HomeMy WebLinkAboutAPPLICATION, CO - 05-00008 - BYUI Clark Building - Addition
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Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
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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
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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
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Special Conditions: ~ ~m~o r~ ~~-~ .
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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