HomeMy WebLinkAboutALL DOCS - 12-00292 - Homestead Assisted Living Rigby-Remodelv
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RESIDENTIAL BUILDING
35 N I" F,, RIINBURG,ID 8344{J
208-372-2326
I},\ R(] I.:I, N U IITBIIR:
SUBI}IVISION:
PERMIT APPLICATION'Tolrlaast €$ls, zz{
( We rvill ptovide this for You)
UNIT# BLOT]K#-LOT#
the Estire Application!
not rpFly fill ir NA firr non ryplicab*c
'pHoNll #
PRO?ERTY ADDRTISS:
p["[oNti #: Fl<rme { )- wotk ( ) 7?5:ew- ;*u,
cI'fY:-s'I irI'H,: tD z lP, I 3q'O\X/NIIR i\IAILING I\DDIIESS: /1t 9 t1y LIr Y:
uwttru. i3 u-//2-rD r'rvrt," Fe',Je/rl.qn rxx 74f ' 73 f- !
i\PPLICANT (If other than orvner)
qrfppti.rrr, if other than owncr, ,.r statement nuthorizing applicant to act a$ agent for owner $ttlst accornpilnv this applicntiQn)
APPI.ICANT INFOI$IIVIION: ADDRESS CITY:
S'l'rVl'F.;zIP-- ENIAI Ir;\X
pt-tONli #: Home ( )- Work ( )-CeU ( )
CONTRACTOft,
tvtAILING ADDR$SS:t\ ? !+o:t2wt< S't'A't'fi -rD Zil'839h>
P[-IONIJ f-lome ($fork (f*i-33t'', cell( )
IiNtr\l rx 5ltSI63rfI\H RH.GIS"TT'A'TION# & EXlr.DA',rfi: ree. - I bq -r
ttu'\
I low rn:rny *rc loctted is property?.tX - il-l 7-2a11
I )id 1,rru rccc1tl1, purchasc this propctry? N <r \lts {l f vcs. lir+t prtvigus uwncr's *anrc)
ls rhis a l<x splir? N() \'lr,s {Plc:me bring cr4r1'of rrcrv leg*l description of prope:$
t)R.( )P( )Sl.:l) (Isl,:
(i.c.. Singl* pamilv Rcsirlcncc, l\tuki Familv, r\prrtmcrrrs, Rtutrxlel, (ltragc. ()omtntrcinl- Addition' litc')
i\PPLt{ 1,\N'f'S SICN,\'l'l'Jltl'1.
.pplication:rnrl stats thnt the
Stltclrlwsrelatingttrthesrrlriectr**trcrofthi"appiicltirlrr
frrr insprcti'ns pirpo$es.
ctsesoianyfnlscstatcmcnt<>rmisrr:prcsttltttionrrffrrctinihe,.rppl
startcd rvithin 180 days. Permit void if work stups for 180 days'
Signature of 0wner/.1\PPlica*t
-/ -/
D.{TT, I
WATTN1NG - BUILDING PS,RMIT hIUST BE FOSTED ON CON$TRUCTION SITEI
l
o
plrn fcw are ron-refundable and are paid in full at the time of *pplication br;ginnring Iang&$J.zN!
Ciry of Rexburgtn Acceptan** ofth* plan rrvicw fee dnee not constitutc plan agprgv{
**Building permit Frer arc due at time of applicatinir** **Building Permirs are void if your check doet not clear*r
Buil
35 N. 1't E., Rexburg, Id 83440
Phone - pnApS'l-ZOZO / Hotline - QO8)312 2344 /Fax- (208)359-3022
OVA{E.RS NAME
PROPERTY ADDRE,SS
SUBDWISION
PHASE LOT- BLOCK-
Permit#
t Approved for temPorary Power
! Approved for Permanent Power
eil
City of Rexburg
CITY OF
B$XBJBg:
Ame ri ca\ FamilY Commun itY
Requircd!!!ELECTRIC'M
Electrical Contractor's Name siness Name
Ad&ess SoS i^./ Z6+\s| city l state-zip
Cell Phone (Business Phone (
Fax ( ) ;L9^ qf5-3 Ema:t
(COMMERCIAL/INDUSTRIAL) Total cost of electrical system (contracted.*:Y) yJ**
[ncludesthecostofmateriallinsta//edregardlessofthepa@supp!ingit.Thefeestisnduiderthisinspection!peshat/appftoan1aitda/le|ectica
not specifcalfi mentioned elsewhere on thisfom)'
; Up to $10,000 (tqtal cost of system x 0'02) + 60 = $
trBetween$10,001-$100,000((totalcostofsystem-10'000)x0'01)+$260=$
tr Over $100,00i ( ftotal cost of system - 100.000) x 0.005) + $1,160 = $
Small vorks (conffactors oNL\): g10 fee for work not exceeding$200 in cost and not involving a change in
service connections. Does NOT tequire inspection'
RESIDENTIAL
New: single Family Dwelling, including aII buildings with wiring being constructed on each ptoperty' (*Based on liuing space'
see defrnition below)
r Up to 1,500 sq ft - $130
! 2,501, to 3,500 sq ft - $260
!over4,500sqft$325plus$65foreachadditionall'000sq
1.000 sq. ft. or Pottion thereo0)'
New: Multi-Fanily Dwelling (Conttactots OnIy)
c Duplex APartment $260
D Three or more multi-family units: g130 pet building plus g65 per unit ($1-3ox # of buildings) + ($65 x # of units)
tr Existing Residence, Modular, Manufact.rred oiMobile flo-.", and Detached Shop: $65 fee plus $10 per
branch circuit, up to the maximum of the corresponding sq. ft. of the b.ilding ($65 + ($10 x # branch citcuits))
n central H.rtirrg/cooling systems: g65 when NoTi""i of new residential or FrvAC permit with no additional
Wititg
n SpasiHot Tubs, and Swimming Pools: $65 fee fot each trip to inspect
Pumps-lYatet, fnigation, Sewage (each motot).o$65upto25HP-l$95_26to200HPl$130ovet200HP
MISCELLANEOUS
tr Temporary Construction Seryices ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65
trTempotaryArnusemenc$65feeplus$l0perride,concessionofgenefatof
tr Irrigation Machine: $65 for centef pivot plus $10 per tower of drive motof
D Technical Service: $65 Per hour
tr Plan Check $65 Per hour
r Requested InsPection: $65
xliving Space - space *ithin a dwelling unit intended for human habitation which may reasonably be utilized fot sleeping, eating, cooking'
bathing, washing, recreation, and sanitation pu{poses. An unfinished basement is considered part of the living space'
c3ilB 5 -3 i- 22L3 6 - ig -ta-
License number & exP. date Date
. 1,501 to 2,500 sq ft - $195
. 3,501 to 4,500 sq ft - fi325
[t. or pottion thereof ($aZS + ($65 x # of additional
35 N. 1s E., Rexburg, Id 83440
O\XA{ER'S NAME
PROPERTY ADDRESS
Water Meter QuantitY:
Building SofelY DePorlment
CitY of Rexburg
Permit#
*************>fi\f,/41s1 Meter Size:
Requircd!!!Plumbing
Fax( )
(COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (conttactedfmoynt) $ 3l;{?O
(Inct*destheco$ofnateiahinsta/ledregard'lessofthepa@supp!ingit'|l''1'uIisteiundrrthisintpution!pethaltappftoarandallp
not tpecificafu mentioned elsewhere on thbfotw).
! Up to $10'000
tr Between $10'001- $100'000
! Over $100'001
RESIDENTIAL
New: Single Family Dwelling, including all buildings with wiing being constucted on each ptoperty,(*Based on liuing sPace'
(tqtal cost of system x 0.02) + 60 = $
( (total cost of system - 10.000) x 0'01) + $260 = $
( (&rtal cost of s]'stem - 100.000) x 0.005) + $1,160 = $
see definition below)
tr Up to 1,500 sq ft - $130
n 2,501 to 3,500 sq ft - $260
u Over 4,500 sq ft $325 plus $65 for each additional
1.000 sq. ft. ot Portion thereoO).
New: Muhi-Family Dwelling (Conttactots OnIy)
n Duplex Apartment $260
D Three or more multi-family units: g130 per building plus $65 per unit ($130 x #.of buildings) +-($65 x # of units)
c Existing Residence, and Detached Shop: $65 fee plus $10 per fxture up to the maximum of the corresponding
sq. ft. of the building ($65 + ($10 x # of fixtures))
E Gray Watet Systems: $130
! Lawn Sprinklets/Backflow Device: $65
tr Modular, Manufactured or Mobile Homes: $65 for sewer and water stub connecdons
n Multipurpose Fire Spdnkler and Domestic Vater Supply System: $65 fee or $4 per sprinkler head, whichever
ls gfeatef
Sewet & Watet
! $38 Sewer Line n$38 Water Line l$65 Sewer & Watet- if inspected at the same time
tr $65 Sewet turnatound under house (change from septic to ciry)
MISCELLANEOUS
tr Plan Check $65 Perhour
c Technical Service: $65 Per hour
! Gas Line: $65
! Water Heatet RePlacement $65
tr Requested InsPection: $65
tr Hydtonic Heating: $65 + ($10 x # of manifolds/zones)
*Lir.iog Space - space within a dwelling unit intended for human habitation which may reasonably 6. n 'lized for sleeping, eating, cooking,
bathirl, 'niru.hing, ,..r"ation, and sanitation pulposes. An unfinished basement is considered pat of the living space'
-c Ltt't (.- l8- lA
Date
tr 1,501 to 2,500 sq ft - $195
! 3,501 to 4,500 sq ft - $325
1,000 sq ft. or potion thereof ($325 + ($65 x # of additional
ture of Licensed Contractor License number & ExP. date
From:
Sent:
To:
Subject:
Just outside of city limits in County jurisdiction
Paula Sessions [rigbyplanningzoning@ida' net]
WednesdaY, June 20,201210:35 AM
Amanda SaureY
RE:Address?
From : Amanda Sau rey [mailto :ama ndas@rexbu ro'oro]
Sent: WednesdaY, June 20,20t210:32 AM
To: Paula Sessions
Subject: Address?
Hi Paula,
Is Homestead Assisted Living in Rigby located in city or county limi6P
Amanda Saurey
The City of Rexburg
Permit Technician
P.O. Box 280
35 North lst East
Rexburg, Id 83440
208-359-3020 ext. 2341
amandas@re xburg.org
. ._-:,,:.,: :
Ss.{glnli cityofRexburs Receipt Number:vrv v! 'r----A&""\*'\"4'rz" Department of Gommunity Development
OS Nortn 1st East / Rexburg, lD' 83440
Phone (208) 359-3020 / Fax (208) 359-3022
12 00292
1200292
1200292
1200292
CHECK
RP06N39E36'
RP06N39E36'
RP06N39E36'
RP06N39E36'
Plan Gheck Fee
Building Permit Fee
Commercial Plumbing Permit Fee
Etectrical Fee Based Galulation based
$19.53
$195.25
$130.00
$130.00
Total:
$r9.53
$195.25
$130.00
$130.00
$0.00
$o.oo
$0.00
$0.00
s474.78
$474.78
$ 474.78
Dony NA
(I
AP REV
VN
12 00292
Homestead Assisted Living, Rigby - Remodel
061L912012
Routing: Building Review
ts
Jon Berry (Please review by Monduy, Jlurrre @
Current Status
Please complete the following:
NA
I Review Plans
{ Red Line Notes? (Transfer notes to both job site copy & office copy)
! Enter Notes for the applicant under Submittals
n Update status in the Approvals tab
! Return building plans and this checklist to Amanda Saurey
Notes:
Y
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