HomeMy WebLinkAboutAPPLICATIONS, MULT DOCS - 05-00048 - BYUI Taylor Building - RemodelZ
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•
CITY OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X326
• PERMIT # Q ~ ~ T
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
PARCEL NUMBER: RP ~ ~Q ~ 3~~ ~r]~-~-~
SUBDIVISION:
UNIT# BLOCK# LOT#
OWNER: ~ YU " ~l>A-HO CONTACT PHONE #
PROPERTY ADDRESS: ~/df/~/ T ~La2 ~~~4Di~YG- ~YU- /o.~ro
Zoe 4~G • 2 `/'!9
PHONE #: Home ( ) N R Work ~ ~6 - 2Y/~ Cell ( )
OWNER MAILING ADDRESS: Sz5 ,.6a1f! GEiuRx fT. CITY: ~t~reu2G• STATE: /o. ZIP: 83~/GO
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
CITY: STATE; ZIP
PHONE #: Home ( ) Work ( ) Cell ( )
yn~• zyy9
CONTRACTOR: BYU- /d~tfo PHONE: Home# N /} Work# y'¢G•~y// Cell#_
MAILING ADDRESS: ~-5 -~~ .d<°~rr~~- ST CITY ,~Xrsu,¢vr~ STATE ~.v. ZIP ~y~0
How many houses are located on this property? JSI~lI
Did you recently purchase this property~7.~ Yes (If yes give owner's name)
Is this a lot split? ~ YES (Please bring copy of new legal description of property)
PROPOSED USE: CO~t~-t~/~ ~~4~L
(i.e., Single Family Residence, Multi Family, Apartments, 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 act in the application or on the plans on which the permit or approval was based. Permit void if not
starte it v d if work stops for 180 days.
'Applicant
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**
u
NAME ~~U' ~,A~3ilO
PROPERTY ADDRESS ~O/Yry ~.¢yyGO.~ L~iican/G
SUBDIVISION
Dwelling Units:
SETBACKS
FRONT
Parcel Acres:
SIDE SIDE
Front Footage (if applicable)
Storm Water Length
Permit#
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area
Second floor/loft area
Third floor/loft area
Shed or Barn
Unfinished Basement area
Finished basement area
Garage area
Carport/Deck (30" above grade)Area
Remodel (Need Estimate) $ 2 La !~ = '~ ~~~~ ~ ~~ ~/8G/Sy
Water Meter Count: Water Meter Size:
PLUMBING (~,~-SP,~,~,~r~~
Plumbing Contractor's Name: ~ ~ ~~ ~1 o7~cT7c~! Business Name:
Address G3I2 ~: ~yeGG~F G~JflY, /~ bus State ID~tO Zip 83 yoL
Contact Phone: ( ) Business Phone: (?lam) SZs 83~~
FIXTURE COUNT
Clothes Washing Machine Sprinklers S ~ ~~-Qe~~
Dishwasher Tub/Showers fIEA~S auclGf'
Floor Drain Toilet/LTrinal
Garbage Disposal Water Heater
Hot Tub/Spa Water Softener
Sinks
(Lavatories, kitchens, bar, mop)
~ ,~zac~r~ ~~ SPai~t.~X ~AnS oxlGY_
Plumbing Estimate $ ~Jr~ - (Commercial Only)
Signature of Contractor License number Date
The City oxburg s p rt schedule is the same as required by the State of Idaho
3 - p W /LL Pik-oV/per
BACK
2
'. •
' NAME I~YU' ,o-g+~r0
PROPERTY ADDRESS ~%N~(! Til1~~ ~ia.,D/~(r Permit#
SUBDIVISION 1~
MECHANICAL
Mechanical Contractor's Name: /~YU- ~/yf-lo Business Name: _
Address State Zip,
Contact Phone: ( ) Business Phone: ( )
FIXTURES & APPLIANCES COUNT
^ Furnace
^ Furnace/Air Conditioner Combo .
^ Heat Pump
^ Air Conditioner
^ Evaporative Cooler
^ Unit Heater
^ Space Heater
^ Decorative gas-fired appliance
^ Incinerator
^ Boiler
^ Pool Heater
^ Similar fixtures or
Appliances:
^ Exhaust or Vent Ducts
^ Dryer Vents
^ Range Hood Vents
^ Cook Stove Vents
^ Bath Fan Vents
^ Other similar vents & ducts:
^ Fixtures or Appliance outlets of the gas piping system
Mechanical Estimate $~ (Commercial Only)
jX/QI,~~O~e.,e AtoA/~/~TIo/Sl ~~/
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Point of Delivery must be shown on plans.
Please check all that Apply:
Signature of Contractor License number Date
The City of Rexburg s permit f e s edude is the same as required by the State of Idaho
,BYU- ~A~ S°XoPs' /x~ ~rzoc.~s caF
aerA~r.~t..Y6-.
3
•
Cost Estimating Form Date: 11/4/2004 Est No. ~
Building Name John Taylor Building Cost to Remodel 114 (i.e. three offices, one
Room Number 114 material center, and one media services}
Total Opinion of Probable Cost: 26,104.15
Furnishings: Not Included in Estimate
Item Quanti Units Cost er Unit Sum
Demolition Subtotal
Division 01
General Conditions 1.00 each $97 $97.40
Division 02 Site Construction Selec tive Demoli tion
Ca et Demolition 466.22 s .ft. $0.36 $166.21
VCT Demolition 117.33 s .ft. $0.36 $41.83
Interior Door Demolition 1.00 each $22.14 $22.14
Interior G . Bd. Ceilin Demolition 14.00 s .ft. $1.02 $14.28
Interior Ceilin Demolition 466.22 s .ft. $0.51 $237.77
Stri li ht demolition 6.00 each $20.00 $120.00
Cut door o enin in CMU wall 1.00 each $85.00 $85.00
Remove Tackboard 1.00 each $10.00 $10.00
Su I /Diffuser Demolition 4.00 each $17.00 $68.00
Ductwork Demolition 8.00 each $20.00 $160.00
Switch Demolition 1.00 each $15.00 $15.00
Motion Detector Demolition 1.00 each $15.00 $15.00
Dis osal 0.14 c.. $12.02 $1.67
Dum Cha es 0.25 ton $69.00 $17.11
Construction Subtotal
Division 01
General Conditions 1.00 each $2,276 $2,275.70
Division 04 Mason
Mason -Block 1.00 sum $645.00 $645.00
Mason Infill 1.00 sum $645.00 $645.00
Division 05 Metal
Steel An le 1.00 each $50.00 $50.00
Division O7 Thermal and Moisture Protection
Batt Insulation in walls 560.00 s .ft. $0.63 $350.00
Division 08 Doors & Windows
New Hollow Metal Door Frame 4.00 each $442.50 $1,770.00
New Solid Core Wood Door 4.00 each $256.00 $1,024.00
New Door Hardware 4.00 each $290.00 $1,160.00
Division 09 Finishes
Floor Pre aration for Ca t Installati 466.22 s .ft. $0.55 $257.35
New Ca et and Ca et Base 51.80 s d. $40.00 $2,072.09
New sum board wall 60.00 ff $60.00 $3,600.00
Mod Existin Sus ended Ceilin 23.33 s . ft. $2.00 $46.66
Paint New Walls 1,120.00 s . ft. $0.35 $392.00
Patch, Re air, and Paint Existin Wa l 909.00 s . ft. $0.35 $318.15
New Sus nded Acoustical Ceilin 466.22 s . ft. $2.00 $932.44
Paint new hollow metal frame 68.00 If $1.68 $114.17
Division 15 Mechanical
New Retum Air Grille 2.00 each $170.00 $340.00
Install Salva ed Return Air Grille 1.00 each $40.00 $40.00
Install Salva ed Su I Aire Grille an 3.00 each $561.00 $1,683.00
Relocate Fire S rinkler Head 5.00 each $150.00 $750.00
Division 16 Electrical
New Li ht Fixtures 7.00 each $340.00 $2,380.00
Conduit 30.00 each $32.28 $968.33
Wire 5.00 each $120.00 $600.00
Fittin s 20.00 each $2.00 $40.00
New Smoke Detectors 2.00 each $50.00 $100.00
New Switches 4.00 each $50.00 $200.00
New Outlets 6.00 each $24.67 $148.00
Breakers 9.00 each $4.44 $40.00
New Ma netic Hold O en Device 4.00 each $95.00 $380.00
New Data Dro s 5.00 each $342.17 $1,710.83
$1,071.41
$25,032.74