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Home My WebLink AboutAPPLICATIONS, CO, BP - 05-00114 - 301 Pollard Ave - New SFRZ '„ _ ~ C! T~ v ~ p C~ ~ m O ~ Al~~ ~ ~<2c ~ m m ~3 ~-v~ '' f m v rn ~~ ~ _ ~ ~' c o cco~~y O p ~, ~ r ' ~_ }~y r ~ < ~ ~~ Z Z ~ ~ ' 1 J~ i ..~. ~' > Q N ~ U 0 ~ 1 V ~ ~ ~ ate. TT O ~ ' \/ ~ N B o a 3. 3~ "'~ ~ Q O '. N~ Z m S v' ~ =m .NO.. m 111 ~ pcQ~G O ~ ~ ~ r -cam ~ a~ H = ~ N ~ m o~ n p cD .. 2 • o .~ n T m O Q. ~ ~ m~ p C N ~ W~~ N ~ *k ~ o~ m ~ O C y~ C ~ N ~~Q v ~_ ~3°0~ N cn .. a~~ o Z ay ~o o ~ ~ a~ to ~ ~ K y y U N m -~ c~ m S ~ v =,~~~. N ~ ~ ~ 0, ~ C9 ID ~ ~ ~ -1 ~ 7 ~ O Q O O. ~ ~ o ~ ~ ~ r. cC W A g c\~ a~ z D o cso~~ v z ~ ~~ ~ m o ~ ~~ a N m m g•~Z D = ~ n~ SI VJ ~a ~~ ~ ~f m m °c of 3 w < s~~O ~ ~ ~ ~ o • 0 0 ~ Q w ~ C CI .O+ ~ ~ ~ ~. N ~ o- D r Q ,.. ~ p) ~ O. N O W ~ ~ ~ F p m c. o m ~ X~ o' a F~ y~~ ~ o Z 'a m o 0 m n'~ ~ o. ~ ~ 3 C y .~ n H o f °- m C ~ 0 0~ m` 'c o °1 0, z 111 3 y ~ o ~ a '" °' ~ m~ ~ Z m o N '0 s~m~_n ~ ~n n ~pD "' m ~ = O C ~ -i j ~• ~ 000o m ~ ~ O ~ Z Z~ m v ~ z ~ C C oocoi W ~ 3 ~ 3 r NTH ~ ~ W Z W z v ~2~ W -a ~ z Z o p ~ ~ O ~, v c> m ~ ~• Zug o• ~ a ~ ~ N Z N \Y '~ C ~o ~ ~ i_ Q- o. ~ A W N ~ o ~ m ~ - ° ~ o_ ~ c ~ cn ?_ ~ ~' m m ~• m ~ m ~ CD z. m ~ 0 0 ~ CO Oo V ~ U7 ~. W N T1 ~ Z ~ ~ fA a ~ 5 ~ T d ~t d ~t ~ O ~1 o r ~ CITY OF RExBUR~ AMERKA5 FAMILY COMMUNITY 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 00114 (t~ 301 Pollard Dr ~il~~If1 ~~~i~~ ~~1(.~-Y~ W-~ r~c~-ect~ `(~v~, . , ~ tiZ P g ~ I ~ ~I~ NO Name and Address of Owner: Harris Trent 3599 N 250 E Re~urg, ID 83440 Contractor: Trent Harris Const. Special Conditions: ~ -~'~'. ?~~ ~ ~~ ~~• ~~~ ~ ~s Occupancy: ~~~5iG1~~1-hGt.~ "~~~5 0~ l,~Ylt~~, ~~r/~~1~1-~' (1'1 ~~~~~ 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 sties inspected on the date listed sties found to be in compliance tnith the requirements ofthe code for the group and division of occupancy and the use for ttihich the proposed occupancy toes classified. Date C.O. Issued: November 09, C.OIs ~%vT ,~ sued by. Building Official 1 PM) There shall be no further change in the epsting 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: ~ ~ ~'\ ire D State of Idaho Electrical Department (208-356-4830):-_'~~ s CITY OF REXB URG PERMIT # BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 Please complete the entire Application! 208-359-3020 X326 If the question does not apply fill in NA for non applicable PARCEL NUMBER: 2~' ~~-~~~5 ~~ ~ ~ ~Q~ SUBDIVISION: f/~'//~ C2S c7n/ LJNIT# BLOCK# Z LOT# S- OWNER: i~~?~J'7' J~1~9-,ee l ~ CO/US j CONTACT PHONE # .3.5~ 1~~'s~ PROPERTY ADDRESS: 3O~ 'PQ~~~.~~~~, PHONE #: Home ( 3~1i-'7gS_' Work ( ) Cell ( )' 3sl - ~~,,5", OWNER MAILING ADDRESS: 3,.5>~j~U. Z,~o~. CITY: ~~',~.(,STATE-~/~ ZIP: K ~ 4 yo APPLICANT (If other than owner) ~]"-,~iV~T /~~9-,C.r~ ~s (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF APPLICANT S~~ cITY: PHONE #: Home ( ) Work Cell CONTRACTOR: SrA~lc~ PHONE: Home# Work# MAILING ADDRESS: CITY ZIP Cell# STATE ZIP How many houses are located on this property? /tfQ /lr~ Did you recently purchase this property? No es If yes give owner's name) ~ i~r~ ~~Q/J' Is this a lot spl' . l~~ YES (Please bring copy of new legal description of property) PROPOSED USE: _ ~ ~ /U~ C ~ ,~~¢,.yl ~ L ~ ~f'ipJ j~~c,,,f/JC (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, 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. Pit void if work stops for 180 days. Signature of Owner/Applicant WARNING -BUILDING PERMIT MUST BE POSTED ON CON. Plan fees are non-refundable and are paid in full at the time of application City of Rexburg's Acceptance of the plan review fee does not consl **Building Permit Fees are due at time of applicatii **Building Permits are void if you check does not cli STATE: /~/ ~J DATE ~20~5.1~ approval APR l 32005 ~ ~~~ OF REXBURG ~~~~, CITY QF RE;XBLIR~ ~ . _ _ _.~ AMERICA'S FAMILY COMMUNITY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 vuvuw. rexbu rp. org comdev(c~ rexburq. ora Affidavit of Legal Interest State of Idaho County of Madison Name Address city s~ State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this day of , 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME T1ZE'NT /ff~Zletf PROPERTY ADDRESS Permit# SUBDIVISION if~i/!~E~.f'u ~v Svc . Dwelling Units: SETBACKS FRONT ~,3 Parcel Acres: SIDE ~~ -~ - ` SIDE / G ~~ - ~ BACK yS ~ Front Footage (if applicable) Storm Water Length SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Second floor/loft area Third floor/loft area_ Shed or Barn ~~ Remodel (Need Estimate) $ Water Meter Count: PLUMBING Water Meter Size: 3/y Plumbing Contractor's Name: G m PL vml? I ~(, Business Name: ~~4 Y yn -~ t~ Address P.(~, gv-x 1 I Z State S' D Zip ~~,~- Contact Phone: (~$) ~ 40 - y p (s 3 Business Phone: ( ) 3 c1 o - ~ a (, 3 FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~ Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ Unfinished Basement area Finished basement area / ~,SC) Garage area ~ 7 ~' Carport/Deck (30" above grade)Area ~S rinklers ~ /~ "Tub/Showers _~ T 'let/Urinal Water Heater ~_ Water Softener (Commercial Only) ignature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME ~'~ ~T ,~ A.~,e , I PROPERTY ADDRESS Permit# SUBDIVISION /`~n1U~CK,t" o,.~ MECHANICAL Me~ehanical Contractor's Name: ~ L/)'i lZ S/~yGLC~-T~-•~ Business Name: ~ l~ ~7~~ r~G Address Z(aoS ~/1 ~~lDlw/ GN ,S7:i9~ro7~.,~1State ~D Zip g~~ Contact Phone: (1.Qg) ~ 13 - ~~(9 Business Phone: ( ) 3 13 - Ocso L~ Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL9NCES COUNT (Single Family Dwelling Only) Furnace ~_ Exhaust or Vent Ducts ~Zo Furnace/Air Conditioner Combo ~;~ ~_ Dryer Vents /S Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Range Hood Vents Cook Stove Vents 3 Bath Fan Vents /S other similar vents & ducts: 13S _~ Decorative gas-fired appliance i5~ ~_~1 ~ 1 S~ Incinerator System Boiler Pool Heater Similar fixtures or Appliances ,~ Fuel Gas Pipe Outlets including stubbed in or future outlets 20 Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply Gas Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho SUBCONTRACTOR LIST Excavation & Earthwork: ~R"VE-~Z GvNS1~.~rG71.o ~J Concrete: ~ d 'e y ~lC~.l Masonry: ~~fi.s Q,nJ ,~Q 22 if Roofing: ~jiQ'~E~ lZOO ~~~~ Insulation: ~1'Lt.L L/~fT Drywall: ~'~ CA-2 T Painting: R) (~ (7~ji2N j~i~/nlTi~G Floor Coverings: 7 ~L LU ~/ S ~ NF 1~0 ~ T e~~1~ ~~~ Plumbing: ~ ~-yi ~ L Ur-'l ~ t ~~ Heating: ~i~- Q ~~-7' / ~'G Electrical: V / le(~ /..~ ~L~G7l~/~ Special Construction (Manufacturer or Supplier) Roof Trusses: ~ ~r T Floor/Ceiling Joists: ,,~r~(. C [„~~- T fi~v L~~~ ^JG Siding/Exterior Trim: !~=~-~^-~. ~ /"-~ - _ _ _ T, Other: