HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00219 - 382 Eagle Ct - New SFRz
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•
OX gEX6(!kC Certificate of Occupancy
ra C1TY O F
:~ v~ -._ _
~~~G City of Rexburg
`~' Department of Community Development
America's Family Community
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
05 00219
International Residential Code 2003
382 Eagle Ct
Single Family Residence
Type V-N, Unprotected
Residential
No
Name and Address of Owner: Whyte Ted
369 Eagle Ct
Rexburg, ID 83440
Contractor: Rasmussen Alan
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
vies inspected on the date listed vies found to be in compliance vuth the requirements ofthe code
for the group and division of occupancy and the use for ttihich the proposed occupancy vies
classified.
Date C.O. Issued:
C.O Issued by:
September 20 6 (09:32AM)
-----.
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 Departmen • d Fire
State of Idaho Electrical De
CITY OF REXB URG
BUILDING PERMIT APPLICATI~
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X326
PARCEL NUMBER:
PERMIT # •
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
SUBDIVISION: 1:- P'1q ~Y., ~„~ ~~ !~ ~ f f "• UNIT# BLOCK# ~ LOT#
OWNER: ~~, ~ ~LI ~, ~. CONTACT PHONE # ~ ~ ~`~
PROPERTY ADDRESS:
~c,ti L ~
PHONE #: Home (Z~~) 3 ~J b` ~ ~'`~`3~Work ( ) ~~ b ` lj S~~ Cell (Z~~) ~ ~ ~ - ~ ,~ ~~
OWNER MAILING ADDRESS: ~J 6~ ~~~~ ~ ~~,,~~ ~` CITY: ~~e. ~,a~r~STATE:~ZIP: g 3~t ~lQ
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
~(~ ~ ~~1~ ~ CITY: STATE; ~ ,( zIP ~ ~J d
PHONE #: Home ( ) ?,~6 -~J'~j S Work ( ) 356- 0 3-YS Cel~( ) ~ ,j-/ - ~
CONTRACTOR:~~ti,/L ~tidlrwSS~HONE: Home# - s?-S~-Work# Cell#,~J'/ - /~"/y
MAILING ADDRESS: ~L~-~-~ ~/if~ CITY 'STATE~.t ZIP ~3yY~
How many buildings are located on this property?
Did you recently purchase this property? No (Ifyes give owner's name) ~ ~`~,
Is this a lot split? YES (Please bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family Residence, Multi Family, A
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.
Applicant
G~~-P~a~
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 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**
d
~~
dF
~.
CITY OF•
REXBC.IR~
--- -
e~~p~ AMERICA'S FAMILY COMMUNI"fY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
www.rexbura.org comdev@rexburq.org
Affidavit of Legal Interest
State of Idaho
County of Madison
Name Address ~
~~~~~ ~ -~.t d` 3 ~-l H ~
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 ~.~G ~~ day of ~ v N t-- , 20 b S
c.
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 en~e Application!
If he question does not apply fill in NA for non applicable
NAME r_ d ~
PROPERTY ADDRESS L~ /~' /~/~ ~., Permit#
SUBDIVISION ~~ t ww ~ rF S~ ~ ~S
Dwelling Units:
SETBACKS
Parcel Acres:
FRONT ~ ,s SIDE l ~' SIDE
Front Footage (if applicable)
Storm Water Length
Remodeling Your Building/Home (need Estimate) $
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
Water Meter Count:
Required!!!
,may ~~
Water Meter Size:
PLUMBING
Plumbing Contractor's Name: ~t t~C ~/y/~6~ ~ Business Name: /~ C •i ./ /h o a.J
Address State Zip
Contact Phone: ( ) 3 s"~ - d' 7 7 o Business Phone: ( )
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine Sprinklers
Dishwasher ~ Tub/Showers
Floor Drain ~ Toilet/LTrinal
Garbage Disposal z Water Heater
Hot Tub/Spa ~_ Water Softener
~i Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $
(Commercial Only)
Unfinished Basement area
Finished basement area J ~ ~
Garage area /l 9 ~
Carport/Deck (30" above grade)Area
/ n BACK ~ J~
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
Please complete the e>~e Application!
If the question does not ap`p'ly fill in NA for non applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Required!!!
MECHANICAL
•
Permit#
Mechanical Contractor's Name: ~ ~~, ~~, Business Name: ~^} ~O ti..~IS try
Address State Zip
Contact Phone: ( ) j ~G - ~ 77 ~ Business Phone: ( )
Mechanical Estimate $ (CommerciaUMulti Family Only)
FIXTURES & APPl~IANCES CDUNT (Single Family Dwelli Only) ~b
.~ Furnace '~j xhaust or Vent Ducts
Furnace/Air Conditioner Combo Dryer Vents \~
Heat Pump
_, Air Condition
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Range Hood Vents
Cook Stove Vents
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.
Signature of Licensed Contractor
~ycc~ ~~« -~ ~~~o ®s
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: l_..C ~~ ~t~~.'~" ~~~;~'~~~;~~i'~..
Concrete: CY C ~•. ~ tl ,,!'t ~ ~ ~,. ~ ~` ~.
Masonry:
Roofing: ~.G.- ~+.s 4~~°~ +~.~ ~~ ~~. ~~ +~.,~"
Insulation: ('q~ ~ ~.. ~ ~ +~
Drywall: ~~ ra~,~~.;~~w*. ~~r"°°~ Via- ~
Painting: ~ ~ ~ 1~. .. ' ~ ~d~,~`~*- ,`~~ ~,
Floor
Coverings: ~ ~aw c ~"'r~. ~ ~° , ~, °~~'~ r
Plumbing: ~,',,,'~ ~ ~ a ~,. l ~ ~ to +~, i ~ ~~.~. ~,~.:,~~ ~~~~
Heating:
~, ~.
f~. h
Electrical: ~~ ~ ~ ~ .. ; . ,, ~ ~, t, °. ~ ,~ ~ ~,,,~ '~. ~•~'
Special Construction
(Manufacturer or Supplier)
Roof Trusses: ~ ~ ~,, ~'
Floor/Ceiling Joists: ~°' ~~ ~ ~ '~°°~ +~ ~ ~ ~~ ~~~'"`.
,u, ~
Siding/Exterior Trim: `, ~,~,~ _ ~ ~ ,~ ~ ~ ~,~ ~ ~ ~
Other: ~+~`~` ~ ", Cl ~'" ~,,, ~ a, ~ 4 .
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