HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00395 - 743 Centennial Loop - New SFR Z
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o41tEXBUFC l_ Certificate of t3ccupancy
~~ i9 _ CITY O F
~~~~ City of Rexburg,
~~ "°' - De artment of Communi}~' Develo ment
' America's Family Community p ''! p
'`~=~,o
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3024
Building Permit No: 05 00395
Applicable Edition of Code: International Residential Code 2003
Site Address: 95 Star View 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: Spaulding Blake
Po Box 918
Rexburg, ID 83440
Contractor: Spaulding Custom Builders
Special Conditions:
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 109 of the lntemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
tees inspected on the date listed wes found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for ttihich the proposed occupancy vties
classified.
Date C.O. Issued: August
C.O Issued by:
07, 2007 (10: )
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.
Plumbing Inspector:
Electrical Inspector:
Fire Inspector: ~!~
P8~Z Administrator: 1~1 ~ (,~
` CITY OF REXB URG
_.
BUILDING PERMIT APPLICATION Please
19 E MAIN, REXBURG, ID. 83440 If the r
208-359-3020 X322
PARCEL NUMBER: ~Lp ~\~`'~~~'~ ~-~
SUBDIVISION: /, ,,~ a 1~~~
(Addressing is based on the informatio -must be accurate
PERMIT #
_. , . s, , .
complete the entire Application!
.. ~... __ . .. -' 'ale
05 00395
743 Centennial Loop -Spaulding SFR
CONTACT PHONE # ~~"~, k ~° ~ ~ ~~~,
PROPERTY ADDRESS:~y3 ~}enh+'a~ l~or~~
PHONE #: Home (~~ ~`.,°~~_ °'~^' e; Work (~.~~f) ~ ~.3 ° ~~~~1. °1 Cell (~~~ ~,+,'~ ~,:~ °,
OWNER MAILING ADDRESS: ~ d ~c~r '~ ` ~ CITY: fx ~ kr ~ STATE:~~`°~ ZIP: '~'; R~ , ~' r,}
EMAIL ~Q,~ p g~,r,..(~ FAX ~a~n~
APPLICANT (If other than owner) Ste,
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE; ZIP
CITY:
EMAIL
FAX
PHONE #: Home ( ) Work ( ) Cell
CONTRACTOR: ~oo~Ick~~ ~'~~~ ~~; ~~~~
MAILING ADDRESS: }7,p (~~~ ~tt~ CITY ~~~t~pu.rq STATE `~~ ZIP ~ c ~
PHONE: Home# ~~3-3gla~ Work# 3~3- ~ql~ Cell# 313-~91~
EMAIL ~ PAfx~za ~` ~ ~ ~€~. ~.; ~'~~~ FAX r~J'~k'< ~`,.
How many buildings are located on this property?
Did you recently purchase this property? No ~(If yes give owner's name) C~c.,~ ~ ~~ _,_ „
Is this a lot split?~"` YES (Please bring copy of new legal description of property)
PROPOSED USE: ~=~„,0 =~'~~,,~,~~
(i.e., Single Family Residence, ulti Family,
OCT ' $ 2005
Remodel, Garage, Commercial, Addition, Etc.) CITY OF REXBURG
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalty of perjury, I hereby certify i,
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 oval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. ~
x ~~`
Signature o caner/Applic ATE~Qj~
Do you prefer to be contacted by fax, email or honey Circle One ~~~ J ,~'S
WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCT ON S ~~"" 7.
Plan fees are non-refundable and are paid in full at the time of application beginning J ua 1~~05. 1 ~ 2005
, Ll ~~~
City of Rexburg s Acceptance of the plan review fee does not constitute plan ap royal ~ `j' ~
**Building Permit Fees are due at time of application** **Building Permits are void if you c ecQ1~°®~~BU~G
d~ ClTY OF
RExBUR~
~q&1 AMERICA'S FAMILY COMMUNI°fY
.,~.,.~.r. ..,.,.~..... ,..~..
Affidavit of Legal Interest
State of Idaho
County of Madison
I,
Name
City
Being first duly sworn upon oath, depose and say:
A.
Address
State
(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:
.~..v.~le~~~.complete. tie e~tir~ ~~-~lY~ationl`_ ... _ .... ,~ -., .. w,...,...t , ..,.
L If the question does not apply fill in NA for non applicable
NAME ~'la~e ~. [~,.na
PROPERTY ADDRE S 7~ Ce,~-{-e"~~~~,~ f:.~ Permit#
SUBDIVISION '~~< ~~~ ;'.~,~
Dwelling Units: _ ~ Parcel Acres:
SETBACKS
FRONT ~ ~ SIDE
SIDE ~ ~ BACK
Remodeling Your Building/Home (need Estimate) $
0~0
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) ,
First Floor Area _ ayyy _yr~ Unfinished Basement area /7/02 ~,~~
Second floor/loft area /~,~ ~ Finished basement area ,~~~~ ~.
Third floor/loft area Garage area ~loS S
Shed or Barn or~@._ Carport/Deck (30" abo e grade)Area ,~®n~.
Water Meter Quantity: ~ * * * * * * * * * * * * * * Water Meter Size: ~~ l ~~~~
Required!!!
PLUMBING
Plumbing Contractor's Name: ~jc~ ~c~~",1~,~.\~ Business Name: /~ r~ h,~~~ ~~l~.~.,~,~
Address ~'~'~"~~ ~ , ~~ ~~° ~r,~,~ City ~~~'~ui~r State ~~`~ Zip 3~~I cC~
Contact Phone: (aog) 3r~p_ yy ~~ Business Phone:
Email
FIXTURE COUNT (including roughed fixtures)
/ Clothes Washing Machine
Dishwasher
/~ Floor Drain
~ Garbage Disposal
Hot Tub/Spa
g
-- Water Softener
Plumbing Estimate $ (Commercial Only)
Signature of Licensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
Fax
Sprinklers
y ~ Tub/Showers
~ Toilet/Urinal
Water Heater
M ....., . ~ ~ ~ . _ ..,, .
Pease COrilpTete the eritlre AppilCatlOri! If the question does not*apply fill in NA for non
applicable
NAME iS~ /l~~a~
PROPERTY ADDRESS 7y~ ('f~~Pnn~al l~~ Permit#
SUBDIVISION ~~ ~l~~ts
Required!!!
MECHANICAL
Mechanical Contractor's Name: Alex 1('n~i~-I-~, Business Name: {~le~~e.?~ G.Ir~.$„~ ~ l9~-~~
Address '~~~, ~,,t~ ( City '~r~~~~~~State~i~, Zip a~l~~;
Contact Phone: O ,,"~ ~ i~'~`~~ Business Phone: ( )
Email
Fax
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) ~- , ~~ t~c?~-~'~'~ "`~
Furnace ~~~ Exhaust or Vent Duets (' \~~~~~.R..I
<%~~
Furnace/Air Conditioner Combo ( Dryer Vents
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
~_ Decorative gas-fired appliance
Range Hood Vents
Cook Stove Vents
y Bath Fan Vents
other similar vents & ducts:
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
I~
3 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
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signature of Licensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
."'
^ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ t ~ ~ ~ 1
SUBCONTRACTOR LIST
Excavation & Earthwork: (r~r~,K ~~:~~
Concrete: ~,~§ ~'~~~ `~~~
m
Masonry: ~ ~, ~~~~r~~ ~~
Roofing: ~.x',~c~GW ~~~ ~ :~ ~.,,~~
Insulation:;. ~ ~,
Drywall:
Painting:
Floor
Coverings: ~ ,~,,
F
Plumbing: ~; ~ . ~ A w ~ I ~~ "~,~ ~~,. ,
f
Heating: ~~ ~:~ ~.~~ ~~~ , "~~. 6 ~, ,
Electrical: 1~;+~~ +~ ~,~ `
Special Construction
(Manufacturer or Supplier)
Roof Trusses: ~°~ ~-.~,,r ~ ~t+~~~,~..
Floor/Ceiling Joists: ~ _ ~;~~~~°~
Siding/Exterior Trim: ~,~~,.. ~~~~
Other: ~~x~~~~ 1`~~ ~~