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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00220 - 162 S Hidden Valley Rd - New SFRZ _ O ~' .. 2 p ~ °. ~'? '~ m 0 Z ~ ,~ S c~ W `° °, ~ ~ _ ` C m m ~ ~X3 ~ m ~ m .~ m ~ -~ rcoa_ n p ~ ~ ~~ ~ v ~ ~ ~ ~ `•° H Z cZn ~ ~ ~•o °' ?° a 3 C 'g~°~ w n T 0 0~~ ~ o ~ (n 1 ~,~ eo a O ~_ "' c ~ 3 Z ~ 0 A~ ~; N ~ ~ 'T7 ~~°-3.3~ ~ CO. 001 'n" Z ~ ~~ o~f,Ny W ~ ~ ~g-.. O O m ~ma p ~ W (~O ~ 7 L ~' o ~. ~ n of O G. O N ~ ~ c ~ ~ v C1 ~ ~ ~ O W ~ ~ ~ o~ ~ O C W~_ ~ .. n. a ~ f O Z C. eD C. O ~ d N Z'C .. C ~~ y ~ 3 ~D £ °. ~ O ~ W y 3~~a ,°~ ~ 'g C ~ C N ~ at ~: 3 ~ -• _ ~ G. o, ~ ~ ~ fl. 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Main St. / Rexburg, ID. 83440 P Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 05 00220 International Building Code 2006 162 S Hidden Valley Rd Single Family Residence Type V, non-rated Residential No Name and Address of Owner: Fromm James T 162 S Hidden Valley Rd Rexburg, ID 83440 Contractor: Owner/Lessee Special Conditions: Electrical permit with state expired without final inspection. Occupancy: Residential - 2 units or less, permanent in nature 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 wes inspected on the date listed wes 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 was classified. Date C.O. Issued: July 21, C.O Issued by: Building Official (03:44PM) 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. Plumbing Inspector: ~~n •-- ., . Electrical Inspector: s Q ('~i'?lt i~ ~~ ~-~'- Fire Inspector: ~ l~ P8Z Administrator:~~('~ CITY OF REXB PIRG BUILDING PERMIT APPLICA~~ 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:_~~, Uall P~ UNIT# BLOCK# ~ LOT# ~ S ~~ - 3l3 ss OWNER: -~C,[ _ ~~rf CONTACT rHONE # `-t PROPERTY ADDRESS: PHONE #: Home ( ) ~~ Work ( ) ~' Cell ~ ~ 3 ~ K1 ~S OWNER MAILING ADDRESS: g~ (nbc~ Cr1 CITY: STATE:~ZIP: $3c-1~(,O APPLICANT (If other than owner) ~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 CS ~~~ CITY: PHONE #: Home Work STATE; ZIP Cell ( ) CONTRACTOR: (y,' k.~ ~aeci eT PHONE: Home# Work# Cell# ~&'' 3l3 - ~-(~ SS MAILING ADDRESS~`'~ C.~lOt~l., (~ • CITY~ID~O _ STATE ~~ ZIP 83~`'~D How many buildings are located on this property? Did you recently purchase this property? No Yes If yes give owner's name) Sg~.~.~ Is this a lot split. NO YES (Please bring copy of new legal description of property) PROPOSED USE: ~6~ (i.e., Single Family Residence, ulti Family, Remodel, Garage, Commercial, Addition, >/te.) 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. )'erm~t void if w~k stops for 180 days. obi ©l i oS DATE ~7A~d~11~~ -~U'~~~it~~'R1Vt~'f''I~fi'i1S'Ti~ ~7~: P'OSTED fli~i ~flNS~'R~3CT~f3A; S3~'FI Y1an lees are non-refundable and are paid in full at the time of application beginning Jaauarv 1. ZOOS. ' 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** ~r~~RR~~ Y i1 CITY ~ • REx~u~~ ~getiSH~e~ AMERICAS FAMILY COMMUNITY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburg.org comdev(~rexburg.org Affidavit of Legal Interest State of Idaho County of Madison Name Address 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: n ~~ It~~ 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. 20 O S Dated this ~_ day of ~ v ~j `~C,/" ~. ~ ~. Subscribed and sworn to before me the day and year first above written. ~\e~4~~t~~~~~1~~ -~-`P~iNE 1y ~~~r~ - f(~_ '4~'tj"1,Q~;;''+~,, ~J/i o ary Public of daho = ~,_ ° ~O _ ``TTY ~'~. ~i " my '~ i ~.P f~ j ~~ r ~ • .. Residing at: v~'' ,,,, , „ <''Q`Z'_ My commission expires: n .`4 a t! F ~ ,~`~" j ~~ Please complete the ~.~ A.pplicationr ~~ if the question does not apply fill in NA for non applicable NAME M j ~ ~ n~ e.~ PROPERTY ADDRESS God l ~ 1o(e~lr Z,,, Permit# SUBDIVISION Dwelling Units: Parcel Acres: ~ 3 SETBACKS 7,0 ~ FRONT ~ SIDE Z SIDE Z BACK Front Footage (if applicable) ('S0 • S~ Storm Water Length Remodeling Your Building/Home (need Estimate) $ ~_ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~o(O~ Unfinished Basement area (,oIQO Second floor/loft area- ti q- Finished basement area (~,}~F Third floor/loft area I~r ~1' Garage area ~ ?~~..~' Shed or Barn n~q- Carport/Deck (30" above grade)Area _ Water Meter Count: Water Meter Size: Required! r r PLUMBING Plumbing Contractor's Name: J~~ ~,k,WOv~'(~ Business Name: 5 ~ ~ o(t~..lot~cl Address State Zip Contact Phone: FIX~'URE COUNT (including roughed fixtures) _~_ Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal ~_ Hot Tub/Spa Sinks (L vatories, kitchens, bar, mop) Business Phone: ~ll _ Sprinklers Tub/Showers ~' Toilet/LJrinal Water Heater ~U ~ Water Softener Plumbing Estimate $ (Commercial Only) ~..--~ O' -. S' ice d Contractor License number to The City of Rexburg's permit fee schedule is the same as required by the State of Idaho ' Please complete the ~~e Applicatian~ ~~ If the question does not apply fill m NA for non applicable NAME ~ C~~ J 2,~" PROPERTY ADDRESS o Permit# SUBDIVISION~~ (/A~~ .Required! r r MECHANICAL Mechanical Contractor's Name: M,i~~ (,JAI Business Name: ('t~t(C,L W~~ (-}~~(-~ Address State Zip Contact Phone: (Zp~ )_~~ - Colo(oq Business Phone: ( ) Scn,,.~ Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace ~_ Exhaust or Vent Ducts ~_ Furnace/Air Conditioner Combo Dryer Vents ~i~ Heat Pump ~_ Air Conditioner ~n~ Evaporative Cooler _ `q- Unit Heater ~" Space Heater Decorative gas-fired appliance ~l ~- Incinerator System (lf ~" Boiler ~(~ Range Hood Vents Cook Stove Vents 3 Bath Fan Vents other similar vents & ducts: _~ Pool Heater ~_ Similar fixtures or Appliances -~ 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 s o non plans. fit' S -~ a Si ature 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: (~U n__~ ___~D~~C~(V 1 ~ G~._ Concrete: T ~ ~ C bn S~`u c.~G~ Masonry: - ~ ~" Roofing: J~ @T" ~ ~^".~S Insulation: rraCUGI~~ <<lSV ~G~T7G~-~, Drywall: ~ac,~, -v (~w,,e,S ~ ` Painting: c~~eG, {T (-~Jtn,.e~ S Floor Coverings: ~~, ~ ~o-c~~ Plumbing: Heating: (N1,~~c..~ WbOc~l ~ ' C1 Electrical: S~iCil1 ~ ~ c1 c~2- E~~~ ~- Special Construction (Manufacturer or Supplier) Roof Trusses: 61M L. Floor/Ceiling Joists: ~j~n. (~ Siding/Exterior Trim: J~^~ (,drp . Other: