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HomeMy WebLinkAboutAPPLICATION - 17-00148-17-00153 - 565 Pioneer Rd - Rock Creek TownHomes #221-226EXatrgG A. i TY OF Building Safety Department .0 REXBURG submit EyE-:a:i1J City of Rexburg '•<,,� o Amerfes Family Community 35 North 1$ti East Rexburg, Idaho 83440 Permit Policies Acknowledgement 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 Perinit.Policies, listed below -are several policies which you. are required to know prior to proceeding with your protect. Any construction within the City of Rexburg will requires a per it shall not begin until an approved permit is o1b.tabied. Ifyou do not have a piny ba riding perm tsigned by the Building Inspector, then ;you do not have an approved permit. cs 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 is removed by anyone but a City Official, citations will be issued: No building may be occupied without receiving a signed Certificate of Occupancy. ,i cs o . If a building is occupied without receiving.a signed Certificate of Occupancy, citations will be issued and the occupants will be evicted. Initials ' Calling in 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 SAM will be scheduled for t ie foll�u-wi.jg business day. ,i 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 sheeirock be removed in order to perform the electrical rough in inspection.) I. Any approval for Certificate of Occupancies and BaUding Permits is only ve rified ihrolugh the Permit Technician. If all. inspector says something like "You're good to go", €understand th.az yo still need to receive all relevant documentation from the Permit Technician before you -are trulygood to go. cs o 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 policieswill be enforced. lnit ale It is your responsibility to relay:tiiis information ation on to.anyone who this would he applicable to for your project. All sub) _contract€irs will be held to this standard with .no exceptions: cs o The. above..policies will be enforced to all, regardless if you pass this information on to them or. not. Applicant!s Name (print]; Chad Shirley Signature:. Chad Shirley. 05/26/2016. Date:.. Inspectmns mustbe2.23 d in before 8 AM on the daythe inspection is requested inspection requests called in after8 AM'wiil be scheduled for the next business day. Inspection Hotline:- (208) 372.2344 WWWxexburg.org Permit Technician - (208) 372.2341 Revised March, 21)16 c. I T y O F Building Safety Department UN .o V 1�G submit By Email City of Rexburg . `y 35 North 1st East America; Family Community Rexburg, Idaho 8344.0 BUILDING APPLICATION Commercial/Multi-family Residence 1?oi>DfficeUse Digital Plans Included:.D'CD Ci USB ❑ 17ropbox. ❑Not Included PecmltNulnber: _ Permit Type: D New :0 Remodel OAddition, DeposttAlmounti D $1000 New Const D $250 Addition L.$1' 0 Other Deposltincluded with Application: b Yes :D No 1. Property Owner Name:. Greg Nelson Address: 565 Pioneer Rd. City: Rexburg . Stater 1D Zi Code:. 83440 Phone &Type: 208.754-93890 Office ❑ Mobile. Email: greg@nelson electricllc.com Under Idaho Building Code, a contractor must do the work for a Commercial Building. 2. Applicant Name Chad Shirley . Role: (Owner, Tenant, Contractor, etc.) Contractor Address: '565 Pioneer Rd. #112 Ci: Rexburg urg Zip Code; tY State: 1D 83440'. Phone &Type: 208-403w7/763 C3 Office 13 Mobile Email: chadiarhes88@Aol.com Contact/Rep. Name:. Chad Phone: 208-403.7763 Err►a I 3. -General Contractor Name: Northern States Development Registration #;Ex Address: P.O. box 142 RCB -78770 p Clty;.Menan 1.Exp.: Zip Code- 83434 Phone &Type: 208-754-9389 ❑ O�Ce ❑Mobile Email: Chadjame588@aol.com Contact/Rep. Name: Chad Phone: 208-754-9389 EmaiIr General Contractor Authorised S1gliatur,&.' Chad Shirley 05/26/2016 Dater 4. Project Desca7ption " Address. 565 PioneerAd -OR Subdivision:. V Lot #: Block # 14 Rockcreek Hollow Type of work: Check one: ONew Construction ❑ RemodeI* []Addition* Check all that apply, 1l Framing 0. Mechanical Plumbing CD Electrical NOTE: Any sub -contractors involved will need to suhmit their orjni signed apoicatioru: Description Of work: New Construction *Total cost of project - materials and labor: `$ (used to calculate permit fees) 4 O Buildings: Building 1: h_ Units sq. ft. Building 2: Units sq, ft Building 3: Units sq; ft Additional Buildings:' . Utility, Misc, Private Garage:. sq, ft. Stora ge:L sq APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORfZATION: Under penaltyofperjury, l hereby certify that have read this application and state that the information he is correct and 1 swear that any information which may hereafter be given by me in'hearings hefore'the Plannjng and Zoning Commission or the City Council for the City of shall be truthfuland correct Lagree to comply with all City. regulations and State laws relating to the sublect 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 mayrevolce a permit on approval issued under provisions of the 2012 IntarpationaICode incases ofany false statement or.misrepresentadonoffactintheapplicationoronthe plans onwhickthepermitorapprovalwasbased. Permitvoldifnot started within 180 days.Permitvoid if worksiops for 180 days. I`\ Lint XnPBuildin SafetyDepartment artment CITY OF g - `Jy .. Y 4..N^,............ ._//""��.- City of Rexburg � UUR Submit By Email 35 North 1St East '•< ,4.rscrfcasl+ai::ilyC'niaa���t;:ity Rexburg, Idaho 83440... L BUILDING APPLICATION Mechanical For Office Ilse Permit Number: Permit Type:. ❑ New . O Remodel ❑ Addition ❑Basement Finish Fees Pald::.0 Yes ONO 1. Property Owner. Name Address:. City: Rexburg State., Zip Code: Phone & Type: ❑Office ❑Mobile 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,#3 and complete the. Homeowner's Exemption page) ONO:I am a contractor working far the homeowner0 No. This property is a Multi -family Residence or Commercial Property.. N OTE:. Any contractorsysub-contractors involved will need to submit their own signed applications 2. Meehan '• 'o tra toT' r� Name:. Re tra 'on #c (J Exp.r loh Address: h.- - City: tate: Zip CQfle: Phone &Type: ❑officePLMobile Email:- 1t i'Iktf Q}'lc�l,t` • 'jy_M Contact/Rep. Name: IJi;,> Alt Phone: r n"ti.�= Email: Mechanlcai` Contractor Ai tliori.Zett; Slgnature: Date: 3. Projec.-t.Description Address: -UR- Lot #: Block #:._ Subdivision: Check one: ❑ Single-family Residence 17 Multi -family Residence ❑ Commercial Check one: ❑ New Construction* ❑ Remodel ❑ Addition'. ❑ Basement Finish Description of work: Near Commerttal:Vi7'or'k: Contracted amount $ Calculated Fee (See Below): $ C7 Up to $1.0;000= (total :cost of system X',02) +$60 [3%.$10,001.4100,000 = f (total cost of systelil -10,000)x,01)+$260 Over $100,001.= ((total cost of system -100,000) x .005). + $1;160 New Sirlgl;e-Family Residential Work: Sq. Ft ❑ Up to 1,500 Sq. Ft = $1.30 ❑ 1,501-2,500 Sq.`Ft = $195 Ll 2,501-3,500 Sq. Ft. _ $260 ❑ 3,501-4,500 Sq. Ft. _ $325. ❑ Over 4,500 Sq. Ft. =:$325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ iVew NIulti-i alrlil 7 R sidei tial . ❑Duplex $260 ❑;Three or more units = $C(130 x #. of.buildings)+(65 x # of units))$V New work on ally b.ther: residence'arid %Detached Shops:= $(65 +(10X # of HVAC fixtures)) $ Miscellaneous. D.Gas Pressure,= $65 ❑ Furnace or A/C. -.$h5 ❑,Water Heater = $65 ❑ Requested Inspection = $65 ©Gas Line $65. i7 Fireplace/Solid Fuel .Burning Unit.= $65 O Technical Service = $65/h.our ❑ Plan Check =1'0% of Contracted Amount AFFLICANT S SIGNATURE, CERTIFICATION AND AUTHORIZATION- Unde. penalty ofperjury, Ihereby certify that bhave read this application and state that the information herein is correct andlsweartliatanyinformationwhichmayherealterbegivenbymeinhearingsbeforethePlanningandZoningCommissiongrtheCityCouncil'forthe'CityoFRexburg: .. ' shall be truthful and correct I agreeao compjywith all City regulations a'nd:State laws relating to the subject.rmtter of this application and hereby autlroiized'representatives of the City to egfer;upon the above-mentioned property for inspections purposes. NOTE:The building official may revoke a.permiton approvalissued 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 o hich he permit or approval was based. Perntitvoid ifnot started within 180 days Permit void ifwoikstops for 180 days tjjfJ�Lt a Applicant s Name (print). t.? Signature: Date: Inspectionsmun be called in before 8 AM -on thg daythe inspection is requested inspection requests called in after SAM will be scheduled far the nextbusiness day Inspection Hotline- 208) %72.2344 www.rexburg.org Permit Technid -(208) 372:2341' .. Revised March, 2016' - ^-� O a!!Mz Building Safety Department City of Rexburg V c REU:C Submit By Email 35 North 1St East '-�, >>' �irreriea'sxatl:il} Contutul+icy . Rexburg, Idaho 83440 BUILDING APPLICATION Electrical For Office Use. PermitNdm,ber; PermitType: ❑ New, ❑ Remodel 0 Addition ❑.BasernentFinish Fees Paid.: ..Yes.. 0 No i. Property Otviier Name Address: City: Menan State:: Zip Coder Phone & Type:. ❑ Office ❑ Mobile 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? [2 Yes (Skip to #3 and complete the Homeowner's Exemption page) ❑ No: I am a contractor working for the homeowner ❑ No: This property is a Multi -family Residence or Commercial, Property: NOTE: Any contractors/sub-contractors involved will need to submittheir own signed apoficafions, 2. Electrical Contractor Names r� t�L¢ , Registr tgn. # �(e -- G 3 �z exp.: I j ' Address: Tn 64,5 +- ' 6.c7o.ti . City: Vi iL151_ State: !? Zip. Code: Phone&Type: �$3- %�/•-`:'.3Mt M� office Mobile Em l Contact/Rep. Name: & one: �Emai . Electrical Coiitractor Authorized Signatures' Dater 3.. Project D.e.scription Address: =OR- Lot Block.#: Subdivision: Check one: .. []Sing] e4amily Residence Q Multifamily Residence ❑ Commercial . Check one:.. ' ❑ New Construction* ❑ Remodel. ❑ Addition ❑ Basement Finish Description ofwork- New Commercial Work-; Contracted amount: :$ .. Calculated Fee.(See Below): $ 0 Up to $10,000 (tkM-cast of system x .02) + $60 ❑ $10,0'01-$100,000 = ('(total cost of system -1.0.,000) x 01) + $260 Dover $100,001 ftotal cost ofsystem :-100.000) x ,005) + $1,160 New .:. Sq. Et: ❑ Upao 1,500 Sq. Ft = $130 p 1,501=2;50.0 -Sq. Ft = $195 ❑.2;501-3,500 Sq. Ft. _ $260 0:3,501-4,500 Sq. Ft. _ $325 ❑ Over4,500. Sq. Ft. = $325+(65 x.# of additional .1,000 Sq. Ft. (or portion thereof).) $ New Multi=Family Residential; ❑ Duplex = $260. ❑ Three or more units .- $((13:0 x #.of buildings)+(65 x # of units))$ New -work -on any other residence and Detached Shops: =.$(65 + (10 x # of branch circuits)). $ ' Miscellaneous: ❑ SmaIl Works..(work costing less than $200 with no: change inser vice connections1=$10f needs no inspection. Q Central Beating/Cooling Systems = $65 ❑ Spas,:Hot Tubs, and Swimming Fools = $65 ❑Requested Inspection = $65 ❑ Pumps -Water, Irrigation, Sewage. (per motor) D $65. up to 25HP ❑ $95 26- 200HP: ❑ $130 over 200HP ❑ Irrigation Machine_= $65 for center pivot + $10 per tower of drive motor $' ❑ Technical Service $65%4our ❑Temporary Amusement= $65 + $10 per. -ride .concession, or.gen.erator $ ©: Plan Check=10%-of Contracted Amonn ❑ Temporary Construction Services:ONLY= $65 200 amv or less. one location for less than.1 ear: -----..._._._....,.-.. �.r= a••r.r�.Iu+y,,icrouycerurycnar+.navereaucn+sappneanonanastate that tneinforma tion herein is correct and l swear that anyinformation which tray herealterbe given byme in hearings before the Plan 'ng and 2oning:Comri+ission orthe City Council for the Ciiyo€Rexburg shall be truthful and correct.I agree to comply with all City regulations and Stats laws relating to file s lett atter of this application and herebyauthoriaed.representatives ofthe Cityto enter upon the above-mentioned property for inspections purposes. NOTE: The:building offic' I may. evoke a permit on approval issued under the provisions ofthe 2012 Inte rnatlanal.Co& In cases of.any false statement or misrepresentation ofhctin the application or the p] ns; oswhichthepermit orapp ravalivashased. Permit voidifnot started wlthm180days; Pefmitvoldifwork opsfor 0days Applicant s Name (print) . LtV . Signature: Date:: IespeCtionsmust be called in before 11 AM on the daythe mspechon is requested;Inspectlon.re_quests called maker8 AM will be scheduled forthe nextbusiness day Inspection Hotline - (208) 372 2344 , wvvw.c exburg',org . Permit Techpician.- (208) 372.2341 Revised March, 2016 " Building Safety Department y ''jj_'��_._�_._7.�'�� 77��.��//��'_ City of Rexburg ' 1tLt V L�7 Submit By Email ---- - 35 North 1st:East '":•, w..,+' Awerfca'slrta:ifyConunnuity Rexburg,: Idaho $3440. BUILDING APPLICATION Plumbing For Office Use. , . . Permit Number:. Permit Type: ❑ New. C Remodel ©Addition. Basement Finish Fees Paid:.El Yes ©No i 1. Property Owllel Name: Address: City: State: Zip Code: Phone & Type:. O`Office `q Mobile .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 #:3 and complete the Homeowner's Exemption page) ❑ No: ].am a contractor working for the homeowner ❑ No:. This property is a Multi -family Residence or Commercial Property, NOTE: Anycontractars/sub•contractois involved will need to submit their own signed applications. 2. Plumbing Contractor .Name:,/0%t,n/ L C Re istration #:L4-—jV Address: Wit'/�3 � . �' � � : � EXp. . "✓ State: Zip Code Phone & T e G ALL _ f��l Ci E 3 3e1� fir.._ ❑Office Mobile Email: 10�, 'P a+-stA,r � uwi "' «e/'; �(�n-vn �1 Contact/Rep. Name: f%: , �"I�d lil�w c?^✓ honEmail: '5Kv !G-: Pluinbing Contractor Authorized Si' nature:Date: ' 3. Project Description Water Meter Quantity: Water Meter Size: Address: -OR- Lot #: _ Block #: Subdivision: .Check one: ❑ Single-family Residence ❑ Multi -family Residence - 0 Commercial Check one ❑ New Construction* []Remodel 13Addition< ❑ Basement Finish Description of work: New Commercial Work: Contracted amount: $ Calculated Fee (See Below): $ ❑.up to $1o,Q00 = (total cost of system x :021 + $60 ❑ $10,001-$100,000: _ ((total cost of system -10,000) x .01) +.$260: ' ❑ Over. $100,001=((total cost of system.