HomeMy WebLinkAboutAPPLICATION - 19-00451 - 593 E 4th S - Short Term RentalRexburg Building Department
New Single Family Home Building Permit Application
APPROVED PLANS MUST BE ON-SITE
For Office Use
Permit Number: t�� �'Zoning:
Application Fee Paid: ❑ $500
1. Property Owner
Name:
Address:. -13 t `� S City: e 1/J State: l Zip Code: b3 Vel U
Phone: dO F-3 PO -"ySlo D Email: i6�sA( We, -e vyLA0o, ccs
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
Name:
Address:
Phone:
(Owner, Tenant, Contractor, etc.)
State: Zip Code:
Email:
Contact/Rep. Name: Applicant Signature
3. General Contractor
Name:
Address: City:
Phone:
Contact/Rep. Name:
General Contractor Authorized Signature:
A copy ofyour state registration/license is required to be on f
a photo copy ofyour license. Ifyou are unsure ifyour license i.
4. Project Description
Address: -OR-
Project Description:
stration #:
Zip Code:
/ Date:
is the first time you have done work in the City of Rexburg, please prov
please check with the Permit Technician by calling (208) 372-2341.
Lot #: Block #: Subdivision:
Main Floor
S .ft.
Additional Floors
S .ft.
Basement Finished
S .ft.
Basement Unfinished
S .ft.
Garage
S .ft.
Accessory > 200 s .ft.
S .ft.
Building Total
S .ft.
# of Water Meters:
Water Meter Size:
Building Permit fees for new homes are charged based on square footage and the City's estimated valuation. For details on howfees are calculated, contact
the Buildina Department. There will also be a plan review fee totalina 10% of the building permit fee.
Names and email addresses of anyone that is expected to submit documents to the city during the construction process.
Name I Organization or Company I Email Address
Mechanical Contractor
Electrical Contractor
Plumbing Contractor
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.
Rexburg Building Department Inspection Hotline -(208) 3 72.2 344 Address: 31 N 1st E Email: shauna.eaton@rexburg.org Permit Technician - (208) 372-2166