HomeMy WebLinkAboutAPPLICATION -18-00261 - 1249 Stone Dr - New SFRti4 Qygxa Ug�b CITY OF
.a
' REXBURG
Amencas Family Community
PERMIT POLICIES ACKNOWLEDGMENT
Building Safety Department.
City of Rexburg
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.
o APPROVAL OF CONSTRUCTION. 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) 372-2167. 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.
�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
'teals 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
may not be completed. Extenuating circumstances will need to be approved by the Building Department.
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
Initials 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 maybe occupied without receiving a signed Certificate of Occupancy. If a
building is occupied without receiving a signed Certificate of Occupancy, citations maybe issued and the occupants may
I^ be required to vacate.
❑
o MAKING KNOWN POLICIES. It is your responsibility to inform anyone on your project of the above policies.Allsub-
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): GLi/t Signature: 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 Revised 10/2016
R;o yp,XBugo,; CITY OF
° REXBURG
CW-
Amenws rvmll Community
DISTRIBUTION LIST
Building Safety Department
City of Rexburg
35 North 1S1 East
Rexburg, Idaho 83440
Please provide the names and emails of anyone who should begetting automated updates for this project:
Review Notes
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Name:34A F�r8lh�ll�%
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Inspection Tickets
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Email: [?- !�/ "' s Cove
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Inspection Hotline—(208)372.2344 vmv.rexburg.org PermitTechnician Revised 10/2016
CITY OF Building Safety Department
0 o REXBURG City of Rexburg
r eti 35 North 1st East
Americal 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.
Signature
1,04CK,
PriPri e
�(Q11
Date
Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016
F;DQ gExaopald CITY OF J Building Safety Department
a 1EXBURC7 BUILDING PERMIT FORM 100 City of Rexburg
Cly Upda" "1e/:pia 35 North 1st East
America's Famiiy Community Rexburg, Idaho 83440
BUILDING PERMIT APPLICATION
New Single Family Residence
For Office Use
Permit Number: /8-iM.2 6 Zoning:
L 0 k % Application Fee Paid: afs'00
1. PropeOwner.
Name:
Address:
pY
City: ',24- C ed r c, F_ State: Zip Code: 0 %may 0
Phone: 2 '3`^i ^RI(0
_IAT
Emai
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)
❑ No, I am working with the homeowner
2. Applicant \ `
// ff
Name: 4d,, I�iAl-t 5,/
Role: (Owner,, et) (OJrLW c v r—
Address: 7��Z C Vola
TTefn_aant,CContractor,
City: : Stater Zip Code: _A3y �
Phone: C _(QV0 J&Z
Ubu/
Email: /S('iuA � ,ltnw-e-5 Pibt . /bo
Contact/Rep. Name:
3. General Contractor
Name: Dc4k n" �ti m (-6fu2 S u
C Registration #: Exp.:
Address: 2352. F q60 n!
City: s State: Zip Code:
Phone: LIM-hog0-19/Z
Email:
Contact/Rep. Name: (A9 DAIS
Phone:i%a(oVOIDL Email: 1AV,,57,c4 ``-
General Contractor Authorized Signature:
Date:
A copy ofyour state registration/license is required to b� on t e. If this is the first time you have done work in the City of Rexburg, lease 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 Desc��r))'ption c,(,, �
Address: �2- iI an, y Oyie, brt VV -OR-
Lot #: Block #: a Subdivision: l% IZI PbJDa/y
IS
Project Description:
• Square Feet: Building Total:
q g 99 sq. fr.
• # of Water Meters: Water Meter Size:
o Main Floor: WD sq. ft.
• Fireplace(s) Being Installed? O Yes W No
o Additional Floors: 1q, sq. ft.
• Hydronic Heating Being Installed? ❑ Yes ❑ No
o Basement:
Finished �y�;�sq. ft.
Unfinished Irl v D sq. fr.
Building Permitfeesfor new homes are charged based on square
o Garage IU2— sq• ft.
and the City's footage estimated valuation. For details on howfees
• Estimated Total Cost: $ / Ito 600
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 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 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 complywith 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 for inspections purposes. NOTE: The
building official may revoke a permit on approval issued under the provisions ofthe 2012 International Cade in cases ofany false statement or misrepresentation of fact in the application Oran the plans on
which the permit or approval was based. Permit void if not started witithin IRO days. Permit void if work stops for 180 days
id
Applicant's Name (print): �&I l5l5 Signature: Date: ��ID
Inspections must be called in befor AM on the day the inspection is requested. Inspection requests erBAM will be scheduled for the next business day.
vection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
R;o RE%aUgalO
VwO
CITY OF
REXBURG
CW -
r �
f
BUILDING PERMIT FORM 100
.... m/rm6
'Building Safety Department
City of Rexburg
35 North 1st East
Amertmk Family community Rexburg, Idaho 83440
BUILDING PERMIT APPLICATION
New Single Family Residence
For Office Use
Permit Number: IS -bb alp 11 Zoning:
Application Fee Paid: O $500
1. Property Owner��
Name: q t (L y' )a a IN`2d',:�t L
Address: Weer1 5xbo
City: _�VII� State: 1%� ZipCode:
Phone: �43� bby- 04QL
Emaid'2hoW1���i��l� , eoyV—
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)
.P,No, I am working with the homeowner
2. Applicant
Name:
Role: (Owner, Tenant, Contractor, etc.)
Address:
City: State: Zip Code:
Phone:
Email:
Contact/Rep. Name:
3. Gene*ntractor
Name: OL-.
Re stration#: CCS' "�OZSi Exp.: l0 23 74%AddresS
City: Qua.6 Stat : I Zip Code:Phone:o��
`7465
Email: ICtawy�5^ rGMC, Mn.�. toy�—
Contact/Rep. Name:
Z" `7 ' mail: StYy�
General Contractor Authorized Signatur .
Date: o `Zvi 7
A copy ofyour state registration/license is required to be on file. If thi s 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.
4. Project Descriptio ((��,
Address: �7j{t1 11 c1� Ami{, OR-
Lot #: Block #: y Subdivision:
Project Description:
• Square Feet: Building Total; sq. ft.
• # of Water Meters: Water Meter Size:
o Main Floor: sq. ft.
• Fireplace(s) Being Installed? ❑ Yes ❑ No
o Additional Floors: sq. ft.
R Hydronic Heating Being Installed? O Yes 0 No
o Basement:
Finished sq. ft.
Building Permitftesfor new homes are charged based on square
Unfinished sq. ft.
footage and the City's estimated valuation. For details on howfees
o Garage sq• it.
are calculated, contact the Building Department There will also be
• Estimated Total Cost: $
a plan review fee totaling 10%ofthe building permittee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and scale that the Information herein is correct and l 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 romply with all City
regulations and Some 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 In of Co de ln's ocany re statement or misrepresentation affect in the application or on the plans on
which the permit or approval was based. Permit told aunt started within 180 days. Permltvoldlfworkstops fort days
Applicant's Name (print): 1 i X Signature:. Date: ( A boo
Inspections must be wiled 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 Nadine - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
CITY OF
REXBURG
America's Family Community
BUILDING PERMIT FORM 12�
uvaaW 10/2016
BUILDING APPLICATION
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use n F
Permit Number: _ ❑Electrical Fee Paid
1. Property Owner
Name: GI''r
Address:' "j;3u ✓Ua r t>> � — � City: .Jf - e :� 'e- ��_ State: � Zip Code:
Phone: {lLhtir_ (n(pcj -(q!17 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)
9&,1 am working with the homeowner
2. Electrical C,o�tractor /
Business: 11 Y0 %i�U, �l ,f'Pcir/L State icense #: Z E)p.: ti�r l
Address: %�(jl i,�,� ><� City: State: Zip Code: S�
Phone: Email: --) owd CO X anw/ eam
Contact/Rep. Name:- rr Phone: 2a,22)40 mail:
Electrical Contractor Authorized Signature:-
�T� Date:. -I --/4/-/S
A copy ofyour state registration/license is required to e. I t ' e 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 D�,se,r!i tion
Address: r sb)t.P� �.� 1� -OR-
Descriptionofwork: • e p
❑ New SFR Construction: sq. ft.
Lot #: I Block #: Subdivision: /Z %'
•
Feesfor additions are charged bysquarefootage: Up to 1,500 sq. ft. = $130 + $65for each additional 1,000 sq. ftorportion
thereof.
Square Footage
Total Cost
Up to 1,500 sq. ft
$130
,Upto$500sq.ft
$195
Up to 3,500 sq. ft
$260
Up to 4500 sq, f t
S
Add $65 per additional thousand sq. ft
❑ Spas/Pools/Generators: ❑ Yes VNo
• 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, l hereby certify that l have read
is correct and 1 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 casesofany false -Statement or misrepresentation offact in the application or on the plans on which the permit or approval was based. Permitvoidifnot
started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): ' Signature: Date: r57-44K-�
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection reques calle ' ter 8 AM will be scheduled for the next business day.
Inspection Hotline- (208) 372.2344 www.rexburgorg Permit Technician - (208) 372.2341
p¢gazeugc
CITY OF
° REXBURG
.a
a
America's Family Community
For Office Use I _ Doa
Permit Number:
r�
BUILDING PERMIT FORM 110
UP]rted 10/2011
BUILDING APPLICATION
New SFR Mechanical
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
❑ Mechanical Fee Paid
1. Proper Owner
Owner
Name: VxP— tq-�py"e(oputAe,+l4 L/fW p
Address: 353() R/hA7 0,e_1i (3 City: 4 - rC e State: n-7- Zip Code: o y�4O
Phone: Q35 —14011— (14"l Z Email: VV 2iiP i I &Q amggZ �' coyy'
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)
❑ No, l am working with the homeowner
2. Mechanical Contractor " �
Business: e 0,0 V State License #: tw C'530 Exp.: (1-30— 19
Address:Zo3 IJ • Pe tt
City:S�• ftl State: tr Zip Code: ?31
Phone.14-%L(-1919(0 - Email: %.
Contact/Rep.Name: C Wi Phone:SWA�_ Email:
Mechanical Contractor Authorized Signature: _
A copy ofyour state registration/license is required to
3. Project Description
Address: )2 JNr
Description of work:
❑ SFR Construction: sq. ft.
t a Date: 11-30-11
e on file. If this is th fir time you have done work in the City of Rexburg, please provide
mse is on file, please check with the Permit Technician by calling 208 372-2341.
-OR- Lot #: 3 Block #3 Subdivision: bW S
Fees for additions are charged by square footage: Up to 1,500 sq. ft= $130 + $65 for each additional 1,000 sq. /t or portion
thereof.
Square Footage
Total Cost
Up to 1,500 sq. Jt.
$130
Up to -2,500 sq. fit
_ $195
Up to 3,500 sq. ft.
$260
Up to 4500 sq. ft
$325
Add $65 per additional thousand sq. ft
❑ Number of Fireplaces:
• Note thatffreplaces are not included in square footage costs and will be charged $65 per inspection as shown below.
o 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 + ($10x # of
manifolds1zones)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l have read this application and state that the information herein is correct and l swear that
any imormanon which may hereafter be given by me in hearings before the Planning and Zoning Commission or the CityCouncil for the City of Rexburg shall be truthful and correct lagreetocomplywlthall
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 Cade In cases ofany 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 1E0 days. Permit void ifw stops for l8
Applicant's Name (print): t- if Signature: [ Date:
Inspections must be called in bo re 8 AM on the day the inspection is requested. Inspection requests called in after a AM will be scheduled for the next business day.
Inspection Hotline - (208) 372.2344 www.no burg.org Permit Technician - (208) 372.2341
f P8%BUgC,
CITY OF
: REXIiLJRG
CW
AmeriraS Family community
BUILDING PERMIT FORM 130
Updated 10/3016
BUILDING APPLICATION
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: 2� I ❑ Plumbing Fee Paid
1. Proper} Owner
Name: V J�'JL 0 tv �C
Address: 353o Mo�e12Llr `f {c. IZ �City:S1. C,,Pe. State: t1tr Zip Code: SY-�C,p
i
Phone: Ci?iS - a_q ^ 0`(G(' 2 Email: I/X2 DP_(/ fQ� eel" (
Underldaho 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)
❑ No, I am working with the homeowner
2. Plumbing Contractor
Business: M i} F'/kr+n 6 S cr State License #: 03 "1011 Exp.: S*�3/ leo 2_J
Address: 41., n St. City: Sf, ti 4 f State: XD Zip Code: S;Y1/r
Phone: 'Zoll 311- - 19'1 93 Email: .tilt- "MBPLB
Contact/Rep. Name: /C t�,zk ✓e A Phone: 208 3 f 3I ff} `t 3 Email:
Plumbing Contractor Authorized Signature: — ` Date: 2f -6l —/6
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: J?%Jfi 5 0".- Ar�'(- OR -
Description of work: (leta Kt. -.e— C61Sl�
❑ New SFR Construction: sq. ft.
Lot #: a Block #: Subdivision: `dA `1 VL1e s JoLO S
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,
Square Footage
Total Cost
Up to 1,500 sq. jt
$130
Up to 2,500 sq. f
$195
Up to 3,500 sq. ft. _
$260
Up to 4500 sq. ft
$325
Add $65 per additional thousand sq. Jt
❑ Hydronic (In -floor) Heating: O Yes F$ No
• Note that hydronicheating is not included in
and will be charged $65 + ($10x #
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l 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!n the application or on the plans on which the permit or approval was based. Permitvaidifnot
started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): Signature: [)9AAwIS Date: �U
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 Hodme-(208)372.2344 - www.rexburg.org Permit Technician -(208)372.2341
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CITY OF
° REXBURG
m
AmericaFam
'sity Communiy
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
Excavation & Earthwork:
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Inspection Hotline - (208) 372.2344
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(Manufacturer or Supplier)
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w .rexhurg.org Permit Technician -(208)372.2341 Revised 10/2016