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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00097 - 665 Centennial Loop - New SFRZ ~ G) ~ Z y~~~ctry Av , ~ Z o v ~°,~?~ rn ~ m ,~ r. o~~~ ~ ~ ~ s ~~ N ~' n O L y~ ~ m m 00 '~ Q ~ ~ ~. ~ m ,~ m ~scol~4 C ~, 0 CD r _~ < ~ ~tQ y ~ Z N ~ - ~' o ~~ o ~ D C ~~ N ~ n ~ ~ ~ 0 0 ~ m s o ~ (n ~. 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CD OD ~l ~ U7 A W N ?i 7 ~ Z 26 ~ (7 m cn ~ N ~ v ~ LU S Ul N 7 -n d ~. ~ -n C d O ~ ~ O t0. r K O C .g UO4RExBUkCr~ CITY o~ CERTIFICATE OF OCCUPANCY Y~ REXBUIZG ,, America'sFamityCommuniry Department of Community Development ~~~s Nao .e 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: 05 00097 Applicable Edition of Code: International Building Code 2003 Site Address: 665 Centennial Loop Use and Occupancy: Residential Type of Construction: Type V-N, Unprotected Design Occupant Load: Single Family Residence Sprinkler System Required: No Name and Address of Owner: Jeppesen Dalian 434 Morgan Drive Rexburg, ID 83440 Contractor: Owner Special Conditions: Landings at exterior door to be finished as weather permits. 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 with the requirements ofthe code for the group and division of occupancy and the use for lahich the proposed occupancy sties classified. Date C.O. Issued: March 17, 2006 (01:43 ) f;~ 4 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 Departure ^~"' Fire De State of Idaho Electrical Department CITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X326 PARCEL NUMBER: OS 00097 Plea S F R Jeppesen ,n, If the question does not apply sill in NA for non applicable 'zP zx ~ c ~- o z~od5 ~ ~ , ~~~r SUBDIVISION: ~ ~1~~, _____ UNIT#_~BLOCK#~_LOT#~) r OWNER ~ "'` f Q~' ~,~ CONTACT PHONE # ~Ib`-I c~pLo 7l ~ PROPERTY ADDRESS: (~'~ ~rr2rt.f ~ ; ~.~ (!~ PHONE #: Home (~~ ~j5~-'2~ ~9 Work (2L~) ~~, %~ - ld L (,~ Cell ( ) 3l 7 ~ 7Ga `~~ OWNER MAILING ADDRESS:-'~'-:~-L ,DY' i? I~-', CITY: (}BUY STATE: ~U ZIP: S3`}~/(} APPLICANT (If other than owner)- (If applicant if other than owner, a statement applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF APPLICANT CITY: STATE; ZIP PHON #: Home ( ) Work ( ) Cell ( ) CONTRACTOR:~~ ' PHONE: Home#'.~~~'ork# 3~'D-IQQ(eCell# MAILING ADDRESS:_~3~ Iv1D1'A Yl DY, CITY ~l STATE ~ ZIP ~~~ How many houses are located on this property? ®Y1~ Did you recently purchase this property? No Yes If yes give owner's name) (~,~',~, ~~J m~ Is this a lot split? TO~ YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family Multi Farrkly, 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 ~~~/,~~ 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** NAME (,~ ~ _ ___ PROPERTY ADDRE S SUBDIVISION Dwelling Units:_ SETBACKS FRONT ~ 5 Permit# Parcel Acres: s ~'b ,. , , SIDE W) 32, (o SIDE BACK ~~ ~' Front Footage (if applicable) - $~,'~2 Storm Water Length SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area~2.~ Unfinished Basement area 20~-~}' Second floor/loft area Nf~] Finished basement area IV Third floor/loft area nJ~,q- Garage area~~* x 2 $, ~ ~ ~ 23 q ~ Shed or Barn ~~,~ Carport/Deck (30" above grade)Area ~/~ Remodel (Need Estimate) $ Water Meter Count: Water Meter Size: PLUMBING _ Plumbing Contractor's Name: ~~j 1 j Business Name: ~ b -~~~ cJ Address State ~ Zip Contact Phone: (~) ~9- 9~k 7 Business Phone: (Z~g) 3t3- X388 FIXTURE COUNT Clothes Washing Machine ~_ Sprinklers Dishwasher _~ Tub/Showers ~~~1Q '4 Floor Drain ~_~ Toilet/LTrinal ~'' /-~ Garbage Disposal _I Water Heater Hot Tub/Spa r A Water Softener ~ Sinks ~~ (Lavatories, kitchens, bar, mop) Plumbing Estimate $ _ (Commercial Only) KM~ti1l~ C t! IoZZ. 3~ZZ-~ os Signature of Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 2 NAME ~~~ rQ c PROPERTY ADDRESS ~- SUBDIVISION ~ f'~ _ MECHANICAL Permit# Mechanical Contractor's Name: ' ~ 7 ~ Business Name: _ ~~ Address I' /~ State Zi 1 ~ W 5(L~i __ r Contact Phone: (2pg) '3 5 9- 9'tJrQ ~ Business Phone: ( ) FIXTURES & APPLIANCES COUNT Furnace ^ Furnace/Air Conditioner Combo . ^ Heat Pump ^ Air Conditioner ^ Evaporative Cooler ^ Unit Heater ^ Incinerator ^ Boiler ^ Pool Heater ^ Similar fixtures or Appliances: Exhaust or Vent Ducts Dryer Vents yIGy~Range Hood Vents Cook Stove Vents ^ Space Heater Decorative gas-fired appliance Mechanical Estimate $ ~s~11~ (Commercial Only) Heat (Circle all that apply) Gas Oil Coal 1~ irc•~?=~s:e Electric Point of Delivery must be shown on plans. ~ ~ s5.~ Fixtures or Appliance outlets of the gas piping system Bath Fan Vents ^ Other similar vents & ducts: Please check all that Apply: Signature of Contractor 1357 ~ ~ZZ !~` Date License number The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 3