Loading...
HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00428 - 611 Autumn Ct - New SFRZ ~ 0 = _ ~ ~ m IT1 W ~ C v ,~ rn ._ ~ ~ ~. Q n S 7 n D C 0 0 ° ° S ° ~ w ~ -o ~ m 3 Z ~ v o. n ~O ~ O ~ ~ `° ~ W ~ ~' fl. ~ m Qo~~.N~ W m <'~=~ m ~~ m a ° O '~ c m n~ v n ° ~ ~ ~ 70 ~ `° ° ~ ~ ~ ~ ~ __ 3 a m ~_ w ~ a O ~ ~ ~ O Z m o o ~ .'D ~ a 3 m C o o RI "'~ ~ ~ ~ o r a < ~ 5 '~ v ° ~ -~ g u, (A ~ ~ ~ -^ r ~ D A 7 N ~ ' ~ ~ o rn 3 ~ ~ v s ~ D a ~ Z -i ~ -I ~~ _ ~o v 2 ~° ~ m ~o~~~ ~ 0 1~7 ~ v N n is -1 W ~ Z ~ ~ ~ ~1 C ~ ° ° m ~ ~ r a ~ m o m -~ Q ~ ° ~ o. oa m ~' N N N~ O Z ~ -v ~ 3 O m w ~ °-• v -~ ~~ n (n Q ~ ~ .~ n m a v C ,~ ° o ~. ~ d 'O ~~v ~ ~ rn ~~~~a Q rta ~ v c~ .a 0 ~~ ~~ O Q 7 y 0 s°,~-~ m ~..-: ? W~o~' ~ ~~ a~~ ~ 3~~~ moa_, ~ ~ (~ y. 3 arc D~ y Q. ~ O <D = . ~ C1 y ~ -_+j <D o ~, d y ~ `~ .* N ~ 3 ~ '~ Q. ~ ~ co O N rt C ~~°o'°.' Q <D . Q- O ~ N pl y n <D lD ~ 7 00 "• w " _ ~ 'o ~. Q ~ ~ Q. ~~~ cc c- ~: ~ ~ a ~ Q ~ fD < N C. Q ~ ~ O a ear ~ ~~~~ ,. o 0 ~~~ ~~ ~ ~ ~ c ~. ~ ~~ - N ~ 7 ~ ~ a~= K ~ rt ~.tQ 7 N 7 ~ cD y O C. .w. "'x O "" 7 N ~ m Z m C7 Z n TI Z ', `~a~t~ry~ ~ ~ m ~ m '$~a~o~s n ~ ~ t Z ~ ~~ -~ ~' o ~m ~ N c ~ _~ ~ ~ ~' ~_ ~ r ~ ~ O o o ~ ~ O ~ m ~ z a D ~ C ~ i n - o W g v ~ ~ ~ D !~ C ~ ~ C n .~ z W D -n ~ rn~ ° m N m o N ~ ~ ~ ~' ~' ~ N ~ 7 -i ~ C T_ ~ N ~. m -o o n ~ O . = .~ C A m N ti~ O ~ W ~ ~ = C Z Z I T m r Z n ~ m a Z T ~" Z ~ Z~ w a '~ Z O ~ v G) D of g N ~'~ O ~ ~ A ~ I"1° ~ ~ ~. O ~ -°a m Z n n ~ n ~ ~ ~ ~ ~ ~ O ~ Z N < < O a a ~ ~ W N T m ~ ~ a o ~ °c (D ~ ~ ~ ~ N ~ ~ ~ CD ~ ~ ~ m ~ m o (° Oo ~. ~I ~ CJ1 ~P W N -n ~ - ~ ~ ~ ~ ~ o ~ - ~ N T =. ~ o p. o ~~ ~ C n ~ O v ~ ~'~°~¢exeU~~r7 _ CITY of Certificate of Occupancy R.'- .~~~G City of Rexburg "y ~, Department of Community Development America> Famit Communi 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: 05 00428 Applicable Edition of Code: International Residential Code 2003 Site Address: 611 Autumn Ct 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: Buhter Christian 8671iberty Ln Rexburg, ID 83440 Contractor: 3b & G All Phase Construction 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 toes inspected on the date listed sties found to be in compliance tMth the requirements of the code for the group and division of occupancy and the use for ttihich the proposed occupancy toes classified. Date C.O. Issued: September 29, 2006 (10: 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 Departmen • ~ ~ • e State of Idaho Electrical CITE' OF REXB URG ~ JY PER ~ • BUILDING PERMIT APPLICATION Please com OS 00428 19 E