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HomeMy WebLinkAboutAPPLICATION, CO - 05-00008 - BYUI Clark Building - Addition OE gEXB UgC ~'.~ ~v ~~ x ~ ° ~`~_. Certificate of Occupancy City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 _~,_{y ~C I T YTO~F 1 W~ V 1\~ Arnerica't Family Community Building Permit No: 05 00008 Applicable Edition of Code: International Building Code 2003 Site Address: 2q'o S ~~+~ Use and Occupancy: Education Type of Construction: Type II-FR, Fire resistive, non-combustible Design Occupant Load: 720 Sprinkler System Required: No Name and Address of Owner: Byui 450 S Physical Plant Way Rexburg, ID 83445 Contractor: Interior Const. Specialists Special Conditions: Occupancy: Business, professional or service, restaurants less than 50 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 wes inspected on the date listed vies found to be in compliance v-ith the requirements ofthe code for the group and division of occupancy and the use for v~hich the proposed occupancy vies classified. Date G.O. Issued C.O Issued by: o~~~u~~~y v~~w~a~ 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 De .OFR~X$LRC~~ CITY of CERTIFICATE OF OCCUPANCY 9~ U~ RE~ZJRG A"'eri`asxam`i''c°m""""c~ Department of Community Development ~' 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 05 00008 International Building Code 2003 290 S 1st E Education Type II-FR, Fire resistive, non-combustible 720 No Name and Address of Owner: Byui _ - ~ 525 S Center St Rexburg, ID 83445 Contractor: Interior Const. Specialists ~-- Special Conditions: ~ ~m~o r~ ~~-~ . ~I 1 i~mS ~ b~ Cam I~z~ ~ ~ ~ r~a~~s P Occupancy: Business, professional or service, restaurants less than 50 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 ttiith the requirements ofthe code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: March 23, 2006 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 (208-356-4830) CITY OFREXBURG BUILDING PERMIT APPLICA~N 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X326 PARCEL NUMBER: SUBDIVISION: UNIT# BLOCK# LOT# Please complete the entire Application! If the question does not apply fill in NA for non applicable OWNER: '~ u - ~ ~~ {~0 CONTACT PHONE # ~' (~ -- ~, PROPERTY ADDRESS:~~.~,~ ~~ ~ ~7.Q ~"~" ~ JV~ SOUS PHONE #: Home ~ `~~`~ ~~,~pWork G~ ~ ~ Cell ( ) ~~c~ tuyr u~ OWNER MAILING ADDRESS:~~'G~ cj CITY: Q STATE:~ZIP:~3~i~D'~~~ APPLICANT (If other than owner) I, IV "(~~~,Q~L_~~]l~'~'[~(~~~ ~~~~(~~'~` (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF PHONE #: Home APPLICANT Y> t CITY t STATE;~~~• ZIP Work (~j0~ (~~j - ?8,~e11( ) CONTRACTOR: ~ . G , ~ , PHONE: Home# MAILING ADDRESS: ~v b~ How many houses are located on this property?_ Did you recently purchase this property No Yes • PERMIT # Work# Cell# ~~~~ STATF~~ZIP~ ~U yes give owner's name) ~) Is this a lot split? ~O 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 statem isrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not ed a it void if work stops for 180 days. Applicant L ~~~~ DATE WVARNIRG -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** NAME ~ .. .~ ~`' ~'~ ~vp~T~~ ~;,~;~~~~~ PROPERTY ADDRESS Permit# SUBDIVISION Dwelling Units: SETBACKS FRONT SIDE Front Footage (if applicable) Storm Water Length Parcel Acres: SIDE BACK SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Unfinished Basement area 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) $~,~ PLUMBING Plumbing Contractor's Name: Address Contact Phone: ( ) FIXTURE COUNT Business Name: State Business Phone: ( ) Clothes Washing Machine Sprinklers Dishwasher Tub/Showers Floor Drain Toilet/Urinal Garbage Disposal Water Heater Hot Tub/Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature of Contractor License number Zip Date The City of Rexburg's permit fee schedule is the same as required by the State ofldaho 2 MECHANICAL Mechanical Contractor's Name: Address Contact Phone: ( ) FIXTURES 8c APPLL9NCES Furnace Furnace-Air Conditioner Combination Heat Pump Air Conditioner Evaporative Cooler Pool Heater EXHUAST & VENTILATION Dryer Vents _ Range Hood Vents Fuel Gas Pipe (# of Outlets) Signature of Contractor Business Name: _ State Zip Business Phone: ( ) Unit Heater Decorative Gas-Fired Appliance Space Heater Incinerator Broiler Cook Stove Vents Bath Fan Vents Mechanical Estimate $ (Commercial Only) License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho WATER METER COUNT WATER METER SIZE HEAT (Circle all that apply) Gas Oil Coal Fireplace Electric 3