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APPLICATIONS, CO, BP - 05-00118 - 294 Oaktrail Dr - New SFR
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W N -ri _ ~ m ~ ~ cn m ~ 'c v v ~ ~ ~ -n ~ `Q -n ~ .. o ~ ~ r p c t ~ ~~ ~,n of SINGLE FAMILY RESIDENTIAL REXBLIRG City of Rexburg nMIRICAS fM9iL.Y COA-LMUNffY Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # OS 00118 Permit Type Single Family Residential Project Name Kartchner SFR 294 Oaktrail Site Address 484 MARIAH AVE Parcel # RPROAKB2030280 Project Description Kartchner SFR 294 Oaktrail Names Associated with this Project Type Name Contact Phone # License # Exp Date Applicant Kartchner Homes Of Idaho Inc Owner Kartchner Homes Of Idaho Inc Contractor Holeshot Plumbing Dale Johnson 208-317-1001 C-11517 01/31/2006 Contractor Kartchner Homes Kartchner Homes 208-356-3920 1 12/31/2006 Contractor Performance Air Brent 208-757-0554 2634 12/31/2006 Fixtures 1 - R-Additional fuel piping fixture or appliance outlet(s) 1 - R-fuel (gas) piping fixture or appliance outlet 1 - R-dryer vents 2 - R-bath fan vents 1 - R-Furnace - R-Hot Tub /Spa 1 - R-Garbage Disposal 1 - R-Water Softener 2 - R-Water Closet and/or Urinal 1 - R-Clothes Washing Machine 1 - R-Dish Washer 1 - R-Floor Drain 1 - R-Water Heater 3 - R-Sink (Lavatory, Kitchen, Mop or Bar Sink) 3 - R-Tub and/or Shower Unit _ R-Sprinkler Print Name Date Issued: Signature Date Issued By: ~,, ~-n of SINGLE FAMILY RESIDENTIAL ~ : REXBLIRG City of Rexburg AMERICAS FAMILY COMMUnFFY Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # OS 00118 Permit Type Single Family Residential Project Name Kartchner SFR 294 Oaktrail Site Address 484 MARIAH AVE Parcel # RPROAKB2030280 Project Description Kartchner SFR 294 Oaktrail Fee Information Project Details Dwellings - Type V Wood Frame 1,100 SQFT Project Valuation $72,861.OC private Garages -Wood Frame 400 SQFT Building Permit Fee 804.75 Plan Check Fee 80.48 Residential Plumbing Permit Fee 142.00 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 Sprinkler Fee 18.00 Mechanical Fee Base 150.00 Water Softener Fee 8.00 Total Fees Paid $4,706.92 Print Name Date Issued: Signature Date Issuea By: "~°~ CERTIFICATE OF OCCUPANCY ~.~c.BU~ nn~irns FannaY connhlur;rrY C Ity Of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: 05 00118 Applicable Edition of Code: Site Address: 484 Mariah Ave Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: Name and Address of Owner: Kartchner Homes Of Idaho Inc 601 W 1700 S Suite A Logan, UT 84321 Contractor: Kartchner Homes Special Conditions: Occupancy: This Certificate, issued pursuant to the requirements of Section 109 of the International Building Code, certifies that, at the time time of issuance, this building or that portion of the building that wes inspected on the date listed wes found to be in compliance with fhe requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. Date C.O. Issued: September 08, 2005 (02:49PM) ~G'~„ C.O Issued by: Building Official There shall be no further change in the e~asting occupancy classification of the building nor shall any structural changes, modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved said future changes. Water Department: Fire State of Idaho Electrical Department (208-3 ChTY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 Please c~ 208-359-3020 X326 If the questio PARCEL NUMBER: [Z~C7~lL j3ZQs6~~ SUBDIVISION: ~ u,~-~,~~~ ~ UNIT# BLOCK#~LOT#~~ OWNER:~'~ ~~~~~~. ~/vl~ ~ CONTACT PHONE # ~~ q b rj ,~~ PROPERTY ADDRESS: ~~~ (~(~„f~-hr~,~; ~ ,~r , PHONE #: Home ( ) o~ ~ Work ( ) ~~l ~~~'~ Cell ( ) 7C7~ ~ j;?,S`~ OWNER MAILING ADDRESS:3y$h E 17f~ ~v CITY:~,vrn~~rt STATE: ~ZIP:~d(a 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: PHONE #: Home Work os ool is Kartcltiler SFR (294 Oaktrail) STATE; ZIP Cell ( ) CONTRACTOR: ~(,~, r hc,~jy er• l~I'1~S PHONE: Home# Work# Cell# MAILING ADDRESS: CITY STATE ZIP How many houses are located on this property? Did you recently purchase this property? ~~ Yes (If yes give owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: .~~ (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 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. Perr}Iit void if work stAps for 180 days. of ~~~~~ 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** ~~ CITY OF __ _ _ _T ~, r - R~:xBUR~ f: ----- _ _ __ - -- _. _ •'~L~st1~* AMERICAS FAMILY C©MMUNffY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 vaww.rexburg.org comdevCc~rexburg.org Affidavit of Legal Interest State of Idaho County of Madison I, Name Address City State Being first duly sworn upon oath, depose and say: A. (If Applicant is also Owner of Record, skip to B) 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 day of , 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS ra'~ ,r, SUBDIVISION (~~,~b+-Q ~Ic Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE Water Meter Size: Front Footage (if applicable) 9~ Storm Water Length (~ Sprinklers ~~Tub/Showers SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~ Unfinished Basement area 1~ Second floor/loft area Finished basement area Third floor/loft area Garage area ~ Shed or Barn Carport/Deck (30" above grade)Area Remodel (Need Estimate) $ Water Meter Count: PLUMBING Plumbing Contractor's Name: D~,~e ~p~y~S~,-l Business Name: ~lr,Sl7~~- Address State Zip Contact Phone: ( ) / ~- Business Phone: ( ) FIXTURE COUNT (including roughed fixtures) ~_ Clothes Washing Machine Dishwasher Floor Drain l Garbage Disposal © Hot Tub/Spa ~_ Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Permit# BACK oZ Toilet/LJrinal Water Heater Water Softener JL~ ~ li~ ~ ~ ~ I ~ ~ ~ ~ S 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 SIDE Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME ~~./' ~-cy-v~ ev- l ~M pS PROPERTY ADDRESS ~ 9N 4 cck~a`rl ~• . SUBDIVISION (~d,~~hro~l~ MECHANICAL Mechanical Contractor's Name: Address Contact Phone: Mechanical Estimate $ Permit# r'c"I.'~ ~•Z~Sc~t Business Name State Business Phone: ( ) (CommerciaUMulti Family Only) Zip FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace (~ Exhaust or Vent Ducts © Furnace/Air Conditioner Combo ~_ Dryer Vents Heat Pump ~ Range Hood Vents © Air Conditioner ~ Evaporative Cooler Unit Heater ~ 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 Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) as Oil Coal Fireplace Electric Cook Stove Vents Bath Fan Vents other similar vents & ducts: Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ~- ~ Signat a icensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho i SUBCONTRACTOR LIST Excavation & Earthwork: ~ ~ , Concrete: ' Masonry: _) c~-~' d ~~ ~~~~ Roofing: F-~-~-u~-'S Insulation:_~~~~,(~.~ Drywall:~~~~ ~-~-L}-~.~ Painting:~1j ~_ Floor Coverings: Plumbing: Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Siding/Exterior Trim: ~¢~C, ~,~,, , Other: