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HomeMy WebLinkAboutAPPLICATION - 19-00288 - 40 Jerry Lane - Porch Cover - AdditionC I TY O F REXBURG 0 America's Family Community BUILDING PERMIT FORM 1�2 UpdaWd A/2016 BUILDING APPLICATION Single Family Residence Addition Building Safety Department City of Rexburg 3S North 1St East RAvhiirrr Trinb- QQA.At) For Office Use Permit Number: Zoning: Application Fee Paid: ❑ $100 1. Property Owner Name: Z -/-A L 127�y A-! Address: �U ../ /e/i i ?�" City: )FJ9 �� 04P State: _ Zip Code: O Phone: 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 #4 and complete the Homeowner's Exemption) ,-INN.o, I am a contractor working for the homeowner 2. Applicant Name: Zd L e)12-1 Ve- cwN Role: (Owner, Tenant, Contractor, etc.) t9-c4IJAAEXL Address: E, -7J_;0le '77 7/- City: ?Zz*/& i2g=§ State: Zgf Zip Code: Phone:Email: Contact/Rep. Name: ^1 rl(v7�j 3. General Contractor / Name: 6 A2G�JiE= Registration #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: _ Date: 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 Description Address: ARA V 27- �'3 i.fil C� ,LQ Z> �j 3 V `!fid Project Description: • Square Feet of Addition: sq. ft. • Estimated Total Cost: $ J__ffiD • Fireplace(s) Being Installed? ❑ Yes &-No Building Permit fees 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 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 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): ignature: Date: r Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests calV�" led 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 aQ µexe�Rc 7 nn C I TY o f Building Safety Department REXBURG City of Rexburg America' FamilyCommunity35 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: E� •-`'t- j / 4�L z.314 C le- S Floor/Ceiling Joists: Siding/Exterior Trim: Other: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician -208 3 ( )72.2341 Revised 10/2016 0i }tEx B URC is CITY OF U,GBuilding Safety Department REXBUR 040 ____ 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 helpyou understand the City of Rexburg Permit Policies, listed below are several policies which you are required to know prior to proceeding with your project. 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 li4- 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 fromriataninspector 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 i itia 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, inspections may Initials 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 i ials 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 �niti s 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 Initia information is passed on to them or not. Applicant's Name (print):`u� /26-L.A'-j _124 Signature: Date: it 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 OQ REX BURL �� fp CITY OF u� REUURG ,."7. America's Family Community Building Safety Department City of Rexburg 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. Signature Printed Name Inspection Hotline - (208) 372.2344 www.rexburg.org Date Permit Technician - (208) 372.2341 Revised 10/2016