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HomeMy WebLinkAboutBP & DOCS - 05-00122 - 156 Harvard Ave - AdditionZ ~ ~ ~ ~ m m W ~ C m ^~ ~ ~ '' a N oo~~~o ~ ~ ~ m m ~ Z ~ m a v ~ a ~ ~ ~ O < ? ~ _ ~ ~ W m ~~~~N~ r" ' ~ m a O ~ ~' c y 3 ~ v C1 /~ ~ m ~ o C Q m ~ ~ ~ '9 a m ~ n m N a D n c d Z ~ ~ ~• O ~ a ~ cN C o o m -I c ~ ~_ c ~ a ~ ~• o ~ s v f ~ ~ c F ~ ~ ~ N d ~ 3 ?~ r ~ ~ y ~ o ~ o m ~ ~ W ~ c " Z ~ ~ md~~Z D = ~o m ~ o c°i c f Rt 0 ~ ~ m a ~ ~ cc Z~~ ~ ?1 C 0 0 ~ v °-' n °" ~ m ° ~ ~ v ~ ~ m a o R1 o Z ~ v v7i two ~ O ~ -a o ~ m ~ ~ °o ~ O 0 v m .~ H o f °: w C ~oo~~ g m a '_' a n W C. 7 (~ 7 N 0 y C ~D C. ~O~C~~ W ~ p y 'O .~ C~•~ 3 cQO~_` ~ ~ 10 y. 3 ~rtc ~~ W ~ v o ~ c -~~~ ~ ~~~ p ~. Obi '. ~~~ ~n~~ ~ Q ~ ~ ID O y ~~ C coo 3 °o a; C. ID Q. C ~ N ~ N ~. to ,~~ ~ ~ S O W~-~, ~' ~• t1 ~ 3 O. d ~ ~ ~~3~. cQ ~ r: 3 Q 'yC O ~ W ~D < N Q C! ID 3 O a ~(C ~ ~ ~ ~ ..0 0 ~ ~ ~ ~~ ~ ~ ~a n ~' ~ O _, ~ n, ~ IC lD Q' ~ C K ~ ~ ~ c~D O~ d.~C ~ 3 ~ y C..~*, ~. O '~ ~ N ~ O m Z m n O Z y~ C7 O CD L v m U1 v v Q CD Z m m m c X m 3 ~k C v -0Y~~4 ~ crry.4^ h~ ~ P}h~ x~ r `~ m C ~.~/ z ~ ~~ ~r } ~i~ C ~~ ~ ~ -r, } b ~ c0 ~. ~ ~ N , ~' (~{'~ 1 W D ~7 A W N ~ ~ m n o ~ m g ~~ -n ~ ~ cn '~ m m ~ N ~ ~ ° o m po C ~ ~ v a ~ co c~ ~ -1 ~ v cn _ O o 3~m ~ v=, 3 0 m z z ' Z Z I T ~ n Z ~ ~ ~ fl C C A C ~ m ~ v Vl T ; ~ Z Z Z ~ Z ~ W ~ ~ D G~ ~ O ~ ~ o ? ~ ~ ~ z~c~ ~ a -a g ~ N n Z IV < < O ~ co A Q Q v o D N N 0 o -a cn ~ O ~D Q (D 00 ~l ~ Ut ? W N -~ ~, ~ ~ ~' m a ~ ~ ~ - N m _ m ~ ~ ~ a v ~ e ~ cc ~ c ~ _ CITY OF SINGLE FAMILY ADDITION REXBLIR~ City of Rexburg AMERICA5 FAMILY COMMUNlIY Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # OS 00122 Permit Type Single Family Addition Project Name Rigby Addition Site Address 158 HARVARD AVE Parcel # RPROOOR0084220 Project Description Rigby Addition Names Associated with this Project Type Name Contact Phone # License # Exp Date Applicant Kern Ralph M Etux Owner Kern Ralph M Etux Contractor Owner 9999 01/31/2010 Fixtures - R-Hot Tub /Spa - R-Garbage Disposal - R-Water Softener - R-Water Closet and/or Urinal - R-Clothes Washing Machine - R-Dish Washer - R-Floor Drain - R-Water Heater - R-Sink (Lavatory, Kitchen, Mop or Bar Sink) - R-Tub and/or Shower Unit - R-Sprinkler Print Name Date Issued: Signature Date Issued By: ~,,~ ~,-,-r of SINGLE FAMILY ADDITION ~ ~ ~-~B~R~ City of Rexburg AMMf:RKAS FM~111..Y Ct?MMUIJITY Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # OS 00122 Permit Type Single Family Addition Project Name Rigby Addition Site Address 158 HARVARD AVE Parcel # RPROOOR0084220 Project Description Rigby Addition Fee Information Project Details Private Garages -Wood Frame 504 SQFT Project Valuation $10,654.SE Building Permit Fee 195.25 Plan Check Fee 19.53 Total Fees Paid $214.78 Print Name Date Issued: Signature Date Issueia By: CITY OF REXB UR G BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 Please 208-359-3020 X326 If the ques PARCEL NUMBER: Q-~ ~- ~~~ ~ ~~ ~ 22 C~ o~ oo ~ zz Rigby Addition (Garage) SUBDIVISION: I~ICt r3~i G~A~i"1"l110~-~ UNIT# BLOCK# 0 LOT# ,OWNER: ;C~4~p,~.1 ~ . lt~~1T,I CONTACT PHONE # ~5 ~ ' ~ ~~ ~0 7~ PROPERTY ADDRESS: ~.~ ~ ~-/~-v,~p ~~ PHONE #: Home (2~j 3s1~ ~- Lr /DLO Work OWNER MAILING ADDRESS: ~.~-,~= Cell (~ ~s } - `~ ~lv ~ STATE: ZIP: APPLICANT (If other than owner) .5.4-r-~-~ (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF APPLICANT /'.5 Y >~~ ~~ ~~% CITY: ~~3~c STATE; eS !~ ZIP ~3 <-,l~la PHONE #: Home .(~~ 3.`~~-~~`ru Work (` ) Cell{~'~ ~ .~ ~ - ~ ~ ~ ~ CONTRACTOR: tj~R~L)'L~ PHONE: Home# MAILING ADDRESS: 5'R~-c. CITY How many houses are located on this property? ~ ~cL C= STATE ZIP Did you recently purchase this property No es (If yes give owner's name) Is this a lot spli . NO YES (Please bring copy of new legal description of property) PROPOSED USE: ,S' ~ ~ L~ L[= ~~ ~ ~ i ,~~ (i.e., Single Family Residence, Multi Family, Apartment/, Remodel Garag ,Commercial, Addition, Etc.) ~~~n¢r~1 ~ ~,~~~ ~~~~ APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, 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. Signature of Owner/Applicant ~/ ~~ / OS 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: Work# Cell# ~~'"~'~ CITY OF _ __ _ _ __ __._ _ __ RE:XB C..I R~ _ ~q8t~~~ AMERICA'S FAMfI.Y C©MMUNffY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburg.orq comdev(c~rexburg.org Affidavit of Legal Interest State of Idaho County of Madison I, ~4~~- l~ • J~~~ Name City Being first duly sworn upon oath, depose and say: A /s~ ~~ ~~= Address .~- ~ ~-~ State (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 (5~ ~ day of ~R.~,~ , 20 c`~ 5 Signature '~ Subscribed and sworn to before me the day and year first above written. ;~ ~~ ~ti _= ~` ~OTA~<~ /// Nota, ublic of Idaho _.~ g ~:~ ~ ~'~ N / ~ Residin at: ,, _~ ~,, O ,, ~i Na`y`'' Av B ~.~,~~~' ~ = My commission expires: ,.~ ~ ~i -q~,~~~~„ ,,,,,gyp ,,,,, ~~'~~~ I IF1 O F\~w,~,~ Please complete the entire Application! If the uestion does not apply fill in NA for non applicable NAME l` ~.J- M-- l~L-~~ PROPERTY ADDRESS ~~ A~i~ rA*/~- Permit# SUBDIVISION ~ ,, t> t -rt o Dwelling Units: /X A- Parcel Acres: SETBACKS FRONT SIDE ~ Nl~ SIDE BACK -~. O Front Footage (if applicable) Storm Water Length SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~ Unfinished Basement area '~ n-- Second floor/loft area Finished basement area _ Third floor/loft area ~.(. Garage area ~U Shed or Barn ~.(/ 1~ Carport/Deck (30" above grade)Area Remodel (Need Estimate) $ Water Meter Count: ~ /6~ Water Meter Size: PLUMBING Plumbing Contractor's Name: 7'~' i`~ Business Name: Address State Zip, Contact Phone: ( ) Business Phone: ( ) FIX URE COUNT (including roughed fractures) p-- Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks ( avatories, kitchens, bar, m~op)~ Plum ing Estimate $ f~ (Commercial Only) ~ ~' Sprinklers Tub/Showers Toilet/LJrinal Water Heater Water Softener 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 Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME ~ - ~~l''J PROPERTY ADDRESS /-5-~r SUBDIVISION MECHANICAL Mechanical Contractor's Name: /~ Address Contact Phone: ( ) m Permit# Business Name: _ _State Zip. Phone: ( ) Mechanical Estimate $ (Commercial/Multi Family Only) FIXT RES c& APPLL4NCES COUNT (Single Family Dwelli~jg Only) D`~ /~- Furnace I~ /~ Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump 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) Gas Oil Coal Fireplace Electric Dryer Vents Range Hood Vents 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. 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 t ~ SUBCONTRACTOR LIST Excavati Concrete Masonry Roofing; Insulatio Drywall; Painting Floor Covering Plumbin Heating: Electric Roof Trusses: '~I`~ Floor/Ceiling Joists: Siding/Exterior Trim: Special Construction (Manufacturer or Supplier) Other: r . ~ ~ ~ ~ .*. w ,. ~ .,. ,,.. «~ ~ t.; F` i ~ t ~ _ ~ F ~ ~ aF . ~ ~ ~ $` ~ PY s «.~ . ~ ~ _ }~ I i