HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00350 - 789 Poplar Cir - New SFRZ
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O~~iEXB URC, Certificate of Occupancy
`; r7 _ CITY OF
,>
~~jJjZf~ City of Rexburg
`~ ~, Department of Community Development
Amerltai Fnmil Communi
19 E. 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:
05 00350
International Residential Code 2003
789 Poplar Cir
Single Family Residence
Type V-N, Unprotected
Residential
No
Name and Address of Owner: Kartchner Homes
3456E 17th St Suite 210
Idaho Falls, ID 83406
Contractor: Kartchner Homes
Special Conditions: Unfinished Basement
Occupancy: Residential, single family dwellings, lodging. houses
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, cenifies 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 ofthe code
for the group and division of occupancy and the use for which the proposed occupancy wes
classified.
Date C.O. Issued: June 20, 2006 11:44AM)
C.O Issued b
y
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 • F're Dep e
State of Idaho Electrical Department (208-356-48301:
CITY OF REXB URG
BUILDING PERMIT APPLICA'I~N
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X326
PARCEL NUMBER:
SUBDIVISION: Q -'"[r0 ~ UNIT# BLOCK#~LOT#
OWNER:~~~~~~^ ~ ~ S CONTACT PHONE # ~Q Q ~CpSZ S
PROPERTY ADDRESS: 'T' ~ ~,crC; I~
PHONE #: Home
OWNER MAILING ADDRESS
Work ( ) ~ °- ~~ ~ Cell ( ) ~ ~ ° ~~ ~s
~~ Sep @. _ ~'~j -~ CITY: ~ STATE~G~ZIP:~j ~~Q~
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
CITY:
PHONE #: Home ( )
CONTRACTOR:
PERMIT # ~1 ~-~ ~
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
Work
STA'
ZIP
Cell ( )
PHONE: Home#
Work# Cell#
MAILING ADDRESS:
CITY STATE ZIP
How many houses are located on this property?
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 ~~application or on the plans on which the permit or approval was based. Permit void if not
started within 180 days. Pert v d i o stops for 180 days.
Owner/
/ / d / ~~
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 Rexburg'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 • ---- - _ •
A RE:~BLIR~
- _ -- --
q~s~ AMERICAS fAMILY COMMUNITY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
WWW.rexburq.orq comdevna.rexburg.org
Affidavit of Legal Interest
State of Idaho
County of Madi
f-
Name
~~~~
City
~ ~ ~ -~-.
3~ ~~ ~ ~
Address
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 `j ~ day of ~ ~ , 20 d
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!
` If the question does not apply fill in NA for non applicable
NAME U ~ e
PROPERTY AD SS ~ ~ r~, ~ Permit#
SUBDIVISION ~ i~
Dwelling Units: Parcel Acres:
SETBACKS _
FRONT % S SIDE SIDE BACK 2 Cp
Front Footage (if applicable)
Storm Water Length ~ . .
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area ~~'-
Second floor/loft area
Third floor/loft ar~ a
Shed or Barn l~
Remodel (Need Estimate) $ ~ U
Water Meter Count:
Unfinished Basement area , ~ ~7
Finished basement area _ ~1
Garage area
Carport/Deck (30" above grade)Area
Water Meter Size: ~~( ~~
PLUMBING
Plumbing Contractor's Name: ~,I~' JCS nh ~ C~~ Business Name: !Ul°1? 111
Address State ip
Contact Phone: ( ) Business Phone: ( ) ~ l ~~~~
C
FIXTURE COUNT including roughed fixtures)
Clothes Was ing ac ine ~ Sprinklers
_~ Dishwasher ~7 Tub/Showers
Floor Drain ~ Toilet/LJrinal
Garbage Disposal ~ Water Heater
Q Hot Tub/Spa ~ Water Softener
L Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
Signature of Licensed Contractor License number T Date
The City of Rexburg's permit fee schedule is the same as required by the State ofldaho
Please complete the ire Application!
' ~ If the question does not apply fill in NA for non applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
MECHANICAL
Mechanical Contractor's Name
Address
Contact Phone: ( )
Permit#
~`~,~ ~ pan S p~1 Business Name: ~(` ~D('y~cx1~C~ 1"~~ Y'
State Zip
Business Phone: ( )~~ ~- - ~ ~ L`~
Mechanical Estimate $ (Commercial/Multi Family Only)
FIX~URES & APPLL9NCES COUNT (Single Family Dw~li Only)
Furnace Exhaust or Vent Ducts
Furnace/Air Conditioner Combo ~ Dryer Vents
Heat Pump ~ Range Hood Vents
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
U Cook Stove Vents
~ Bath Fan Vents
Q other similar vents & ducts:
~~ Fuel Gas Pipe Outlets including stubbed in or future outlets
o Inlet Pressure (Meter Supply) PSI
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.
of Licensed Contractor
License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
. ~ +
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: ~U~
Masonry: ~c~v ~"t`(,1 ~^
Roofing: ~ ~, r ~,
Insulation: ~ o;-{'~~, 4~C~
Drywall: ~~~L ~ ~~~~ ~
Painting: '~ ~, ~ ~? 1~" W~C~~~ Y~-~~
Floor
Coverings:
~hu~C45~° .1~~er
Plumbing: l~ l~ S ~ ~~
Heating:
Electrical:
~ ~~ ~
VL 1a't ~t ~ 1`' ~° t
Special Construction
(Manufacturer or Supplier)
Roof Trusses: ~~ L ~` ~~~
Floor/Ceiling Joists: ~j V`~ ~- ~ ~ 5
Siding/Exterior Trim: ~ r1~ ~ t'1~~~3-tn ~j
Other: