HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00121 - 377 Eagle Summit St - New SFRZ
~
O =
"•~
m m
~ ~
rn c
~
v ~
_ ~
^~ Z
v v ~ ~ 3r
f.o ~ ~~ y 3
O p N O S O
V
' ~ /w
fD ~
D
~ C V~
o
'
_ m
~ -1 W
d
Qy W
m
m
~,~
c y~ a o O
~
c 3 ~' ~°
~ ~
n TT
N
N (D ~ O' C O
fD C O W
~ a ~
m
m
_ v
°- ~ ~ o Z
~
_ °- 7 y C
o ~ m
v s o ~
m
"'~
c m ~ p
°~ m ~
~ ~. ~
o ~ '-I
v
o ~, ~ o
~
~ .~
~
v n~i ~
m o c .'a
to
o = ~. -1
o m
W v
a m
~°
Z
~ a
z
o ~
~.~ = sZ a =
~o
~~~
m
m
o
~ C = y
ZOO S
"11
C
C O fD ~ ~
y n
r
.. y O N
O. .
~ D
m ~
m a o
o _
x m m~~
- O
~ Z
m
O .a o
n O
=
O /~
Y,
.
d N •
~ ~ _ ~ ~ (
~
o
~• ~' a ~ "'~
,
~ ~ m
° = a °
a n
_a
7
7
rt
0
v
.g
~ ~
~ O
~ Q
y
c
~D
~ ~
s~~? Z
a
p
•
m ~
W ~
~
~
n -1
a
~
' m
~~
x~.
'Y ~
y
~ ~ O
Z
~
~ ~ N Z ~
3a_~ ~ ~
'b ~ y °• n C
'O O ~ C '~ ~
• '~ a O
O ?. e0i '~'" Z
_ ~.
~
O
' O D ~ v
c
D
1 ~ N ~ 7
~,
m
~ 3 O ~
O ~
a~ a= m
~ y S y
O C
S ~ ,may, f1
fD ID ~. O
n ~ ~
~
.
a ~ ' ~ ~
~.
`~°~~_
a a
~
y ~ ~ ~ CD
~ < N
Q.
O ~ ~ ~Q L
W
'
~,
~
o
o
~~~ g
v
~ ' °'
` m
~
`~ a
' ~
N
o ~
c ni ?. w
~ ~
~ v
,
~ ~ ~
~Q
~ ~ C
O
K
~
-~
~D O ~
C
•
C N
7
Q. •~y` ~ .~-~
3
~ ~
N
Z
m
..m
v
0
m
.~
ay`' crTr,
r ~ DA
~X
o
~°
. oX~a{
n'
A
p
~'
o
x
~ -~
n
H
~c
0
0
~~~
o co ~.
O ~ ~
~ ~
N ~; ~
_, O~Q
-~
O
O \ ~
j
~' ~ ~
m v a
~.
o ~ ~ _
~ N ~
~
~ O
m ~ Z ~
~ ~ ~ ~
~
Q'
gy Z
W
o '
p
°~ ~ O
o ~ ~ rF
-o
~ ~ ~
~ a
~ .~.
N
Ul .p W N ~
TI
o
m
w o
a
~ ~.
_ w
~
~
~. m
~'
m
?
~
~ m ~
m
_
3 o
m n
~
r
C
z
Z
m
n
Z
W
C_
r
v
Z
v
N O' CO 00 V ~ U1 ~P W N ...~
TI ~ O 5 ~l TI TI TI 1"'
m ~ ~ d ~ c o° ,~ ~~ Z
~ ~ ~
v~ ,~ Q Q~ ~~ v v
~ - p ~ v d co ~ ~ _
7 ~ ~ o~i• o°i n~i
~ ~ ~
v ~ c
y ~
y 3
N CAD 7
O
!D
Q
v
m
Of ¢BXBpAC
'~ ~r
~~ ~x
is ,J„
CITY O F
REXI3LTRG
America's Family Community
Certificate of
cupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No: 06 00121
Applicable Edition of Code: International Residential Code 2003
Site Address: 377 Eagle Summit St
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: Jensen Mark
444 Yale Ave
Rexburg, ID 83440
Contractor: Mark Jensen
Special Conditions: Unfinished basement
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 109 of the lnternational Buildin
Code, certifies that, at the time time of issuance, this building or that portion of the buildin thatg
v-es inspected on the date listed vies found to be in compliance vuth the requirements ofthe code
for the group and division of occupancy and the use for vihich the proposed occu an
classified, p cy vies
Date C.O. Issued: August 16, 2007
C.O Issued by:
Building Official
:50P
There shal- 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 future changes.
Plumbing Inspector;
Electrical Inspector:
Fire Inspector: [ 1((A
P&Z Administrator:~~
~EXB URC
~~ fp CIT F
U, 9° BUILDI
N~ IZEXBjJRG ,
~, ~ E. Main (~~ E3ox ~ 06 00121
'B~ , ,a' America's Family Community Rexburg, Idaho 8344
"`° ~ www.rexbura org
377 Eagle Summit St.
Offic
Single F
Seismic Design Category - D
Ground Snow - SO lbs. per sq. ft.
LhecKhst
Roof Snow Load - 351bs. per sq. ft.
Wind Load - 90 MPH
Frost Depth - 36"
The following items should be completed before you submit your building permit application.
Completion of a Building Permit Application: You may print this application from our website
www.rexbur .org or pick up a copy at the Community Development Office (address above).
For Residential Permits: (the following is required to be submitted before the Application can be approved)
^ 2 sets of site plans and 2 sets of building plans
^ Energy Compliance Report: The State of Idaho has adopted the International Energy Conservation Code
(IECC). A Compliance Review must be completed and submitted (the rescheck software is available
online at www.energycodes gov).
^ Page 3 of the Application must include the Idaho Contractor's Registration Number or the exemption
form must be completed and si ned, see Page 7.
^ Page 4 of the Application must be completed and sinned by your Plumber. A copy of the Plumber's
License is required for our files.
^ Page 5 of the Application must be completed and sil?ned by your Mechanical Contractor, a copy of the
Mechanical License is required for our files.
^ Mechanical system sizing and design is required.
^ Truss details including engineered floor joists are required.
Electrical Permit: If your construction involves electrical, you will be required to purchase an electrical permit
from the State of Idaho according to the State of Idaho Electrical Department.
• The Electrical Inspector can be contacted at (208)-356-4830 or toll free 1-800-839-9239.
• The Electrical application is available at the Community Development Office.
Subdivisions: If you plan to build in a subdivision please check the Rexburg Development Code for any
requirements such as, property setbacks, architecture board approval, etc. This information is available at the
Rexburg Community Development Office.
New Residential Homes: If your building permit is for a new home, you will need the parcel number (a parcel
number is the county's property identification which recognizes a plot of land) and a new physical address will
be issued. If you do not know the parcel number and cannot find a record of it, please bring the name of the
subdivision, phase and the lot and block numbers. The correct location is vital to assure correct addressing.
Remodels: If you are considering a remodel, a cony of the bid or estimate for the remodel must be submitted
with the Permit Application.
• 2 sets of Plans are required (may need IECC Review).
• Additions are the same requirements as new construction.
Residenti
Pre-~;onstrllct~
r 3 •
O~ 1tEXB URC
~4 fa CITY OF
m~ ~
U' ~ ° REXBURG
9e(~SNED \00l
America's Fam y Community
•
BUILDING SAFETY DEPARTMENT
Rexburg,ldaho 83440
www.rexbura orq
Fax:208-359-3024
ianellhCa2rexbura ora
Affidavit of Legal Interest
State of Idaho
County of Madison
Name
~. ~ v
city '
Being first duly sworn upon oath, depose and say:
_~Ci-Cl
State
(If Applicant is also Owner of Record, skip to B)
A. 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.
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 _ /3 ~ day of_ J~1i114nc~ , 20 b ~
--~~~
Signature
Subscribed and sworn to before me the ~ay an~ar first above written.
~~,~1'
"' __,;,~~ Notary/Public~ofIdaho
~'""' ~"' Residing at: Q
~j~,~ ~ ~~r/~~
~_ My commission expires: ~ ~„~ / lp
~'tMr_ ,
Z ~ ~' d A--IL 7rz~ ~ ~ S ~-
Address
2
CITY OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X326
PERMIT # ~' ~ ~ ~ ~
Please col
If the question 06 00121
PARCEL NUMBER: Q~G 0(~~~r~-'~~, r (We ` 377 Eagle Summit St.
SUBDIVISION: ~ „~ ~ ~ , ed ~ ~ . ~ _~, I UNIT# BLOCK# 2 LOT# ~ S
(Addressing is based o~n he information -must be accurate)
OWNER NAME: M p,,,~~ dcK «~ CONTACT PHONE #
~e56- 0000
PROPERTY ADDRESS:_ ~~ ~q y/~ ~vruru~'` ~~
PHONE #: Home ( )~oSb-oooo Work
OWNER MAILING ADDRESS.
EMAIL
)_ ~S6- $oq~ Cell ( ) S/ - 26
'_ 2 9 o r~I~TP..A t ( CITY: ~~c.~_ bu „STATE: ~c.EZIP: $ 3 ~
FAX
APPLICANT (If other than owner) N - /~
(Applicant if other than owner, a statement authortzmg applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE; ZIP EMAIL
PHONE #: Home
Work ( )
CITY:
FAX
Cell
CONTRACTOR: _ jy~ ~I-R-[G d ~ S ~
MAILING ADDRESS: Zq 8 oplc~ ~L CITY_ IZ_~w-.~ STATE~ZIP $3 ~l<<
PHONE #: Home ~~_ 3S j _ g o5 cf Wor~ _) bS ~- 00 ~-v Cell ( )
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE ~ o -
How many buildings are located on this property? -o _
Did you recently purchase this property? No es f yes give owner's name)
~t~a~I k :~L ~~ c.~ t
Is this a lot split ~ YES (Please bring copy of new legal description of property)
PROPOSF,1~ T T~1~
iviuiu ramuy, Hpartments, 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 permit on approval issued under the
provisions of the 2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the
permit or approval was based. Pern}it void if not started within 180 days. Permit void if work stops for 180 days.
Signati'u~e of Owner/
~i / 3 i o ~
Do you prefer contacted by fax email or h ~ C' DATE
pone . Ircle One
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 your check does not clear**
'lease complete the entire Application!
If the question does not apply fill in NA for non applicable
NAME _ /~ ~ R, /L e~ tnS e,`.
PROPERTY ADDRESS 77 fin,,, ~,.uwtw~i-f ~-
SUBDIVISION ~ 5 ~ Permit#
Ac (~~ne..a A ! U ~ ~
Dwelling Units:_ ~ Parcel Acres:
SETBACKS
FRONT ~ q SIDE SIDE BACK
Remodeling Your Building/Home (need Estimate) $
c~ r m r... r., . ~.
.,~~u ~~L o~ul~tcr, ruu 1ACip;: (Shall include the exterior wall measurements of the building)
First Floor Area L ~ v I
Second floor/loft area / b 6
Third floor/loft area
Shed or Barn
Water Meter Quantity:
Required!!!
PLUMBING
Plumbing Contractor's Name: ~ ~j P
Address
Contact Phone: ( )
Email
FIXTURE COUNT (including roughed fixturE
f Clothes Washing Machine
Dishwasher
~ Floor Drain
~_ Garbage Disposal
Hot Tub/Spa
~o Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $
Signature of Licensed Contractor
The City of Rexbu~
(Commercial Only)
~_ Tub/Showers
~._ Toilet/Urinal 5
~-- Water Heater
Water Softener
/L9~`~ S
License number
's permit fee schedule is the same as
Unfinished Basement area --c~ --
Finished basement area -~, _
Garage area ~ paw
Caroort/Deck (30" above ~radelArea
!%~~/air - a to to l .fy • ~!. /
i~
a ~/o~~ - ~o y~ .~.
(a3 (08
(~ar~52 A-~ - 3 ~ ~ IDaS
l c~ y(v$
~--"'
~yq3
I `t M,~C-~-. 7~
Date
by the State ofldaho
Zip
4
PjeaSe COIllpjete the enure AppilCatlOn ~ If the question does not apply fill in NA for non
applicable
NAME ~'1~1 ~~ IL ~~~ ti
PROPERTY ADDRESS _ 3 7 7 ~ ,,k ~ 5~,,,,t,,,, ~ S~ Permit#
SUBDIVISION_ ~~ 1G_,~_~AM/ ~,~ ~~u ~ ~
Required!!!
MECHANICAL
Mechanical Contractor's Name: ~ ~ ~~bl ~ Business Name:
Address `~ City v State Zip
Contact Phone: ( ) Business Phone: ( )
Email
Fax
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLL4NCES COUNT (Single Family D elling Only)
~_ Furnace `~/ Exhaust or Vent Ducts
Furnace/Air Conditioner Combo ~ Dryer Vents
Heat Pump Range Hood Vents
Air Conditioner Cook Stove Vents
Evaporative Cooler -1 Bath Fan Vents
Unit Heater other similar vents & ducts:
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
~O Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signature of Licensed Contractor License number Date
The City of Rexburg s permit fee schedule is the same as required by the State of Idaho
5
'~
SUBCONTRACTOR LIST
Excavation & Earthwork: C'~ r i42 d o i n/'(" ~ ,.~,~ ~
Concrete: dos ~ ~ri'~ c_
Masonry:
Roofing: v ~ c.0 t 1. ~e ic. as ~c
Insulation: /~} ~~anc ~ ~,~ u ! n.. ~
Drywall: 5 ~ ~ ~
Painting: 1~ ti ~l ~- „ .c ,,~ t' ,a.' w i- i ~„
Floor
Coverings: S ~, w c.Q ~
c
Plumbing: ~.E ~ ~ ~ ~,
Heating: ~~~~ ~~,~~~
Electrical: //VLvi„ L ~ __ . _
Special Construction
(Manufacturer or Supplier)
Roof Trusses: ~~ ~ ~ ~ ~~ ~
Floor/Ceiling Joists:__ '7" ~ ~~ow ~~ ~ ~ S~lc..
T/ lyt ~z r csc.C~
Siding/Exterior Trim:
Other:
6
,,, +'
EXEMPTIONS FROM STATE REGISTRATION
As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State
registration number or your exemption from the State registration. Please send a copy of your state registration
or fill out this form showing your exemption and send it with your license renewal or your next permit
application.
(This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions
please see the State's website at www.ibol.idaho Gov/cont htm)
^ Currently State licensed pursuant to Title 54 Idaho Code, Chapters:
3 Architects,
10 Electrical Contractors/Journeyman,
12 Engineers/Surveyors,
19 Public Works Contractors (exempt from fee only registration required),
26 Plumbing/Plumbers,
45 Public Works Construction Management Licensing Act (exempt from fee only registration required),
or
50 Installation of heating, ventilation and air conditioning systems
^ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit
charitable activity with no wages or salary
^ Employee of a US Government agency (State, City, County, or other municipality)
^ Public Utility doing construction, maintenance, or development to its own business
^ Involved with gas, oil or mineral operations
^ Supplier doing no installation or fabricating
^ Contracting a project or projects with a total cost less than $2000
^ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code
^ Any type of water district operations
^ Work in rural districts for fire prevention purposes
~ Owner who performs work on own property or contracts with a registered contractor to do work as long
as the property is not for resale within 12 months
^ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on
that property
^ Real estate licensee/property manager acting within Idaho Code
^ Engaging in the logging industry
^ Renter working on the property where they live with the property owners approval
^ Construction of a building used for industrial chemical processing per Idaho Code
^ Construction of a modular building (defined by Idaho Code) to be moved out of state
I hereby certify that the above information is true and correct to the best of my knowledge.
~..~
- ! 3'- 0 6
Signature
Date
~-!a.`c Q~~vtS ~
Print Name
7