phone:
Exp,
State: Zip Code:
Email:
Mechanical Contractor Authorized Signature:
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
_photo copy ofyour license. /f yo are unsure if your license is on file please check with the Permit Technician by calling (208) 372-2341,
3 Project Descrfpt'
Address: � i b 0!j (tnti e (( S 1`r ee+
-OR- Lot #: _ Block #: _ Subdivision:
Description of work:RD N , 4 r 4,,
❑ SFR Construction: Z� sq ft
Fees for additions are charged by square footage: Up to 1,500 sq. Jt._ $130 + $65 for each additional 1,000 sq, ft, or portion
thereof.
Square Footage
Up to 1,500 sq, ft.
Up to 2,500 sq. ft.
Up to 3,500 sq. ft.
Up to 4500 sq. ft.
Add $65 per additional thousand sq. ft.
❑ Number of Fireplaces:
Total Cost
$130
$195
$260
• Note that fireplaces are not included in square footage costs and will be charged $65 per inspection as shown below,
o ❑ Built-in $130 ❑ Free-standing $65
❑ Hydronic Heating:
Note that hydronic heating is not included in square footage costs and will be charged and additional $65 + ($10 x # 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 I swear that
any information which may hereafter be given by mein 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 ifnotstarted within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): )>-�� f'rAS --46 V"\ Signature:
Date: / 17
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) 372.2341
C I '.F Y O F Building Safety Department
REXBURG BUILDING PERMIT FORM 12 O City of Rexburg
' 01.1, Updated 10/2016
o America's FamilyComn,unity 35 North 1St East
Rexburg, Idaho 83440
BUILDING APPLICATION
F,l i
For Office Use l
Permit Number:
❑ Electrical Fee Paid
7. Property Owner � �
Name: 1,4-1t-\ S �) n
Address:
Phone: tD �jtvtiL �t k — City: i'"�..�r„ State: Zip Code:
ne: ° 2�b J qb 3 —Email _–��n
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?
n Yes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, I am working with the homeowner
2. Electrical Contractor
Business: State License #:
Exp.: _
Address:
Phone: City: Email: State: Zip Code:
—
Contact/Rep. Name: Phone: Email:
Electrical Contractor Authorized Signature:
Date:
A copy ofyour state registration/license is required to be on file. If this is the first timeyou 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 Descripti
Address: [U✓`ti e G� -OR- Lot #: _ Block #: Subdivision:
Description ofwork:
E!�-New SFR Construction: L L sq. ft.
• Fees for additions are charged bysquare footage: Up to 1,500 sq. ft. = $130 + $65 for each additional 1,000 sq. ft. or portion
thereof.
❑ Spas /Pools /Gener
Square Footage
Total Cost
Up to 1,500sq. ft.
$130
Up to 2,500 sq. ft.
$195
Up to 3,500 sq. ft.
$260
Up to 4500 sq. ft
$325
Add $65 per additional thousand sq. ft
ators ❑ Y 1±
es No
• Note that spas/pools/generators are not included in square footage costs and will be charged $65 per inspection.
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. 1 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): a��,- ,\
Signature: g, Date: VL 2�(
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) 372.2341
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c I T v OF Building Safety Department
° REXBURGBUILDING PERMIT�FORM 13 0 City of Rexburg
'► ated 10/2016
America's Fwtniily Community 35 North 1St East
Rexburg, Idaho 83440
BUILDING APPLICATION
N R Pl rn in
For Office Use
Permit Number:
❑ Plumbing Fee Paid
1, Property wrier
Name. , t�� )`lam ' .t�✓1
Addres� (6 (, e. L City; State: 3 g q U
Phone:1D9 2?e (y ,0 3 �� Zip Code:
Email. �.t, r. 'F'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?
k-Yes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, I am working with the homeowner
2. Plumbing Contractor
Business: State License #:
Address: Exp.:
Phone:
City: State: Zip Code:
Email:
Contact/Rep. Name: Phone: Email:
Plumbing Contractor Authorized Signature:
A copy ofY ourstate registration/license is required to be onfile. If this is the first timeyou 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: r1i (D g (LAC, [>G C� -OR- Lot #: _ Block It: Subdivision:
�
Description of work: o i~- cA. ",\—
❑ New SFR Construction: Tt L sq. ft. -
• Fees for additions are charged by square footage: Up to 1,500 sq. ft. =$130 + $65 for each additional 1,000 sq. ft. or portion
thereof.
❑ Hydronic (In-floor
.Square Footage
Total Cost
Up to 1, 500 sq, ft,
$130
Up to 2,500 sq, ft,
$195
Up to 3,500 sq, ft,
$260
Up to 4500 sq, ft
$325
Add $65 per additional thousand sq, ft
Heatin ❑ Y
g. es L 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, 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) : r&*A,7kht4 4r,./ signature:
g���... Dater
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) 372.2341
OF titiX D (r�C
fa CITY o l Building Safety Department
G RExBuRG City of Rexburg
to
AmerirdsFamillyCommunity 35 North 1St East
Rexburg, Idaho 83440
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete:
Masonry:
Roofing:
Insulation:
Drywall:
Painting:
Floor Coverings:
Plumbing:
Heating:
Electrical:
Special Construction
(Manufacturer or Supplier)
Roof Trusses: _D r-\-
Floor/Ceiling Joists: �6 V,\L
Siding/Exterior Trimf inL
Other: 140w� jt oCc 4—
Inspection Hotline - (208) 372.2344 www.rexhurg.org Permit Technician - (208) 372.2341
Revised 10/2016
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0
REXB RG City of Rexburg
CW
America" Fam,�iilycomnu,nity 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. A homeowner may do work on the owner's
own home. If this applies to you, please sign this form declaring your exemption from registration and return 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.
Signature
Print Name
k(7Zj
Date
Permit Technician - (208) 372.2341 www.rexburg.org
Revised 2/2017
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c I T Y ° F Building Safety Department
REXBURG City of Rexburg
AmericdsFainllycomn�un;ty 35 North P')t East
Rexburg, Idaho 83440
DISTRIBUTION LIST
Please provide the names and emails of anyone who should be getting automated updates for this project.-
Review
roject:
Review Notes
Name:
Name:
Name:
Name:
Name:
Inspection Tickets
Name:
Name:
Name:
Name:
Name:
Email:
Email:
Email:
Email:
Email:
Email:
Email:
Email:
Email:
Email:
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
Revised 10/2016