HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00269 - 367 Talon Dr - New SFRZ
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o~RexeukC! CITY of Certificate of Occupancy
U 9
.'1 ~~~JjZ~ City of Rexburg
'- `U' Department of Community Development
'., ~ H <9 America's Fnrnily Community
19 E. Main St. / Rexburg, fD. 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 00269
International Residential Code 2003
367 Talon Dr
Single Family Residence
Type V-N, Unprotected
Residential
No
Name and Address of Owner: Rammell Rex Etux
367 Talon Dr
Rexburg, ID 83440
Contractor: Owner
Special Conditions: One Functioning Bathroom Only
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 of the code
for the group and division of occupancy and the use for v-hich the proposed occupancy wes
classified.
Date C.O. Issued: August 30, 2006 (0 :04PM)
C.O Issued by:
Building Official
There shall be no fu her change in the existing occupancy classification of the building nor shall any structural changes,
modifications or adtions be made to the building or any portion thereof until the Building Official has reviewed and approved
said future changes.
Water Department:, a~ Fire
State of Idaho Electrical Department
CI~'Y OF REXB URG ~ PERMIT #
BUILDING PERMIT APPLICATION Please com letee entire A lication!
P PP
19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable
208-359-3020 X322
PARCEL NUMBER: (We will provide this for you)
SUBDIVISION: ~~9 ~e w acseF UNIT# BLOCK#~LOT#~
(Addressing is based on the information -must be accurate)
OWNER: ,-,~ CONTACT PHONE # ~S6 ° 3 6f ~ (j
PROPERTY ADDRESS:
PHONE #: Home (~$f 3~6 - 3 6 pG Work ( ) Cell ( )
OWNER MAILING ADDRESS: l~`S a/ SSG f CITY: STATE:ZIP:_~G
EMAIL FAX
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 ( ) Work ( ) Cell ( )
CONTRACTOR: (~ ~„~ ,~. elr'
MAILING ADDRESS: CITY STATE ZIP
PHONE: Home# Work# Cell#
EMAIL FAX
How many buildings are located on this property? /J
Did you recently hase this property? No es' yes give owner's name)
Is this a lot split. NO YES (Please bring copy of new legal description of property)
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 Inte ational a in cases of any false statement or misrepresentation of fact in the application or on the plans on which the
permit o pproval was b d. P t id if not started within 180 days. Permit void if work stops for 180 days.
/~/~
Signatur of Owner/ pplicant DATE
Do 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 Reaburg'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**
Please complete th~ntire Application!
If the ques n does not apply fill in NA for non applicable
NAME ~- p~ .M
PROPERTY ADDRESS Permit#
SUBDIVISION ~ w G o
Dwelling Units:
Parcel Acres:
SETBACKS
FRONT SIDE
SIDE
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area ~~-~ Unfinished Basement area ~~.E1~/
Second floor/loft area Finished basement area
Third floor/loft area Garage area ~ ~ ~
Shed or Barn.. Carport/Deck (30" above grade)Area
Water Meter Count:
Required!!!
PLUMBING
Pl m in n r ~f~~'/ Business Name:
u y~ G t actor s Namc: vK
Address
Contact Phone:
Email
Water Meter Size:
3~y
City
Zip
BACK ~J
State
Business Phone:
Fax
FIXTUURE COUNT (including roughed fixtures)
1 Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub/Spa
~~ Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $.
(Commercial Only)
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
Sprinklers
Tub/Showers
Toilet/LJrinal
Water Heater
j Water Softener
6 y%"
Please complete the el~ire Application!
applicable
NAME Q,vn -NL
PROPERTY ADDRESS ~, '
SUBDIVISION ci ;.vow
Zip
Required!!! MECHANICAL
Mechanical Contractor's Name: G}~ y-n Business Name:
T
Address
Contact Phone:
Email
City
Business Phone
Fax
Mechanical Estimate $ (CommerciaVMulti Family Only)
FIXTURES & APPLIANCES COUNT
~ Furnace
~_ Furnace/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
(Single Family Dwelling Only)
y__ Exhaust or Vent Ducts (,~ ~ S
~~ ~F Dryer Vents J ~
Range Hood Vents ;~
Cook Stove Vents
If the questions not apply fill in NA for non
Permit#
State
Bath Fan Vents a-n
other similar vents & ducts:
Decorative gas-fired appliance ~~
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
~~~;D ~ ~'~el Gas Pipe Outlets including stubbed in or future outlets Zb
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Ga Oil Coal Fireplace Electric
/5~
-t' b~
Z~
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: ~, ,~.~ '~,lJ~.'K'2~
Concrete: ! ~ ~,,~ ~
Masonry:
Roofing: -r
i
Insulation: ~ P.~" 1 ~ a,Y YY~
Drywall:
Painting: ~ ~/J
~ `~ ~~"/
Floor
Coverings:
P~
Plumbing:
Heating: '~~~
Electrical: ~~~
Roof Trusses:
Floor/Ceiling Joists:_
Siding/Exterior Trim:
Other:
Special Construction
(Manufacturer or Supplier)
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