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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00333 - 1198 Pleasant View - New SFRZ O n m ~, o ~ ~ 3 n c c~~° ~ n m a 3 a D fl- •" o~d~.~ < f =~ ~' ~~ Qy -~~ ~ n n o c 3 N ~ - ~ ~ ~ = o ~ ~ n ~ n ~ ~ ~ a o 'O .~S c m . q < 0 o m ~ ~ fA ~ 5 d ~ ~ _~ a v o _o a N C/ 7 ~ Z ~ ~ c7 6 O < _- y a~ Z~ n ~? 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V7 .P W N ~ ~ ~ ~ ~ ~ ~ ~ ~ - ~ f~ CD n ? ~ ~ _ 0 3 m ~ c n• ~. ~ m m o 0 ~ ~ T CO 00 V ~ (n ? W N ~_ c3 n ~ ~ Q (D ~ ~ ~ N ~ C ~1 v ~ o C d _. o ~ 7 ~ p C o4gERBURC Certificate of Occupancy ~~ ~7 CITY O P ~,4 I~E~~G City of Rexburg ;~ "'y ty Department of Community Development '•<,, H E Ameria~'s Farnil Communi 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3024 Building Permit No: 05 00333 Applicable Edition of Code: International Residential Code 2006 Site Address: 119$ Pleasant View Use and Occupancy: Single Family Residence Type of Construction: Type V, non-rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Jones Scott C Etux 1079 Seeley Place Simi Valley, CA 93065 Contractor: Kay, Jared Special Conditions: Occupancy: Residential -less than 2 units, 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: August 26, 2008 (09:05AM) 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. Plumbing Inspector: `^~°-~`"-'rte Electrical Inspector: Fire Inspector: ~~ (~ P&Z Administrator: N~,4 'Cl1"Y~ OF REXB URG . BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 PARCEL NUMBER: ( We will provide this for you) SUBDIVISION: ~ALL~~Y ~~i Li~l' ~sT~'3"~~ UNIT#~BLOCK#~_LOT# (Addressing is based on th nie formation -must be accurate) OWNER: ~~ ~c7•rr [.., , ~c~„tom ~ CONTACT PHONE # / ~ Y~OI , ~'f3'f -- y3 a c% PROPERTY ADDRESS: PHONE #: Home ( ) S~~m~ 1k.5 ~4s~'t~°~ Work ( ) Cell (~~~) .`~ 7~ - I~~'i (~ OWNER MAILING ADDRESS: 1 t~'I~I .5 ~~c.y ;k.4G~ CITY l~'~ „~,%STATE:~ZIP: `~ ~~(r5 EMAIL FAX APPLICANT (If other than owner) .~~-~~,~ 3 . ~X- (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS R.~"Q ~,~~S ,g ~'~. CITY: ~~,~U STATE; ~,~ ZIP ~~a3~p EMAIL FAX ~3.~e1-l9/~ PHONE #: Home f~;~?) ,.a'~~1- /~l ~~ Work ( )~1 [~~ ~- ~~3 7~/ Cell ( ) ~ 1 G,.% ._.~.~3 '1y CONTRACTOR: ~ ~ i I<~ r/ ~ , ,~~-~~ MAILING ADDRESS: CITY STATE ZIP PHONE: Home# Work# Cell# EMAIL FAX How many buildings are located on this property? Did you recently purchase this property? No Yep (If yes give owner's name) CTc t`i><=~ C'ROj"~.s Is this a lot split?~N~ YES (Please bring copy of new legal description of property) PROPOSED USE: ~iNG~~ F~F/1~~~-l/ i~ ~'t~Jt~i~tC~" (i.e., Single Family Residence, Multi 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 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. Permit void if work stops for 180 days. .