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Home My WebLink AboutAPPLICATIONS, CO, BP - 05-00363 - 672 Centennial Loop - New SFR-~ __ -* ~ ~ = C d ~ m m ~ ~~~' ~ m v 111 '$ ot~s ~ ~ ~. C7 ~ ~ ~ ~~ ~•o ~ s~ D 3 C i '~7~~ y ~ n ~ ~ ~ n. D O c -i ~ ° ~ •°o ~ coo 3 ~ N ~• ~ n ~ 0 ~ v -ri, i .'•~ 2 u, n ~ m O ~ ~ _ _ ~ n o • -o n 01 O Q ID (p T ~ ~ ~ ~ v C1 /~ ~ ~ ~ ~'D N ~ ~# m c = a ~ ~ C = M ~ Q. ~ .. ~ ~ T a ~ _ ~ 7 p~ Q V n °•~ ~ O Z ~<D C.~ < N m o 0. 3 ~ a' y S 3 CD n ° °• ~ cN C g .~i b1 e~ y O fD ° ~ d N Z a ,.* t1 ~ ~ C ~ c4 ~ 1 ~ ~ y "h ~ N ~ S1 ~ ~ 7 j ~ .~ ~ ~~ y ID ~ ~ ~• o v " O 0 W N ~~ 3 Q' n ° ;r o ~ C ~ C NJ ~ 01 ~-- 7 O m ~ 3 ~ ~ Q. ~D to ~ cOp W m u' c N ~ ~ ~ Q. ~p < ~- Q. L n ~ ~ ~ '~ 7 W C C O 7 a ~ 0 111 ~ ~a~~ ~ ~+~ ~ ~° ~ v ~ ~ ~ O ~ ~ ~+ a~ i D o ~~ ~f~ v -I ~ n m ~, ~ v m g•~.Z D = ~ ny<sl N o ° o ° ~ ~~ ~ Qf m m ~ c ci ~ m ~ w ~- '~ ~ ~ ~ C7~! C'Y <O N ~ ~ Z coi ~ ~ ~ C ^~ ~ O ~ n c ° ~ m ~ n ~ 7 O ~ ~ ~ ^Z ~ ~ w d~ o. y O Y/ 3 C ~/- r 0 0 ~.~'~ ~D "'1 O ~ z m " O °' o, Z 111 ~ y cD 0 m' ~. ma n n ~ mn ~ Z m S N 'y0 vNi ~ y v ,p m po m ?i m ~ n C7 won ~' m ~ _ -I 3~m y N3 O ao 0 0 C7 ~ .. O ~ Z ~-~i0 ~ ~•c = C C n O n w ~ g ~ ~ r yTC ~ ~ ~ Z W ° v mZ~° o •° Z Z n~g N ~~m 0 ~ G7 O G7 1 m o ~ ,~ m O r d 0 3~ ~ ~ m Z n ~ ~ ~ ~ ig a ~ ~ ~ n Z N `v O p ~o c a C71 A W N ~' o ~ ~ - ° ~ a ~ s ~ cc ? ~ °~ m m ~• ~ ~ ~ m ~. ~ 0 T 0 C° OD V Q1 U1 A W N ~ n=i ~ ~ ~ m p) °- m v '~ ~ `~ 5 c ? ~ ~ ~ "tl °c v o ~ TI o o r ~ 0 ~ ~ o~REXBUR~,G ~ITY of Certificate of Occupancy °, ~~~~ City of Rexburg ~~ ~ _ ~Srnerica'sFam Community Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: 05 00363 Applicable Edition of Code: International Residential Code 2003 Site Address: 672 Centennial Loop 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: Sutherland Development, Llc 653 Vale Ln Rexburg, ID 83440 Contractor: Sutherland Development, Llc Special Conditions: Unfinished Basement Occupancy: Residential, single familydwellings, lodging houses This Certifrcate, 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 wes inspected on the date listed wes found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. Date C.O. Issued: C.O Issued by: September 15, 20 6 (03:19P 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 ,. CITY OF REXB URG BUILDING PERMIT APPLICATION Plea 19 E MAIN, REXBURG, ID. 83440 If th~ 208-359-3020 X322 PARCEL NUMBER: 1-'~~1~~p~('~ Z~~(~ EMAIL Drib gable ', SUBDIVISION:~}~~p~~n !/w/~e y UNIT#P ~ $ BLOCK# ~ LOT# 9 (Addressing is based on the information - ust be accurate) l~ CONTACT PHONE # ~~~- `/$ PROPERTY ADDRESS: h ~-a f@n frllA.~c~ L(>uP PHONE #: Home (~) '~~r- ~'~~ Work (urv) 3rd - z~ $ 3 Cell ( ) 3 iy -~i~ 3 OWNER MAILING ADDRESS: b ~3 UG/t ~n~ CITY: ~~~~ry STATE: ~ ZIP: ~s3s~~v EMAIL ~u~,e.'~C1n/ .-2r- cya+s~~rr„FAX APPLICANT (If other than owner) ~ / ~ (Applicant if other than owner, a statement a~utl o~ng applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP PHONE #: Home Work ( ) CONTRACTOR: Su .~ ~r 1~,~ Q~~~ loB~~ < L . ~ e. MAILING ADDRESS: ~jS3 U~/~ ~CrrlC CITY /~dr~ STATE~ZIP $3`%~~1, PHONE: Home# ~s `~ -U `~3~ Work# 3 JU - ~~±~ 3 Cell# "3`f~ ~ ~~ St 3 EMAILS,~,I,~,,,4 -2~ (~ns~ co,.-, FAX How many buildings are located on this property? =~ a T1T T111 .TTT 11 . 05 00363 SFR - 672 Centennial Loop FAX Cell Did you recently purchase this property? No ` e~ If yes give owner's name) G=~h+ P~i~wr w Is this a lot split? ~ YES (Please bring copy of new legal description of property) PROPOSED USE: ~,,~~ f~~ (i.e., Single Family Reside ecn Multi Family, 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 app al was based. mit void if not started within 180 days. Permit void if work stops for 180 days. ~~~ ~/ Z ~ / Signa re of Owner/Applicant DATE Do you prefer to be contacted by fax, email o one? Circle One WARNING -BUILDING PE ST 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** **Building Permits are void if you check does not clear** m ~,~"""~,~, C1TY 0~ RE:XBLIR~ _ - a~ AMERICAS FAMILY COMMUNITY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 www.rexbura.orq comdevCa.rexbura,ora Affidavit of Legal Interest State of Idaho County of Madison I, Name Address City State Being first duly sworn upon oath, depose and say: A. (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 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: • .. _... 14 Please .complete the 1F~~~ppliC~tiori+ ..._. m _ _... If the question does not apply fill in NA for non applicable NAME SU~~ ~uw/ ®r~;y~f~~, t ~ 4 C PROPERTY ADDRESS h~ ,~ C c,.!-enn; ~ l ~t,~ Permit# SUBDIVISION !~ ~~//,~~ Dwelling Units: Parcel Acres: SETBACKS FRONT 3~ SIDE 10 SIDE ~ b BACK ,~ Remodeling Your Building/Home (need Estimate) $ 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 Unfinished Basement area 1$ J y Finished basement area Garage area 9' N~ Carport/Deck (30" above grade)Area Water Meter Quantity: j ;r ************** Water Meter Size: 7 ~~ Required!!! PLUMBING ~~ Plumbing Contractor's Name: ,~Ea,c~ /~J6/j~ Business Name: ~ ~ ~ / Address `~~ Ux ~; ~ City State ~ Zip Contact Phone: ( ) Business Phone: ( ) Email FIXTURE COUNT (including roughed fixtures) _~ Clothes Washing Machine Dishwasher _~ Floor Drain ~ Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ Sprinklers L Tub/Showers Toilet/LTrinal Water Heater Water Softener (Commercial Only) of Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as ~' ate ' by the State of Idaho ~l Fax Please complete the enti~Application! If~the question does'll'St apply fill in NA for non applicable NAME ,S v >~ er (4r,~ /~rtl.,t~-a~- 1„ L- L PROPERTY ADDRESS ~`~;L (~~~rr Lv~° Permit# SUBDIVISION i-1; d~( Required!!! MECHANICAL Mechanical Contractor's Name: ~J/' ® Business Name: _ Address P (~. ~ _ 7 ~ City , ~ State Contact Phone: (~') ,~~- ~7 7~ Business Phone: Email Fax ~~ • Zip 83 ~~ Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) ~ Furnace 3v ~ ~ Exhaust or Vent Ducts ~(~~~ Furnace/Air Conditioner Combo ~ Dryer Vents l ~ Heat Pump ~ Range Hood Vents ~ ~ Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliances Incinerator System Boiler Pool Heater Similar fixtures or A Cook Stove Vents Bath Fan Vents IS other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future Inlet Pressure (Mete Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric So ,~ s` o Zs ~ / ~~ Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ~.- Signa of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho -~ ~ r ~ } ~ ,. SUBCONTRACTOR LIST Excavation & Earthwork: ~iur Concrete: 7r~i~„ ~~.~ l~u~, ~,• __ Masonry: ~u~~ j??drr~',~ Roofing: (,~yl C. Insulation: ~6 ~ Tys~l~; ~ `d.~ Drywall: 7~•t- plNw ~ <~ Painting:_~ Floor Coverings: Plumbing: ~,~~,d,rH ~~,.~, 6;,~, ~- ;~ ~ Heating: Electrical: ~ rdv,,, ~1~~i; ~- Special Construction (Manufacturer or Supplier) Roof Trusses: Gs~'! ~- fo~'r5 ~ Floor/Ceiling Joists: h~~ ~~~~ Siding/Exterior Trim: Other: