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Home My WebLink AboutAPPLICATIONS, CO, BP - 05-00366 - 681 Meadowbrook St - New SFRZ ~ ~ ~ ~ m 171 n W~ c ~ v ,~ rn_ ^ ~ s C C ~ ~ ~ ~ Z ~ m -a ~ O ° ~ a ~ ~ m ~ 0 o d ~. N- ~ W ~'~=~:°. m 171 -~S~Qm o 0 co m n n ~' o ~,~ n c 3 ~ a n /~ n~ ~ ~ o ,CO O ~ _ ~ a m ~ °' N °- O a = °' Z ~rt~ o ~' o o ~ ~ = a ~ ~ C o ~ m ~ ~ s o m -i ~ 1- ~. ~ ~ ~ o ~ o ~ ~ c N '` -~ '0 m ~ ~ T r ~~ ~ ~ ~ ~ o m W v a~ Z~ z c~ -~ ~~ =~~z D = "° rn °s=o ~ ~ ~ N a ~ ~ C Z~~~~ ~, 0 0 ~ Q _ ~ ~ n ~ ~ N ~ ~ D r g o ~' o. o T o c ~ Z ~ N N cSp ~ N ~ n 0. ~ 0 _ m ~ o ~ °: ~ ~ ~ ~s~ ~ g m ~oo~o a T a n v c~ Q ,o 1 Q. W a ~ c~ Q cc v `~ W 0 ~o,c» co ,~ ~ ? W ~ °, y a~~~ ~~x~. ~o~= ~ ~ f0 y. k N ~ ~ C ~~ N ~ ~ o ~ c ~ ~ ~~~~ __ ,~ ~~~ V! 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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 00366 International Building Code 2003 681 Meadowbrook St RESIDENTIAL Type V-N, Unprotected SINGLE FAMILY RESIDENCE No Name and Address of Owner: Stewart Allen 681 Meadow Brook Rexburg, ID 83440 Contractor: R Hill Const Special Conditions: 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 vies found to be in compliance v-ith the requirements of the code for the group and division of occupancy and the use for tnhich the proposed occupancy v-es classified. Date C.O. Issued: February 22, 2Q06-{03 C.O Issued by: Building 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 -`----- Water De State of li • Gj~'Y OF REXB URG n.....l~~ PERMIT # ~. .~_ .~... _ _ _~,..~~,... u.~~~,~. ~ :_. .~..~._. .-~ BUILDING PERMIT APPLICATION Please complete the entire Application! 19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable 208-359-3020 X322 PARCEL NUMBER: Work ( ) Cell ( ) SUBDIVISION: Cv'Tor`~-6~~1 UNIT# BLOCK# 2 LOT# ~Z (Addressing is based on the information -must be accurate) OWNER NAME: /~-~ ~-Q~ ~ ~~~po~_1~-~`~ CONTACT PHONE # 3 3 6 ~- PROPERTY ADDRESS: („y~ ( ~~~!,Q,~eWw h'U~ic- PHONE #: Home OWNER MAILING ADDRESS: EMAIL ( We will provide this for you) CITY: STATE: ZIP: APPLICANT (If other than owner) ~ Nz'"lf (a U-~tS~ Ec-~-~r ~/~ (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS~~-7~' E //3 '`U CITY: STATE; ~ ZIP ifo EMAIL r5 ~IfI ?~~ ~'~`~°'AX_ PHONE #: Home ( ) ~"L ~- o Y 9 a Work ( ) ~Z~ o y ~ 3 Cell ( ) .s-~-- q C ~' t CONTRACTOR: ~,as-•,•h ~ d ~ A A, (~ c o,,,.~s~' MAILING ADDRESS: CITY STATE ZIP PHONE: Home# Work# Cell# EMAIL FAX How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split?~ 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 o~~fp2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or r 1 was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Signature of Owner/Applica t DATE Do you prefer to be contacted by fax, email or phone? 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 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** FAX IF S'-zZ~'~'"I~ .tee cam ~~te ~h~ ~~~ ~.~ ~~~~~~ ~ ~ ~ aggt~~~de PR~PTY ADI~RF~,SS i~. ~ ire ; ~=~t~ ~~ get s€~~ ~ i~ ~~ ~~ ~~~ Permit# 1Vle~ha~icai ecrnrxact~r's `~ ~~~~~~ Name- -~`~ A.dciress ~" ~ ~yh. ~l~s .~Z/l~ ,/d~/J ~ I~} ~7G~'~O cam P~v~e: ~ } -- ~'' ~ ~~: ( ) Email Fax ~te+c~ni~ ~t~~a~e ~ (Cc~mn~erc~atlA+Ie~tti Fa~tii~ ~~~ ~~ ~ E;~~ or ~e~t I~uct~ -- ~ Fm~a~elA~i~~€~~diti~er C€~rnbc~ ]Feat Purr~p ~x~ditiaaer ll~xati~ Co~I~ ______~_ Unit Heuer ~p~.e der i?ec€~ra~ve gas-~ appliance Ittcirerat(~f ~`sfelTl Bvzez Feel Neater Similar ~~res yr Agpfianees ~ ~~ ~`b age F~ Vets ~~~ 3t~ve ~eri~ Ti- ~ ~~ Vests c~t~~ ~re~ts ~ tit~cts: 3~ ~'3~ `~ ~ l~u~;i ~ Chrtl i~ett~iing s~trrbt~d im ~r ~~ ~+~-O inlet scare {14~Ieter S~FPiY} PSF Heat (Circle a ~aat a~pl~) has ~~ ~cxal pirepla~~e F~Ie€~ric ~ l~eC~a~i~i Si~ag ~alc~~c~~ ~~~t b~ ae~~mied ~~ .~'Ia~~ Ag~~c~~~~ Paint ~f ~v~ ~~~~ ~e shc~wa oar ~,~an. G c ~, ~ per' sehs~dar#'e rs the smn~ ass r€~uireu~ by the ate f ~((f •~ ;lease complete the entY~e Application! If the question does not apply fill in NA for non applicable NAME t--~, ~( ~v~~ PROPERTY ADDRESS ~ Pe~~ SUBDIVISION ~ ~ c L l S'- Dwelling Units: ~ j Parcel Acres: . Z.S'- SETBACKS ~ FRONT Z S SIDE 7 SIDE ~ 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 ~(/,c}. . Third floor/loft area /vim Shed or Barn .,q Water Meter Count: Water Meter Size: Required!!! PLUMBING ~~~~ ~~~~ Plumbing Contractor's Name: 1N1.Q.~s ~~~~ Business Name: Address City ~' _ State ~ Zip ~3 " Contact Phone: ( ) ~ ~ ~- ~ ~ y Business Phone: ( ) 3 sr 7 Email FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~ Dishwasher Floor Drain Garbage Disposal .~ Hot Tub/Spa ~ Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature of Licensed Contractor The City of Rexburg's Sprinklers 3 Tub/Showers '~ Toilet/Urinal ~[_ Water Heater Water Softener License number e schedule is the same as Date the State ofldaho Unfinished Basement area i ~a Finished basement area M/f Garage area ~~ y Carport/Deck.(30" above ~rade)Area Fax ~r + ~ ,+~ - 'SA7lt~3 % assaraiarsra-s a/ a't'1~tf3~~*Q 2r an~~t~~vls~i~+~a y~~ a~~T+~+r~+~w.~ar ti7 V373~~L#ii'~ ~~~~~J ~~ ~a ~iiil+ ~~ il j,/iq~~ ~~ ~~rnl~~ ~~Li'-S7 ~~~~ F~nR Ft~ off ~ab~) ~ ~~ S~ACT ~U~ ~~A~E: ~Slt i~~ #hc +ic~r t~ ~~~ ~ t3f the bt~iitEiitg} ~ Farr ~ ~7~ished ~t ~a ~~ tl~1c~$ yea F~ ~ -- -- ~~~ ~~ S3 ~ ~# ~~ ~ ~a ~rac~e,}~a ~~~E~~~ ~~ ~;~ ~ S ~$l~t~~ ~~~ ~~~~ ~~ ~~ ~~~~~~ ~~~ ~~ ~ ~ ~b'~cr ~ l _._~ _ _ f ~'_~ .. ~. ~ !~ ~.., A>t .~.~ease complete the en>~ire Application! ` =`' If th/e question does not apply fill in NA for non applicable NAME ~-Yc ~( ~'wy~ PROPERTY ADDRESS ~ ~ Permit# SUBDIVISION ~ ~, L s~ ~,? - L. (j~" Dwelling Units:, Parcel Acres: . ZS~ SETBACKS FRONT 2 S SIDE 7 SIDE_ ~ BACK Z~ Remodeling Your Building/Home (need Estimate) $ /~ (~-- . ~~ ~~~ ~ (,: SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area "T .> ~ ~ Unfmished Basement area .i S oa Second floor/loft area ~t/~e}.. Finished basement area N~ Third floor/loft area N~' Garage area q~ y Shed or Barn ~~ Carport/Deck.(30" above grade)Area Water Meter Count: Water Meter Size: Required!!! PLUMBING ~~~~ ~~ Plumbing Contractor's Name: fM.Q~,~S ~lwu~G-~~ Business Name. Address City {~j' State ~ Zip ~3 Contact Phone: ( ) ~ ~ ~-~ ~ y Business Phone: ( ) 3 ,~ 7 Email FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~ Dishwasher r Floor Drain Garbage Disposal ~ Hot Tub/Spa Z Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature of Licensed Contractor The City of Rexburg s Sprinklers .3 Tub/Showers Toilet/Urinal ~_ Water Heater T Water Softener License number Date e schedule is the same as required by the State ofldaho Fax .. ~., _'+ j "~ t { `il 1! dt7 --_ ~t _ wta.-~~rsrsr.-.'~t! ~ '}177 L~Q~ s4ygil\,.}V{~~ sN+zi~f~iiay~;~~~y} a+~t+r~.v.x V YiT~i{Jii/a w 3s ~~`9 ~81T~ ~FJLN~ _ ~lb3itail. ~V~aani+ ~~i~~ ~~~ Finai Faota~ {~~} St~ru~ ~Y~cr nth S~~FAC1`s ~ FTA~: ~S1t~t ink #~+it}r v13n~,ts ~~ ~c{ilt~stg3 ~n~ Ff~ur Arm 1D . 1 ~~ ~~~t - ~~~ ~ ~~ $~e'~~ed ~~~ ~ ` tf.; lt, f~~~y ~~m.~'~g ~[~r'~ ~+fi Busi~ C ~~~ -----~-- ~~~ ~~~~ ~~ F ~ Y~~ xub ~ ' &'r ~f~a ~~ ~~ ~ S ~ ~~ } i ~ ~~ ~~~1fIA. apgF~~bie ~r.:. . If the €#r€€~s :~ ~# ~~~a~ ~~ ~n lY~ f~ ~€~~ 1~F~R~IE `~a~~ ~c~ PRC~PE~.TY A.UI~R~SS Pennit# SUB.llISIQId r~,~ .~ ~- 11~Ieel~anical Cantractnr'a I'~a~ne: Business Narne• ~.~`~ ~ ~~~~ ~ ~'i% ~ ~~Lr ,.~ ~ .~ ~ state ~ 3 f~ F~ ~~ .~- Exhaust oc ~ I3uc#s -- ~ Fu~et~C~tianer Combo Heat Fop ELir C:o~diti€rrter Eva~rati~e Co~Ier ____~_,_ Unit Heuer Space Hemmer I~ratEVe g~-fired a~plia~ Incinerator System Boiler Pool Heater ~ ~ ~`~ Range I~c~d tents Caak Stave Vents Bath Fan Vents other smi~ar venom ~ ducts. Similar fixtures vFr Agplisnces '+~ Fuel Gas ~ f~uti~ i~iudi~ stubbe-ci izt car future o~tiets~O Inlet Pressure ~trleter Supply} PSI Heat (Circle ali that alaPly) Gas t~ii ~c:ai F~Iace Blec~ic ~ lt~e~al~i Sizing ~ai~ai~ti~a~ mast ~~ ~~b~ai~ ~~; Pis & ~lg~a~ea#~a Paint ~f ~~~ ~~~~ ~ shr~~va as picas. ~~ ~ ~ `~~ ~ ~ o~ of L~censec~ C.cs ~ e ember schedule ~ xhe sm~e ~s xequir~d ~y ffie Skate