~ ray ~' l 3 / ~~ Signa a of Owner/Appli t DATE Do a 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 Rezburg'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** PERMIT # Please com lete th~ retire A lication! P PP If the question does not apply fill in NA for non applicable • CITY O~ ~` "~" d r f \ t 8tt! ~,: r • ~- ~I 7 ~ ck~n ~. i ~IW„L' ~ itMERK:A'S FAMILY COMMUNffY 19 E. Main (PO Box 280) n Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 vrww.rexburg.ora comdev@rexbur4.org State of Idaho County of Madison I, Name City Affidavit of Legal Interest Address State Being first duly sworn upon oath, depose and say: A. (If Applicant is also Owner of Record, skip to B) 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 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 ire Application! If the question does not apply fill in NA for non applicable NAME ~~~ ~ . iti4~ PROPERTY ADDRESS ] Iq ~' -~%r"~S~tT UiF•Lt! Permit# SUBDIVISION f/`f4~(,~~ ~r',u,~ ~8;~'fi~.S Dwelling Units: Parcel Acres: ~~ .3 5~Z S~ ~~ SETBACKS FRONT ~ 5 ~ SIDE o?Jr- ~ ~ ~ SIDE ~ 5 ~ 5 of Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Z7Q~ Unfinished Basement area ~7l?~ Second floor/loft area Jyl~~l Finished basement area Third floor/loft area Garage area ~ 1© Shed or Barn Carport/Deck (30" above grade)Area Water Meter Count: BACK 5"`~ ~~ ~~ 3'~~~ Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: REJt - F~GU~nBtNf~~ Business Name: Qi~FiV ~~ Address Contact Phone: ( ) Email City Business Phone: Fax FIXTURE COUNT (including roughed fixtures State Zip r Clothes Washing Machine ,~ ~ Sprinklers _~ Dishwasher ~ Tub/Showers Floor Drain ~ Toilet/Urinal ~_ Garbage Disposal ~ Water Heater Q Hot Tub/Spa ~ Water Softener r 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 'Please complete the ent~ Application! If the question dot apply fill in NA for non applicable NAME ~A~f.~p (~ , ~i4Y ~ PROPERTY ADDRESS ~ Iq~i r'L~i45AN7 U~~~1 Permit# SUBDIVISION ~~ U I~%J g~Tq,7~~. Required!!! MECHANICAL Mechanical Contractor's Name: ,~(~~N) A~w~,y Business Name: J~~- -~/,i;+rvl~ ~#' {~-~, Address Contact Phone: Email City State Zip Business Phone: Fax Mechanical Estimate $ (CommerciaVMulti Family Only) FIXTURES cPc APPLIANCES COUNT (Single Family Dwelling Only) _ Air Conditioner ,~ Bath Fan Vents Range Hood Vents C~ Boiler Cook Stove Vents Decorative Gas Fireplaces Dryer Vents Evaporative Cooler Exhaust or vent ducts ,.~ ~- Fuel (gas) piping fixtures or appliance outlets gn Furnace ~5. ., ~, Furnace/Air Conditioner Combo ~ `"' U' Heat Pump (~ Incinerator Pool Heater ~/ Space Heater ~_ Unit Heater 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. I W ((o ~~ Signature of Licensed Contractor License number D e Required! The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 5 ,, SUBCONTRACTOR LIST Excavation & Earthwork: }~UE~ CCYd5r6ZUtiTidnl Concrete: ~p~Glr-9~~e °f' SAN ~ Masonry: ` (.,~ i~Yl!} SON R~ Roofing: K~UON ~~~1C~9/-l IQ~YJ~=/Nr Insulation: ,~{n U.~4/VC,~.D 1 nl5O~41'1 Drywall: ~A(~i~. iZ,~0A~5 Q i? ~u6~-G~- Painting: `~~yq ~ .~~ ~p Pt~i~rT~uC-~ Floor Coverings: ~~ E~/ Cz ~-r~. I~NOG~~4GE- ~=ux~~e ~n! F, Plumbing: Q ~',~ . Pi,UM i3 ~~ °l' ~~ . Heating: [~~ ~ _ PLUrnalnrft `~'' 1~7"lx Electrical: (i! ~S~f~4/V ,~GLtTR.r~ Special Construction (Manufacturer or Supplier) Roof Trusses: ,6-'h(~ (,~,/L's i Floor/Ceiling Joists: ,~'tfX~l~ ~tIlG17/rV~ ~p~y Siding/Exterior Trim: u~iLIGi~C Other: