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Home My WebLink AboutAPPLICATIONS, CO, BP - 05-00181 - 165 S Hidden Valley Rd - New SFRo v 3 M ~ ~ m ~ ~ (~ ,,may ~,~ ~&. '~ N ~ " W `° o ~'~ m ~ m ~ m `~ ~ ~ ~ N D ~'t7~~ ~ Z ~ C ~'s ~~ m RI ° ~7 Q- _. ~ ~ ~ m v DTI ~ ~ ~ o~° ~ ~ ~ ~ cQOQ3 n p ~ ~ v ~ ~ ~ ~ v+' ~ N ~ ~ ~ w r ~o~_~ a C ~`°~y ~ n m t~ o c _ ~ °' ~ 3 m -I W O ~. 01 r- t o~mFyN o0 73 ""' 2 O m a ~~ o ~~ n ~ ~ p QcSD v' _2 ~ ~ ~ c ~ ~ a n /~ ~ ~ ~D ~ " Q m o m ~ O G y~ C ~yQ v ~ ~3°0~ ' < ~~ °-~ F o Z ago ac °-' ~ n, ~ cQ' ~ `G N ~ N fD ~o ~ o m ~ ~ ~ ~ ~ ~'1 F o~ o v W ~, ,~~a ° ~ ~ c ~ c to ~ ~ ~: A ~ 3 T ~ Q ~ y~ o W Q. ~. o ' v 0 m N~ W O Q. ,~.' tC O ~ ~ x W ~ ' ~ ~1 n ~ • ~ ~ -a ~ v ~ ~ .~ ~ C n~ Z D o ~f~ v ~ ~ C7 m a~ ~ Z ~ >> m ~' s z ~ x-°10 = n~ ~ N cc 0 ~ o ~ o• f m rn =~~ .~ o_e~i s~~0 '~ ~ ~ 7 7 ~ ~ m ry aic- ~ ~ ~ C1 n~ ~ o o ~ c m ~ C "1 d• ~~ ~ c^~om D r Q.~~ 2 ~ ~ x m H m~ ~ Z E N O ~ _ ~ ^^ w m~ ~. y o Y/ 7 C ~- N •~ n o ° ~~ a °~ ~ ~ ~ ~ S ~ ~ 3 7 m o °~ o ~ m y~ ~ o ~ a "' °. ~ m n ~ A w rv Z 4J .'0 7 ~ ~ TI .Z) ~ (n ~ ~~ -~ ~ ~ ~ v ~ ~ ~ m s+~ m -n ~ v a - ~ ~ ~ C1 ~ v D m ~ _ ? ~ ~ -1 ~~~ ~ ~~~ ' ~ ~ O 3~ m w ~ 3 0 z z Z 00 0 o n ~ ': ~~ ~~ ~ W z~'~ v ,4.z ~ ~ m C C n ~ p n w ~ 3 ~ 0 0 3 r yT~ ~ ~ ~ Z ~ ~ W v v v yyZ -p c;.~ ~ ~ Z Z O m -G .o ~ ~• ~~ ~ en Z C7 n ~ ~ /~ ,~ g a \ i ~ ~ ~ f7 Z N ~ p ~ O < m ip Q p, tD OD V ~ U1 A W N -+ T o~i ~~ chi ~ ~ ~~ (p °- ~ °~ ~ 0 v = ~' v o' ~ ~ cn c a v o °o ~' cc ~ 0 c a4 RexsuR~ U~ d~ CITY of CERTIFICATE OF OCCUPANCY Y~ ~~~G s ~~Sk FO tB America's Family Community Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: 05 00181 Applicable Edition of Code: International Building Code 2003 Site Address: 165 S Hidden Valley Rd Use and Occupancy: Single Family Residence Type of Construction: Type V-N, Unprotected Design Occupant Load: SFR Sprinkler System Required: No Name and Address of Owner: Trent Harris Construction 3599 N 250 E Rexburg, ID 83440 Contractor: Harris, Trent Special Conditions: 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, sties inspected on the date listed v-es 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 v-es classified. Date C.O. Issue C.O Issued by: 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 b ire State of Idaho Electrical Department (208-356-4830) C~ TY OF REXB URG • BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 PARCEL NUMBER: ( We will provide this for you) e7hase; ~ ~~, SUBDIVISION: ~/ ~'~ //.9~ ~ y UNIT# BLOCK# ~ y LOT (Addressing is based on the information -must be accurate) OWNER: -t-p~c„~ /fy~L~2/ j Cp~f~ CONTACT PHONE # 3S/ - '~8S' ~j PROPERTY ADDRESS: PHONE #: Home (~ ~.~ - ~ ~'7 Work ( ) ~i9in1~ Cell ( ) .~i9~ ~ OWNER MAILING ADDRESS: 3.S~~iYi Z.S~L~, CITY: ~.1'aiJlle.(~STATESI~ ZIP: 8~0 EMAIL FAX .~,$~i ' 78S' APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant/to~act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS `~~ /~~ CITY: STATE; ZIP EMAIL FAX PHONE #: Home PERMIT # Please complete the entire Application! If the question does not apply fill in NA for non applicable Work Cell CONTRACTOR: MAILING ADDRESS: CITY STATE ZIP PHONE: Home# Work# Cell# EMAIL FAX now many buiidmgs are located on this property? Did you recently purchase this property? No Yes If yes give owner's name) % ~E~y'T i~49~,e1f CvitJ3' / ; Is this a lot spli . NO YES (Please bring copy of new legal description of property) PROPOSED USE: 5~~~ L ~ ~~~'yl /L~/ ~,S~I~G~~ (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. Perm' void if not started within 180 days. Permit void if work stops for 180 days. ~.~D ~ oS lure oT Owner/Applicant DATE you prefer to be contacted by fax, email or phone? Circle One 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 Rezburg'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** • ~~~, CITY OF _ _ ~a f _ _ --- ~q AM[RICA'S FAMILY C~MMUNI'(Y 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 ~ Rexburg, Idaho 83440 Fax: 208-359-3024 vrww.rexbura.orca comdev anrexburq.orq Affidavit of Legal Interest State of Idaho County of Madison I, "7-2~nr~- ~~i1 3s9~ ~v, 2S`D Name Address ~~c '~1~ ~~ T' D 9-x-0 City 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 ~ O day of f~~~ , 20~ ,Z 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 en~Tre A lication! pp If the question does not apply fill in NA for non applicable NAME 1~~;~L,P t f Gdnff T, PROPERTY ADDRESS Permit# SUBDIVISION ~1 n,~~/ v~~Zc v Dwelling Units: ~~ Parcel Acres: /~~ SETBACKS FRONT 3Z ~ SIDE /Z ~ SIDE /Z Remodeling Your Building/Home (need Estimate) $ BACK .~O ' ~~ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~ gQ (~ Unfinished Basement area /y~" Second floor/loft area /U.~ Finished basement area 1 ~Ba Third floor/loft area Garage area cI yp Shed or Barn /y Carport/Deck (30" above grade)Area Water Meter Count: Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: S~ ~/ ~y, /L~E',2 Business Name: ~,/-n !'L U~+ d / ^- (-~ Address ~~ Q ~ ~ dx / I Z City ~ST ~~./TH~„~~ State ~.Q Zip y~ Contact Phone: (ZU$) 3 ~'U -~/U(,~ Business Phone: (~) ~ Z ~/- ,' Email /~~7 " FIXTURE COUNT (including roughed fixtures) ~ Clothes Washing Machine ~ Dishwasher ~ Floor Drain Garbage Disposal /U~ Hot Tub/Spa Sinks rJ (Lavatories, kitchens, bar, mop) Fax N~ Sprinklers Tub/Showers Plumbing Estimate $ ~i/A" (Commercial Only) ignature of Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as Date by the State of Idaho 3 Toilet/Urinal Z Water Heater ~ Water Softener z ' Please complete the entir~pplication! If the question does n~apply fill in NA for non applicable NAME .T~~T fi~~21~ ~ f Gy ~.f T , PROPERTY ADDRESS Permit# SUBDIVISION t-} ~ D R~-ni VR2LL~ f' Required!!! MECHANICAL Mechanical Contractor's Name: ~Li9-~lZ ,S/nl~E-77~,,~ Business Name: ~~ ~ ~~49.3'~^~?i Address ZC~D S ~rry-~ D_fon~ LN. City S~ State ~.~ zip g3 y yD Contact Phone: (~) 3 ! 3-U UO L9 Business Phone: ( ) /1~~- Email ./U, Fax rL~ Mechanical Estimate $ /~//9- (CommerciaUMulti Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Z Exhaust or Vent Ducts J Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances ( Dryer Vents Range Hood Vents Cook Stove Vents .~ ~i Bath Fan Vents other similar vents & ducts: 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. ~~D .~ .~ i o_..r- Signature of Licensed Contractor License number to The City of Rexburg's permit fee schedule is the same as required by the State of Idaho ~ ~ SUBCONTRACTOR LIST Excavation & Earthwork: ~~-~/~-2 CS~NS % iLtl~~Qn/ Concrete: ~~ G CC~NG2~T~ Masonry: ~~ON /~.lM-~Gtf ~1~~,/~~/ Roofing: ~"" ~,~~ ~OUJ~//~G Insulation: 8mG ~~51- Drywall: /,~~rlJ D,e y,.,~qL, Painting: 8i G ~-~tj~2n/ ~,g-- ,nr'rJ ~/7a Floor Coverings: ~lr-L Law S' IZ.rn~' DO / T CE=-'y!'~ Plumbing: t; /yt ~L ~ (~ t ~ Heating: SCI--~ ~}~~~ ~(~ Electrical:_ ~/ IICG ~ ~ ~LE'-G7~1~ Special Construction (Manufacturer or Supplier) Roof Trusses: g ~-'~~ ~~1'% Floor/Ceiling Joists: ,~~ C !„/~J T Siding/Exterior Trim: TFV G~n~.r/n~G Other: