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APPLICATIONS, CO, BP - 05-00384 - 374 Oaktrail Dr - New SFR
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Main St. / Rexburg, ID. 83440 phone 12081359-3020 /Fax (208) 359-3022 Building Permit No: 05 00384 Applicable Edition of Code: International Building Code 2003 Site Address: 374 Oaktrail 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: Kartchner Homes Of Idaho Inc 3456E 17th St Suite 210 Ammon, ID 83406 Contractor: Kartchner Homes Special Conditions: Unfinished Basement. Outside work to be done within 30 days. 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 sties found tothe use for which the proposed occupancyf vies code for the group and division of occupancy and 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 a ent: State of Idaho Electrical De artment 208-356-4830 - Oct. 4. 2005 9:45AM ' Cd~'Y OF RFXBURG BUILDING PERMIT APPLICATION Plea 19 E MAIN, REXBURG, ID. 83440 If the c 208-359-3020 X322 PARCEL NUMBER: No, 1118 P. 2 PERMIT # o~ OO3U4 ale 374 Qaktrail - SFR SUBDIVISION: ~Q I~ b r©a ~ UNIT# BLOCK# ~ Lu 1 ~~ (Addressing is based on the information - must be accurate) OWNER NAME: a ~' an+~ r ~ S CONTACT PHONE # - ~v S PROPERTY ADDRESS: ~ ~ y ~©t ~ ~ e ~ ~ ~ , PHONE #: Home ( ) Work ( ) 5L?~°~~~~ Cell ( ) OWNER MAILING ADDRESS: ~~~ ~ E' ^ ~ 'S r fCITY: --nvn STATE: ~ ~ ZIP: C~ ~y~~p EMAIL FAX Z 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, PHONE #: Home ( ) - Work Cell CONTRACTOR: ar ~e~ ~~- =~ ct,+~ ~ CITY STATE ..- ZIP MAILING ADDRESS: ~. PHONE: Home# '~ Work# '~ Cell# EMAIL T- FAX ~- How many buildings are located on this property? Did you recently p ase this property No Yes (If yes give owner's name) Is this a lot split? NO YES (Please brin copy of new legal de ription of property) ~ h I~' vie ~. ~ S t~eh C ~ CITY OF REXBURG PROPOSED USE: (i.e., Single Family Residence, Multi F ily, Apartments, Item el, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under pe~nalry 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 heroatter be give~- by me in hearings before the Planning and Zoning Commission or the Ciry Council for the Ciry of Rexburg shall be truthful and correct. I agree to comply with all Ciry regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the Ciry to enter upon the above-mentioned property for inspections purposes- NOTE: The building oS'icial may revoke a permit on approval issued under the provisions g~the 2000 Intc~al Code in cases of any false statement or misrepresentation of fac[ itt the application or oa the plans on which the permit or p val as bas d. rmtt void if not started within 180 days. Permit void if work stops for 180 days. Signature of Do you pre ~a ~ ~ ~ a~ DATE :~ to be conta ied by fax, email or phone? Circle One WARNIl~IG - SUILAING pERM,YT 1VIUST BE POSTED ON CONSTRUCTION SITE! plan fees are noa-refYtndable and are paid in full et the time of application be~inninE January z"~~ Clty of Regburg's Acceptanco of the plea review fee does not constitute plea approval **$rR e c e i v e d T i m e a~0 C t~ 4~ m 9~ 4 6 A M:ation*~ w•Bullding Permits are void if you check does net clear** FAX • Oct, 4. 2005 9;45AM Affidavit of Legal Interest State of Idaho Coun't~y ~of1Mad' I, ~~ ~ ~ ~' Name City Being first duly sworn upon oath, depose and say: A. No, 1178 P, 3 ~ r Address "`ttt"'""" %`' state (If Applicant is also Owner of Record, skip to B) That I am the record owner of the property described ozt 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 ~~ ~~'E~- , 20~ ~- Signature Subscribed and sworn to before me the day and year first above written, Notary Public of Idaho Residing at: My commission expires: Received Time Oct• 4. 9:46AM • Oct. 4. 2005 9~45AM No. 1178 P, 4 ~~ ~ If t question does not apply fill in NA for non applicable NAME C~cX X 1 t-~ ~ ~ • PROPERTY AD RE ;~ ct ~ ~ Permit# SUBDIVISION f~~~~ Dwelling Units: Parcel Acres: SETI3A,CICS FRONT ~ S SIDE ~ C...p SIDE ~ ~ BACK 3 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 2. C~ Third floor/loft area ~" Shed or Barn --- Unfinished Basement area 1 ~ ~ z Finished basement axes ~^ Garage area ~ S n Carnort/Deck (30" above gradelArea Water Meter Quantity: / i~ ************** Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: Address. ~Gt lE ~p ~ Y~Sd~ Business Name: ~G'C~°- S~h ©~ ('~'"~~t ~ City State Zip Contact Phone: ( ) _ ~ ~ ~~- ^ ~o ~ ®Q Business Phone: Email Fax FIXTURE COUNT (including rouehed tzxtures) Clothes Washing Machine ~- Dishwasher 1 Floor Drain ~ Garbage Disposal Hot Tub/Spa Sinks (T~avatories, kitchens, bar, mop) 2 3 2 m ing timate $ (Commercial Only) ~-Ir~~~ Si tore of Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as Sprinklers Tub/Showers ~/ Toilet/Urinal Water Heater Water Softener i~~~-Q~ Date by the State of Idaho Received Time Oct. 4. 9~46AM Oct, 4. 2005 9: 45AM No. 1178 P. 5 Required!! ~ MECHANICAL Mechanical Contractor's Name: ~i~tr1'I ~ ~ S~ Business Nanne: ~Y' ~ wtc~wC ~ ~f 1^ Address City ~ State r Zip Contact Phone: ( ) ~ 5 ~j ~~ ~ ~ ~ ~ Business Phone: ( ) Email Fax Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) _~ Furnace l ~ Exhaust or Vent Ducts ~ Furnace/Air Conditioner Combo ~ Dryer Vents ~ Heat Pump ~ Range Hood Vents Air Conditioner ~ Cook Stove Vents ~ Evaporative Cooler J ~~ Bath Fan Vents i-- Unit Heater ~ other similar vents & ducts: Space Heater ~ Decorative gas-fired appliance ,~d 3s .~ Incinerator System Zp `~ Soiler ~~ Pool Heater .~ Similar fixtures or Appliances y ~ Fuel Gas Pipe Outlets including stubbed in or future outlets ~ r, Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. I~~~t,~ c. ~ - '2 ~ ~ ~ I C1 ~- S ~~S Signature of Licensed Contractor License .nurnbez Date The City of Rexburg s permit fee schedule is the same as required by the State of Idaho Received Time Oct• 4. 9:46AM applicable NAME C~ ~ ~ PROPERTY AD E S ~' ~~ ~ p~i~ SUBDIVISION ~q t'~+O Oct, 4, 2005 9.46AM No. ~ ~ 78 P. 6 • ..~ ,. • i ........................................................................................... SUBCONTRACTOR LIST Excavation & Concrete: Masonry; ~C v ~, Roofing:~ Insulation: Drywall:- Painting:. Floor Coverings: Heating:, ~r~l~ C~- ~c ~ ~,p-/~n Ine ~ e~~ s~~ -,w, cxu~- ~ ~-,' r Special Construction .(~M-a'~nufacturer or Supplier) Roof Trusses: ~ t 1n 1 Y~'~ 5 Floor/Ceiling Joists:_ Siding/Exterior Trim:, Other: Received Time Oct• 4• 9~46AM