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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00345 - 777 Popular Cir - New SFRZ ~ .~ , „ O = p 3o~c» m O ~ ~' ~? ~ ~ y z m -a ~ m ~ Q n~~ ~ m ~ m ~ O ~ cC c O ~ ~ c ~ a vi rn o ~~ ~~~y z ~ . ~ ~ ~ ' ~ ~ y 3 ~ ~ 'i ~ ~ ° ~ ~ ~ ~ ~ -I ~ Z D C tJ ~ tN ~ n 0 3 m ~f~ o oo W p tU ~3,~c ~ O .m~ - v ~ ~ ~ N o • m 177 ~ ~° ,~ 3 w n : n ~° n N v ~ ~ n~ ~ O ~ C7 T N ~ cD ~ ~ m f° p ~ ~ a C Q ~ lD ~ N y f~ ~ ~ ~ ~ ~ ~ v ~Q m ~ c c ~ ~ o °; _ o ~ a~m v Z , o-~ Q'o ~ m o 0 7~ 7 c .~ ~ ~ y S N N N o = C n ~ ~ o m -~ ? ~ N, eo e~ 3 ~ 3 ~ ~ v ~ r' '~ Why ~ ~ c v _ ~ ~ • A 7 Q ~ ~ ID m o ~ 0 W _ N ~ ~~~~ m o ~ C (/~ C VJ 3 d ° ~ T r a ( ~ ~ ~ y~ ~ W v o"" _ N D ~ y ` ~ ~ ~ < ~ G. 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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