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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00135 - 623 Johnson St - New SFRZ O ...I rn ^~ W N pl O O ~ pl m C. C ~ pl O pal a o a o ~ ~ f pl .~. > _ f0 N n ~' o c 3 m ~ C1 N ... 7 ~ < ?~ o o ~ 3 W ~' N '3 . N = N 0• N a c 0 - ~ N G. C n ~ i ~ 3 ~ ~ ~ ~ v ~~ ~ F o o m x ~ f/1 ~ ? a ~. ~~ p o ~~ a m mm3sz ~~ ~ ~p ~o~~.o ~ p? N air ~ ~ N t0 (~ f0 S O O ~ Q ~_ a N O pl C ~ n W fl- p O C ~ ~ ~ ~ d N N (D w v n ~. ~ v 3 o R.~ c~i p ~~ ~: o ~ s ~ p p ~ o ~ ~ a a !D W fD O ' V y, p ~, ~ ~ ro ~ c' ~ ~ N Q ~ N ~ ~ .~ . ~ H C. N 'd O ~ C . ~ n n ~~ d ~ ~ ~ ~ 3~ ~ ~ m ~ ~ '~ Q O. Q O M ''y* !C ~ _ ~ ~ O ~ Q. ~ Q. ~. ~ tH S y .. to ,dr ~ ~ = O r W y; N p"~j ~• n 103 v C. ~ ~ ~ ~,~~~ ' ~ Q. ~ ~ ~ ~ ~ W D :z ~<y~: ~ W ~ ~~~3 m N ~ o a ~~ o ~ ~~ ~~~ ~~~ ° r ~, d ~ ~ a ~~ _ ~d ~ m ~ ~ =~ ~. n n ~ T N ~ ~~'~ v ~ ~ ~ _ Z ~ '°~o //~~ Y> ~. ~ ~ > ~ y Q, ~ ~ C rt m 'y" m Z m Z D n S (7 O .-r W g rn N W L Q N G (D z c~ ~_ (O ~ ~~c a Cf~, ~Y ~i ~ ~ r. 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Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # OS 00135 Permit Type Single Family Residential Project Name Henderson SFR Site Address 623 JOHNSON AVE Pa rcel # RPRHNDS0020130 Project Description Henderson SFR Names Associated with this Project Type Name Contact Phone # License # Exp Date Applicant Gee, Clint &Meggan 208-356-5851 Owner Gee, Clint &Meggan 208-356-5851 Contractor Archibald, Brad Brad Archibald 208-390-4460 11486 12/31/2005 Contractor Hirschi Conet Bill Hirschi 208-356-9012 9999 12/31/2004 Contractor J&B Heating Singleton Blair 208-313-0006 880 12/31/2005 Fixtures 2 - R-Additional fuel piping fixture or appliance outlet(s) 1 - R-fuel (gas) piping fixture or appliance outlet 1 - R-Additional dryer vents 3 - R-Additional bath fan vents 2 - R-Additional exhaust or vent ducts 1 - R-Additional Decorative gas-fired appliance(s) 1 - R-Furnace 1 - R-exhaust or vent duncts - R-Hot Tub /Spa 1- R-Garbage Disposal 1 - R-Water Softener 3 - R-Water Closet and/or Urinal 1 - R-Clothes Washing Machine 1 - R-Dish Washer 1 - R-Floor Drain 1 - R-Water Heater 5 - R-Sink (Lavatory, Kitchen, Mop or Bar Sink) 4 - R-Tub and/or Shower Unit 1 - R-Sprinkler Print Name Date Issued: Signature Date Issued By: • • .~ ~,noF SINGLE FAMILY RESIDENTIAL R~B~~ City of Rexburg ~RICAS F-AMLL,Y CDMMUNFI Y Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # OS 00135 Permit Type Single Family Residential Project Name Henderson SFR Site Address 623 JOHNSON AVE Parcel # RPRHNDS0020130 Project Description Henderson SFR Fee Information Project Details Dwellings -Basements -Finished 1,471 SQFT Project Valuation $185,466.6( Dwellings - Type V Wood Frame 1,471 SQFT Building Permit Fee 1,475.35 Private Garages -Wood Frame 625 SQFT Plan Check Fee 147.54 Residential Plumbing Permit Fee 192.00 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 150.00 Total Fees Paid $5,468.58 Print Name Date Issued: Signature Date Issued By: ~~ R CfTRY OF R a a 1 `~L~l ~.~ q~• AMERICA5 FAMILY COMMUNrrY Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: CERTIFICATE OF OCCUPANCY City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Name and Address of Owner: Contractor: Special Conditions: Occupancy: 05 00135 623 Johnson Ave Gee, Clint & Meggan 207 Holly Rexburg, ID 83440 Hirschi Const 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 vies 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 v-hich the proposed occupancy vies classified. Date C.O. Issued: November 21, 2005 10:32A 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• ire e~ State of Idaho Electrical Department (208-356-4830):- CITY OF REXB URG BUILDING PERMIT APPLICAT~N 19 E MAIN, REXBURG, ID. 83440 ~j 208-359-3020 X326 V r-~- PARCEL NUMBER: SUBDIVISION: (~ 00135 ease Henderson SFR - 623 Johnson A`~e. :, L u Lu'i/J OWNER: ~%g f ,,~ ~e5- ;S S'`t Cee CONTACT PHONE # 3 /3 -- /© y~ PROPERTY ADDRESS:~~.~j ~5~;~~~" ~ ~'VQ , PHONE #: Home Work ( ) 3SG~S~'~/ Cell( ) 3/3-%6y~' OWNER MAILING ADDRESS: ~G) //a%/L CITY: /t ~,(-bvrf STATE: ~~ ZIP: ~.~s~vo 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 Work STATE; ZIP Cell ( ) CONTRACTOR: N ~' i~ ~~~ ~ ~o ~{%PHONE: Home# ~,T~~ -9o arLWork# Cell# ~3 lJ - //may ~~~~ MAILING ADDRESS:~~~ ly a it CITY /~~ c6~~ STATE f~=ZIP ~7Y~~ ~ How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split? ~ YES (Please bring copy of new legal description of property) PROPOSED USE: S,~ a, (i.e., Single Family Residence; ulti 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. Permit void if work stops for 180 days. Signature of Owner/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** CITY: Please complete the ere Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION H ~~, ~ Pmt ~ ~ Dwelling Units: Parcel Acres: SETBACKS ~ FRONT ~ C ~ SIDE ~" ~ ~ SIDE I ~ ~ BACK Front Footage (if applicable) Storm Water Length Remodeling Your Building/Mome (need Estimate) $ 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 Water Meter Count: Water Meter Size: •~f~ , Required!!! PLUMBING Plumbing Contractor's Name: ~r~d ~rG~ ~ Business Name: Address $~3 ~', ~°*`~ ~~ •f State ~. Zip S 3y~l~ Contact Phone: ( ) 3't o - 4~50(o d Business Phone: ( ) FIXTURE COUNT (including roughed fixtures) _~ Clothes Washing Machine ~ Sprinklers ~_ Dishwasher ~ Tub/Showers Floor Drain ~ Toilet/Urinal Garbage Disposal f Water Heater Hot Tub/Spa ~ Water Softener ,j Sinks ~v (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) ~- ~ _ ®S, Signature of icensed Contractor License num er Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Unfinished Basement area Finished basement area j y 7 I Garage area ~i ;LS' Carport/Deck (30" above grade)Area Please complete the ere Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION ~~ Permit# Required!!! MECHANICAL Mechanical Contractor's Name Address ~~ ~ ~'~~ w Contact Phone: (?~) ~ I '~= Business Name: ~~`fi' T ~ 1 L ~C ~- State ~ Zip s Phone: ( ) ,~~,m~ Mechanical Estimate $ (Commerciall'Multi Family Only) FIXTURES & APPLL9NCES COUNT (Single Family Dwelli g Only) `~ Furnace ~ Exhaust or Vent Ducts Furnace/Air Conditioner Combo ~ ~_ Dryer Vents 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 Ga Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. _ ~~~ Signature of Licensed Contractor License number Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: __~-' ~ Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 6 ~ • ^ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ / ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 1 SUBCONTRACTOR LIST Excavation & Earthwork: ~~1~ ~ ~~ Concrete: ~ ~~,;,.,, Masonry: ~/~~~, ~/s//.~y . Roofing: (n ~ ~~ o U ~i`n Insulation: ~ . j'h G Drywall: ~~ 1Z~ ~ .~ ~ ~i"~ i,~/~ ~~ Painting: ~; ~~~,.y, _ ,~~ ~.. Floor Coverings: ` rl s l< dc.~... ~~ ,~,. _, ~' e~ ~ s~ Plumbing: ~ rc~~ ~ ~ C ~~ ,~ ~ ~~ Heating: ~~ ~~--hd/_ ~ ~~~,, Electrical: ~~9~ ~~~~ Special Construction (Manufacturer or Supplier) Roof Trusses: ;S`~ o G~ ~~ c? ~ ~ ar c « ~`~~ Floor/Ceiling Joists: Siding/Exterior Trim: ~J~~.~~- ~ ,G- c ~ c' Other: CITY O~ _ T.~~_ -~ -,~~.-~--_ ~ __ ._ ~~ f-_... REXBLIR~ ... AMERKAS FAMILY COMMUNITY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 www.rexburg.org comdevcni rexburo.orq Affidavit of Legal Interest State of Idaho County of Madison I, Name Address City Being first duly sworn upon oath, depose and say: State (If Applicant is also Owner of Record, skip to B) A. 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: