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HomeMy WebLinkAboutAPPLICATIONS, CO & PLANS - 05-00353 - Futures of Idaho - Office Spaces4~o gEXBURCf7 s~ ~ ~YTY of .Certificate of Occupancy ~1 W V 1\\J - ~ - America's Family Community City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 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 00353 International Building Code 2003 229 S 5th W Commercial Type V, 1 Hour Office Space; 12 Units No - Futures Of Idaho 430 W Hwy 26 Blackfoot, ID 83221 Futures Of Idaho Storage, moderate hazard storage of combustible materials 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 thes inspected on the date listed toes found to be in compliance tMth the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: September 26, 20 (03:41 PM) C.O Issued by: ~`~ '~'~--~ 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: ~ Fire State of Idaho Electrical Department (208-356-4830): . LITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 PARCEL NUMBER: `~ ~ ~-1Z`X~'s i SUBDIVISION:_TQ ~,~t ~ c (Addressing is based on the information - t PERMIT # Please com lete the~entire A lication! P PP If the questic - - ~-- ~ -- - -- - - ~y~ ~ _ , (We 0_5 00353 t ~~ UNIT; Contractor Offices - S 5th W nust be accurate) ~lil 7'~1 R E S mF ! DR H 0 CONTACT PHONE # OWNER NAME: _ZD9_ L 3~~ PROPERTY ADDRESS: PHONE #: Home ( ) OWNER MAILING ADDRESS: EMAIL TH GJ £S Work ( ) 78 S- ~ 3 37Cell ( ) CITY: ~/C~'T STATE: ~b ZIP: 8 3 ZZ FAX ~~~- /3ZL~ APPLICANT: (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS S/4/1't ~ CITY: STATE: ZIP EMAIL PHONE #: Home ( ) Work CONTRACTOR: MAILING ADDRESS: PHONE: Home# EMAIL Work# FAX FAX Cell ( ) -CITY STATE ZIP Cell# How many buildings are located on this property? ~--. Did you recently purchase this property? l~ Yes (If yes give owner's name) Is this a lot split?~ YES (Please bring copy of new legal description of property) PROPOSED USE: G ~/rl /~t ~ R G / A-~ (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) L'J SEP 2 Y 2005 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. Permit void if work stops for 180 days. _ ~ w ~/ ~" ~ /~- Signature o caner/Applicant DATE Do you fer to be contacted by fax, em ' o one? Circle One 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 Rezburg's Acceptance of the plan review fee does not constitute plan approval 3 `~ c1TY c~ RE:~BLIR~ + AMERICAS fAMg..Y COMMUNITY 19 E. Main (PO Box 280) Rexburg, Idaho 83440 www.rexburg.org 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 herin 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: 2 **Building Permit Fees are d~ t time of application** **Building Permits are if you check does not clear** Please complete the ire Application! NAME PROPERTY ADDRESS SUBDIVISION If the question does not apply fill in NA for non applicable Dwelling Units: SETBACKS FRONT SIDE Parcel Acres: SIDE BACK Remodeling Your Building/Home (need Estimate) $ Permit# 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 Water Meter Quantity: Required!!! Unfinished Basement area Finished basement area Garage area 0" above ,, Z **************** Water Meter Size• ~ PLUMBING Plumbing Contractor's Name: ~ Business Name: ~ ~y~ T Address ~~ ~~' (~~~% City /~/~~~" State ~'/Zip ~3L2 Contact Phone: (~~) `~- - ~~: j~~/~~lf S Business Phone: (~c~) 78.5 -- ~' / ~J Email FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Sprinklers Tub/Showers Toilet/Urinal Water Heater Water Softener Plumbing Estimate $ ~ ~~ (Commercial Only) 1~7~~ DUB Required! ignature of Licensed Contractor ~~ License number ate The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Fax-- ?~ °~/7~/~ 4 Plez.se complete the ent~ Application! If the question ao~t apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Required!!! Mechanical Contractor's Name: Address MECHANICAL City Zip Business Name: State Contact Phone: ( ) Business Phone: ( ) Email Fax Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Air Conditioner Bath Fan Vents Range Hood Vents Boiler Cook Stove Vents Decorative Gas Fireplaces Dryer Vents Evaporative Cooler Exhaust or vent ducts Fuel (gas) piping fixtures or appliance outlets Furnace Furnace/Air Conditioner Combo Heat Pump Incinerator Pool Heater Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Space Heater Unit Heater Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor License number Date Required! The City ofRexburQ's permit fee schedule is the same as repuired by the State ofldaho 5 • d~ 4 ~ CITY OF RE:XBL.IR~ AMERICA'S FAM~.Y COMMUNITY • APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO -APPLICANT INFORMATION: BUSINESS NAME: OFFICE ADDRESS: APPROVED BY: City State Zip OFFICE PHONE NUMBER: ( ) CONTACT PERSON: CELL PHONE # ( 1 -LOCATION OF WORK TO BE DONE: STREET ADDRESS WHERE WORK WILL BE DONE: BUSINESS NAME WHERE WORK WILL BE DONE: DATES FOR WORK TO BE DONE: CONTACT PERSON: TO PHONE NUMBER: ( ) CELL # ( ) PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ^ AUTOMATIC FIRE-EXTINGUISHING SYSTEMS ^ COMPRESSED GASES ^ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ^ FIRE PUMPS AND RELATED EQUIPMENT ^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ^ HAZARDOUS MATERIALS ^ INDUSTRIAL OVENS ^ LP-GAS ^ PRIVATE FIRE HYDRANTS ^ SPRAYING OR DIPPING ^ STANDPIPE SYSTEMS ^ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES APPLICANTS SIGNATURE DATE 6 SUBCONTRACTOR LIST Excavation & Earthwork: ~ C ~~ ?'G ~O Concrete: N Masonry: ~~ /fi6 /t/l ~~ .S Roofing: ~ G ~~ ~ ~N Insulation: Drywall:, Painting: /~ /~ ~ ~A Floor Coverings: Plumbing: ~ ~~ Heating: Electrical: ~ L /~ /U ~ d $ ~ 1 /(~ Special Construction J! (Manufacturer or Supplier) Roof Trusses: (~ ~~ L. ~ /2 O G Floor/Ceiling Joists: Siding/Exterior Trim: Other: ,d r~ u ~ J^~N ~ ~ 7 Madison County /City of Rexburg GIS Page 1 of 1 o~ ~a~ ~,p~ X01 ~l ~( ~ ~'. W 2nd S ;~, ,~~.. 204 25 210 Henderson St 252 205 • s~w~ 200 300 400 500 600 70C • • • • • • 30 E M• _ •~ ., DOWEL TO MATCH VERT. MASONRY REINF. 8" MASONRY WALL (#5 ®32" O.C. VERT #5 ®48" O.C. HORIZ) ~ • Yi" PREMOLDED JOINT FILLER 0 4" CONCRETE GRADE a SLAB ON GRADE \~%\%~~~i\ a _ a a °Q ASPHALTIC COATING a ~ BELOW GRADE a 8" CONCRETE WALL (#5 ®32" 0. C. VERT a (2) #5 BARS HORIZ(ONE TOP ,~ AND ONE BOTTOM) O U b ~"' d • , r'~ EQ. 8" EQ. ~ ALTERNATE HOOK 2'-0" DIRECTION SECTION A ---~----~----- DO NOT SCALE S1 SEP 2 1 2005 ;' SEP 14 2005 205199 CHRISTENSEN PROJECT TETON REXBURG, IDAHO STRUCTURAL ENGINEERS P. C. 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