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Submittal Date: Permit #: PROPERTY INFORMATION: Site Address: Parcel #: Subdivision: Block: Lot: Square Footage of Property: PROPERTY OWNER INFORMATION: Owner s Name: Phone: Mailing Address: Email: CONTRACTOR INFORMATION: Contractor Name: Business Name: Email: Phone: License #: ARCHITECT / DESIGNER / ENGINEER INFORMATION: Contact Name: Business Name: Email: Phone: License #: PROJECT DESCRIPTION: Type of Construction: New Construction Remodel Addition Repair Renewal Fire Damage Pre-Fab / Manufactured Shed / Outbuilding Type of Use: Residential Commercial Educational Government Carport / Garage Fence Patio / Deck Awning Estimated Value of Improvements: Foundation: Structure: Total: (Values will be re-checked by Adams County) Receipt #

PLAN FOR CONSTRUCTION Footings Exterior Walls Interior Walls Ceiling Roof Concrete Concrete Concrete Wood Wood Shingles Masonry Masonry Masonry Drywall Comp Shingles Wood Wood Plaster Tile Foundation Metal Drywall Drywall Roll Roof Concrete Stucco Plaster Tile Metal Masonry Veneer Tile Open Basement Heat Insulation Floors None Gas / Propane Walls Wood Partial Oil Ceilings Concrete Full Coal Floors Other: Fireplace Perimeter Electric Geothermal Square Footage of New Construction: (including garage) Briefly describe the project: This permit will be issued subject to the regulations contained in the Building Code and Zoning Regulations of the City of New Meadows and is hereby agreed that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations pertaining and applicable thereto. The issuance of a building permit does not waive restrictive covenants. Applicant Signature: Receipt #

STATE OF IDAHO, ) ) ss. County of Adams. ) AFFIDAVIT OF LEGAL INTEREST (If Required) I,, residing at (name) (street address),, being first (city) (state/zip code) duly sworn upon oath, depose and say: 1. That I am the record owner of the property described on the attached, and I grant my permission to:, (name) (address) to submit the accompanying application pertaining to that property. 2. I agree to indemnify, defend and hold the City of New Meadows and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. DATED this day of, 20. (Signature) SUBSCRIBED AND SWORN to before me the day and year first above written. Notary Public for Idaho Residing at: My commission expires: Receipt #

Office Use Only BP Fee Paid: $ Date: H20 Hookup: $ Date: SWR Hookup: $ Date: Solid Waste: $ Date: Plans Submitted Affidavit Submitted Residential 1 (R-1) 33% Front 20 Feet Rear 20 Feet Corner Lot 20 Feet Residential 2 (R-2) 35% Front 20 Feet Rear 20 Feet Corner Lot 20 Feet Residential 3 (R-3) 40% Front 15 Feet Rear 15 Feet Corner Lot 15 Feet Business Residential (BRD) 50% Front 20 Feet Rear 20 Feet Corner Lot SEE CODE Zoning District, Setbacks & Lot Coverage % General Commercial (C) 60% Front 0 Feet Side 0 Feet Rear 25 Feet Corner Lot 0 Feet Central Business District (CBD) 60% Front 0 Feet Side 0 Feet Rear 25 Feet Corner Lot SEE CODE Industrial (I) No % Front SEE CODE Side SEE CODE Rear SEE CODE Corner Lot SEE CODE Agricultural (A) 33% Front 45 Feet Side 35 Feet Rear 45 Feet Corner Lot 45 Feet Receipt #

