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APPLICATIONS, CO, MULT DOCS - 06-00116 - 137 S Hidden Valley Rd - New SFR
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O ~ `~' ~ ~ ~ ~• ~ d7 ~ ~"Q TI O s N ~ ~~ v Q ~ ~ T 2 o ~ ~ ~ ~ Q m ~ Z w ~ 3 ~ w a ~ ~ Z ^' °~ ~ O o .~ ~~ ' ~ ~ ~ ~ ~' /~^ ~ y • r N CT A W N -~ ~ o ~ m ~ g ~ ~ ~ m a 3 ~ ~ m ~ ~ m ° ? ~ c m m ~ o 0 ~ 3 m I 1 r c 3 W ~ z f f 1 I -~ '-' O CO 00 ~I O> f)1 .A W N -~ _n w' cn ~ ~ p ~ N _ 5 c ~ ~ 'n °' ~ ~ -n °c a ~ ~ ~ °o ~ ~ r ~ c ~ m s ~ n~i ~ m 3 ~ w ~ m ~- ~ c~i ~ ~ ~ ~ N y ~ ~, Ifl 3 _- I S W c v z c~ D f t Z m n --I Z Cy7 70 v +~~0 SLBXRUg~'!Q `.~ o (71TY7Ol~' ~~ 4! 1\~ Amerlux's Family Gomrrrurrlty Certificate of Occupancy City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 ne 359-3022 Building Permit No: 06 00116 Applicable Edition of Code: International Residential Code 2003 Site Address: 137 S Hidden Valley Rd Use and Occupancy: Single Family Residence Type of Construction: Type V-N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Jaeger Michael B Etux 884 Liberty Ln Rexburg, ID 83440 Contractor: Owner Special Conditions: Unfinished basement Occupancy: Residential, single family dwellings, lodging houses This Certificate, issued pursuant to the requirements of Section 109 of the International Building Code, certifies that, at the time time of issuance, this building or that portion of the building that vies inspected on the date listed wes found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy wes classified. Date C.O. Issued: December 18, 200 (08:48AM C.O Issued by: ~ `r ~ `~~ ~~'`'' --~ Building Official There shall be no further change in the e~asting occupancy classification of the building nor shall any structural changes, modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved said fu#ure changes. Water Department: Fire State of Idaho Electrical Department ` ~ CITY OF REXB URG ' BUILDING PERMIT APPLICA~N PFR MTT #t 19 E MAIN, REXBURG, ID. 83440 Please 06 ~~ 116 208-359-3020 X326 If the quest 13 7 S Hidden Valley Rd-Jaeber PARCEL NUMBER: ~~-~' >~ ~,~ ~ ~~~~ SUBDIVISION: ~11d~e~ V`o~~~~ iJNIT# BLOCK# t ~ LOT# OWNER:~l ~(~(~,. .1O1~.~~{Jf" CONTACT PHONE # ~ ~ > 'i'I ~ S~ ~ -, PROPERTY ADDRESS: ~ ~ I PHONE #: Home ( ) Work ( ) Sc~ ~- Cell ( ) OWNER MAILING ADDRESS: ~c' j~b~.r ~ .CITY: ' l~v~-' STATE:~ZIP: `~`'~ O APPLICANT (If other than owner) ~( ~ (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF APPLICANT SG'Vl~'t ~-' CITY: STATE; ZIP PHONE #: Home ( ) Work ( ) ~ ~ "~, Cell ( ) CONTRACTOR:_,~c~, Cyr- ~ti;.~.-e-S PHONE: Home# Work# °3C~ ~-I~~S`.~ell# MAILING ADDRESS: S ~~'"' ~- CITY STATE ZIP How many houses are located on this property? Did you recently purchase this property? No ~ (If yes give owner's name)_ tit jc.~ ~)c~~! Is this a lot split? ,~-r~ YES Please brin co of new le al descri tion of ro ert ~' ( g PY g P P P Y) PROPOSED USE: ~~ (i.e., Single Family Residence, e~ -~C~~~~ ~~St c~~~1~ ulti Family, Alhartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I 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 or the City 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 pe it on approval issued under the provisions of the 2000 International Code in cases of any false statement or misrepresentation of fa t in the a ation or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Pefmit voi if w stops fQr-1180 days. ~ ~ ~ ~~ DATE WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning January 1, 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if you check does not clear** REXBLIR~ ~ _ _ ss _ _ _ ~_:,- _ _- - _ `Tq~~~ AMERICA'S FAMfLY GOMMUNffY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 J Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburg.org comdevla~rexbura orq Affidavit of Legal Interest State of Idaho County of Madison I, ~ i Unc~. ~~ (~ - Jai ems-. ~'-~'j (.~ p ~ Name ~ Address IU l~`L'/ city Being first duly sworn upon oath, depose and say: A I ~ ~'~~y ~ State (If Applicant is also Owner of Record, skip to B) That I am the record owner o, the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City 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 _ {~01~`C/L~ , 20~_ Signature Subscribed and sworn to before me the day and year first above written. ``a~~ttf--i~~~ ~~~ ~~Tr'1 L'ir~ /~~ _ m+- ~ ~ Nord ubhc of Idaho ;, u~'~ `~' V t3 L t ~ ~o ``~ Residing at: ~ F- {~~ ~ l.~;i~~-/ ~, `~~ ~ ~€ ~ f ~ ~© ~~~`` My commission expires: `-' ' Please complete the e~ire Application! If the question does not apply fill in NA for non applicable NAME ~,t(i1,2 ~ ~~, ~/ PROPERTY ADDRESS b~ c ~,IL ~ Lo~- j Permit# SUBDIVISION ~..~~P.r.n ~~ ~ ~ Q~,~ Dwelling Units: SETBACKS FRONT `~ i Front Footage (if applicable) ((~ - `t ~( Storm Water Length ~ ~ ~,~~ , t-(Z. Z~ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area j ~ C ~ Second floor/loft area ~ .~- Third floor/loft area ~,~ ~~- Shed or Barn ~ ~ ~ Remodel (Need Estimate) $ Water Meter Count: t ~t~ Water Meter Size: PLUMBING Plumbing Contractor's Name: J~~ f~cl~t,w~-}-(~ Business Name: ~~ G~(it p ~~,~,bN't~ Address ©.~ ~; ~ ~. State Zip Contact Phone: ( ) Business Phone: ( 1 FIXTURE COUNT (including roughed fixtures) ~_ Clothes Washing Machine _~ Dishwasher Floor Drain i Garbage Disposal !~' Hot Tub/Spa 5 ~_ Sinks (Lavatories, kitchens, bar, mop) Plu bin Est' to $ U ~ (Com ci~a~n7 'gnature of icensed Contractor icense num The City of Rexburg's permit fee schedule is Parcel Acres: ~ 3b Pa-e--~=S SIDE (~ - 5 SIDE ~`~ - S ~ BACK Unfinished Basement area Finished basement area F-- Garage area ~-~3 Carport/Deck (30" above grade)Area (y.~ (~l ~" Sprinklers ~?! Tub/Showers Toilet/L7rinal Z Water Heater ~~ Water Softener ,1 ~ ~ s j~~ Date as required by the State of Idaho (~ ~~ C~ r ' Please complete the e~ire Application! If the question does not apply fill in NA for non applicable NAME (~~~-U.~ ~ ~;,~ ~~_ PROPERTY ADDRESS (~ ~,, ~ i~ ~ ~~ SUBDIVISION Permit# MECHANICAL Mechanical Contractor's Name: 11 (~C~p ~, Address I Business Name: (~ ~ Ice, wc'~ ~ ~}-~, ~'~" ~ ~ ~ State Zip Contact Phone. ( ) Business Phone: ( ) Mechanical Estimate $ ~~ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT ~_ Furnace ~ ~ -- Furnace/Air Conditioner Combo Heat Pump Air Conditioner Mme- Evaporative Cooler _ ~~ Unit Heater ~' Space Heater ~_ Decorative gas-fired appliance t S _~ ~ Incinerator System ~" Boiler Pool Heater ~~ Similar fixtures or Appliances Fuel Gas Pipe Outlets including stubbed in or future outlets Z S Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Ga Oil Coal Fireplace Electric ((o Mechanical Sizing Calculations must be submitted with Plans & Application Point of Del~ve~iust be shown on plans. ~~~~ ` 22~ ~l ~% ~ d C tractor License number Date The ity of Rexburg's permit fee schedule i the same as required by the State of Idaho (Single Family Dwelli~g Only) t Exhaust or Vent Ducts ~ I Dryer Vents ~ ,S ---~ Range Hood Vents Cook Stove Vents Bath Fan Vents • ?~ _~_ other similar vents & ducts: '~ ~ • SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry:_ ~~~ Roofing: (~ ~(~ , ~~~~ ~~~ e ~ ~-- w ~~}- Insulation: ~~ ~/C~. 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