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HomeMy WebLinkAboutAPPLICATIONS - 05-00146 - 298 Oaktrail Dr - New SFR• ,. ;HHH ~,TYOF SINGLE FAMILY RESIDENTIAL R.~B~~ City of Rexburg AMERK:A5 FAMILY CAMMUNtiY Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # OS 00146 Permit Type Single Family Residential Project Name Puzey Home Site Address 298 OAKTRAIL DR Parcel # RPROAKB2030270 Project Description Puzey Home Fee Information Project Details Dwellings - Type V Wood Frame 1,045 SQFT Project Valuation $69,640.7_' private Garages -Wood Frame 400 SQFT Building Permit Fee 783.75 Plan Check Fee 78.38 Residential Plumbing Permit Fee 152.00 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 185.00 Total Fees Paid $4,702.82 Print Name Date Issued: Signature Date Issued By: ~,noF SINGLE FAMILY RESIDENTIAL R.~BU~ City of Rexburg AMERICAS FAMILY COMMUNITY Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # OS 00146 Permit Type Single Family Residential Project Name Puzey Home Site Address 298 OAKTRAIL DR Parcel # RPROAKB2030270 Project Description Puzey Home 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 2 - R-Additional fuel piping fixture or appliance outlet(s) 1 - R-fuel (gas) piping fixture or appliance outlet 1 - R-Additional exhaust or vent ducts 1 - R-Additional bath fan vents 1 - R-bath fan vents 1- R-dryer vents 1- R-Furnace 1- R-exhaust or vent duncts 1- R-range hood vents - 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) 2 - R-Tub and/or Shower Unit 1 - R-Sprinkler Print Name Date Issued: Signature Date Issued By: CIiY OF REXB URG PERMIT # ,~ BUILDING PERMIT APPLICA~N ~ ~ ©~ 19 E MAIN, REXBURG, ID. 83440 Please complete the entire Application! 208-359-3020 X326 If the question does not apply fill in NA for non applicable PARCEL NUMBER: ~ R (~ A ~ ~() ~~~~, SUBDIVISION: Qp~~ ~U~O ~ UNIT# BLOCK# ~~ LOT# Z~ OWNER: ~Gr}-c~K~r ~~.5 CONTACT PHONE # ~-09 ~ ~ ~ Z PROPERTY ADDRESS: 2 9~~3~ ~ ~-~'e~ ~ ~ ~ ~. , PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: 3~S ~p E~ I ~-~ CITY: STATE:~ZIP: S 3~ O 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 CONTRACTOR: CITY: Work ( ) PHONE: Home# MAILING ADDRESS: How many buildings are located on this property? STATE; ZIP Cell ( ) Work# Cell# CITY STATE ZIP Did you recently purchase this property? ~ Yes (If yes give owner's name) Is this a lot split? ~ YES (Please bring copy of new legal description of property) PROPOSED USE: ~GS ~ ~~~ (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. Permit yeitl~if work stops for 180 days. Applicant ~~ ~ Z ~ C2~ 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 Regburg'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** Affidavit of Legal Interest State of Idaho County of Madison I, v ~e , Name City Being first duly sworn upon oath, depose and say: A. ~YS~ ~. l~~'` Address .1-- `~" State (If Applicant is also Owner of Record, skip to B) That I am the reco coo 1 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 ~''~ 2- ~ ~ ~ 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 ire Application! If t question does not apply fill in NA for non applicable NAME ~ ~,~.~,y~,~x- ~ wee. S PROPERTY ADDRESS 29$ aaK.~-ra.~ ~ pi2 Permit# SUBDIVISION ~cJC, ~i•~r•, I~ Dwelling Units:_ SETBACKS FRONT Z ~ SIDE 2 S Front Footage (if applicable) Storm Water Length Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~~~1j Unfinished Basement area ~/~ Second floor/loft area 1V/~ Finished basement area (~ /~ Third floor/loft area ~/~y~- Garage area t{0~ Shed or Barn ~,~ Carport/Deck (30" above grade)Area ~ ~ Water Meter Count: Required!!! Water Meter Size: ~~ ~ PLUMBING Plumbing Contractor's Name: ~,~+~ ~/~ h~.St~. Business Name: ~ 1cSl~,v~- P~~+~w~ Address State Zip Contact Phone: ( ) "~ L~ -(0 9C1'C7 Business Phone: ( ) FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~ Sprinklers ~ _~ Dishwasher ~ Tub/Showers Floor Drain ~ Toilet/Urinal Garbage Disposal ~ Water Heater Hot Tub/Spa Q Water Softener l _~ Sinks (Lavatories, kitchens, bar, mop) Plumbing timate $ (Commercial Only) ature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Parcel Acres: ~( SIDE 2 S BACK 3~ Please complete the ire Application! If the question does not apply fill in NA for non applicable NAME '.~, w~ GS PROPERTY ADDRESS ¢ a L Permit# SUBDIVISION ©~4,~.~,. ~ Required!!! MECHANICAL l Mechanical Contractor's Name: ~reh ~'" J enS e.t-. Business Name Address State Contact Phone: ( ) }-S ~- -ps 3 ~/ Business Phone: ( ) Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) ~ {~ Furnace ~` _~Exhaust or Vent Ducts Furnace/Air Conditioner Combo ~ t5 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 ~~ Range Hood Vents n Cook Stove Vents Bath Fan Vents other similar vents & ducts: ~~Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas it Coal Fireplace r' Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. nature of Licensed Contractor License number tac.~'dvrw,~.ce .4, r Zip ~ .- t z ^d~ Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: ~`~VC k Masonry: Roofing: Insulation: LQrdG~ ~ S Drywall: ~ r.~IC.~ K -'J e r Painting: ~`~-t„<<o ~4V' ~'~ ~~ ~ Floor Coverings: I~'~' ~ ~ S~1r~S Plumbing:_ ~,`~ ~ ~ $ ~p Heating: fe,~' t-t) J` w~.d. vL G~? '`~ ~ 1~ Electrical: ~jt~~ ~ w, 4 r~ Special Construction (Manufacturer or Supplier) Roof Trusses: ~In~~ - vL ~-r- ASS Floor/Ceiling Joists: ~jh'i. ~ Lt~cs Siding/Exterior Trim: ~ ~ ~ ~, S ~ S ~~ Other: