HomeMy WebLinkAboutBP & APPLICATION - 12-00181 - 648 S 5th W - Remodelo
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REXBURG
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Awrita\ Fami* {ls *tttt untly
35 N 1"E,, REXBURG,ID 83440
208-372-2326
PARCEL NUMBE,R:
SUBDIVISION:
We wili provide this for you)
UNIT# BLOCK# LOT#
is based on the information - must be accurate
Work (
UWNITR NAME: l-+.-r'C i A./zi r.ytarYrs CONTACT pHONE # Fltct , Z1A I
PROPERTY ADDRESS, h ti(, 9 Sfl US
PHONE Home (
O\(z]\E,R MAILING ADDRE,SS:
c"n8r8 S(PQ-ZIJ(
CITY: STATE: ZTP:
APPLICANT: (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS iS 4S €'-*^'/+.LqCITY: T ?
srATE: 7p l?*oz- riw,trr vl,;It44oi* r.'.lv,.hehr 28 -szz -Lrzl
PHONE #: Home ( )- work ( ) ffik
MAILING ADDRESS:
PHONE: Cell#
E,MAI
STATE ZTP
Work#Fax#
TDAHO REGISTRATION # & EXP. D^TE KC6 -816I ,Y? IA4/I
How many buildings are located on this property?
Did you
Is this a
recently purchase this property@ Yes (If yes, list previous owne/s name) ./'V-\
lot split?$p YES please bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family Residence, Multi Family, Apartrnent age, Commercial, Addition, Etc.) - CIRCLE ONE
APPLICANT'S SIGNATURE, CERTIF'ICATION AND AUTHORIZATION: under penarty orperjury, r hereby certift that rhavc rcad this application and statc that the infomation hcrein is corrct and I swr that my information which may hereafter be given by me in heaings before thePlanning and Toning cnmmission or the ciry council for thc city of Rexburg shall be truthiul and corrcct. { ns*. to comply with alt city regulations and State laws rclatingtothesubjectmatterofthisapplicationandhercbyauthorizedreprcsentativeJoftheCirytoentertpontheabove-mentionedpropertyforinspectionspurposes. NofE:'I'he building official may rvoke a permit on approval issued unier the provisions of thc z)03 International.code in cases of any false statement or misrprsentation of factin the application or on the plans on which the permit or approval was based. Pemit void if not started within 1g0 days. pemit void if work stops for lg0 days.
WARNING - BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees ae non-refundable and are paid in fr.rll at the time of application begrnning J44!raryf,2QQ!City of Rexburg's Acceptance of the plan rsiw fe does not @nstitute plan approvalsBuildingPemitFeesaredueattimeofapplication* sBuildingPemitsarevoidifyourcheckdcsnotclear**
T
Signature
Do You
of C)wner/Applicant
prefer to be contacted by fax, email or phone? Circle One
_/ _/
DATE
Buifng SofetyDeqgrf.pgQ
City of Rexburg I35 N. 1,t E., Rexbwg, Idg3440
Phone - Q08)359-3020/ Hotline - e08)372_2344 / Fax
LOT-..- BLOCK
- Q08)3se-3022
clt'Y oF
REXBURG
c\, -" "*.. -*"
Am ei cal Family Community
O$rNER'S NAME, LT;(.0- *-".-o[p1
PROPERTY ADDRESS
SUBDIVISION
PI{ASE
Permit#
n Approved for temporary power
D Approved for permanent power
(COMMERCIAL/IND-USTRTAL) Total cost of electrical system (con*actedAmount) $-----_-(ncludu tbe cost of nateiah installed regardlex of ihe patl supplting it. The feet litted under thit intpection lpe thall app! to anlt antl a// elexrica/not Eecifca@ mentioned elsewhere on tbisfom).
! Up to $t0f90^^- (total cost of system x 0.02) + 60 = $D Between $10,001- $100,000 r r@ x 0.01) + g260 = gtr over 9100,00r ( rr","t ."rt"FJ* - roo.oo'0) x 0.0'05) i gt,roo = gSmall wotks (contractots oNL)): $1b fee fo. -otk rro[".eeding'g200 ir .or, and not involving a change inservice connections. Does NOT require inspection.
RESIDENTIAL
r{ew: single Family Dwelling, including aII buildings with witing being consttucted on each prcpetty. (*Based on liuing space,see defrnition below)
D Up to 1,500 sq ft - 9130 tr 1,501 to 2,500 sq ft _ g195! 2,501. to 3,500 sq ft - 9260 tr 3,501 to 4,500 sq ft _ $zzstr over 4'500 sq ft $325 plus $65 fot each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional_ _ _ 1_.O00 sq. ft. or oortion thereoO).)\Iew: MuI ti-Family Dwelling lContactoii Only)
tr Duplex Apartment $260!Thteeotmoremulti-familyunits:$130perbuildingplus$65-p-erunit
tr Existing Residence, Modulat, Manuiactured oTil4obil" fro-"r, ila o"t."rred Shop: g65 fee plus gtg perbranchcircuit,uptothemaximum"f*:-:-"-y.'P_o1&g,q.rt.or*,.bdeg@
tr cenftal Heating/cooling Systems: $65 when Nor'p"rt of new r.sidentiiitr HVAC permit with no additionalWiring
D spas, Hot Tub^s, and swimming pools: g65 fee for each trip to inspectPumps-Wate4 ltrigation, Sewage (each motit)
! $65 up to 25Hp lg95 _ 26 to 2O0Hp tg130 over 200 Hp
Reqaircd!!!ELECTRICAL
MISCELLANEOUS
tr Temporary consftuction Services ONLY: 200 ampor less, one location (for a period not to exceed 1 year) - $65tr Temporary A.rnusement $65 fee plus $10 per ride, ior..rrro' or generatortr Irigation Machine: g65 for center pivot plus $10 per tower of drive motortr Technical Service: $65 perhour
! Plan Check 965 per hour
tr Requested Inspection: g65
'Living Space -_space within
bathing, *oUQ*, rccreaio/
for human habitation which may. reasonably be utilized for sleeping, eating, cooking,An unfinished basement is considered pari of the living space.
r'/tc- .4^itoba t 'rrfe
License number & exp. date/ '1of Licensed
1: N. 1" E., Rexburg rd 83440
OSTNER'S NAME
PROPERTYADDRESS b4 Y__{ i 77. II f
Bu ing Sofety Deporlm
City of Rexburg
Perrnit#
LOT_ BLOCK
CITY OF
REXBURG
c\' -- -.' - -- --
Americai Family Co mmuni N
SUBDIVISION
PHASE,
Requircd!!l Mechanical
Mechanical contracror,s Name bonra [[q {ei,*,*ti^*, g,rr;
Address iS'lS '1,4.t 1r, ^.^ .,. -. n . "-- --A;
-To /'; ^tness Name r e.,fe-<J^tuu
u4_nLrtv I- c-r_/A E:qoz-State / L) zrp Ya4L'rP v -JCell Phone usiness phone (M) _VZ,lp-1!
lln-/4nt>\{ra 'll-*\/--'-JFax 1'JogS i Zl - il-z-l F,m^ir r l. ;ff rn { r . ,
L';Xy:,:;H!-'il:f,y,#:*)^i*!,::::.r#.."h1,'car svsrem (conuactedAmount) $f:,/:,t;:::::{#;"tr;,;#:,:,:J;f:;i,:::,t#:ig;.ppi,;,;;;;;;;;",;;:,;:;;'fr}:;";;:';:,},#;;nh;.,,,"*,in$allations not specifca$t nentioned eh'ewhtere ,i iilr'iril.tr Up to $10,000 Aqtal-aqsIafqysIeoq x 0.02) + 60 = $: 3:ffiff 113,,t01 - $100,00t aruor*,; * $zoo = str Over 9100,001 ( (total cost ofsvstem _ 1RESIDENTIALrorar cost ot svstem _ 100.000) x 0.005) + $1,160 = g
r{ew: single Family Dwelling' including aII buildings with witing being consttucted on each property. (*Based on Euing space,see definition below)
! Up to 1,500 sq ft _ g130
D 2,i01, to 3,500 sq ft - g260 ! 1,501 to 2,500 sq ft - $195D over 4,50b 'q ri$rzs plus g65 ro13ch additional 1,000 sq rr:""il:JJrff:#t rt - $lzs
New: Mutti-FamilyDwelling (con*acturs Yrf;,.
($65 x
)D Duplex Apartment $260DThreeormoremulti-familyunits:$130petbuildingplus$65perunit:
! Existing Residence, Modular, N{urr,riu"t.rr.d "; il;l;tl""fio-."
";e D;;i; S^hop: g65 fee plus g10 perxxHVAc equipment being instailed up to the maximum of th. .orr.rponding sq. ft. of the building($65 + ($10 x # of fi_xtures))MISCELI.ANEOUS
tr Plan Check g65 per hour
D Technical Seryice: g65 per hour
! Gas Line: $65
D Vater Ffeater Replacemenc $65tr Requested Inspection: $65tr Fireplace/Sotid Fuel Buming Appliance: g65 per inspection
ffi'm;i:::#H;:TH"-#!!F:1"'i ?liHaffi'nH;H.'.##:i::T,'J#J.*,#,H:::o-*,ea,ing,cooking,*+Examplhof
ff\r*nrn"nt_n -".. r'"pii*_.",, solar, water heatet, etc.
License number & Exp. date Date