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HomeMy WebLinkAboutBP, CO & APPLICATION - 05-00334 - 661 Johnson St - New SFRZ O rn ^.~ w O O O N ~o~° m v d a 3 -o o. a~~F ~' ~ ~ C V+ A N ~ T ~ A ~ 3 v v 3 m N N = N .0.. a N ~ C N ~ ~ ~ o N o. .~. a v 7. ~. d 0 m 3 m =~o ~~ d of g~=o fl? ,~ a is c ~ N ~ Z~cn a o o ~ a °1 C N G, .No N G. N O (D ~ (1 ~ a a O C O 7 ~ d N (gyp N N -_ 'O O d N n O. ~ 'o m f ' o v o ~.a~ m o o ~ o m F- a o. -~ ~Ae~. _ ~ ~ ~n~ Z ~ ~ ~ r r s~ rt ?may m ~ m ~ x ~ ~ Q~~ ~ ~ m ~ rn $ a ~:~~,~ ~ ~ ~ ~ o ~~ n p Q- ~ ~ (! , ~ m V < ~ .'0 ~C y Z Z can ~ ~ }~•~-~ y 1 ~'~""J ~ 'p O ~p C ~ '~ r W ~ "< N ~ ~ `~ O O ~. i~ {(~~1 , O ~° `D r'n co ~ w ~ ~ O 01 ~ ~ Z Q. eD Q- G ~ "I1 ~ fy/1 ? 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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: Name and Address of Owner: Contractor: Special Conditions: Occupancy: 05 00334 International Building Code /IRC 2003 661 Johnson Ave Residential Type V-N, Unprotected Single Family Residence No Belnap Shane Etux P O Box 308 Rexburg, ID 83440 Heart B Company Unfinished Basement -1033 sq. ft. 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 tnith the requirements ofthe code for the group and division of occupancy and the use for v~hich the proposed occupancy vies classified. Date C.O. Issued: May 11, 2006 (12:44PM) C.O Issued by: ~sunamg crtlcfal 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: State of Idaho Electrical De CI1 Y OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 PARCEL NUMBER: ( We will provide this for SUBDIVISION: ~ fwtl-~c,U~ii\ ~(~,~ ~y~ UNIT# (Addressing is based on the information -must be accurate) ble ~ ~~~ t 1a u LOT# CONTACT PHONE # PROPERTY ADDRESS: PHONE #: Home ( ~.~`{ i1 Work ~$~ `~ LZ ~ Celle 7~ `~, ~l OWNER MAILING ADDRESS: ;, ('r ID01~ ,~~,.-p CITY: tY ~ (,~, STATE:ZIP:~~ EMAIL FAX ~`~ ~ 01 ~~a-~ APPLICANT (If other than owner) J f-'i;~Vv~ (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS STA' ZIP EMAIL PHONE #: Home ( ) Work CONTRACTOR: Id ~'U MAILING ADDRESS: PHONE: Home# EMAIL ~----- FAX `-'~ How many buildings are located on this property? ~ Did you recently purchase this property? No Ye (If yes give owner's name) Is this a lot split? YES (Please bring co~j PROPOSED USE: ~ (y ~ 11v~ ~` 1 (i.e., Single Family Residence, Multi Family, Apartments, Cell 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-mentio d property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 20 ternational Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or appr w based. Permit void if not started within 180 days. Permit void if work stops for 180 days. ~~~~/ 6~ Sienatur r/An t DATE Do you refer. o be ~6~itacted by fax, email or phone? Circle One WARNING -BUILDING PERMIT MUST BE POSTE IIJ lI ~C ~['~~ ~ CITY (~aq Work# ~ ~~ Z~ Cell# Zb `j` ~ PERMIT # Please complete the entire Application! If the question does not apply fill CITY: FAX STATEZIP ~~ l l Lie ~~ of new legal description of property) D 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** • ~ C1TY OF ~a µ AMERICA'S FAMILY COMMUNffY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 vrww.rexburg.org comdev@rexburg.oro Affidavit of Legal Interest State of Idaho County of Madison I, Name Address City State 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 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Please com lete the e~ire A lication! P PP 1 ~ I the uestion does not apply fill in NA for non applicable NAME ~ ^~~ ~ ~~ PROPERTY ADD SS - ~- Permit# SUBDIVISION '~ ~v ~' Dwelling Units: ~ Parcel Acres: ~ ~~ SETBACKS FRONT j-~ SIDE SIDE Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~ ~ ~/~ Second floor/loft area Third floor/loft area Shed or Barn Unfinished Basement area -~ ~'~ ~~ Finished basement area ~ Garage area .~~~ Carport/Deck (30" above grade)Area Water Meter Count: I BACK Water Meter Size: Required!!! PLUMBING ~~ ~ ff~- B iness Name: cJ ~ Plumbing Contractor's Name: ~ u b us ~ Address City F"~~~'C State -~1~ Zip Contact Phone: ( )^gj ~ ~ ~ ~ Business Phone: ( ) Email "-~ Fax FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~~Sprinklers ~_ Dishwasher ._ Tub/Showers Floor Drain ~ Toilet/LJrinal Garbage Disposal ~ Water Heater ~"" Hot Tub/Spa ~ Water Softener _ Sinks Lavatories, kitchens, bar, mop) Plumbing Estimate $, (Commercial Only) ~~~~~ ~ ~ _ G' ~©n -- ~~' ~gnatur icensed Contractor License number The City of Rexburg's permit fee schedule is the same as r. ~ /~ D ,- D e by e State of Idaho Please complete the entire Application! If the question does~t apply fill in NA for non applicable NAME ~~~ PROPERTY ADDRESS ~' -(~ Permit# SUBDIVISION V~:~ '~ ~~~ Required!!! MECHANICAL Mechanical Contractor's Name: ~ Oti~ `-~ ~P Busi ess Name: '~ C~ Address ~. %~~~ ~ ~~ /~. City ~/~, State Zip g3 y~ Contact Phone: (2~k) ~ ~~ `~° l ~6 ~ Business Phone: (~af~ 3/.~ -- ~d2 `~ 7 Email Fax ~ .~ ~ ' ~ ~ ~ Mechanical Estimate $ (Commercial/Multi Family Only) FIX~URES & APPLL4NCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) ~ Oil Coal Fireplace Electric other similar vents & ducts: Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. i Signature of Licensed Co actor The City of Rexburg's 1 Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents l ~i~nse number schedule is the same as required _,?) ~6 5° Date the State ofldaho ! • ^ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 1 SUBCONTRACTOR LIST Excavation & Ea~rt^hwork: Concrete: ~"~ e0 ~ ~~e ~~ ~ Masonry: `~- Roofing: ~ -€'c~~~~ ~ Ces t^'~ Vb Insulation: °~ ~ ~~~~5 ~~ ,~~i __ Drywall: Painting: ,~ g C~ Floor ~1 Coverings: ~ P~-~-w'V Plumbing: ~~W U V~ {~`'' ~ ~~~1 YY~ Heating: ~I Ca Electrical: ~~ ~ ~ ~'f' C~ P F-P Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists (M C, 1~ VYI~. Siding/Exterior Trim: eu, ~-~- f Other: