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APPLICATIONS, CO, BP - 05-00297 - 298 Oaktrail Dr - New SFR
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Om z~n o. ~ a ~ ~ g ~ N 1 1 N ~ ~ a a CIt A W N ~ ° o i ° °' ~ - ~ cc c~ N a ? ~ ~ ~ z ~ O ? c ~ ~ m ~ 0 0 ' T _ CC OD ~1 ~ (J7 A W N ~ ?t Z 26 ~ m c/~ ~ p - ~ o ~ -n co T .. o ~ ~t r ~4gexeURCr4 CITY of CERTIFICATE OF OCCUPANCY ,cam v Amertca'sFamityCommunity Department of Community Development ~~FjHFP 10~~ 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 00297 1 ~..~ ~~~ 298 Oaktrail Dr ~~ n~ ~~~ i~ r~+~ N~ Name and Address of Owner: Kartchner Homes Of Idaho Inc 601 W 1700 S Suite A Logan, UT 84321 Contractor: Kartchner Homes Special Conditions: Occupancy: 'RCS Cfi~1,~~~u,~ann~1~ d~vetl~ 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 was inspected on the date listed vies 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: December 16 C.O Issued by: Official (03~OPM) 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• e e State of Idaho Electrical Department (208-356-4830)• ~.ITYOFREXBURG PE ~p5 00297 BUILDING PERMIT APPLICATION Puzey SFR 19 E MAIN, REXBURG, ID. 83440 Please co] 208-359-3020 X326 If the question does not apply nu m lea for non appucaruie PARCEL NUMBER: '~Z'pR0 AK~?~ 3 SUBDIVISION: (~o,l~ b ~p ~. UNIT# 3 BLOCK# Z LOT#~ OWNER: Kour' ~ h hC r ~ tM,C',$ CONTACT PHONE # ~-D 7 - ~O S 2. S PROPERTY ADDRESS:~~~ Oa k-~v ~ l~ R PHONE #: Home Work ( ) ~Z ~ Cell OWNER MAILING ADDRESS: 3clS~o e . ~,~~" S 'F ~ CITY: ~w,.a~-~ STATE: ~ p ZIP: g3 y 0 {~ 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.) MAILIN ADDRESS OF APPLICANT ~ S ~ °e..- CITY: STATE PHONE #: Home ( ) Work ( ) CONTRACTOR:~f }CIS he (' ~-.,t~PHONE: Home# MAILING ADDRESS: CITY How many buildings are located on this property? dog-GSzS -~ u ~~E ZIP Did you recently purchase this property? N~ Yes (If yes give owner's name) i Is this a lot split? ' ~~ YES (Please bring copy of new legal description of property) PROPOSED USE: J ~ hq ~t ~~,.~ i (i.e., Single Family Residence, Multi Family, 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 whin 1$0 day. Permit void if work stops for 180 days. of Owner/Applicant S / l~ l~ 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** ~~ zIP ~ 3~n~ Cell ( ) ,~*~ CITY OF R~xBUR~ AMERICA'S FAMILY COMMUNITY L~ 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexbura.ora comdevCa~rexbura.orq Affidavit of Legal Interest State of Idaho Coun/t~y of Madaison I, (.. o ` U~'~ , Name 7~ ~ ~~ City Being first duly sworn upon oath, depose and say: A. Address ~~~ State (If Applicant is also Owner of Record, skip to B) That I am the rec d e of the property described on the attached, and I grant my permission to: V 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 C CJ~ ~ day of ~ ' ~ , 20 ~ 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 ere Application! If the question does not apply fill in NA for non applicable NAME v PROPERTY ADD SS Z~ ~ ~ ~~ Permit# SUBDIVISION (~~,~,~o ~ Dwelling Units: 1 SETBACKS FRONT ~ b 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 ~ ZpQ Unfinished Basement area Second floor/loft area N /~ Finished basement area ~~ Third floor/loft area (~J~ Garage area ~©~ Shed or Barn iU~ Carport/Deck (30" above grade)Area Water Meter Count: Required!!! Water Meter Size: PLUMBING 1 ~ v Plumbing Contractor s Name: ~ J O ~~ f9~''~ Business Name: ~~S I•~O Address w~ wi State Zip Contact Phone: ( ) ~-(~~-(~S 2S Business Phone: ( ) FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~ Sprinklers Dishwasher Z Tub/Showers 2 Floor Drain ~ 2. Toilet/Urinal 1 Garbage Disposal ~ Water Heater Hot Tub/Spa ® Water Softener 3 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 BACK Parcel Acres: SIDE Please complete the e~ire Application! If th~/e quJe~stion does niot apply fill in NA for non applicable NAME RIh~~C~~~ ~`Y6~,~ S PROPERTY ADDRESS . 1.4~$ naKEr,a.r~ Permit# SUBDIVISION ~ ~( O~ Required!!! MECHANICAL Mechanical Co tractor's Name: R I`eh~ Jl° IRSP~ Business Name: ~~-~'e ~tr Address 4 ~ State O~ Zip Contact Phone. ( ) ~ -(o z Business Phone: ( ) Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) ~ Furnace ~ Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump ~ Air Conditioner ~ Evaporative Cooler C7 Unit Heater D Space Heater o Decorative gas-fired appliance ~ Incinerator System ~ Boiler (~ Pool Heater ~ Similar fixtures or Appliances Dryer Vents ~_ Range Hood Vents ~ Cook Stove Vents 2.. Bath Fan Vents lJ other similar vents & ducts: 2 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. ~5~~-~ J ~s~ 2~ 3 ~ 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: lo't ~' Concrete: l'ift'- ~ ~(;1~ Masonry: ~~. Roofing: Insulation: ~,rt ~' ~ ~ l DrywalL~~S ~C~. Ke (~ Painting: ~ ~ l ~ (~ ~a~.r~ t 1 I~ e Floor Coverings: "~0 C~-~ Plumbing: ~~L° .S~~ Heating:~L~''~r-~QenC~ ~`n~ Electrical: LLB-~~a~ Special Construction (Manufacturer or Supplier) Roof Trusses: t~ Floor/Ceiling Joists: Jn~S ~ '~ -°~ySS Siding/Exterior Trim: eC1 ` a~S c ~. Other: