HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00268 - 396 Eagle Ct - New SFRZ
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O~RexevkGro CITY a~ Certificate of Occupancy
6 ___
`',, ~~~G City of Rexburg
"~'' Department of Community Development
America's' Family Community
19 E. Main St. / Rexburg, ID. 83440
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:
05 00268
International Residential Code 2003
396 Eagle Ct
Single Family Residence
Type V-N, Unprotected
Residential
No
Jaeger Mike Etux
935 Andrews Place #1
Rexburg, ID 83440
Owner
U~fi ~~5~d ~Se~~`
Residential, single family dwellings, lodging houses
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
thes inspected on the date listed taas found to be in compliance tMth the requirements of the code
for the group and division of occupancy and the use for ttihich the proposed occupancy taas
classified.
Date C.O. Issued: December 07 06 (11:5 M)
C.O Issued by: ~~
Building Official
There shall be no further change. in the existing 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~~ '-• ~--i`,." e Fire Dep~nen • ~-
State of Idaho Electrical
CITY OF REXB URG , PERMIT #
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440 Pleasl
zog-3s~-3o2o x326 1>Ft>~e yu~ 396 Eagle Count
PARCEL NUMBER: RQ ~'E. ~~~ O ~ ~~~ 7~
SUBDIVISION: ~A~ ~~ WO~~ UNIT# BLOCK# ~ LOT#~
OWNER: J ~ CONTACT PHONE # ~~ ~ ~ 1 ~~
PROPERTY ADDRESS: W1""~ t~ El b C~ Z
PHONE #: Home
~IPr Work ~~ ~~~~~1~Ce11(~~ ~~~~~~~
OWNER MAILING ADDRESS: ~ C,ilO e~ LIl -CITY: ~/`' STATE: ~~ ZIP: g3`~`"~ ~
APPLICANT (If other than owner) ~tl~-
(Ifapplicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
MAILING ADDRESS OF APPLICANT
$~$~ (,~Io C,r~ C.n. CITY: '~ ,~b~STATE; (~ ZIP P~ H ~
PHOIrI #: Home ( ) ly/~- Work ) Mq- Cell (Lp~ ~(~ - ASS
CONTRACTOR: Mlles J~~~~ PHONE: Home# N'q- Work# ~(~ ~`'t15Cell#
MAILING ADDRESS: SA-~t/ CITY
How many houses are located on this property?
Did you recently purchase this property? No ems. f yes give owner's name) ~l i~(-~.. ~ °~ q ~'
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE: 5 t ~ (,~ '~^t
(i.e., Single Family Residence, Iti Family, t
STATE ZIP
~e-s-~ r,1.1 ~
Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby
certify that 1 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--nentioned 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 tl~e permit or approval was based. Permit void if not
started within 180 days. Perynit void if work stops for 180 days.
~~ ~ ~ DS
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 Rexburg'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 R ~ ~ ~~F
~ r ' ~` ~~~
~ ~L~l ~~ r ~ ~~ ~y~~~ ~ ~ a 5~~~ `~~~1
~ Y'
R~ _ .,~..
~q&~~4~ AMERICA'S FAMILY COMMUNf(Y 19 E. Main (PO Box 280) Phone: 208-359-3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
www.rexburg.org comdev(a)rexburg.org
Affidavit of Legal Interest
State of Idaho
County of Madison
I Pik--~-- ~~ ~- 88~ C~~ ~~- ~n
Name Address
(~-~C 6 w-~l ,
city
State
d~.~
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 ~ ( day of _~~ , 20 OS
`l
Signature
Subscribed and sworn to before me the day and year first above written.
~~~~~~~\ttttill~ .
a,, ~,~,~,~,~~, h
'~=y'~' a~'~~r'"~g t'~ Not ub is of daho
~' ~ .. ~ r. ~'~ S
~~~, A ,~~ ~ .~ Residing at:
' ~' $'~.
~~~~1~~~~~(', jf~l~~~'~ My commission expires: ~ l~
~~~
Please complete the ~tire Application! ~
If the question does not apply fill in NA for non applicable
NAME Mid ~)o~-~~Qr
PROPERTY ADDRESS ~J D L ~. e ~ ~ Permit#
SUBDIVISION o ~~
Dwelling Units: ~ Parcel Acres: 41l~r`~C_-
SETBACKS ~~
FRONT ~ SIDE ~~ SIDE BACK
Front Footage (if applicable) ~~,'
Storm Water Length M~
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area (~~g Unfinished Basement area (8 SS
Second floor/loft area (~ (~ Finished basement area (~I/}
Third floor/loft area ~i/.F Garage area
Shed or Barn ~~- Carport/Deck (30" above grade)Area a/}~
Remodel (Need Estimate) $ (1/~
Water Meter Count: 1\i ~C Water Meter Size: ~ f~
PL UMBI~VG
Plumbing Contractor's Name: J-e ~ (~(LwG ~ Business Name: ~ ~ P~ yv-1 bl~i
Address ~ 3 ( ~;v1 ~ ~- r~nea~ , State (~ Zip ~ 3 ~t-j ~' P
Contact Phone: ( ) 7 ~ B s ness Phone: ( ) ' 7i-p~7 -- ~j ~ (o ~.
FIXTURE COUNT (including roughed fixtures)
~_ Clothes Washing Machine ~ ~ Sprinklers
Dishwasher __~ Tub/Showers
_~ Floor Drain 2j Toilet/Urinal
Garbage Disposal ~ Water Heater
M ~' Hot Tub/Spa ~ Water Softener
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ Vy ~ (Commercial Only)
ON ~(~ 0~ F( c.-C
Signature of Licensed Contractor License nwnber Date
The Ciry of Rexburg's permit fee schedule is the same as required by the State of Idaho
Please complete the Mire Application!
If the question does not apply fill in NA for non applicable
NAME (1~1i(!~ J~.e~e~
PROPERTY ADDRESS (~ Permit#
SUBDIVISION !it0l 00
MECHANICAL
Mechanical Contractor's Name: M1~~-~ (NGY~d Business Name: (Vlt,~~ WPO~ ~~7~nA ~~?'C,
Address O~ ~ t~ State Zip
Contact Phone: (L pPj) ?~~ O - (o to toy Business Phone: ( ) Sa,~,,
Mechanical Estimate $~~ (CommerciaUMulti Family Only)
FLKTURES & APPLL4NCES COUNT (Single Family Dwelling Only)
Furnace ~_ Exhaust or Vent Ducts
(\! ~- Furnace/Air Conditioner Combo ~ Dryer Vents
~" Heat Pump
M A" Air Conditioner
~ Range Hood Vents
Evaporative Cooler
(~ ~ Unit Heater
(V`/~- Space Heater
__~ Decorative gas-fired appliance
~_ Incinerator System
('A' Boiler
lV'~ Pool Heater
Cook Stove Vents
Bath Fan Vents
~_ other similar vents & ducts:
~_ Similar fixtures or Appliances
(~/'~}- Fuel Gas Pipe Outlets including stubbed in or future outlets
~-' Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Ga 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 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: w~l(~ (~ ~O'~<<-l~Slil~
Concrete: ~ ~- (~~ n S'~'y L1 1~1
Masonry: T~~
Rooting: do~Fi ~ ~~ ~ y-1~S
Insulation: (~Va1n(~~ ~~SU~~t~ov~
Drywall: ~ Q
Painting. Jc~e-~ Qj ~D i..•~~S
Floor
Coverings:
JcLCFi~
Q~ ~o -^^~S
Plumbing: S ~j Q ~,(.IVvt,~ol~
Heating: (y1 i. ~t~ 2, (N00 4 ~ e~'~, 1 ~L.
Electrical: Pnc.e- ~l,e.~~ ~.,,,
Special Construction
(Manufacturer or Supplier)
Roof Trusses: (zj~ G W ~S 1
Floor/Ceiling Joists: (~~l/~, (~ W~S"~'
Siding/Exterior Trim: ~c~q 2T ~p..~~S
Other: