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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00026 - 90 S Hidden Valley Rd - AdditionZ O C'~ rn .~ f, o ~ s ~ 0 0 ~ ~ ~ c ~ -o ~ m 7 m a o d a~•3 0 0 o ~ ~ ~. N' _ _~ ~ » 7 Q N o c ~ 3 ~' o~ ~ 7 O ~ ~ o (p ~ N ,0,. 7 .. a ~ n ~ _. v o 7 7 O. o a ~ 6 < o ~ ~ 7 N ~ s a d ~ ~ °: 0 a~ ~~ =~?o ~~ ~ ~~ o s~ o ~ ~? N Q 7r C 7 f/1 ~ Z O (O S O N Q pl y O. C N p fD f ~ m.o-o o c 7 ~ ~ y ~ fD Cl O ~ O 7 = 3 ~ ~ ~ 0 m ~ 7 ~'~ o ~.ad o ~~ ~' m S. a a _ c ~~,~s _ N C1 ~ ~ ~ ~ y. W ~D ° ,C __ ~ ~, ~ ~ O ~ ~' c vi ~ ~O ~ ~ y p~ V ~~ y Q C , 'G O ~p C n n ~ ~ p ~ ~ ~+; e D ~ . ~• ~ ..,. rn d ~ '~ N ~ ~ ~ Ct O Q 0 G N y ~ Z ago ~-° ~ ty/! ? N d ~ H . i. ~ ~ ~ O 7 r . ~~y ~ -< , ~. ~ ~ o ~~;~ N W N y ~~~_°. ~ ~ " ~. 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Main St. / Rexburg, ID. 83440 Phone (2081359-3020 /Fax (2081359-3022 Project Information Permit # OS 00026 Permit Type Single Family Addition Project Name SFR Site Address 90 S HIDDEN VALLEY Parcel # RPRHDVY7020010 Project Description SFR Fee Information Project Details Dwellings -Basements -Unfinished 1,500 SQFT Project Valuation $136,471.0( Dwellings - Type V Wood Frame 1,500 SQFT Buildmg Permit Fee 1,200.95 Private Garages -Wood Frame 1,400 SQFT Plan Check Fee 120.10 Residential Plumbing Permit Fee 232.00 Water Meter & Parts 317.00 Hookup Fee/Water 1,334.00 Hookup Fee/Sewer 905.00 Park Impact Fee 604.97 Police Impact Fee 158.11 Fire Impact 184.61 Mechanical Fee Base 185.00 Total Fees Paid $5,241.74 Print Name Date Issued: Signature Date Issued By: r u ~,n of SINGLE FAMILY ADDITION R.~BU~ City of Rexburg AMERICA'S FAM4.Y C"AMMUNITY Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # 05 00026 Permit Type Single Family Addition Project Name SFR Site Address 90 S HIDDEN VALLEY Parcel # RPRHDVY'7020010 Project Description SFR Names Associated with this Project Type Name Contact Phone # License # Exp Date Applicant Hirrlinger, Larry D 208-356-8922 Owner Hirrlinger, Larry D 208-356-8922 Contractor Owner 9999 01/31/2005 Fixtures 1- R-Sprinkler 5 - R-Tub and/or Shower Unit 6 - R-Sink (Lavatory, Kitchen, Mop or Bar Sink) 2 - R-Water Heater 2 - R-Floor Drain 1 - R-Dish Washer 1 - R-Clothes Washing Machine 4 - R-Water Closet and/or Urinal 1 - R-Water Softener 1 - R-Garbage Disposal - R-Hot Tub /Spa Print Name Date Issued: Signature Date Issnea By: CITY OF RExBUR~ AMERtCA5 FAi~11LY COlvVh1UIVrrY Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: CERTIFICATE OF OCCUPANCY Name and Address of Owner: Contractor: Special Conditions: Occupancy: City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 05 00026 90 S Hidden Valley Rd Hirrlinger, Larry D 69 Star View Ln Re~urg, ID 83440 Owner 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 vtes inspected on the date listed sties found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for v~hich the proposed occupancy vies classified. Date C.O. Issued: June 23, 20051,10: C.O Issued by: 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 future changes. Water Department: r ~ Fire State of Idaho Electrical Department (208-356-4830): '~~'` CITY OF REXB URG a .BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X326 • PERMIT # Q ~ Q ©Q~r!O Please complete the entire Application! If the question does not apply fill in NA for non applicable PARCEL NUMBER: ~~ ~ ~~ V y SUBDIVISION: ,~j~~,/~ ,~,._ ~,,, /1~ ~, UNIT# ~ ~ ~ ~ ~- OWNER: ~;;,,>„~„ ~, /,%~~~y/.,>~•,~~ /CONTACT PHONE PROPERTY ADDRESS: ~-~~j51 l~ 15 U V L~ ~9 ~? DEB ~ 4 2005 ~. ~~~~ ~ PHONE #: Home (zo8)~J~ J`izZ Work ( 3t- Y Cell ( (`ITV n~ RG~Y~R~RG OWNER MAILING ADDRESS:~.b, {~- ~,~Y Z3y CITY:~cxl,~v.rz STATE.-~~ ZIP: ~'~~y 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 moo- max Z3~( CITY:. ,~1~,~~ STATE; ~~ ZIP ~'3y (~ PHONE #:-Home ~e~)~.~ -~r~zZ Work (~) 35r- ~ 1~-7 Cell ( ) CONTRACTOR: C~c~.~,vE,P PHONE: Home# ~~, -~~?z.Work# ~ 5t- 4~t~ Cell# MAILING ADDRESS:-, ~Y ~.~ 23y CITY I~cc- ,~~ STATE.~i~ ZIP ~~~ How many houses are located on this property? ~ Did you recently purchase this property? No es, f yes give owner's name) ~~,~~ ~~mr ~ Is this a lot sp t? NO YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family ulti Family, tApartments, 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. Permit void if not started within 180 days. Permit void if work stops for 180 days. 'Applicant -2 ~ -2 ~ v~ 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 Rezburg'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** • • NAME ,e,e. :2.~~~%~J PROPERTY SS SUBDIVISION ~ ,/ ~ / F~ Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Front Footage (if applicable) Storm Water Length Permit# SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~ ~~ Unfinished Basement area ~ 5p ~ Second floor/loft area ~' Finished basement area Third floor/loft area Garage area ~~/UU Shed or Barn - Carport/Deck (30" above grade)Area Remodel (Need Estimate) $ PLUMBING Plumbing Contractor's Name: ~~„ ~ ,:~L~~.y~t.~.i'" Business Name: ~~,,y~,~ Address ,20~~ ~%~f S,./,G,( States ~ Zip ~r3~/~f D Contact Phone: (z~)~5 f - ~~ , ~ Business Phone: ( ) FIXTURE COUNT Clothes Washing Machine ~ ( Sprinklers ~ Dishwasher ~_ Tub/Showers ~ 1't~l y Floor Drain ~ Toilet/LJrinal ,~ u t ~ Garbage Disposal ~ Water Heater l I l Hot Tub/Spa -~~ Water Softener 7~ Sinks j_~,~11 (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Qn13~}~_ ~..._.. /SS~F2v ~C.~S~~ .,~-o2_~J afore of • ctor License number Date ____._._ ...___..._.. r_ The City of Rexburg's permit ee schedule is the same as required by the State ofldaho fi /i" r Y, tiT sr // ~`\.. 2 MECHANICAL Mechanical Contractor's Name: Address Contact Phone: ( ) FIXTURES & APPLIANCES ~' d Furnace Furnace-Air Conditioner Combination / ~. ~ Heat Pump ~_ Air Conditioner Evaporative Cooler Pool Heater ~_ EXHUAST & VENTILATION Dryer Vents / ~ ~ Range Hood Vents Fuel Gas Pipe (# of Outlets) ~ '~~ Signature of Contractor Unit Heater ~7 Decorative Gas-Fired 35 Appliance Space Heater ~~ Incinerator ~ Broiler t ~~~~~ Cook Stove Vents Bath Fan Vents Mechanical Estimate $~ (Commercial Only) License number Date The Ciry of Rexburg s permit fee schedule is the same as required by the State of Idaho WATER METER COUNT WATER METER SIZE HEAT (Circle all that app )Gas it Coal Fireplace Electric ~J~~' ~/~ ,. Business Name: State Zip Business Phone: ( ) 3