MAIN, REXBURG, ID. 83440 If the question d 208-359-3020 X322 ~ 11 ALitumn Ct ~ 7 -~ , -_ ~y PARCEL NUMBER: ~"-~ C°--'~ `t~-~-~- -~`~ ' We wil. ~ ~ , SUBDIVISION: J~-~ i~..Q1 ~'~ UNIT# ~ BLOCK# ~ LOT# b l ~_ (Addressing is based on the information - must be accurate) OWNER: PROPERTY ADDRESS: CONTACT PHONE # PHONE #: Home ~ ~~K~~O°1 Work ( ) ~ Cell ( ) OWNER MAILING ADDRESS: ~ '1 L ~b .CITY: STATE~ZIP: EMAIL_ ~ ~ FAX APPLICANT (If other than owner) ~~3~ ~r fir-(( ~~ ~t~~ L. ~S~' , (Applicant if other than owner, a statement authorizing applicant to act asiiagent for owner must accompanyy this applicatiof nC.) APPLICANT INFORMATION: ADDRESS ~ ((~ ~ t ~ I.h ~" 1 ~ ~ CITY: L-~a,Iro ~• ~ V STATE; ~. ~ ZIP ~3 L(O `'~ EMAIL ~~~ ~^~ ^~ a r~.v„nr,r~"FAX ~ Z~( t~ ~~ ~ i( PHONE #: Home ~ ~~ ~ $'~3 t_( Work (-~ ~ SAS °1 (<l ~(~ Cell ( ) CONTRACTOR: '~ ~ ~(r ~ l ;~ ~,.,~ L ~'~`-~ ~ . MAILING ADDRESS: Std t i ~ ~~ S ~ . ~ ~ `{fir CITY ~,~, ~~-~,~ ~ STATE ~ ~ ZIP`S ~~~~ PHONE: Home# ~ Z~ ~5`63~ ( Work# '~ Cell# j ~~ (~.( `~~ EMAII~~~„~p c~.1~~.~~ FAX j Z of ~( ~ ~ ~~ ~ ~~ II !iI~ ~ ~ ~ ~ ~I;~ How many buildings are located on this propel~y? _ ,, v, ! i Did you recently purchase this property? ~1o Yes (If yes give owner's name)~~ ~' Is this a lot split? 1~iQ/ YES (Please bring copy of new legal description of prope t PROPOSED USE: ~ ~` Z (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 approval was based. Pe it i a acted within 180 days. Permit void if work stops for 180 days. i l /~/ (~ Signature of ner/Applicant 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** ~ ' • Please complete the e~ire Application. 1 If the question oes not apply fill in NA for non applicable NAME j:s~~ ~ 33 '~ Cr 111 ~~ ~-~- PROPERTY ADDRESS Permit# SUBDIVISION ~ ~ ~ ~; '~ -~ Dwelling Units: ' Parcel Acres: . 5 SETBACKS ~ 'U ~ ~~ < ~ t ~c FRONT ~~ ~ , SIDE aZ5 ~-( SIDE 2S ~ BACK S~~ g Remodeling Your Building/Home (need Estimate) $ ~`~ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~ ~3`1' Unfinished Basement area Zz`l1 Second floor/loft area Finished basement area~Z Third floor/loft area cJ ~ Garage area ~' ~( Shed or Barn ~ Caroort/Deck l30" above ~radelAr Water Meter Count: Required!!! PLUMBING ~ l Plumbing Contractor's Name. a Business Name: ~ tom, Address ~~~ Hot Tub/Spa ,1 ~" ~ Sinks '~ (Lavatories, kitchens, bar, mop) Contact Phone: ( ) Email Water Meter Size: ~ ~~ City Business Phone: Fax State Zip, FIXTURE COUNT (including rouehed fixtures i ~ Clothes Washing Machine ~~ Dishwasher Floor Drain ~~~ Garbage Disposal um mg stimate $ (Commercial Only) ©' ig ature of Licensed ntractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho P1 b' E ' I ~~ Sprinklers ~ Tub/Showers G~ - X Z Toilet/LJrinal ~ Water Heater Water Softener ~y~t ~~ ~ ~ ,' , ~. ,~'"~~ CITY O~ _ _ _ ~ ~ ~. ~ RE:XBLIR~ q4~4 AMERICA'S FAMILY COMMUNifY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 www.rexburg.or4 comdev(c~rexburo.orp Affidavit of Legal Interest State of Idaho County of Madison I, CI~~rf~a,v~. ~,~~ , S~7 ~~ b~ Name Address Z ~ ~ , ~~~~ City State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the pro erty described on the attached, a I grant my c7- permission to: ~ g ~' (>, ~~~ ~~5~ ~ ~D~ ~ J ~-~, /~~~~ Name Address ~~t~„-o ~wl.~-S 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 O'~ Signature Subscribed and sworn to before me the day and year first above written. -• . . ,~. A,Q '~ '. ~ = Notary Public of Idaho • .~: ~4' ; ~ ~.~ ~' AUB LIC ; ~ Residing at: I J~YLY~Q,U1~;~.~ CU"Ll.~ ~yl~ J'1,'•. ~'••.91~ ~F'~.p~,~~o°~ My commission expires: ll~ (~~(~ Please complete the enti~Application! If the question doe apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Permit# Required!!! MECHANICAL Mechanical Contractor's Name: ~ P -~~ __-- u'~~ n Business Name: ~~ ~'~~`~ ~ \ f I' C Address l ~ ~~ (~ ~. (~ g ~ E City ~~ ~ State .L ~ Zip $~ 3 ~-(L Contact Phone: (Z~~ ~7 ~ (~ `~ 3 ~- ~ Business Phone: ( ) ;~ Email ~2_r-~-~l~J~1C/V\~ Cn \1` ~ :~'- 7S~,~d.1'~ ~ ~~ ~~ `~ '~J ~. Mechanical Estimate $ ~ S (CommerciaUMulti Family Only) FIX~URES & APPLL9NCES COUNT (Single Family Dwelling Only) Air Conditioner ~ Bath Fan Vents Gf zo Range Hood Vents ~' rS ~ Boiler /'~ Cook Stove Vents . / ~ Decorative Gas Fireplaces i Dryer Vents ~ ~ ~- ~ Evaporative Cooler ~ Exhaust or vent ducts ~ is ~S Fuel (gas) piping fixtures or appliance outlets ~ zS Furnace ~ Furnace/Air Conditioner Combo '~ 3 s ~1 ~ Heat Pump r ~ Incinerator ~~ Pool Heater Space Heater Unit Heater i~ -F s a /!~~ Heat (Circle all that apply) as Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. 2(~~~( i I ! O~ S' nature of Licensed Contractor License number Date Required! The City of Rexburg's permit fee schedule is the same as required by the State of Idaho I • `; ` SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: ~~ Roofing: ~.. U`~ l~~ Insulation: ~ ~7.L.J ~~ Drywall: ~ .,.)c~- ~' Painting: Floor Coverings: Plumbing: ~.6 Heating: ~`e ~ Electrical: ~~ ~~~ ~~, ~d ~S ~. r ~~ Roof Trusses: Floor/Ceiling Joists:_ Siding/Exterior Trim Other: ~~~ r\:1~~ c 1 Special Construction (Manufacturer or Supplier) ~~ ~ ~ ~~~ r ~~ .n