HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00041 - 587 Johnson St - New SFRZ
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~~``'`~ ~'~°F CERTIFICATE OF OCCUPANCY
R.~B~R~ City of Rexburg
AMERICAS FAMILY COMMUNfCY
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Building Permit No: 05 00041
Applicable Edition of Code: ~~ ~?>
Site Address: 58-I j~~1 Vie.
Use and Occupancy: S~~ 'Fann~1~ Rcs~de~cc
Type of Construction: ~, N V~hpYO~l
Design Occupant Load: ~d~.hQ~
Sprinkler System Required: (\Jp
Name and Address of Owner: Harris Trent Etux
3599 N 250 E
Rexburg, ID 83440
Contractor: Harris, Trent
Special Conditions:
Occupancy: ~-~j
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 v-es found to be in compliance vtith the requirements of the code
for the group and division of occupancy and the use for vthich the proposed occupancy vtes
classified.
Date C.O. Issued: June 29, 2:57PM)
a
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
State of Idaho Electrical Department (208-356-4830):
~~ R CtTRY OF R
i a 1 `~L~1 \.t.l
AMERICAS FAMILY COMMUI~rrY
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:.
Design Occupant Load:
Sprinkler System Required:
CERTIFICATE OF OCCUPANCY
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
05 00041
5$7 3drrEcn Vie.
5•~t. Fa~nn~1~ Rcs>,der~c~,
Name and Address of Owner: Harris Trent Etux
3599 N 250 E
Contractor:
Special Conditions:
Occupancy:
Re~urg, ID 83440
Harris, Trent
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time time of issuance, this building or that ponion of the building that
vies inspected on the date listed vies found to be in compliance v-ith the requirements ofthe code
for the group and division of occupancy and the use for v~hich the proposed occupancy sties
classified.
Date C.O. Issued: June 29, 2:57PM)
P
C.O Issued by:
Building Official
There shall be no further change in the e~asting occupancy classification of the building nor shall any structural changes,
modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved
said future changes.
Water Department• Fire
State of Idaho Electrical Department (208-356-4830):
* CITY OF REXBURG ~ ~ ~ ~ ~ ~ v ~ PERMIT # ~ ~a Qc~~ `~~
•~ BUILDING PERMIT APPLICATION ~ B 1 7 205
19 E MAIN, REXBURG, ID. 83440 Please compl he entire Application!
208-359-3020 X326 of a ply fill in NA for non applicable
n CITY F REXRURG
PARCEL NUMBER: ~P~ ~ N~ S ~t~'^ ~
SUBDIVISION: 1}~.l"~~2Son~ Scl3D~/~J~oi`' UNIT# ~ BLOCK# Z. LOT# ~~
OWNER: 7~,e~ i ~~ Q.1 S CONTACT PHONE # .~ S! - 7$S 7
PROPERTY ADDRESS: ~~
PHONE #: Home (LD~ 3 ~¢ -~~,~ Work (~D~J 3 S~ -'~ ~'.S"~ Cell (zv~ 3.n- 7~S'7
OWNER MAILING ADDRESS: 3S'7'9iy. 2~~ CITY: ~~iXZF STATE:~1 ZIP:S3 y~/~
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
3~ ~~/ ZS'~ ~ CITY: ~~~(, STATE;.-~ ZIP ~~l (~
PHONE #: Home ( ) Work ( ) Cell ( )
CONTRACTOR: ~~c~NC- /~}22~' PHONE: Home# Work# Cell# ~ 3-~ ~~~'
MAILING ADDRESS: ~ ¢S /AC~cn~i~' CITY
STATE ZIP
How many houses are located on this property? ~"-
Did you recently purchase this property? No Yes (f yes give owner's name) T,~~ ~~ LS
Is this a lot split NO YES (Please bring copy of new legal description of property)
PROPOSED USE: S/~G F .~A-~-~~ ~ ,~Zc~~~C~vGF
(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 void if work stops for 180 days.
Signature of Owner/Applicant
Z , l~ , oS-
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**
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NAME ~~,s/T /'SG9~2le if
PROPERTY ADDRESS
SUBDIVISION ~i/~ C~-S oy/ S ul~+ t til~'iv,~
Dwelling Units:
SETBACKS
FRONT
Front Footage (if applicable)
Storm Water Length
Parcel Acres:
SIDE
BACK
~D~c~~ad~~~~a
~_
t# FEB 1 7 ~`
~'
CITY OF REXBURG
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area /'~ (~C7
Second floor/loft area
Third floor/loft area
Shed or Barn
Remodel (Need Estimate) $
Water Meter Count:
Unfinished Basement area 171~y
Finished basement area
Garage area '7 ~ (~
Carport/Deck (30" above grade)Area
Water Meter Size: 3l
PL UMBIN 1
G ~ ~, ,~--'--~ l ,_
Plumbing Contractor's Name: M ~ r ~,~ ~.~; ~a ..,,~~, Business Name: J ~y ~ ~ l ~~ r
Address ~ t~ .. ~ X ~ (~ S~ ~~~e ,~U State 1 ~ Zips 3 y ~ ~
Contact Phone: (~o$) ~~- ~I~b 33 Business Phone: (~9) ~,~~..~ r ~7 ~ -7
FIXTURE COUNT
Clothes Washing Machine / 1 Sprinklers °~-
Dishwasher ~ ~ Tub/Showers ~,/
Floor Drain 1 1 ToiletlLJrinal
Garbage Disposal _~_ Water Heater ~Z `~
Hot Tub/Spa -~- ~ Water Softener ~ ~
Sinks .S (p
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
~ gnature of Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
SIDE
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NAME ~~T ~'i44~~~
PROPERTY ADDRESS
SUBDIVISION ,fE,rp~~,,~ ~~' ~,i/i.S~~9.d
MECHANICAL ~h`~~5~"`S k~'-
Mechanical Contractor's ame: t h
Address ~~lU
Contact Phone: Q~ ) ~ ~ ~, ~~ ~ b Busi~
FIXTURES & APPLIANCES COUNT ~~
^ Furnace ^ Incinerator
~~' ~ Furnace/Air Conditioner Combo ^ Boiler
^ Heat Pump ^ Pool Heater
Permit#
Business Name: y ~7 ~ L
to ~ Zip~c~ ~
one: ) ~ 13 ts'L~~~j ~.
Exhaust or Vent Ducts ~ a
JS ~ Dryer Vents f
~-~ ~ ~ Range Hood Vents
^ Air Conditioner ^ Similar fixtures or ^ Cook Stove Vents
^ Evaporative Cooler Appliances: ~ ~~~-Bath Fan Vents
^ Unit Heater ^ Other similar vents & ducts:
^ Space Heater
35 ~ ~ Decorative gas-fired appliance ' ~
~~ J~..Fixtures or Appliance outlets of the gas piping system
Mechanical Estimate $ (Commercial Only)
Heat (Circle all that appl Gas Oil Coal Fireplace Electric
Point of Delivery must be shown on plans.
Please check all that Apply:
~~~~o~,~
FEB 1 7 2005
CITY OF REXBURG
Signature of ontractor License number ' Da
The City ofRexburg s permit fee schedule is the same as required by the State ofldaho
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NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
FRONT SIDE SIDE BACK
Front Footage (if applicable)
Storm Water Length
Permit#
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: .~~~,~ ;.1 ~~~,,, z..r, F ~~ Business Name: ~ ~ ~"
Address State Zip
Contact Phone: ( ) ~ ~ ~ _S j ~:~ j Business Phone: ( )
FIXTURE COUNT
Clothes Washing Machine l Sprinklers
Dishwasher ~ Tub/Showers ~~?
Floor Drain - Toilet/Urinal
Garbage Disposal i Water Heater i
Hot Tub/ pa -~ Water Softener
S' s
~L atofies, kitchens, bar, mop) >
~nbing"Estimate $ (Commercial Only)
~,
. _.
~~ -~ i
Signature of Contractor License number Date
The City ofRexburg s permit fee schedule is the same as required by the State ofldaho
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2
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i-
MECEANICAL I j /~
Mechanical Contractor's Name: ~~^~,~~ (' -..~~-~~; ~ i~ Business Name: ~'. ~^~> r^tn~ GEC ~' !~ti ice'
Address State Zip
Contact Phone: ~~ ~,) ~ ~ <; ~}- ~~; ~~ ~ `- Business Phone: ( )
FIXTURES & APPLIANCES
Furnace ~_
Furnace-Air Conditioner
Combination -'~
Heat Pump .---
Air Conditioner --
Evaporative Cooler
Pool Heater --`
EXHUAST & VENTILATION
Dryer Vents
Range Hood Vents `_
Gas Pipe (# of Outlets
Unit Heater
Decorative Gas-Fired
Appliance
Space Heater
Incinerator
Broiler
Cook Stove Vents
Bath Fan Vents
Mechanical Estimate $ (Commercial
o~ly~
License number
Date
The City of Rexburg's permitfee schedule is the same as required by the State ofldaho.
WATER METER COUNT
WATER METER SIZE
HEAT (Circle all that ap y) Ga,~' Oil Coal Fireplace Electric
.__ ~-..
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