HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00316 - 601 Harvest Dr - New SFRZ
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CITY O F
REXBURG
America's Family Community
Certificate of Occupancy
City of Rexburg
Department of Community Development
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:
05 00316
International Building Code 2003
601 Harvest Dr
Residential
Type V-N, Unprotected
Single Family Residence
No
Name and Address of Owner: Jensen Brett Etux
678 Harvest Dr
Rexburg, ID 83440
Contractor: Brett Jensen Construction
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
w,es inspected on the date listed v-es found to be in compliance tMth the requirements of the code
for the group and division of occupancy and the use for v~hich the proposed occupancy sties ~
classified. '
Date C.O. Issued: May 1 006 (0 PM)
C.O Issued b G
y
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 Department: Fire D
/.
State of Idaho Electrical
CITY OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X322
PERMIT #
Please complete the entire Ap lication!
If the question does not apply fill in NA for le
PARCEL NUMBER: (We will provide this fo you~j
SUBDIVISION: l~`~rJE~S~ t~f //~ LTNIT# BLOCK#
(Addressing is based on the information - mu a accurate)
CONTACT PHONE # 3
PROPERTY ADDRESS: ~~ u,.r~.e5
PHONE #: Home ( ) ~ S~ - 3~y SWork
OWNER MAILING ADDRESS:
EMAIL
FAX
_3
~5"~~2
A UG 2 9 Zook J
.. „ /d
Cell ( )
CITY: STATE: ~-~LIP:~~~fd
APPLICANT (If other than owner) ~,L.~,~- ~ ~
(Applicant if other than owner, a statement au~th r'"izi`ng applican act as/ algent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS ~L~r~ /~vYrJc'..~~~' CITY:
...--
STATE; ...~-~ ZIP ~ O EMAIL ~t~.n. ~~~.Q~ C~~L°"'~FAX
PHONE #: Home ( ) 35~-- f ?~%~ Work
S ~ d,.-..sue ~ - ~a~--
CONTRACTOR:
MAILING ADDRESS: CITY
PHONE: Home#
EMAIL
Work#
FAX
Cell#
How many buildings are located on this
Did you recently p e this property? No
Is this a lot split? N YES (Please bring
PRO
(i.e.,~
5
new legal description of
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 Int, ational Code in cases of an fal isrepresentation of fact in the application or on the plans on which the
pe it p~r~v~l w~i' d. Permit vo' s arted within 180 days. Permit void if work stops for 180 days.
Signature of Own Applicant DATE
Do you prefer to be contacted by fax, email or phone? Circle One
WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
P-an 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**
STATE ZIP
es ~f yes give owner's name
Cell ( ) 3l-~~i ~3~
Please com lete the~ntire A lication!
P PA
If the question does not apply fill in NA for non applicable
NAME ~ ~- - ~ Gi'i , ~--
PROPER Y ADD SS mil' fi~~-~'~.s~~j- Permit#
r
SUBDIVISION ,~ e~' r
Dwelling Units: ~ Parcel Acres:
SETBACKS
FRONT ~ ~ ~
SIDE
36
SIDE ..~ BACK
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area 9 ~/ • 7
Second floor/loft area 3Fs
Third floor/loft area
Shed or Barn.
Unfinished Basement area
Finished basemen~~ ~ ~!`~7
Garage area
Carport/Deck (30" above grade)Area
Water Meter Count: Water Meter Size: ~
Required!!!
PLUMBING ,~
Plumbing Contractor's Name: ~ _ ~?/;.~- ~Oo.~ Business Name: K loin
Address
Contact Phone:
Email
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine
Dishwasher
Floor Drain
f Garbage Disposal
Hot Tub/Spa
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $
(Commercial Only)
Sprinklers
--~~ Tub/Showers
l~ -3 Toilet/Urinal
Water Heater
Water Softener
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
D City ~ State ~ l Zip_~d
~~/U ~` y/ gs Business Phone: ( ~S~ - ~]?6
Fax
JUL-22-2005 01:53 AM
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Sj.~3DIV1SIt~N ~~s`~..~e_~.~f_1.,,~y.._-
Requiredt !! MECHANICA.~
Lia~chnrricdk ~antrn4tt>r's Name: ~~~~1~/ `~-~4~'/~'1~`"~ R•asinus: l~o,u3c; ~ ''~"~ ~ ,
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1~cchatnical Letitlrnatte S___~_r__,- (~'amtnereittl/Mplti Family f~n~~1
[I1t,~S ,~ APP ,'YC,~S CUL~';ti'T (Single Frrnttly 1Jwelli~g pntY)
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Hcai (Circle All ~iiai App1v) Graf; ~~il C:c•~t~i L irci~la~:c ~.Iactric
Meeh~ttic~l $izi~~ Calc.uistianat muKt bo stuhmittcd witfi ~'iatr~ ~i Applic~ttio~
Paint of Delivery mint ltye ahuwtn on pi~n4.
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