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APPLICATIONS, CO, BP - 05-00338 - 667 Meadowbrook St - New SFR
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W N ~ TI v TI m' Z ~ o~ ~ v (n °" ~ ~ °' ~ '~ ~ = 7 c v o' ~ T 3 co T ~ cfl O n ~ ... ~ O ~• ca N °c ~¢~XBUkc Certificate of Occupancy 'moo r7 CITY OF ~`~ o ~~~G City of Rexburg "y ~, Department of Community Development America's Famil Commnni ~Zk6D 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: 05 00338 Applicable Edition of Code: International Building Code /IRC 2003 Site Address: 667 Meadowbrook St Use and Occupancy: Residential Type of Construction: Type V-N, Unprotected Design Occupant Load: Single Family Residence Sprinkler System Required: No Name and Address of Owner: Widdison Kirk & Erica Contractor: Batt Construction Special Conditions: Unfinished Basement -1377 sq. ft. 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 fhe 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 vvth the requirements of the code for the group and division of occupancy and the use for v~hich the proposed occupancy vies classified. Date C.O. Issued: May C.O Issued by: 03, 2006 :23AM) 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 Departmen • Fire D art ent: r State of Idaho Electrical Department (208-35~-48301: Sep. 1. 2005 9:35AM CI7'~ OF REXBURG 13'CJILDING PERMIT APPLI~ION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 No.1D7] P. 2 PERMIT # Please complete tl~ntire Application! Yf the question does not apply fill in NA for non applicable FARCEL NUMBER: _ (We will provide this for you) SUBDMSION:,~,~„tli~ S-Iy+.~br~d~Ldu,.. IJNIT# BLOCK#_ {Addressing is based on the infortnatton - must be accurate) LOT# /I ~~ ddiso~ CONTACT' PHONE # 3 SG - ~f g `l 2 PROPERTY ADDRESS: PI30NE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: CITY: EMAIL FAX STATE: ZIP: APPLICANT (If other than owner) B a-fi1' CoNe •4t.~~ ~ ~~. 1~, (Applicant if other than owner, a statement authorizing applicant to act as agent for ow,orr moat accompany APPLICANT INFORMATION: ADDRESS 3~1~ ~ ;~ov N CITY: ~ ~ STATE; ~~ ZIP~5, ~ EMAII. FAX ~ F- Z s~{ - ~(S S 3 PHONE #: Home (,zeg) °i SK • y 11 ~ Work ( ) Cell flog) ~'~ I - !`mss CONTRACTDR: MAILINGADDRESS:~y ~ ~ a CITY R~~b~ STATE'~'~ ZIPB~'!~ PHONE: Home# ~ Sy- ~{ 1~ Worlc# Cell# S-~ i - l t. ~ S EMAIL FAX 1 ~''{ - y 553 How many buildings are located on this property?, Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split~~ YES (Please PROPOSED USE: S. ~~ ~~,, (i.e., Single Family ILesidence, Multi Family, ~ Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTI-IOIZtZATION: uaa~r p~alty o~p~iury, i hor~by miry that i have read this application and state that the information herein is carnet and 1 sweat that any information which may hctca8~x be given try me in hearings before the Planning and Zoning Commission or the Ciry Council for the City of Rexburg steal! be truthful and eomect l spree to comply with. all City regulations and Stale laws tvlating to tlx subject matter of this application and hereby authorized represematives of the City to enter upon the abovo-men6oged property 6or inspectian9 purposes. 1dQTE: The building of&c' may tavoko a permit on approval issued undo the provisions of the 2000 International Code in cases of any false statement or misrepresentation of fact in~e appli~att or =the plans aA which the prnnit or apptwal was based. Pcrmii void if not stzrted within 180 days. Permit void if work stops for 180 days. nn \ copy of new legal description of property) ~j_~l o f DATE Do you prefer to be contacted by fax, email or plxone? Circle One WARNING - BUII.DIlYG PERMIT MUST isE POSTED ON CONSTRUCTION S1(7'E! Plan fees are son-refundable sad ase paid in Soli at the tlme of applkation beglnninE Janrraty 1. It98A City o! Regbarg'a Acceptance of the plan review fee does not coaatitnte play approval Sep. 1. 2005 9:35AM No, 1077 P. ""Bufldine Permlt Fees at tlme of applleatlon"" ••BuUding Permks are ~lf you check does not clesr* ~'~ease complete thntire Application! Yf the question does not apply fill in NA for non applicable NA.N1E ~;~rK 4 F iu.. w~d~sou PROPERTY ADDRESS Permit# SUBDIVISION M~ow6~o~ S-FvHefir~als~. ~-Fq~~,•~' Dwelling Units: Parcel Acres: SETBACKS FRONT ~;© SIDE ~ SIDE 3) BACK ~S Remodeling Your Building/Home (need Estimate) $ ~ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area / 3 y1, Unfinished Basement area ! 3 77 Second floor/loft area !o ' Finished basement area M/A Third floor/loft area N Garage area S 49 Shed or Barn ,a! J ~ CarportJDeck (30" above grade)Area ul~ Water Meter Connt: Water Meter Size: ~'y Required!!! PLUMPING ~"~ ~ ~~;~ j Plumbing Contractor's Name: $usiness Name: , ~~~Q ~`U--~-~~ Address 5.~~ ~/~l/ .~ City ~L o~ ~ ~~,G~ State ~D Zxp ~~~al Contact Phone: (~pg) ~Z2 - g31 ~' Business Phone: (~~) 2 z / 'S'9 6 5 Email /lh _S~l6~e ~f' ~~ ~~~ ~veS f . N2 7" Fax FIXTURE COiTNT l~ncludfre~ rouehed /~turesl 1 Clothes Washing Machine ~ Dishwasher 1 Floor T)zain ~ Garbage Disposal ~ Hot Tub/Spa r7' Sinks (Lavatories, kitchens, bar, mop) ~_ Sprinklers K Tub/Showers ~~ Toilet/Urinal ~ ~ Water Heater ~ Water Softener Plumb' g Estimate $ (Commercial Only) ` ~11~- ~-93zo 5- 8-os Required! Signature of Licensed Contractor License number Date The Ciry of Rexbterg's permit fee schedule is the same as required by the State oJldaho 4 Sep 09 05 08:50a Lisa Boozer 280-523-3306 p.l Seo. i. 2405 9:35AM ~ No.101~ ~. 5 Please complete the~llre App)iCahOII~ If the gneslioo does aot apply SU is NA for non xppbcstble NAME ~<<~K ~ EYrl~ L.h~if er. PROPERTY ADDRESS Permit# SUBDIVISION Mea.do~6vwoC S~-s,~.l,~.;d.~~~y~' Required!!! MEC~>~ANICAL Mechanical Contractor's Name: ~-1 ~,~' Business Name: Address Vi~L-1l) ~ ~h., non City 1~.~1t fi ~, ~ S Sty Corrtact Phoue: ('Zc~ 5 ~~ ~~ ZZ ~..- Basiness Plwn ~ ~ ~ Z 1 ' L' ! L j Z Email t ~t(~f (~ (~ C'tf hl ep;~~.v~e.~ Fax ?%t~s ~2~ 3?~b~o Mecbmnical Estimate S (CommercisllMnlti Famiay Dab') FIXTUleES & APPLIANCES COUNT' (Single Fondly DwdhAg Only) Air Conditioner Bath Fan Vents Range Hood Vents Boiler Cook Stove Vents Decorative Gas Fireplaces _~ Dryer Vey Evaporative Cooler Exhaust or vent ducts tZ~Fuel (gas) Piping fixtures or appliance outlets Furnace r _~ Furnace/Air Conditioner Combo Heat Fume Incinerator Pool Heater Heat (Circle all that apply) ~ Oil Coal Fireplace Electric Space Heater Unit Heater Siang Calculations ~ooiust be submitted with Plans & Application Point of Delivery must be shown on plans. ed Camaracwr License number Date Requ The City ojRacWor;'s perjeit~ee schedule is the same as required by the Scare ofldarho z W ~ +~3 Q ~ ~ ~ ~ ~ F3 ~- fl iD z aw H ~ ~ w .,~ ~~ ~ F F- ~ W LV w ~ 'jx~j J ~ C z ~~ ~ ~ N ~ W W g~W ~ma[ ~ ~ ~„ Y x ~~ . ~ ~~ m~ m~ m O m U 2 _~ U ~a z U~ ~~~ ~y w x ~ r w m op~pA ~ ~ ~ O `~ ~ ,`~ m ~ ~~ Gk w 4D O U ~+~ eFFVJi R7 ~ O ~~ ~ ~ W ~ ~ t~ z : ~ ~ "a ~~ z ~ ~ N' X ~ ~ ~ ~ z Q ~ ~ .~.-~ ~_~_ v-a' ~ W ~ ° r o -~ r¢- m m 4 ~ m ~- Stnnahrlrlnsa Ct LL7 x K ~ h w ~ ~ y om~ o~w ~ Z m ~ Z ~ Z n C1 .fin w ~_ QN .J atl i7 ~~ % 7 U ~ _~ w ~by' ~ + ~ ~ O h ~ a~~- oa' ~ UU ~ r -~ Q ~ N a~~ ~'. ~i'S.1 r r ~ ~. ~ O a ° 00 ~ v z v ~ ~ >_ w J ~, ~ ~ W (n O } m' O ~ ~ O r (' Y O B U Z oWU ° WO c ~i~ ~ J W m W ~ (~ Y (~ ' ~ N 0 ZZ ~~~ O ~ O ~ N fAO ~wJ~~~~ ~ V m o° Q~c,~W Y ZU ~ ~fn OQCpr00M !~ 00 (n ~ ~f O Cfl d U CU r O O O f~ N OOr M O O ~ 00 O O~ O N N O~ O Q' m Cfl r Z N N N r N r EA N O EA r (/~ m r C N N ~j 3 O 7 W C ~ O ~` ~ N ~ d ea v ~ ~ mUQ ~ ~~Q~ Z £ ~ '~ ~ N ~! X w Q (~ ~ ~ aaa~ o _=~~c i C7~ Q • Sep. 1. 2045 9:36AM SUBCONTRACTOR LIST Na. 1411 P. 1 Excavation ~ Earthwork: t ~.wa,rd s ~ xc~w ~i'~ ~ F~ ~~~,Z~~ Concrete: .~-G Go -F.~Us T~.~r,,, Masonry: o Ma~o~.v~ i ~~L.o -~~s , f d~ Roofing: N~ ~6 r ~rvi L~ /K. s. ~ Insulation: ©g s ~s~; ~ ~~ ~~s ~~ Drywall: G~ ~ (d ~ ~ r u, J..r'1.c.~ , ~,~-F~ ~1,~ Painting: I~~w.~-•v T a~,.~.,,,~ R ~ y b T~ ~dc~.~ Floor Coverings: Plumbing: ~ •~j L ,~~ ~; ...~ T~cf,~..., ~,.~.1, , Z~ . Heating: ~4"~tc4 ~~.-~; ,,,~ -Td..~ -~,r.~,t~~ T~. Electrical: L~ ~ ~~-c.-~~vwc, 5~~, ~~ Special Construction (Manufacturer or Supplier) Roof Trusses: ~~ P Trwss ~ ~ °~~~ , ~ Floor/Ceiling Joists: i ~''r ~ s o r ~ ~ ~i~.c~ ti ems. ~.-~ (,s ~ T i~vd was Siding/Exterior Trim: ~~- A~ttl ~ e ~ ~~ ~~-'~° ~"~ -~. - (7ther: Sep. 1. 2005 9,35AM CI~ y R~x$u~ MAERIUS FAMG.Y COMMlMQ7 No. 1077 P. 3 Affidavit of Legal Interest State of Idaho County of Madison I I, ~. ~' 1' C a ~V t" d~ ~ ~3 ~~,1 ~ ~ ~ 5 cr-c.~ th ~j ~ I" ~,c,~ e s-~- # ~ p3 Name Address C/ty 5tate Being first duly sworn upon oath., depose and say: (If Applicant ig Also Owner of Record, sidp to S) A. That I am the record owner of the properly described on the attached, and I t my permission to: ~•~f Co-.~~ra,~~ ;.o,~ -i-~,L- 3u~ E ~,o N K~ 9 6., 1 Name Address ~- to submit the accompanying application pertaining to that property. B. I agree to indenuufy, defend and hold Rexbtug City and its employees harmless from any clean or liability resulting from any dispute as to the statements contained herin or as to the ownership of the property which is the subject of the application, Dated this '~ ~ ~' day of ~-e ~ ~ , 20 ~S Signature Snbscnbed and sworn to before me the day and year first above written. Notary Publ#c of Idaho Residing at: My commission expires: 2