HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00084 - 387 Talon Dr - New SFRZ
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oF~tiXa~A~ Certificate of Occupancy
~~ CIT'Y O F
~;~ ~~~.G City of Rexburg
!- `u' Department of Community Development
America's Family Commugity
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3024
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
05 00084
International Residential Code 2003
387 Talon Dr
Single Family Residence
Type V, non-rated
Residential
No
Name and Address of Owner: Jensen Brett Etal
P O Box 847
Rexburg, ID 83440
Contractor: Brett Jensen Construction
Special Conditions: 300 sq ft unfinished basement
Occupancy: Residential -less than 2 units, permanent in nature
This Certificate, issued pursuant to the requirements of Section 909 of the International Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
vas 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 vtihich the proposed occupancy vies
classified.
Date C.O. Issued
C.O Issued by:
auuairtg vmciai
There shall be no further change in the existing 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 OfFcial has reviewed and approved
said future changes.
Plumbing In
Electrical Inspector:
Fire Inspector: Y~ ~~~
PS~Z Administrator: In ~ ~L
CITY OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, RExBURG, ID. 83440 Please
208-359-3020 X326 If the quest Jensen 887 Talon Dr
PARCEL NUMBER:Z. P~ E Ca L W 00 ~ 00 ~ D
SUBDIVISION: ~~~~ ~ UNIT# BLOCK# N LOT#_~
OWNER: ~~'_~ ;; ~e~~,C~ CONTACT PHONE # j 13' ~73Ca
PROPERTY ADDRESS: 3 $~ To~,l o rt >7r.
PHONE #: Home (Zob) 351- `59'3 Work (~ )3S ~- ~5~3 Cell (z~) 3t3-C~ ~~
OWNER MAILING ADDRESS: ~. (~ ~ ~ x ~3~ 7 CITY: e t . STATE: ~ ZIP: ~ yfJ
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
PHONE #: Home
CITY: STATE;_
- Work ( )
Cell
ZIP
CONTRACTOR: ~~~1~ ~~(ISCt~ PHONE: Home#35-~-y'S-Work#3G~1-~"9j Cell# 313 Cv7~3(a
MAILING ADDRESS: t~.U ~~ ~Y? CITY C ~t STATE ~~ ZIP ~3~c~
How many houses are located on this property? ~ ~ Cuft'~ ~ ~~,~
Did you recently purchase this property? No es (If yes give owner's name) ,~~Ct{° ~~n,
Is this a lot split? ~ YES (Please bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family
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 of fact in the application or on the plans on which the permit or approval was based. Permit void if not
startgd wild`iin 180 days. Permit void if work stops for 180 days.
Signature of Owner/Applicant
1~rK / 1 `( / zc~5'
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**
P se complete the entire Application!
„~ If the question does not apply fill in NA for non applicable
NAME ~ ~-~ \t~"~~'''p~'i
PROPERTY ADDRESS ,~ i' Permit#
SUBDIVISION ~~, :.r~~ ~;( '~ "
Dwelling Units: Parcel Acres:
SETBACKS
FRONT (~-~ SIDE ,jG` SIDE,
Front Footage (if applicable)
Storm Water Length
~~' BACK f~~
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
Remodel (Need Estimate) $
Water Meter Count:
~~ it
Water Meter Size:
PLUMBING
Plumbing Contractor's Name: ~ Business Name:
Address State
Zip
Contact Phone: ( ) Business Phone: ( )
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine / Sprinklers
~ Dishwasher ~ Tub/Showers
/~ Floor Drain ~ Toilet/LJrinal
Garbage Disposal ~ Water Heater
Hot Tub/Spa / Water Softener
_ ~' Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
=~, (~~ 5 2 ~ M~~
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
area
(30" above grade)Area
,~~ase complete the entire Application!
If the question does not apply fill in NA for non applicable
.~
NAME 1.~5~ ~`~,J~it~
PROPERTY ADD S S
SUBDIVISION nk~; '
MECHANICAL
Mechanical Contractor's Name: ~p ~ ~0 Business Name: _
Address tate Zip
Contact Phone: ( ) Business Phone: ( )
Mechanical Estimate $ (Commercial/Multi Family Only)
F TURFS & APPLIANCES COUNT (Single Family Dwelli g Only) ~~
Furnace '~~ ~ Exhaust or Vent Ducts
Furnace/Air Conditioner Combo l.~j ~ Dryer Vents ~~'
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Range Hood Vents
Cook Stove Vents
~' Bath Fan Vents l~
other similar vents & ducts:
Space Heater
Decorative gas-fired appliance ~~
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
~ Fuel Gas Pipe Outlets including stubbed in or future outlets l~'''S 5
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.
I'-~ l ~ 2t-f M -~~
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
Permit#
~ ~~~