HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00345 - 777 Popular Cir - New SFRZ ~
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U 4gEXR~RCf~ CITY of CERTIFICATE OF OCCUPANCY
Y~ IZEXI~URG
_~
' Americrt's Family Community
``~=~fo ~°° Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Building Permit No: 05 00345
Applicable Edition of Code: International Building Code 2003
Site Address: 777 Poplar Cir
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: Kartchner Homes Of Idaho Inc
601 W 1700 S Suite A
Logan, UT 84321
Contractor: Kartchner Homes
Special Conditions: U ~~ n 15 r lC~~ ~i~.~--
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
vies inspected on the date listed vtes found to be in compliance vtith the requirements ofthe code
for the group and division of occupancy and the use for vihich the proposed occupancy vies
classified.
Date C.O. Issued: February 15, 2006 (09:5 M)
C.O Issued b . G- "
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_~-'" ~uui~~~c ,,~T moire De
State of Idaho Electrical Department
CITY OF REXB URG
BUILDING PERMIT APPLICA~
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X326
PARCEL NUMBER:
PERMIT # ` ~~
•
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
SUBDIVISION:_ ~~~k I~r~j ~. UNIT# BLOCK# ~ LOT# ~~
OWNER: ~~4~ r `~~~~ ~'- ~ lM, 2 S CONTACT PHONE #~~ 7 "~
PROPERTY ADDRESS: ~~~ C.7 ~G..t~ ~ ~ ~~ L°_
PHONE #: Home
Work ( ) ~ ~~ ' ~~ ~~' Cell ( ) ~ ¢ " ~ S ~s
OWNER MAILING ADDRESS: 3~ ~ ~ ~ L ~~~CITY: ~~,~.~STATE:~C7t;IP: ~ 5 `1C~
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.)
MAILING ADDRESS OF APPLICANT
PHONE #: Home
CONTRACTOR:
CITY:
Work ( )
PHONE: Home#
MAILING ADDRESS:
How many buildings are located on this property?
STATE; ZIP
Cell ( )
Work# Cell#
CITY
STATE ZIP
Did you recently purchase this property? No Yes (If yes give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE:
(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. ermit of w rk stops for 180 days. /"/',
~/ ! C./ /
Siena of r/ cant 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 Regburg'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**
,~~$ CITY O~ _ . _ • ~,- _ - ~
REXBLIR~ _ ~ .:
~._.LL.. __ ~______-__ _ ._ . .
q t A AMERICA'S FAMILY COMMUNI°fY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
vrww.rexburg.org comdev@rexburg.orq
Affidavit of Legal Interest
State of Idaho
County of Mad' on
I, CJ ~ ,
Name
~'I'1'I- ~y\ ,
City
Being first duly sworn upon oath, depose and say:
A.
~~~~~_ ~ 7-~ ~
Address
.~
State
(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 orf 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 e~ire Application!
~f the question does not apply fill in NA for non applicable
NAME ~ ~ ~ V ~~~
PROPERTY ADD SS ~ ~-`~- o-p ~c1-c.,~~- Permit#
SUBDIVISION ~c~~ .~ 6L
Dwelling Units: Parcel Acres:
SETBACKS ~ SIDE C SIDE
FRONT ~ BACK
r
Front Footage (if applicable) ~ S
Storm Water Length
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area f r ~ ~ Unfinished Basement area ~, C ~~
Second floor/loft area_ _ Finished basement area
Third floor/loft area Garage area ~ S(:~
Shed or Barn Carport/Deck (30" above grade)Area
Water Meter Count:
Required!!!
Water Meter Size: ~'~ r
PLUMBING II f
Plumbing Contractor's Name: ~~ l C'_ ~d ~r~ ~9~ Business Name: C~ s ~ t U 1"1 f
Address State Zip
Contact Phone: ( ) Business Phone: ( ) 3 (~° ~ ~ ~ Q
FIX~URE COUNT `(t~cluding roughed fixture )
Clothes Washing Mac me Sprinklers
Dishwasher _~ Tub/Showers j
Floor Drain
Garbage Disposal
Hot Tub/Spa
Sinks
(Lavatories, kitchens, bar, mop)
_~Toilet/Urinal 3
~ Water Heater
Water Softener
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 e~ire Application!
If the question does not apply fill in NA for non applicable
NAME v e
PROPERTY ADD SS a~'' ~ ~''r^c I ~'
SUBDIVISION (~a ` ~ ~
Required!!!
MECHANICAL
Mechanical Contractor's Name:
Address
Contact Phone:
Permit#
r~~~ ~~ ~S ~ ~ Business Name: ~' i'" ~ ~~2(k~'~ /,Y'
V Business Phone: ( ) ~-S~~ ~ Cf
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLL4NCES COUNT (Single Family Dwelli~$ Only)
~_ Furnace ~/ Exhaust or Vent Ducts
Furnace/Air Conditioner Combo I Dryer Vents
Heat Pump ~ Range Hood Vents
Air Conditioner ~ Cook Stove Vents
E
i 2
vaporat
ve Cooler Bath Fan Vents
a Unit Heater
(.} Space Heater
Decorative gas-fired appliance
(~ Incinerator System
Boiler
Pool Heater
~j Similar fixtures or Appliances
~_ other similar vents & ducts:
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
of Del~'very must be shown on plans.
of Licensed Contractor
2~~~ ~~G-a~~_
License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho