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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00357 - 309 Rebecca Ave - New SFRZ 0 rn ...~ ~ Z n S ~ • o ~ c c ~ ~ ~ m aa~~° ~ ~ a ~ a~~~.N~ < F m ~ ~~ ~N c m n c ~ o c 3 __ 3 ~ ~ ~ ~ ... ~- n c n m o o~ a o ~ ~ c m 3 ~ ~ < ~ ° o. m ~ ~ m ~ s ~- m ~ o. o a v a ~'v ~ ~ o j o ~ Q f 3 0 ~ m m a 7c ~ Z ~ ~ ~ 0 0 ~ ~ °-' ~N.. N `~G Q p_ y O W ~ n ~ d d O C O 7 ~ C) N N ~ v, - -0 0 ?-^m~° ~ v,m ~°~c~ .~ ~ m ~ .~ o f.av < ~~v ~ ~~ ~ o ~ ,. a a s o, C) V1 ~ W ~ o ~ ~ ~~ 1 m 71 t ~~`D3, TT ~ ' ~ v z ~ ; Q cD a y ~m 3 a_ c ~ ~ ~ ~~ y ~ U1 D C 'C O ~ C Z ,', n N _~- ~D ~ , _ "O'er O ~ p ~. C i _ ,. m m _ ~~~ n ~ U1 n ~ S ~,oa~ n ~ ~a~~ ~ ~ ~ o~'~~ c m ~ ~ ~ ~ fD~~'- o 0 Z ~ y ~ ~ C .. U1 ~ ~ m ~ mm~~ v r W a y d C• n ~ 7 ~ ate' a c C/1 c~ vyi = '° ~ ~ ~ 7 ~ Q' W '7'I r 7 Q ~ . 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Main St. / Rexburg, ID. 83440 Building Permit No: 05 00357 Applicable Edition of Code: International Residential Code 2003 Site Address: 309 Rebecca Dr Use and Occupancy: Single Family Residence Type of Construction: Type V-N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Chapple Brad 232 S 4th W Rexburg, ID 83440 Contractor: Tbc Construction Special Conditions: Unfinished Basement Occupancy: Residential, single family dwellings, lodging houses This Certificate, issued pursuant to the requirements of Section 909 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 toes 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 vtias classified. Date C.O. Issued: 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): June 15, 2006 08:46AM) ~,'e%-~" CITY OF REXB URG PERMIT # BUILDING PERMIT APPLICATION Please complete the entire Application! 19 E MAIN, REXBURG, ID. 83440 208-359-020 X322 PARCEL NUMBER: SUBDIVISION: ~QM1 J ~~~~„ LJNIT# BLOCK# ~~ LOT# (Addressing is based on the information -must be accurate) OWNER NAME: ,(~~~,~ e-~~~% CONTACT PHONE # ~v~ - ~~v -~~ ~°~ PROPERTY ADDRESS:--'~!~ ~~~~~.~ t~nlj1Z, PHONE #: Home ( ) ,~ `~~- `J ~1 ~ r Work (3~~~) Coo -u=~~~ Cell ( ) OWNER MAILING ADDRESS: 232 S ~ CJ CITY: «Kr;~n STATE:..! © ZIP: ~'~Kya EMAIL FAX 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 STA PHONE #: Home ( We will provide this for you) FAX Cell CONTRACTOR: MAILING ADDRESS: PHONE: Home# ` EMAIL CITY: -ZIP EMAIL Work C~ ~, Work# FAX -CITY ~Y--s~~•R F STATE~~ZIP ~3`~'~6 Cell# ~ ( 7"` 2 ~ S ~ How many buildings are located on this property? Gn.~ Did you recently purchase this property? No Yes f yes give owner's name) /~-z.-~~~•~-~,-, Is this a lot split. NO YES (Please bring copy of new legal description of property) PROPOSED US S, r) GZ ~°-N•,. ly ~~~`de~~ (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 props for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 20 - t'"~ ational CQ,de in.~ases of any false statement or misrepresentation of fact in the application or on the plans on which the erm' al was b it v 'not started withi ~~days~.--Permit void if work stops for 180 days. Signature of Owner/Applicant DATE Do you prefer to be contacted by fax, email or honey Circle One If the question does not apply fill in NA for non applicable 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 **Building Permit Fees are due at time of application** **Buitding Permits are void if you check does not clear** _.__ 4 _.,~ ~, ~.~. ..~~..-~.~, ..._ .~ r~.~,_.~.,.~....~, ~ . ~..~.. _.~~ ,_ , .<. _. ... _ _.. .~ ~ . ~.. ~ CITY Q _ . _ ~ _ ~ , .: ^ __ _ r-__ --- . -- . _ ____ RE:XBLiR~ .~ ~ AMERICAS FAMILY CQMMUM-FY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburg.org comdevCc~rexburg.org Affidavit of Legal Interest State of Idaho County of Madison n ~~ 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: Ta,i; S CI~Q,o,o~ 1 ~ lR" S¢K~I7i-(I C~r~~T_~~~ar~l.~. 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 ~O~ day of ~ ~ fi~~~ ~, (- , 20 Subscribed and sworn to before me the day and year first above written. DAW N TRENT ~ Notary Public of Idaho NOTARY PUBLIC Residing at: ~;' ;~~~~~i ,Z.~+~ STATE OF IDAHO , My commission expires: cJ--`~~ - ~ ' __.,. .... sPl~e~se complete the e~ire Application! °~-_. -~... _ . ~~ , ,r... If the question does not apply fill in NA for non applicable NAME ~4 PROPERTY ADDRESS ~~a~k ~ Permit# SUBDIVISION .~ Pq-se+~ Dwelling Units: Parcel Acres: ~.7 SETBACKS ~ t , ~ ~ FRONT 3~7 SIDE SIDE I ~ BACK Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor AreaT~~ S ~ Unfinished Basement area /~ ~ (~ s Second floor/loft area dy f~ Finished basement area - ~ Third floor/loft area N ~ Garage area Shed or Barn_~~ Carport/Deck (30" above grade)Area Water Meter Quantity: ************** Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: Address Contact Phone: Email Business Phone FIXTURE COUNT (including roughed fixtures) ~ Clothes Washing Machine f Dishwasher T Floor Drain ~ Garbage Disposal Hot Tub/Spa ~~ Sinks (~ avatories, kitchens, bar, mop) Sprinklers I Tub/Showers Toilet/LJrinal 7J l Water Heater Water Softener Plumbing Est to $ (Comm~rciaLOnly) Signa~~• o ~ ~~ Contractor License number Date 'r Tlie City of Rexburg's permit fee schedule is the same as required by the State of Idaho v ~ Business Name: -~~~ ~~~~~~L, ~- City State Zip Fax . ~ , ~. „.~..,~,~.~..~~.n, ,.r„.~..~,~,...M~~..,.~, ~.~_. -.,..~ ~.~~.. _~,. r SUBCONTRACTOR LIST Excavation & Earthwork: ~ h ~Q ,~c~ ~~ Concrete: ~~.,.~`l cl ~. Masonry: `/~C ~~,, ~ ~ _ .-- Roofing: ~ h~ ~:,~ ~-~ Insulation: ~/'~ ~J~.~~ Drywall: f -~~~ /~~ Y~/~/~~~ ~~ Painting: ~, L ~,~/.~ /~~; Floor ~/ Coverings: ~~ ~in Plumbing: ~ ~~~~ Heating: ~ Electrical: .~~~ y`~ Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Siding/Exterior Trim: Other: Please COrilplete the eritlr App~lCatlOri~ If the question does not apply fill in NA for non applicable NAME, 40C ~~ a ~e PRO~'ERTY ADDRESS 1, © c ~ ~{ - e 6 P cc4 .5~. Permit# SUBDIVISION -e rrS~1,~ Required!!! MECHANICAL Mechanical Contractor's Name: / ~r' ~i ~ ~~siness Name: ~ ~/'~" ~, Address ~ ~ ~G~ ~,~-~ ~,~~/ ~ City ~ ~~& State / Zip~~~~~(~ Contact Phone: (~ V~) ~j) 3 f~cJC) ~ Business Phone: ~$) _'~ ~ (~~ Email ~~ '1 -r G.~x.: L~l ax Mechanical Estimate $ (CommerciaUMulti Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwellinag Only) Furnace ~ Exhaust or Vent Ducts ~ ~~ Furnace/Air Conditioner Combo 3'~ Dryer Vents -~ S Heat Pump ~ Range Hood Vents Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance ?~J ~~ Cook Stove Vents Bath Fan Vents ~o ,~ other similar vents & ducts: Incinerator System Boiler Pool Heater Similar fixtures or Appliances 1 ~~ + ~ ~~ ~Z 3 Fuel Gas Pipe Outlets including stubbed in or future outlets Z~ Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application oint of Delivery must be shown on plans. ~~~ gna of Licensed Contractor License number Da e The City of Rexburg's permit fee schedule is the same as required by the State of Idaho