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APPLICATIONS, CO, BP - 05-00129 - 120 Star View Dr - New SFR
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' " rn y a~ ~~~,~ ,.~' ~r C m ~ ~ r~ ~8~t O ~yA v ~ ~ ~, O ~, % ~! ~, ~~ i -< m ~ r ~. ~! -< c~0 ~. ~• W D -r, ~ o A w N ~ Z m m o N ~'I ~ ~ fn ~ 3~ ~ m ~ d o v m m ~ ~ a s+, m s m ~ n ~ _ ~ ~ ~ ~ ~. ~ ~ m cn N 0 3 = m m O Z 000 ~° ~ 0_ Z I T Ol n Z ~ ~~ ~ ~~ ~ ~ C W C , .. G1 O~ to ?' c ~ o ~ ~ r UZ1TC ~ ~ cp Z v z w T ~ Z Z 0 ~ o G ~ O r d p ~~ N N _ Znf1 ~ ~ ~ ~/ D O ~- .~ /~ ~ Z ~ ~ ~Y n Z N O O O C O . CO OD V ~ U7 A W N T Z ~ ~. v cn m ~ ~ ~ ~ S v ~ ~ = ~o T ~ ~ ~ r 0 c OQ gBXB LRC +~~ l9 ~~ ., 61 ~SMEO le CERTIFICATE OF OCCUPANCY CITY O F Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 REXI3URG America's Family Community Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 05 00129 International Building Code 2003 120 Star View Dr Residential Type V-N, Unprotected Single Family Residence No Name and Address of Owner: Sellers Matt Etux 12 Mill Race Rd Rexburg, ID 83440 Contractor: Merrill Construction Special Conditions: Backyard grading and the landing at the deck stairs to be finished by Spring. Occupancy: Residential, single family dwellings, lodging houses 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 with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy wes classified. Date C.O. Issue 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 addifions be made to the building or any portion thereof until the Building Official has reviewed and approved said future changes. ~, Water Department: 're State of Idaho Electrical Department (208-356-4830)•• CrTY OF REXB URG BUILDI~iG PERMIT APPLICATION 19.E MAIN, REXBURG, ID. 83440 P~ AFRMTT ff OS 00129 ,;oo, 208-359-3020X326 ~PRNDV~(7010~-7OIftl Sellers Hidden Valley cable PARCEL NUMBER: °" SUBDIVISION: ~~ /~~4 ~ UNIT# BLOCK# ~ LOT#_~ OWNER: ~~, ~ Sc' ~/ r5 . CONTACT PHONE # ~~ °- OZ `1~"~ PROPERTY ADDRESS: ~~ ~ZO S'f'ct r ~~ c~+~ PHONE #: Home ( ) (~~ -- 0~ ~,(~' Work Cell ( ) ZD/ - l7Z ~ OWNER MAILING ADDRESS: lZ yYl,`~~ 1-2u~ ~~~ CITY: ~t'Xbv.S STATE:.~d ZIP: ~~~%YI? APPLICANT (If other than owner) `,//~~^,`// Lo~~r~ ~,`ar, LL t/ (If applicant if other than owner, a statement authorizing applicant to act as agent for owner this MAILING ADDRESS OF APPLICANT _ i32Z ~. /~~_~. ~", CITY: ~v~>Gt!`-~• ~~ STATE; ?'crcthr7 ZIP ~~yy~ PHONE #: Home ( ) 3S~ - ~lL! ~ Work ) ~:~ ~ Yll6 Cell ( ) .~ % - / ~c~ l CONTRACTOR:_,~~~`jp,~, 7~'la~r~// PHONE: Home# MAILING ADDRESS: ~,,~,:; G~-.~ u~v~.- CITY STATE ZIP How many houses are located on this property? 0/9~ Did you recently purchase this property? No ~If yes give owner's name) ~~~. ~u~~ei- Is this a lot split? NO ' YES (Please bring copy of new legal description of property) PROPOSED USE: ~ ~ rt l~ i-z (i.e., Single Family Residence, Mul T Family, ~'~P,~~ ~ 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/ c.~y,2~ ,os DATE WARNING -BUILDING PERMIT MUST BE P~ED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the Mme 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** Work# Cell# ~ CITY OF ~S RE:~BLIR~ ~q8 ~ AMERKA'S FAMILY COMMUNffY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 VyWW.rexburq.orq comdev(a~rexburg.org Affidavit of Legal Interest State of Idaho County of Madison Name City 1 Z- ~ 1 ~. Address - ~~ 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: ..4~ ~Livrry ~,r, // 13LZ ./l/, /G '`~ t Sr~~, _~ ~- L: ~~, 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 ~pf, /- Z S - US- day of , 20 O.~ 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 ~~. 7T ~ ~ //e. r~ , PROPERTY ADDRESS Permit# SUBDIVISION N,`c~cJ~~, L'u//F,. Dwelling Units: ~ Parcel Acres: SETBACKS FRONT_~ ~ ~ QC? ~ SIDE r SIDE , QQ ~ BACK ,Z.©f QQ~ Front Footage (if applicable) /Q~, pQ ~ Storm Water Length SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area /8~ Unfinished Basement area ~//~ Second floor/loft area y/,¢ Finished basement area j9y,Y Third floor/loft area .vli~1,4 Garage area ~(oO Shed or Barn rt%/,~ Carport/Deck (30" above grade)Area ti/,~ Remodel (Need Estimate) $ Water Meter Count: Water Meter Size: ~. ., 5 PLUMBING st -~ ~~ ~, ~~ ~- ~°~~~- ~ ~~ Plumbing Contractor's Name: S ~ (~ 'w wi l~ ~ n 5 ~-~~ ~ Business Name: Address '-~3~ E. Ar~od~~. ~, State ~ Zip ~3yy Swum Contact Phone: ( ) Business Phone: ( ) Z~ - 3~E ~ _ U(~'~,, FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~ P ~ Dishwasher ~ Floor Drain ~ ° Garbage Disposal ~ Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) ~ Sprinklers ~ 3 Tub/Showers Toilet/Urinal ~.- Water Heater -~~ k 1 ~* Water Softener / Plumbing Estimate $ (Commercial Only) ~ ~~~ r~----------_ fat of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho P'#ease complete the entire Application! ~f the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Permit# MECHANICAL c Mechanical Contractor's Name: ~ ~~ ~ i- S, ~ ~,~ {~/~ Business Name: ~~ ~ ~j ~ ~ Address 2.~~5 ~itr/r ~:tJ L~, , State /,b Zip~~? ~3- Contact Phone: ~ )~~ j~ (~UQ ~, Business Phone: ~o g)~3 ! ~ 0~0 ~, Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) ,c Furnace Exhaust or Vent Ducts ~~ Furnace/Air Conditioner Combo ~ Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Range Hood Vents Cook Stove Vents .~ Bath Fan Vents other similar vents & ducts: Space Heater T Decorative gas-fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances ~_L Fuel Gas Pipe Outlets including stubbed in or future outlets 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. ~~~ ~ ~ ~ ~S Signa a of Licensed Contractor License number ate The City of Rexburg's permit fee schedule is the same as required by the State of Idaho SUBCONTRACTOR LIST Excavation & Earthwork: (-7~,,~y K ~ i,~ ~ KLtuc?~-- Concrete: ~SS .~'o'r,~~( ~r-„s ~onerc= Masonry: ~urlic~ ~ ir, ~lOuiJ~~.u.~ Su ~~ ~ ~~ . Roofing: ~r?~f~C~/~r ,7/7~r, ~~~ 7/7~sr, ~I' ~~~tS~i^~~r- ~ ~a~ L.L G ~ ~u~;, Insulation: _ C~ n ~ /~~; ~ -~~~~ ~.~~e~ C~ ~hsc~ ~c~~~,n . Drywall: /`c>c~ ~~,-,' ~,i9 ~ ~ ~.-nu. ~i-~~.:Jr> ~,.iu ~~ Painting: ~~~ ~irc~~so.-. ~~~~ /~C.i,h ~,~ry Floor Coverings: ~ _ ~"r,` sOir . c 9!- G ~©v r,ir4 Plumbing: ~P ~ l7l~C-~-~JCy't~ 5 ~ ~ ~~U;mod, h~ 4 ~ L~~x~xr. Heating: ~~u r /` ~~ «kP/7~+~ ~~-~ 1-~Put/rrti ~ // - v Electrical: ~DC~('( ~~~/~~ ~t';3/irnun ~~Q~~~~. ~, Special Construction (Manufacturer or Supplier) Roof Trusses: ~-: ~~%; Floor/Ceiling Joists: ~~ .17 J~ the Siding/Exterior Trim: l-Jcr~/ur,~/ S ,'cl ,` Other: S~c~cCO.