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Home My WebLink AboutAPPLICATIONS, CO, BP - 05-00362 - 684 Centennial Loop - New SFRZ ~ O = v ~~,~~ ~ ~ W 3 y _ ~"'~° • ~ C1U `•° v- ~ rn v Z ~ ~ ~ ~ 3 a ^~ c ..~. ~ ~~ ' O n S O sZm m ~ o ~ C ~ ~ ~ ~ ID C ~ ~ C C ~ ~ ~ ~ _. (~ ~ ~ ' o °~»' a ~'m m 3 ~ ~ O 7. d ,-. 0 3 ~ ~. ~ ~ m m . ~ (Q ~G O w~ o- N O N O ~ y~ c S ID = ~ O C N ~ ~ ~ O Q. ~ W f0 O m C ~ O ~ ID ; <D y o m O ~+ C 2 v Z a~ c. n a~f v 0 0 7 O ~ ay "'r7 W S H ~ agcy C rty ~ ~ ~ d N ~ ~ ~ O v ~ ~ C1 _ ~ . tQ _ ~ v • ~ 3 C. 01 ~ O ~ o ~ W y ~,~~ . W ~ ~ ~ c~ ~ r 3 ~ Q. 'y0 O ~ N ~ 3 ~ ~ ~' -1 ~ 7 ~ O Q. O ~~ W rn ~ ~ '~~~ ~ ~ ... o Z -~ v ~ ~ ~~ a ~ ~ n = ~ c ~ ~'~ ~ =ms =o m '~ _ ~~~' s ~ N N a 7c ~ .{ W ~ C~ C~ (O Z~cn ? o ~ ~ °' ° „ C1 C f , G, ~, r,r~ 7 O ~ c o_~N.o ~ ~ r v a?c < o ~ ~ o. oa m _ x ~ •~* ~ ~ . ~ ~ .O O N ~~'~ o ~ O ^ Y' ,~ ~ 7 c N , c~ ~ "_'.~ ~ n ~ C.~~. m g a -o C ~ 0 0 ~- n ~ a C'1 m z m Z -I ^D •/ C S 7 a r L g m rn ^~ m O O Z n~ a v ~_ O .v 'm r n C m '~ ~ . 'g~f4o~d°' v ~ ~ O ~; ~ ~i~ ~~ ^ m r ~ / ~ V ~~~ i b ~ c0 ~. ~ ~ ti. ~'G W n ~ ~ m n ° _ ~ ~ ~ a°m?+ m ~a ~ 3~m y ~' 3. WO O n m ^' O r C (~ Z.'OT Qi ~Z ~ ~ C z O n W ~ Q ~ W ~ _ vz~ w -o m o o~ v ~ v G) n n c rF ~ pmt ~ ~ ~ ~^ zn o. ~ a g ~ ~ ~ ~ n Z N ~ < ~ -+ fD ID a a. Ul A W N -n ~ ~ ~ cn o m ~ o ~ ~ c m m a s _ o _ ~ Z ~ ~ m n n CO OD V ~ ~ A W N ~ _n m - ~ ~ ~ ~ ~. to ~ m ~ v ~ 07 - 3 ~ v O ~ „ °~ 3 ~ „ °c ~ v ~. „ a ra. ~ o c • o4~ExsuR~~ ~: -v~ '~~~1N_D CITY o~ Certificate of Occupancy I~.EXBURG flrnerica's Family Commwiity 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: 05 00362 International Residential Code 2003 684 Centennial Loop Single Family Residence Type V-N, Unprotected Residential No Name and Address of Owner: Sutherland Development, Llc 653 Vale Ln Rexburg, ID 83440 Contractor: Sutherland Development, Llc 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, certifies that, at the time time of issuance, this building or that portion of the building that vies inspected on the date listed vtias found to be in compliance tnith the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy vas classified. Date C.O. Issued: September 15, 06 (03:2 M) C.O Issued b ~G !~ y Building Official There shall be no further change in the e~asting occupancy classification ofthe 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 Departmenl~~~ Fire State of Idaho Electrical CITE OF REXB URG ~ PERMIT # BUILDING PERMIT APPLICATION Please cc 208-3519- 020 X3 BURG, ID. 83440 If the questi~ OS 00362 PARCEL NUMBER: ~R,~-~vY~~zr~~~r6 (we SFR - C~84 Centennial Loop SUBDIVISION:~~~~f~,l~ G'~~/e~, UNIT# ~P~, ~iS~BLOCK# ~ LOT#~ (Addressing is based on the informatio -must be accurate) ~. ~ CONTACT PHONE # 3 w .-2t ~S3 PROPERTY ADDRESS: 68`i Ccn~-~n~i~,J ~Do,~ PHONE #: Home ( ) 3~t -d~3y Work ( ) .emu -- Z~5s l Cell ( ) :3~~0 - Z1~3 OWNER MAILING ADDRESS: dS3 l/~/~ ~„ ~ CITY: STATE: ~ ZIP: ~r3~v EMAILS,,,I,~J,,,.~ _ ~~ ~,ti.,s,,. c,,," 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 CITY: STATE; ZIP EMAIL FAX PHONE #: Home ( ) Work ( ) Cell ( ) CONTRACTOR: Su ~1~,,,,~ D~+u~~eortt~~ G. G. c MAILING ADDRESS: ~S3 %~¢ CC,n~ CITY /~!~6„~i STATE~_ZIP $3 yyy PHONE: Home# ~~-DCC3y Work# 3~d-2t~3 Cell# ~y -z~3 EMAIL,, / _Zg~rry,, ~~,,, FAX How many buildings are located on this property? Did you recently purchase this property? No ~e (If yes give owner's name) G~c ~c~/h-t~y Is this a lot split? ~ YES (Please bring copy of new legal description of propert ~ ~ ~ ~ 0 PROPOSED USE: ,~;,,G,L ~m>~h !O'tS,:le~e~ ~ [~ r n A n _~IIII~ (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, E APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under flt3~ of p0r~~,J hPYP-~?~~ 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. ~ l Z3 / ds Signatut of Owner/Applicant DATE Do you prefer to be contacted by fax, email or on ?Circle One WARNING -BUILDING PE UST 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** 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 herein 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: Pe~~e comptetie the a ire ~p~lication! If the question does not apply fill in NA for non applicable NAME s~~r~ D.~u~iltir~~< L.~, r- PROPERTY ADDRESS ~~ ~~,~,,,~ j Cc~ f' Permit# SUBDIVISION ,~~,~~,~ ~~~/, ., Dwelling Units: ~ Parcel Acres: SETBACKS FRONT 32- SIDE i ~ SIDE co BACK ~o Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 1 ~ X13 Second floor/loft area Third floor/loft area Shed or Barn Unfinished Basement area Finished basement area Garage area t,~~' Carport/Deck (30" above grade)Area Water Meter Quantity: ************** Water Meter Size: °'~`~ Required!!! ~~ PLUMBING Plumbing Contractor's Name: ~~~ ~12~d~c/ Business Name: %j~c ~~~~C ~ /~7-,py Address ~~ ,~O k ~.5`~'y City ~ ,~ State ,L ~ Zip~~~i~ Contact Phone: (~(Q~ s - ~Q ~"7C> Business Phone: ( ) ~ ~,.ft E Email FIXTURE COUNT (including roughed fixtures) j Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa ~ Sinks (Lavatories, kitchens, bar, mop) Fax ~S7D - ~ 7 7/ ,1- Sprinklers ~ Tub/Showers Toilet/Urinal Water Heater Water Softener Plumbing Estimate $ (Commercial Only) ~~~ ~~%~~lr-- G /GYM - ~.s' S' Signature of Licensed Contractor License number D e The City of Rexburg's permit fee schedule is the same as required by t e State of Idaho f9~3 .. _.. ._. ,. P ease complete the ent>i'r ~~ pphcationt~ if the question does of apply fill in NA for non applicable NAME Su1-~~ ~tti( /~{,~.~ 'gPauLL ~ C_ z _ PROPERTY ADDRESS ~gy (pt ~,~~ l~,ap Permit# SUBDIVISION ~~~ v~ //~., Required!!! MECHANICAL .~- ~ Mechanical Contractor's Name: ~exbJ~~ ~~ ~ ~PG ~ Business Name: Address P d - B ~ 7S9' City ~~~ w/~State ! c~ ~ Zip ~3 ¢ O Contact Phone: (Zak) ~~~~`- fs7 7a Business Phone: ( ) Email Fax Z°~` 3SZ- ~ 7~~ Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL9NCES COUNT (Single Family Dwell'ng Only) Furnace , Exhaust or Vent Ducts~~H~ 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 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 ~ ~k5~ b~ aPPtiaµGe ZS'~ Ca a5 t'~Pm yo ~~ .--- f (oa Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ~~~ Sign of Licensed Contractor The City of Rexburg's G License number Date it fee schedule is the same as required by the State of Idaho Cook Stove Vents 3 Bath Fan Vents other similar vents & ducts: ^ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ / ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 1 SUBCONTRACTOR LIST Excavation & Earthwork: G,re,ti KGvr Concrete: ~, Masonry: ~-~i~ i?'rOr~,`}~ Roofing: P~ L w~~~ Insulation: Ch's T~~~~ y~ ~o-~, Drywall: ~~U ~ /~dy ~~ </ Painting: Floor Coverings: ^~ih"L~>~,y1 f Plumbing: ~~~~~~~1~~ 6.:,, ~ ~`t~ f ~> Heating: ~~ ~r Electrical: Norf-~ia,,, ~~,,~,c'~y, Special Construction (Manufacturer or Supplier) Roof Trusses: i~'-C Lr~s Floor/Ceiling Joists: ., ~~ Siding/Exterior Trim: Other: