HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00151 - Parkside Townhomes - Bldg 12Z
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CITY OF
RExBUR~
AMERICA5 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
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
05 00151
g8o Cc~~;-~z~ C Laves
fz~exb~~-~ (D S~y~~
Georgetown Development Inc
2230 N University Parkway
Provo, UT 84604
Gerogetown Development
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 vyth the requirements of the code
for the group and division of occupancy and the use for v~hich the proposed occupancy v-es
classified.
Date C.O. Issued: November 23, 2,~5 (09:05A
~-~~!' - ~
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: ire D
State of Idaho Electrical Department
~~
"~
CITY OF
RExBUR~
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:
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 00151
i~~~~ R~,s i t~ef~i ~
I~,khtcrq I (~ ~ 3~1 y
1 t~~Yl1(°1U
~~•
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
Georgetown Development Inc
2230 N University Parkway
Provo, UT 84604
Gerogetown Development
Vie, 2~3
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 wes found to be in compliance with the requirements ofthe code
for the group and division of occupancy and the use for which fhe proposed occupancy wes
classified.
Date C.O. Issued
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
~~~~, R F /VC~ITRY OF R `//1'
u o i ~..L! 1L~1 ~..t.1
AMERICA'S FAMILY COMMUNrfY
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
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
05 00151
g~~ ~~~
Georgetown Development Inc
2230 N University Parkway
Provo, UT 84604
Gerogetown Development
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 vuth the requirements of the code
for the group and division of occupancy and the use for v~hich the proposed occupancy vies
classified.
Date C.O. Issued: November 23, 200 5AM)
C.O Issued by: f,~1,~i'
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
~ CITY OF
REXBLIR~
AMERICAS FAMILY COMMUNr(Y
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:
Special Conditions:
Occupancy:
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 00151
~g~ Ca~~~ ~~..
12~e~c-~rzu~~ r - S~~c
Georgetown Development Inc
2230 N University Parkway
Provo, UT 84604
Gerogetown Development
This Certificate, issued pursuant to the requirements of Section 109 of the lntemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
yes inspected on the date listed vies found to be in compliance v~ith the requirements of the code
for the group and division of occupancy and the use for vihich the proposed occupancy vies
classified.
Date C.O. Issued: November 23, 2005 09:05AM)
C.O Issued b
Y•
Building OfFcial
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 De
State of Idaho Electrical Department (208-356-4830):
~~ CITY OF
RExBUR~
{~~~ AMERICA'S FAMILY CAMMUIVrfY
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 00151
1h~ccnatibna-4 ~i~~iaP
IBS- ~ ~~ g 3~~ ~
~j~~~
Types V~ N, ~~~~
~d(,c~t1~lGYvl2~
Na
Cock o`~[~
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
Georgetown Development Inc
2230 N University Parkway
Provo, UT 84604
Gerogetown Development
~~I G~vc ~11U.Q~~I`YIQ~ ~rYll (~1 ~IIVi'i~~If'~
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 v-as 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 vies
classified.
Date C.O. Issued: November 23, 2005 0
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 Departure t: Fire Depart nt:
_~~~~~
State of Idaho Electrical Department (20
4
T 'CO'Y OF REXB URG ~ PERMIT #
'~ BUILDING PERMIT APPLICAT UN
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: ~ ~ ~ Q ~A ~'~, ~~,~ ~ 01~
SUBDIVISION:~Qr k~ cI ~ UNITS _~BLOCK#_~LOT#~Jr
OWNER:~~,~ g~~~ Qt~.,~~~ CONTACT PHONE #~o~~ -~j772 ,r2a&~'jdo-d/8f
PROPERTY ADDRESS: _ ~ ~2 G'a-/o; ~-~ ~ y~ „ J~~ ~~~ Z^~
PHONE #: Home
Work
OWNER MAILING ADDRESS: fJy(J, ~K~°r~s;'~ p~ITY: ~ STATE:~ZIP:_~~
~~~J
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
PHONE #: Home
CONTRACTOR:
CITY:
Work
STATE;
Cell
Cell
ZIP
PHONE: Home# Work# Cell#
MAILING ADDRESS:
CITY
STATE ZIP
How many houses are located on this property? S ~~,~~ ~ ~d~~ ~
Did you recently purchase this property? No Yes (If yes give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE: ~~j `~~~ ~
(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 wow stops for 180 days.
of Owner/
/~-/~
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 Regburg's Acceptance of the plan review fee does not constitute plan approval
~~ O p, p ^ ~~y ,1 O. g /_ ~p,Q **Building Permit Fees are due at time of application**
~ b 't'~ 0 W~ 00 **Building Permits are void if you check does not clear**
2
',, ~. ,
Excavatic
Concrete:
Masonry:
SUBCONTRACTOR LIST
Roofing: ~ - ~ L~/,,t. ,~- ~-
Insulation: /~~ ~ J,J„~~~ ~--
Drywall: ~ti2,c,' ; LY'~ S-~i ,~: d~ .
Painting:
Floor
Coverings:~~~~~~- s ~ / ~~~-y~~~
Plumbing:
Heating:
Electrical: ~~ ~ ~ ,~ ~~~~. ~ „
Special Construction
(Manufacturer or Supplier)
Roof Trusses: , ~~~ ~C,S" ~-
Floor/Ceiling Joists:~Jl~ ~ ~~~ 7~-
Siding/Exterior Trim:
Other:
MFtY-04-05
May OZ 05 02:02p Park TownheMCS 1-208-359 ~5 P•2
Fle~se eomplete the entire Application!
jibe gget~s d~ sot apply iNi !bo NA for nun ,sppftcable
NAME _. _ p:,mit#
PROPERTY ADORES j 1 F7~ ~~ "'T "~''fl,r-~
SUBDIVISION '
Dwelling Units: Pucel Acres: -.
SETBACKS
FRONT' SIDE SIDE HACK-___..._ ~__~.
Front Footage {if t~plicable}
storm ware: Length
SURFACE SQUARE FOdTACi)E?: (Sht:ll include ate exttrior wall measurements of the buildu+g)
First Floor Area~~ ~ Unfinished Basement areA__ -_. ~-- ~ --
Second 11oor/toft ~~ ~~_ Finished besematt area . ~ ~--'
Third flooNlaft arse _____ ~~ ~~_~ 9 ~ ~~~
Stied or Bare _y..- Ce~portlDeck (30" obove grade)Arca --.. ----
Rt~noda! {Need Eadmate) S ~
Water Meter CoaaC ( Water Meter Size: ....... --
PLUMBING ~/
Plumbing Cot-tractcr's Name: r y~_Businesa ~lanie: ~z_1' /~~;~:,
~~
Address Statt;~'~_-.._.. P_~~~~
Contact Phone: (~a~S) 3/3 -1 t Business Phone: (~ ~a* )_.3!-~..'~~~
FIXTURE COUNT (ifsetrdbrR roiglked j-~etaras)
l
~`
__~ Clothes Washing Machine ers
Sprink
-
~_ Dishwasher ~~MK •~F "~~y) ~ Tub/Sleov-crs
,,~ floor Drain /[~- _. Toilet/Urinal
,~ „Garbage Disposal ~~ water Heattr
_~ Hot TublSpa ~ Water Softener
_...~ Sinks
(Lavatories, kitchens, bar, mop)
Plumbing layers S.Z,~ (Co®mercial Qnly}
__ _ G/ryS~ _ _~~~~... _.
- ianeture sased aNraeta ~ Lleaa~e number l~
The Ctry of Rabia g's pa~rrir fes set+"~le rt rb~ ass at r+gwrrd by rho Srore of Idalb
s
•
~~
s
CITY OF
R~xBUR~
AMERICA'S FAMILY COMMUNITY
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT #:
PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO
INFORMATION:
BUSINESS NAME: ~
OFFICE ADDRESS:
APPROVED BY:
City ~ ' State 'Zip
OFFICE PHONE NUMBER: (g0) ) 37~-7~2
CONTACT PERSON: - CELL PHONE # (~ r _) .3~0 - 37 l ro
~'s3rJJ J~~/c~ (;td~J ~lQv r ~r~'s
-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE: /Z '~,~/ h . /Q<a~~ ~Q/.
BUSINESS NAME WHERE WORK WILL BE DONE:
DATES FOR WORK TO BE DONE:
CONTACT PERSON: ~~~r ~ j ~%~
TO 4G~ - o?`c~S
PHONE NUMBER: (~o~r ) 35~~- ~17oS /~~ CELL # (v~o~ ) 76t?•- O/~S
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
^ AUTOMATIC FIRE-EXTINGUISHING SYSTEMS
^ COMPRESSED GASES
r~ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
^ FIRE PUMPS AND RELATED EQUIPMENT
^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
^ HAZARDOUS MATERIALS
^ INDUSTRIAL OVENS
^ LP-GAS
^ PRIVATE FIRE HYDRANTS
^ SPRAYING OR DIPPING
^ STANDPIPE SYSTEMS
^ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES
. .~ ~=y o ~
T~
APPLI S SIGNA URE DATE
6
zase complete the ent~ Appllcatl0n~ 7f the question dot apply fill in NA for non
:'~ li~ahln
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required!!!
MECHANICAL
Mechanical Contractor's Name:S~ ey e m ~ ~a~ Business Name: i ~y
Address ~_~x / ,S'~, City (~ ~ ~ ~ State ,J. ~ _ Zip ~53~1,5 ~ `
Contact Phone: (20~) , j~~ (~ `3 ~ Business Phone: (zoo)' ,~~ 2 - ~ q ~ '3
Email
Fax
Mechanical Estimate $ (Commercial/Multi Family Only)
FI~YTURES & APPLL4NCES COUNT (Single Family Dwelling Only) ~'~ ("~
SJ~ Furnace f "1 `'> Exhaust or Vent Ducts
~~
Furnace/Air Conditioner Combo ~ Dryer Vents '~ _
Heat Pump
~_ Air Conditioner ~'~ S
Evaporative Cooler
Unit Heater
Space Heater -
P
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Range Hood Vents
rr Cook Stove Vents
2 ~ L~ Bath Fan Vents ~ ~`~
'~ ~
Similar fixtures or Appliances
~f~ `~uel 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.
~~%r~ .~'..~~~~ 12 Q 1.
Signature of Licensed Contractor License number
The City of Rexburg's permit fee schedule is the same as
~ ~C° as
Date
by the State ofldaho
US Highway 20
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