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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00017 - 77 S Hidden Valley Rd - New SFRZ O C'~ rn ^~ ~, o ~ s ~_ A O O N -O ~ ~ v ~ m ~ ~ a 3 ~ o. ~ o~~~.N~ < _~ N .N.. 7 O' N chi ~ p C c 3 ~ ~ ~ ~ ~ ~ c ~ ~ ~ ~ ~ .. a ~ ~~ C1 O 7 ~ a o ~ 3 o ~ a d ~ o- v m o ~ a 3 a m' vv,~~Z ~~ ~ ~~ ~~~=.o ~ v y _a x O 7 N ~ C7 ~ S O O ~ O' ~ !/1 N Q C N p N f ~ m• a o o c ~ ~ m ~_ ~ O O N N .On.. O• N .O•. 7 O_ (D ~ 7 -O n O ~ a d ~-s~ ~oo~o ~ ~. a a V/ ~ 0 'O N _ n~fD ~ ~ ~ ~y. Q ~ ~ ~~ . C ~ y Q D . •fi ~J •~ 0 ~ _ N • 1 ' ( ~ `~ ~ 7• ~ ~ m ~. d~`~° N ~ ? ~ ~ 0 Q Q ~ N N (Q = C C lD ~ O „~„ am a-• ~ U~ S y = C9 '~ O r W~y~ ~ ~. ~ -~ ~ ~~~ o N . ~~~~. 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Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (2081359-3022 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: Name and Address of Owner: Contractor: 05 00017 International Residential Code 2003 77 S Hidden Valley Rd Single Family Residence Type V-N, Unprotected Residential No Hill Randall J 6579E 113 N Idaho Falls, ID 83401 R Hill Const Special Conditions: 700 sq ft unfinished basement Occupancy: Residential, single family dwellings, lodging houses 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 vies inspected on the date listed vies found to be in compliance vtith 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: January 19, 2007 (01:42P ~. c~~ C.O Issued by: ~~~---___ Building Official There shall be no further change in the existing 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 Depa nt: State of Idaho Electrical Department (208-356-4830): CITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X326 PARCEL NUMBER: PERMIT # Please complete the entire Application! If the question does not apply fill in NA for non applicable SUBDIVISION: ~ DD Fz ~c,~ (~~}-c.i..~y UNIT# ~f' 7 BLOCK#~LOT# OWNER: R ~ f L.L.- e~°y~ ~-hru.G~,~rn, LLC. CONTACT PHONE # i'Z® `f,6~ / PROPERTY ADDRESS: ~ ~~~ ~~Q:a.~, PHONE #: Home dog} r, Z3 -c~t1~ic~ Work ( ) SL3~o ~l5`3 Cell OWNER MAILING ADDRESS: (, 5~ t ~z' i 13 ~ CITY: i ~ ~~0 1.LS/ STATE: ~~ ZIP: el~t f 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 CITY: PHONE #: Home ( ) CONTRACTOR: MAILING ADDRESS: STATE; ZIP Cell ( ) Work# Cell# CITY How many houses are located on this property? Did you recently purchase this property? No~~If yes give owner's name) STATE ZIP Is this a lot split?~ YES (Please bring copy of new legal description of property) 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 Pelr'mi~t void if ork stops for 180 days. Signature f Owner Applicant DATE WARNING - BUII.DING 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 Rezburg'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** ~ g ~...~w~.Q.~.-~ ~~~~- g ~ ~a~ Work PHONE: Home# Jan 21 2QQS 1tl:4SRM :`~~~vSE PRt?PERTY ADDRESS SUBDI~ISIOI~ MR~E~lS#°LtlMB i ~4G 3573439 ~o. i Permit# Dwelling Units SETBACKS FRt~I+TT SIDE From Fcotage (if applicable) Storm Wafer Lerlgth Sll3E BACK SURFACE S(~UARE FOOTAGE: (Shall include the exteTitr wall measurements of the huiidng} First r1oQrArea Z! l 1, Unfinisf~ed Basement area 7_0o I Second floarJloft area Finisltexi basement area Third fluor/loft area Garage area 8~~ Shed or Barn CarporklL~k (30" above grade}Area Remt~t~ed CN~d Estimate} $_ PZUM~NG r Fl~nbing Ccxustractor's Names Business IJ e: u, J Address '~~ 5 State `~ Zip~~_~~ Contact Fhone: ( }__ ~~ gr ~~ ~i/ Business Phone: '}_,;3~`~--3 ~I3 ~ Fl~?7IRE CQUIVT' Clothes Washing Machine Sp~~ - I Dishwasher 1 T`ublShaw~ers _ Flcxar Drain ~ Ttrilet/Urinal _ t~ Garbage I?isposai ~ Water Heater ~ Hot Tab05pa Water Softener _..-,~- Sinks (Lavatories, kitchens, bar, mop) P! ing Estivate ~ (Goffimcrc~l Qaly) ~'~-g.. C.~~'l`~ Signet~er~ csf Cvn~cter License gttmber ~aie , T7re Cfty of Re~rtrg's ~+errnrt fee aches~le is the same ~ regu~i ed by the State of Idafro Parcel Acres: MECEANICAL G Mechanical'Contractor's Name: ~ orp,0 ~ ~ ~'~ ~ tat Busin s Name:. ~,? /J~ Address `~ S ~ /iuan C~~a,a S~ta~te Zip 3 Contact Phone: (~08) S~/o~~7/ Business Phone: (,~~) ~v~l L?~7 FIXTURES & APPLIANCES Furnace _ Furnace-Air Conditioner Combination Heat Pump Air Conditioner Evaporative Cooler Pool Heater SO ~ 3~ Unit Heater Decorative Gas-Fired Appliance Space Heater Incinerator Broiler I;XHUAST & VENTILATION ~ 5 Dryer Vents / ~ s Cook Stove Vents Range Hood Vents _~5 Bath Fan Vents ~~o ~5 Fuel Gas Pipe (# of Outlets) 5 a~ Mechanical Estimate $ (Commercial / Only) /~ ~ ~ ~ 1 ~ ~ dJ~ S' afore of Contractor 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 `-'~ ' ~~ ~N /V -