BUILDING PERMIT INFORMATION CITY OF NEW MEADOWS FOR NEW CONSTRUCTION OR ADDITIONS TO EXISTING BUILDINGS Application Submittal: Two full sets of plans must be submitted, including complete site plans, foundation plans, framing plans, floor plans, plumbing plans, and building elevations. All plans must be neatly and legibly drawn to scale. One copy of all truss designs, including calculations, must be submitted. All plans for commercial construction must be stamped by an engineer or architect licensed in the State of Idaho. All application forms must have a Lot & Block Number. The Lot & Block Numbers can be found on the City of New Meadows map located at New Meadows City Hall. The Adams County Assessor can also provide the Lot & Block Numbers. No building permit will be issued until plans are reviewed and approved, the building has been staked out and property pins at the site are visible to verify that all setback requirements have been met. No deviation of use or construction from the submitted plans will be allowed without the written approval of the New Meadows P& Z Administrator, Building Inspector, or the New Meadows City Council. Construction / Design Criteria: All structures must be constructed / designed to meet the requirements of the 2006 International Building code / International Residential Code. Specific design criteria unique to New Meadows: Snow Load: 100lbs/sf but with reductions not less than 82lbs/sf Basic Wind Speed: 90mph Frost Depth: 30 inches Probabilistic Ground Motion Values: found on the USGS website, using zip code 83654; Water & Sewer Service: A property within the City limits and served by City water and/or sewer must pay all water and sewer connection fees. Residential water and sewer connection fees are $9,000.00 for a standard connection, plus materials. All other commercial connection fees will be calculated for each specific use. Total Connection Costs = $9,000.00 plus materials. Fees: Building Permit Fees are calculated based on the value of the construction. The Fee Schedule is on the reverse of this sheet. All City water and sewer connection fees are to be paid at the same time as the Building Permit Fees. Renovation / Repair / Painting Rule: The US Environmental Protection Agency requires that renovation, repair and painting projects that disturb lead-based paint in pre-1978 homes, childcare facilities and schools must be performed by an EPA Certified Renovator working for an EPA Certified Firm and specific work practices must be implemented to prevent lead contamination. More information is available at 800-424-LEAD or http://www2.epa.gov/lead

BUILDING PERMIT INFORMATION CITY OF NEW MEADOWS FOR NEW CONSTRUCTION OR ADDITIONS TO EXISTING BUILDINGS Building Permit Fee Schedule Total Valuation Building Permit Fee $1.00 to $500.00 $23.50 Over $500.00 to $2,000.00 Over $2,000.00 to $25,000.00 Over $25,000.00 to $50,000.00 Over $50,000.00 to $100,000.00 Over $100,000.00 to $500,000.00 Over $500,000.00 to $1,000,000.00 Over $1,000,000.00 to $5,000,000.00 Over $5,000,000.00 to $10,000,000.00 Over $10,000,000.00 Plan Check Fee (Required for all permits) Mobile Home Permit (Foundation Inspection) Re-Inspection Fee Solid Waste Fee (Adams County) Solid Waste Fee (Adams County) Offsite Constructed Buildings Use of outside consultant for specialty plan checking, inspections, or both $23.50 for the first $500.00 plus $3.05 for each additional $100.00 or fraction thereof, to and including $2,000.00 $69.25 for the first $2,000.00 plus $14.00 for each additional $1,000.00, or fraction thereof, to and including $25,000.00 $391.75 for the first $25,000.00 plus $10.10 for each additional $1,000.00 or fraction thereof, to and including $50,000.00 $643.75 for the first $50,000.00 plus $7.00 for each additional $1,000.00, or fraction thereof, to and including $100,000.00 $993.75 for the first $100,000.00 plus $5.60 for each additional $1,000.00, or thereof, to and including $500,000.00 $3233.75 for the first $500,000.00 plus $4.75 for each additional $1,000.00, or fraction thereof, to and including $1,000,000.00 $5,608.75 for the first $1,000,000.00 plus $3.65 for each additional $1,000.00 or fraction thereof, to and including $5,000.000.00 $20,208.75 for the first $5,000,000.00 PLUS $2.75 for each $1,000.00 or fraction thereof including $10,000,000.00 $33,958.75 for the first $10,000,000.00 PLUS $2.00 for each $1,000.00 or fraction thereof Other Inspections & Fees 65% of Building Permit Fee $100 $85 per additional inspection 15 per square foot 5 per square foot Actual cost plus 10%

Building Inspections Adams County Building Department Plumbing Inspections State of Idaho BUILDING PERMIT INFORMATION CITY OF NEW MEADOWS FOR NEW CONSTRUCTION OR ADDITIONS TO EXISTING BUILDINGS Important Telephone Numbers & other contact information 208-253-6125 (Office) 208-741-9033 (Cell) 208-253-6127 (Fax) Tim Grove 208-469-0411 EMAIL: building@co.adams.id.us WEBSITE: https://dbs.idaho.gov/inspections/ HVAC Inspections State of Idaho Electrical Inspections State of Idaho Tim Grove 208-469-0411 Kevin Hubble 208-863-0231 WEBSITE: https://dbs.idaho.gov/inspections/ WEBSITE: https://dbs.idaho.gov/inspections/ New Meadows Public Works 208-347-2171 (City Hall) WEBSITE: http://www.newmeadowsidaho.us/ Water & Sewer Locates within 208-347-2171 (City Hall) the City of New Meadows Idaho DIG LINE #811 WEBSITE: http://www.digline.com/request-alocate/ Southwest District Health 208-642-9321 Meadows Valley Fire & EMS 208-347-3190 Adams County Assessor s Office 208-253-4561