The URL can be used to link to this page

Home My WebLink AboutAPPLICATION - 18-00514 - 596 Angela Dr - SFR AdditionC I TY OF REXBURG C)W— America's Family Community Building Safety Department City of Rexburg 35 North 15Y East Rexburg, Idaho 83440 SINGLE FAMILY RESIDENTIAL ADDITION 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 site plans drawn to scale ❑ 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. ❑ Structural Calculations (see box to right) - stamped by a licensed Engineer ❑ Energy Compliance Report: Asper the 2012 IECC, a RESCheck is required (available online at svww.energycodes gov) ❑ 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. ❑ Property Line form signed by builder. ❑ Building Permit Application signed by a registered General Contractor. ❑ Mechanical Permit Application signed by a registered Mechanical Cont, ❑ Electrical Permit Application signed by a registered Electrical Contract( ❑ Plumbing Permit Application signed by a registered Plumbing Contract ❑ Subcontractor list completed. ❑ Homeowner's Exemption signed, if Homeowner is doing work on their c ❑ Affidavit of Legal Interest signed by owner, if applicant is not working di ❑ Notifications Distribution List. Seismic Design Category - D Ground Snow - 50 lbs. per sq. ft. Roof Snow Load - 35 lbs. per sq. ft. Wind Load - 90 MPH Frost Depth - 36" fo 0,4e -0e v 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 athttn://rexburg rgfpages/development code. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 O� tti.X B C'gC �q C [ TY OF Building Safety Department REXBuRG City of Rexburg il Amer*4Famy Community i! 35 North 1St East Rexburg, Idaho 83440 SITE PLAN CHECKLIST ❑ 1 Site plan must be drawn to scale, be legible and also be submitted electronically if possible. ❑ 2. Adjoining streets labeled. ❑ 3. Right-of-way location and width, curb to curb widths and sidewalk location. ❑ 4. Building location, sq footage and dimensions, with distance to property lines and distances between buildings. ❑ S. Show existing and proposed easements. ❑ 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains). ❑ 7. Proposed utilities including tie in location to existing services and new easements. ❑ 8. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). ❑ 9. Storm drainage plan for parking lot and roof areas, with calculations. ❑ 10. Fire hydrants and fire suppression lines (including tie to City lines). ❑ Sprinkled ❑ Not Sprinkled ❑ 11. Indicate Fire apparatus access. ❑ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers). ❑ 13. Landscaping (type and total area, including dimensions). ❑ 14. Trash facilities. ❑ 15. North Arrow Included ❑ 16. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ❑ 17. Legal description of proposed building site included. ❑ 18. Percent of lot covered by building or paving calculated. ❑ 19. Show 10% snow storage area. ❑ 20. Distance of entrances from street corner indicated. ❑ 21. Current Vicinity Map. (8 Y2 x 11") at 1" = 300' scale, showing location of the property. ❑ 22. Lighting Plan 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 ( ) 372.2341 Revised 10/2016 OF gtix a LRC r' TY OF Building Safety Department REUTMG City of Rexburg Americas Family Community 35 North 1St East 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. If you want to request a copy of your lot, see the front counter at the Community Development Department. I have read and understand the above requirements. dgnatu 49 L S? r< Printed Name Inspection Hotline - (208) 372.2344 www.rexburg.org 7-�' 5 Date Permit Technician - (208) 372.2341 Revised 10/2016 �� atixaz�k� �a �p CITY o F REXBuRG America's Family Community Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 PERMIT POLICIES ACKNOWLEDGMENT 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. 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 Initials Official may remove the red tag. If the red tag g is removed by anyone but a City Official, citations maybe 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. 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 day. o 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 Initials 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 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. These documents must be signed by the appropriate authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2341. Io Even if you hear from an inspector 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. Initials 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. Initials Applicant's Name (print): las )a_-.&ignature: i1ale: 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 ,i:..,,�t iise Permit Number: C I TY O F REXBURG America's Family Community BUILDING PERMIT FORM 1O2 Updated 10/2016 BUILDING APPLICATION Single Family Residence Addition Zoning: Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 Application Fee Paid: D $100 Name: Address: Y2 6 ,y G/Q City: ✓_ State: Z -4o Zip Code: d Phone: Ad S- �, 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? D Yes (Skip to .; ,1 and complete the Homeowner's Exemption) C:No, I am a contractor working for the homeowner 2. Applicant Name: Address: Phone: Contact/Rep. Name: Role: (Owner, Tenant, Contractor, etc.) City: Email: State: Zip Code: Name: u .w5 raV3.4f �l Registration #: Ex Address: S o f �},r Zip Phone: a _ I r City' S`"'' o`� Gr'�'`� State: �_ Zip Code: 29 3%f7! 8 - Email: / N Kr", c _ Contact/Rep. Name: ova Phone: 3 5:/-4*.'H o0 Email: w r c, � •r� General Contractor Authorized Signature: A copy of your state registration/license is re aired to be file. if this is the first time you have done work in the City of Rexburg pleaseeprovia a photocopy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. L. Project Description Address: -126 A^, s /'s A / Project Description: • Square Feet of Addition: _ /66 sq, ft. • Estimated Total Cost: • Fireplace(s) Being Installed? D Yes JKNo Building Permitfees 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 permittee. 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. Applicant's Name (print): Do %.-!I /a s /alt _ M Signature:�. Inspections must be called in before 8 AM or 00, 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 04 g4 a xt,R�, �T C I T Y o F_ Building Safety Department L� BUILDING PERMIT FORM 112 City of Rexburg Updated 10/2016 ""35 North 1St East 77 America's Family community Rexburg, Idaho 83440 BUILDING APPLICATION Addition SFR Mechanical Permit Number: ❑ Mechanical Fee Paid Name: ^ fJer T 0 �7 � r a, f Address:Tn / City: State: a Zip Code: Phone: —Zo �- S/� (0 2 V1 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? ❑ Yes (Skip to -= . and complete the Homeowner's Exemption) ❑ No, I am working with the homeowner ,.. et-T t licaj Coni::lc _ - Business: , a r _*rate'License #: /A/ Exp.: Address: Phone: _ _ � 3 �✓ city: + State: Code: �_ Zip mail: Contact/Rep. Name:a,,�� r/�•., r�.r► Phone: 39—/ --t)o Email: Mechanical Contractor Authorized Signature:��this �thefiflrst �tie_�you Date: f'2-�d/ K A copy ofyour state registration/license is required to be on rle. 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. Project Dei. ription Address: C Description of work:` 14 rG ❑ .`..,, ')L`ii j,:`.it1L'ii;'`h)il: 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. o Up to 1,500 sq. ft. = $130. Up to 2,500 sq. ft = $195. Up to 3,500 sq. ft. = $230. Up to 4,500 sq. fi;. =$295, etc. (i.e. a home with 3,675 sq. ft. will be charged $295) ❑ Number of Fireplaces: _n • Note that fireplaces 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 1 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): 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 www.rexburg.org Permit Technician - (208) 372.2341 OF gkX B Uq�. a5 CITY ° F _ Building Safety Department REXBURG BUILDING PERMIT FORM 12 Z City of Rexburg d 10/2016 America' FamilyCommunity 35 North 1St East Rexburg, Idaho 83440 BUILDING APPLICATION Addition SFR Electrical Permit Number: ❑ Electrical Fee Paid Name: A o 'd /y Address:_:!R6 r Phone: �v fir- 3 �/—�4a City: State: _Zip Code: 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? ❑ Yes (Skip to = and complete the Homeowner's Exemption) moo, I am working with the homeowner Business: State License #: Address: Exp.: Phone: City: State: Zip Code: Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: o Date: A copy fyour 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. Address S9h AZ -OR- Lot #: _ Block #: _ Subdivision: Description of work. h„ t s„ r l S t &4. f ❑ New SFR Construction: 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. o Up to 1,500 sq. f . = $130. Up to 2,500 sq. ft = $195. Up to 3,500 sq. ft. = $230. Up to 4,500 sq. ft. = $295, etc. (i.e. a home with 3,675sq. ft. will be charged $295) ❑ 3pas/Poois/Generators: ❑ Yes ❑ 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 1 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): Signature: Date: Inspections must be called in before SAM on the day the inspection is requested. Inspection requests called in after 8 AM will bescheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 ttEx 6 C,Rr, C I TY OF Building Safety Department U>> REXBURGBUILDING PERMITdFOoRM 13 2 City of Rexburg America'sUpt�d 1/2016 Farmi�iyCommunity 35 North 1St East Rexburg, Idaho 83440 Permit Number: i operty Owner Name: _ Address: Phone: BUILDING APPLICATION New SFR Plumbing City: 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? ❑ Plumbing Fee Paid State: Zip Code: ❑ Yes (Skip to and complete the Homeowner's Exemption) ❑ No, I am working with the homeowner 'Lumbing Contractor Business: Address: Phone: Contact/Rep. Name: State License #: City: Email: Phone: Exp.: — State: Zip Code: Email: Plumbing Contractor Authorized Signature: A co 0 our state registration/license is required to be on le. I this is the first time you have done work in the City of Rexburg, please provide PY fY q � f a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. Address: Description of w k: _ ❑ New SFR Constr -OR- sq. ft. Lot #Block #: _ Subdivision: • Fees for additions are charged by square footage: Up to 1,500 sq. ft. = $130 + $65 for each additional 1,000 sq. Jt or portion thereof. o Up to 1,500 sq. ft. =$130. Up to 2,500 sq. ft. =$195. Up to 3,500 sq. ft. =$230, Up to 4,500 sq. ft =$295, etc. (i.e. a home with 3,675sq. ft: will be charged $295) ❑ Hydronic (In -floor) Heating: ❑ Yes ❑ No • Note that hydronic heating is not included in square footage costs and will be charged $65 extra. 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. 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): 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 www.rexburg.org Permit Technician - (208) 372.2341 OF p6X a L, c t TY OF Building Safety Department REXBURG City of Rexburg CW Americas FamilyCommunity 35 North 1St East Rexburg, Idaho 83440 SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: _ Insulation: Drywall: Painting: Floor Coverings: Plumbing: Heating: Electrical: (,? t --ML -V% C-- r 4,-. , Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: _ Siding/Exterior Trim: Other: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 OF gf.x B URn �y �a C I T Y O F Building Safety Department REXBURG City of Rexburg eu Americ4 Family Community 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. Signature Print Name Date Permit Technician - (208) 372.2341 www.rexburg.org Revised 10/2016 OF gtiX B C'R�, �CITY O F Building Safety Department RExBuRG City of Rexburg c America' Family Community 35 North 1St East Rexburg, Idaho 83440 DISTRIBUTION LIST Please provide the names and emails of anyone who should begetting automated updates for this project.- Review roject: Review Notes Name: Name: Name: Name: Name: Inspection Tickets Name: Name: Name: Name: Name: Inspection Hotline - (208) 372.2344 www.rexburg.org Email: Email: Email: Email: Email: Email: Email: Email: Email: Email: Permit Technician - (208) 372.2341 Revised 10/2016 OF g£x B C'RC CITY o F Building Safety Department RE)MURG City of Rexburg '• ,, America§Fammily Community 35 North 1St East Rexburg, Idaho 83440 Affidavit of Legal Interest State of Idaho County of Madison /:5 L 1, r: o",J a Ole � S Name Address City State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, sldp to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: f LI Name Address �� ai C` 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 this day of Signature 20 Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 �= C i T Y o > _ Building Safety Department RMURG City of Rexburg k &mly ramm$in,ry 35 North 1st East Rexburg, Idaho 83440 Affidavit of Legal interest statL or Idaho County of Madir,on Naa+ne Address _L1P X �J✓ city � __.._ Being', ir-L au,y :worn upon cath, depose and say: (If Ap. l.cant is also Qwar-r of Record. skip to B) Slate A. that i am the record owner of the property described on the attached, and t grant my permission to: s�--/ Narne Address I .5" 7 a/ & to ' arrompanying application pertaining to that property. L. 1 agree to inueninity, defend an„ iioi. Rexcurg 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 wnich is the subject of the application. Dated this ' A+ t�' day of S -e A 4 20_1, Signature Subscribed and sworn to before me the day and year first above written. PN NOTAiQ y PUBLIC O ��'��•,,� OF 10P,0: JftRWc.on 6011W! - ;20a) 311.2344 Residing at: �0 -�a�D '�-z idly cunimissitin expires: _. (�p" -5-" yO-')� WW W.1*AU -,os i Permit Technrclan - (208) 372.2341 Pevbcd 10/2016