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Home My WebLink AboutAPPLICATION - 19-00408 - 691 Wheatland Dr - SFRC IT Y OF REXBURG America's family Conummihl BUILDING PERMIT FORM 1�0 updated 10i20M BUILDING PERMIT APPLICATION New Single Family Residence Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: Zoning: _ Application Fee Paid: ❑ $500 1. Propertyvner Name: i Address: f City: .,�€� �~ State: -7)� Zip Code: yd 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? ❑ Yetm p°to #4 and complete the Homeowner's Exemption) Zoworking with the homeowner 2. Applicant Name: Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 3. General Contractor Name: Registration #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: t General Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to be on fil . 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: .a �%� //��r— -OR- Lot #: /Block #:—.7 Subdivision. Project Description: • Square Feet: Building Total: /215`sq. ft. • # of Water Meters: r Water Meter Size: o Main Floor:2-Z2s_ sq. ft. • Fireplace(s) Being Installed? ❑ Yes O' No o Additional Floors: 6,70 sq. ft. • Hydronic Heating Being Installed? ❑ Yes o Basement: Finished sq. ft. Building Permit fees for new hones are charged based on square Unfis ed1� Sq. ft. footageand the City's ty's estimated valuation. For details on how fees o Garage 3 � are calculated, contact the Building Department There will also be • Estimated Total Cost: $ a plats review fee totaling 10% of the building permit fee. 4C<i, APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perlury, I hereby certify that I have real this application and state that the information herein is correctand 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 h uthful 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 mmisrepresentation of fact in th application oronthe plans on which the permit or approval was based. Permit void if not started within 1+80 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 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 wwtv.rexburg•org Permit Technician - (208) 372.2341 �cxrstl. r C IT Y OF Building Safety Department REXBv G BUILDING PERMIT FORM 110 City of Rexburg ny "°'`°" 35 North 1S1 East AtmericakFamily Communifv Rexburg, Idaho 83440 BUILDING APPLICATION New SFR Mechanical For Office Use Permit Number: ❑ Mechanical Fee Paid 1. Property 0� ger „.,,c Name: /%-�9� -----_ .. Address: 9 ._.c- fi• City: �29 � State•,_L � Zip Code: Phone: '�C 3 -? Email i �_ G, �s ?� 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, I am work 2. Mechanical Contractor Business: Address: Phone: Contact/Rep. Name: with the homeowner State License #: City: State: Email: Phone: Email: Exp.: - Zip Code: Mechanical 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 if our license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. project Description Address: Description of work: ❑ SFR Construction: sq. ft. -OR- 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. ft. or portion thereof. 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. F Number of Fireplaces: 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 I manifolds/zones) APPLICANTS 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 ortheCity 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 it work stops for 1 B days. Applicant's Name (print):�.1 Signature: Date:7- /� 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 TY O F REXBURG Anterica's Family Commanit), PROPERTY LINES Building Safety Department City of Rexburg 35 North ls' East Rexburg, Idaho 83440 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. 2-77-11 Signature Date Printed Name Inspection Hotline - (208) 372.2344 www.rexbutg.org Permit Technician - (208) 372.2341 Revised 10/2016 � pEX D tq ` el C I TY OF Building Safety Department __ - REXBURG City of Rexburg AinerioasFakn::v, owe, ?;,v;tv 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 iunderstand the City of Rexburg Permit Policies, listed below are several policies which you are required to know prior to proceeding with your project. o 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 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. y o 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 rials 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.) 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 n 5 may not be completed. Extenuating circumstances will need to be approved by the Building Department. 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 itials Occupancy will be issued without these plans, extenuating circumstances will need to be approved by the Building Department. r F�. • o 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 I' cats be required to vacate. o 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 nitiais information is passed on to them or not. Applicant's Name (print): ` Signature: �•' w 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 C�0.kX6L'RG; C IT Y OF REXBURG Americtu Family Community DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Please provide the names and emails of anyone who should begetting automated updates for this project: Review Notes f Name:zSJtC G7"� Email: ^ -7 Name: Email: Name: Name: Name: Inspection Tickets Name: Name: Name: Name: Name: Email: Email: Email: Email: Email: Email: Email: Email: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 C IT Y OF REXBURG Anterica's Family Community HOMEOWNER'S EXEMPTION Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 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. 0 � j, Signature 40'Date int Name Permit Technician - (208) 372.2341 www.rexburg.org Revised 2/2017