-10O,ODO) x .005) + $1,160 New, Single -Family Residential. Work: Sq. Ft. 1:1 Up to 1;5.00 -Sq. Ft. $130 0 2,501-2,500 Sq, Ft. _ $195` ❑ 2,501-3,500 Sq. Ft. _ $260 ❑ 3;501.4,500 Sq. Ft. _ $325 ❑ Over 4,500 Sq. Ft. _ $325+(65 x #1; of additional 1,000 Sq. Ft. for portion thereof)) $ New Rhuiti FaaiIily:Resideirtial: ©Dup]eX =$260 Three or more units = $((130 x # of.buildings)+(65 x # of un.its)j$ j ❑.Gray Water Systems = $130 ❑.Lawn Sprinklers/Backflow. device = $65 ❑ Multipurpose Fire Sprinkler &Domestic Water Supply System = $65 or $4 -per sprinkler head (whicheveris greater)1. New work On any other residence and Oetiched Shgps: _ $65 for sewer.and water stub connections [p MiScellaneaus: ❑ Sewer Line '.= $6.5 El Water Line =.$65 ❑ Sewer and Water Line $65 . ❑Requested inspection = $65. D Sewer Turnaround (septic to..city) _ $65:p Hydronic Heating $65 + ($10 x # of manifolds/zones). ❑ Technical: Service = $65/hour. 0 Flan Check =10%:.of Contracted Arnount - APPLICANT'S SIGNATURE, CERTIFICATIONAND AUTHORI2ATION; Under P. ty aperjury, I herebycertilytharl have read this application anid st2te that the information herein is correct and [.swearthal any information.which mayhereafter be given by.mein hearings before the Planning and Zoning Commission or the City Council forthe City of Rexburg :. shalt be truthful and correct. I agree.to comply with all City regulations and State laws relating to the subject matter ofthis application and hereby authorized representatives ofthe ' City to enter upon the above-mentioned property forinspections purposes. NOTE: the buildiggofficialmay revoke apermitonapproval issued under the Provisions ofthe2012 International Code incases. of any. false statement ormisrepresentatian offact in the application or on the plans on.which the permit orappravalwas based. Permitvoidif not started within 180 days: Per'mitvo.id ifwork stops For 180 days ,yam Applicant's Name (print) i! fl/64,n/ Signature.: % Date; fe�-!'l' l Inspections mustbe calleu in befo: a 8 AM- on the day the inspectton is requested.Inspeetion requests called inafter 8 AM will be scheduled for the nektbusiness day Inspection Hotline - (208) 372.2344 www.rexburg:org Permit Techntpian - (208j'372.2341. Revised.m rch, 2016 A gti YBt:R4.' .. ..c r TY 0F Building Safety Department )- REV it�T u. Submit By Email City of Rexburg ----- 35 North 1st East •, ,,> .4n,erirdsfamt7yCommunity eu Rexburg, ldaho 83440 BUSINESS USE SUMMARY I The following questions will help speed the review process along. Please take the time to answer all of them. Is this. business occupying an existing building? [] Yes ❑ No Will the business be doing any structural/or remodeling changes to the building? []Yes .[]No Any changes to the electrical? QYes ❑No Any changes to the plumbing? ❑Yes ❑:No Any changes to the mechanical system? []Yes ❑ No j Is the business type changing?❑Yes, it will change to ❑ No Is this business changing ownership? ❑Yes ❑ No Is the business registered with the City of Rexburg?[] Yes, License #s []No *If No, please apply for a business license with the Customer Service Dept. Will the business have food.preparations? .[:]Yes ❑No Will there be any cooking of foods?❑Yes ❑ No Will there be any deep fat frying? ❑Yes ❑No Will you have food disposal on site?' ❑.Yes []No Will there be sumps or floor drains in :the facility?Yes r 0 o Will the business have any chemicals on site? []Yes []No 208-403.7763 05/26%2016'" Applicants Signature Phone . Dale - I certify that the information that I have provided above is. to the best of my knowled8e, accurate and true. Inspection Hotbne - (208) 372.2344 www.rexburgorg Permit Technician - (20'8) 372.234T Revised March 2016