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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00379 - 109 S Hidden Valley Rd - New SFRZ ~ O = o v ~ ~~~ ~: \ rt _~ ~ ~ W ~ m Rl ~ o° ~ v, ~ °~~~3 c'c o a_ c ~ r c ..~ z ° ~ ~ * 3 a ~~~'a ~ .~ (C N f Z~ -I o D ~ -o ~ co 3 ~ Z ~ ~ ~ Cs ~. ~ m nn~ ° ~ O ,_0.,. ~C~ o~ ~ ~ W 3 O p . ~ ~ ~' ~, ~ ~N m rn ~~~ ,~ 2 N n c~ ~ ~ o ° n ~ y~~ ~ O O Q ~, n ~ C T N . ~ ~ a ~ c o ~ Q e D ~ N H ~ O m ~~ a v ~ <= O Q n c ~ ~~~ O Z . C. ~D ~w.*3 _ 0 0 ~ ~ ~ f/! S y o ~ ~~ C ~ ~~ O~ n ~ s o m --I . . m o s~ s < ~, 5 ~ C•n ~3 ~ -1 C. ~ ~ O o ~ ~ C ~ ~ N ~ p "* 7 n 3 -~ ~ Q. ~ y~ C W - °~ c -~+ N r- D ~ ~ a ~ p ~ =. <D < y Q ~ W v ~ n m ~ ~ .. p ~ ~ ~ z ~ O ~ 3 Z ~ ~ ~ O ~'CQ 3~~~ p D T 2 m Q~ p ~~s=~ ~ 3>> ~~ N O. 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Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: 05 00379 Applicable Edition of Code: International Residential Code 2003 Site Address: 109 S Hidden Valley Rd 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: Beesley Larry Etux 15 W Sunset Cir Rexburg, ID 83440 Contractor: Beesley, Lany 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 vtith the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy vies _ classified. Date C.O. Issued: July C.O Issued by: 27, 2006 3AM) 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: ire State of Idaho Electrical De CIl ~ ~F REXB URG • PERMIT # BUILDING PERMIT APPLICATION ~~ P1eaSe COri1j~' 19 E MAIN, REXBURG, ID. 83440 If the question dog 05 00379 208-359-3020 X322 PARCEL NUMBER: ~~'21~~'~1'~yyyo3d (we will ~ 109 S Hidden Valley - SFR SUBDIVISION: ~ i~JNIT~~BLOCK# ~ LOT# ~ (Addressing is based on the informati n -must be accurate) ACT PHONE #~~- J 3 ~ ,~- ';,Z~ PROPERTY ADDRESS: ~ J(~ ~~ ~I'Iid(~,,n Vr PHONE #: Home ( ~~ ~ - ~}~ Work ZIP EMAIL OWNER MAILING ADDRESS: )/,~ lt.) S~n~ f ~'.:-z ~e_ CITY: EMAIL FAX ~iL~ -.~- S'~°7 Cell ( ) ~j ~ ~ ~ ~, ( c~ X~itr STATE:~ZIP: 3~~FCC~ 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 STATE; PHONE #: Home CITY: FAX Work ( ) Cell ( ) CONTRACTOR: ~~e~)e_ MAILING ADDRESS: f5 tt), S.~y~~~ C;',-~ ~~ CITY ~ bc. r STATE~~ZIP~~~ PHONE: Home# 35~-- ~ 77 Work# Cell#_?~ % ~ -- ~ ~ ~ 1 EMAIL FAX ~/'~~-~ ~ ~•7 How many buildings are located on this property? Did ou recentl urchase this ro ert ~ No Yes If es Ive owner's name Y Yp p p Y• ( Y g• ) Is this a lot spl' . NOS YES (Please bring copy of new legal description of property) ®C~ "` ~ ~~0~ PROPOSED USE: CITY dF R~(g(~~ (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 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 approves based. Pit void if not,~arted within 180 days. Permit void if work stops for 180 days. ignature of O r/Applicant DATE Do you pref 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** ~, _.._. ~...~.. nv ~.. .,, .,~..~,.~.~~ _~e ~ w .~. .a. K .. ,. ~. _ ........_.~.. -ease com~l~~te the a i~r~`~pplic~tfb~. __ . .~ ~~. If the question does not apply fill in NA for non applicable NAME ~ ~ ~ ~.~ ~~ ~ PROPERTY AD RESS Permit# SUBDIVISION ~~~ ~~~~~/e„ Dwelling Units: SETBACKS FRONT SIDE SIDE Remodeling Your Building/Home (need Estimate) $ BACK 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 ~ E~ Finished basement area 1~-~?--(~' ~ ~ ~ Garage area ~ 19 ~ Carport/Deck (30" above grade)Area Water Meter Quantity: Required!!! PLUMBING .~- ,, ************** Water Meter Size: 3 `~ Plumbing Contractor's Name: ,~~~ ryffQ~ Business Name: /rF y,P ,C~/-c~ /7'// Address ~l~~~p~ City ~ State ~, Zip Contact Phone: b~D~;~S~~L~ Business Phone: ( ) ~Q~~ Email FIXTURE COUNT (including roughed fixtures) ~' ~thes Washing Machine ~~hwasher _~~oor Drain ~c~rbage Disposal ~~- o Tub/Spa ~MSM -r'wo~ ,~ Sinks ~- (Lavatories, kitchens, bar, mop) Plumbing Estimate $, Parcel Acres: (Commercial Only) Fax ~S'(- ~,77~ i ~ ~ Sprinklers Tub/Showers .~ Toilet/LTrinal Water Heater L" Water Softener Signature of Licensed Contractor License number to The City of Rexburg's permit fee schedule is the same as required by the State of Idaho RSe COnl ICte ~~le e11~~A~'~~1CatlOri. If the uestion does not a 1 fill in NA for non applicable NAME L ~ r f ~ sa ~' e. ~- `~ ~, c. Y PROPERTY ADD SS Permit# SUBDIVISION _,L,.,~ ~,.t ~Q ~~P „ Required!!! MECHANICAL ~~~ Mechanical Contractor's Name: ~U vv Busme~ame: _ Address ~~ ~~ C - State Contact Phone: ( ) Business Phone: ( ) Email Fax Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Furnace 3 S ~ ~'7C._ Exhaust or ~ Furnace/Air Conditioner Combo l Dryer Vents 1 Heat Pump 3~ Air Conditioner Evaporative Cooler j Unit Heater Space Heater Decorative gas-fired appliance y- C~" 4~es~~~ F~~l~t ~~ Incinerator System Boiler Pool Heater Similar fixtures or Appliances Fuel Gas Pipe Outlets including stubbed in or future outlets 3 Inlet Pressure (Meter Supply) PSI ~ Heat (Circle all that apply) Gas Oil Coal Fireplace Electric sa << o ~~ ~ r ~~ Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. .~'~~~ Signature of Licensed Contractor I License number Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: 2. c~~~-off Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Zip w SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: ~~~~t~e-.~~-' ,~ ,y,,~ ez ~---- Masonry: ~ ~ ~ ~.~~ ~~ ~~- ~~ ~©~ ~ ~~ Roofing: ~~'~ ~. (~,~~` Insulation: Tel X12 ~ ~~ ~ Drywall: Painting: ~ ~ie,r~ ~-'~,}; Floor Coverings: Plumbing: K- Q~c ~`j ~ ~ Heating: ~ b ~,~. 'IC~~ i' Electrical: 11 i ~n t Special Construction (Manufacturer or Supplier) Roof Trusses: ~ j y~ ~ [ ~1~ ~~~- Floor/Ceiling Joists: _~~j ~ ~ ~~ ~ Siding/Exterior Trim: I ~, ; Other