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BP, CO & DOCS - 05-00432 - Center for Sight - Remodel
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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 00432 International Building Code 2003 74 E 1st S CenterforSight-Doctor's Office Type V-N, Unprotected Business No Name and Address of Owner: AfFleck Aaron 3950 Wanda Idaho Falls, ID 83406 Contractor: The Denali Group Special Conditions: f C ~q,,z~ ~ N 7~ ~,~~,,,,~~~ ,T.f~7 ~S Nom ~~.~ T~ GEjL~nlG ~2yw~+-GZ~ u/~ ~y/~ 7C S%ss `' ~~~T~~ eaN N~' 7 ~ ~' U SEYJf"r~K.. 57o~xp-G~ o ~ /may EG ~Md ,e>,.Nt2 /vtu5~'I~ E ,~ v1 S!-/t1J Tay ~/~~N~ atrlP~. Pr~co2. To ,may u6~ . Occupancy: Business, professional or service, restaurants less than 50 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 v-es found to be in compliance v~ith the requirements of the code for the group and division of occupancy and the use for v~hich the proposed occupancy vies classified. Date C.O. Issued: February 28, 2Q06~8;2.© ,,~ C.O Issued by: l "~ r ~, ~ ,~ C~`''`~ 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 Depart nt: Fire De State of Idaho Electrical Department (208-356-4830)x- `~~ CITY OF REXB URG BUILDING PERMIT APPLICATION Please ci JJS OU432 19 E MAIN, REXBURG, ID. 83440 If the questi~ ~ Zo8-3s9-3o2o X322 Center far Sight-Remode PARCEL NUMBER: ~~~,X~ 1 ~ ~~ ~ (We writ prov><ae >:nls 1•or you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information -must be accurate) ~I ~5 (~ L~ ~ (~ ~ L OWNER NAME• AAR~cnl AFFLE~cK. CONTACT PHONE # U 4 , tJ PROPERTY ADDRESS: 74 E. /It ~i ' t p, PHONE #: Home (2oa) 5~3 3234 Work (1A8) 5?~-- SGOO Cell. ( ) ~y OWNER MAILING ADDRESS: 39So WaVDA CITY: ,Z, F STATE:~ZIP:~~6 EMAIL FAX 208 - SZSf - 83 `~¢ APPLICANT: (If other than owner) THE j~EN,4Ll GRrouP 4rEt/E LAw4a~ (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this APPLICANT INFORMATION: ADDRESS P.O. Box 3053 CITY: IDAHO FMS STATE; I p. ZIP 834x, 3 EMAIL S/awson~de~la.G Ilc .~ zAis - s52- !l6 J PHONE #: Home (Zcag) 55Z-9585' Work (erg) 55Z-/OOp Cell (~,~1 SZ/-827d CONTRACTOR: _ 'TE/E ~EjVaL•I ~Qptt,p MAILING ADDRESS: P.O, BDx 3053 CITY IpAkO FAsts STATE /D ZIPS PHONE: Home# $$2- Q58S Work# 552- /00~ Cell# S?J - 8 Z70 EMAIL s ~awsoe,~ d.~naCi (lc . _ F~ SSZ -116 How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name)_BO,,,r AFlc/ KAY Is this a lot split. NO YES (Please bring copy of new legal description of property) PROPOSED USE: ~2AFE~/oNgL ~ O~t~ (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. Permit void if not started within 180 days. Permit void if work stops for 180 days. ~ r! l z / os_ Signat O r/Applicant DATE Do yo of to be contacted by fax, email honey Circle One WARNING -BUILDING PE 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 Regburg's Acceptance of the plan review fee does not constitute plan approval f Affidavit of Legal Interest State of Idaho County of Madison 2 ~r I, NA~vo-n •~. A~~ec,~ 3~~~ ~~~ul~- S~firn.~~ Name Address city Td~.o 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 property described on the attached, and I grant my permission to: TFJE DF~lAU G Ro~.tP P. O. Box 3053 1. F' 1 D. 8,340 3 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 herin or as to the ownership of the property which is the subject of the application. Dated this 5 e c.o v~ C~ day of N 0 V yvn ~' , 20 C~~ j, <f n ,, Signature , Subscribed and sworn to before me the day and year first above written. ~,.•~ G~ ~t~ Notary Publi , Idaho ~oT~tr ''M' ~'•~ * Residing at: C'~61~ ~°UB LAG = '•.,N~y?!.,~~~, ~O ~•~ My commission expires: ~ ~ - a0 I ~ •.,~ OF 1~P:..• 2 **Building Permit Fees are dyy~~t time of application** **Building Permits are v -f you check does not clear** •Please complete the el~fire Application! If the question does not apply fill in NA for non applicable NAME 7~{~ f,7f/~lAl1 GRDUP PROPERTY ADDRESS 76 E . ~. / '~ Permit# SUBDIVISION ~ Dwelling Units: Parcel Acres: SETBACKS - E~uSTG Bu~c.l7i~tlla FRONT SIDE SIDE BACK Remodelin~Your Bui_ lding/Home (need Estimate) $ 49, 4!~ . '- SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area /, Odd SF Unfinished Basement area 900 SF Second floor/loft area ~ Finished basement area ~ Third floor/loft area ~' Garage area .~}- Shed or Barn .(~~" Carport/Deck (30" above grade)Area $- Water Meter Quantity: **************** Water Meter Size• Required!!! PLUMBING w~-,rNE FIFE Plumbing Contractor's Name: ~ay~/E'S PLLt/-1B/NG Business Name: Address 4129 E . ?~O /~/. City 21bBY State 1 ~ Zip~3A,elZ Contact Phone: (2A8) 708 - S(SCo Business Phone: ( ) Email Fax FIXTURE COUNT (including roughed fixtures) a Clothes Washing Machine ~ Sprinklers ~ Dishwasher ~_ Tub/Showers ~-Floor Drain - Toilet/LJrinal ~ Garbage Disposal FacKTuJ~ Water Heater ~ Hot Tub/Spa -~ Water Softener 4 Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ 2-5ap. ' (Commercial Only) Required! Signa re of Licensed ractor The City f exburg's License number ate schedule is the same as required by the State of Idaho 4 ~• ~lea5e complete the enti~Application! If the question aoe~ apply fill in NA for non applicable NAME THE AC.I ~ QOt,t.P PROPERTY ADDRESS 7G E . /00 S, Permit# ~ ~ ~ ~ `~, SUBDIVISION ? Required!!! Mechanical Contractor's Name: Address Contact Phone: ( ) Email Business Name: _City State Business Phone: ( ) Fax Zip Mechanical Estimate $ 84~ ~ (Commercial/Multi Family Only) FIXTURES & APPLL9NCES COUNT (Single Family Dwelling Only) Air Conditioner Bath Fan Vents Range Hood Vents Boiler Cook Stove Vents Decorative Gas Fireplaces Dryer Vents Evaporative Cooler Exhaust or vent ducts Fuel (gas) piping fixtures or appliance outlets Furnace Furnace/Air Conditioner Combo Heat Pump Incinerator Pool Heater 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 Required! The RE- Do SuPOc-y a- MECHANIC License number 's permit fee schedule is the same as Space Heater Unit Heater Date the State ofldaho 5 . ~, ~ - ~ • d~ i O Y CITY OF RE;~BLIR~ AMERICA'S FAMILY COMMUNITY APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO APPROVED BY: -APPLICANT INFORMATION: BUSINESS NAME: ~E ~G~~P OFFICE ADDRESS: P.o. Box 3a53 IDANb FAILS, ~D. 83403 City State Zip OFFICE PHONE NUMBER: (~.a~)~~z- Joao CONTACT PERSON: ~~I~ L.AWSon/ CELL PHONE # (~) 52/ -BZTo -LOCATION OF WORK TO BE DONE: STREET ADDRESS WHERE WORK WILL BE DONE: 7G E. /a0 S• BUSINESS NAME WHERE WORK WILL BE DONE: c~,vrF~e. FoR. Sri-,N7~ DATES FOR WORK TO BE DONE: iye~/, oS TO FEB o6 CONTACT PERSON: ToDV Sr~E PHONE NUMBER: (2~_) CELL # (~) 70~- 747¢ PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ^ AUTOMATIC FIRE-EXTINGUISHING SYSTEMS ^ COMPRESSED GASES ^ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ^ FIRE PUMPS AND RELATED EQUIPMENT ^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ^ HAZARDOUS MATERIALS ^ INDUSTRIAL OVENS ^ LP-GAS ^ PRIVATE FIRE HYDRANTS ^ SPRAYING OR DIPPING ^ STANDPIPE SYSTEMS ^ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES ii/Z/o.~ APP I S SIGNATURE DATE 6 tir. _I lNTERI oR R~oDEC_ SUBCONTRACTOR LIST Excavation & Earthwork: ,~~E N/,q Concrete: Masonry: /~/ Roofing: Insulation: Drywall: _ N(6~+ PtA~NS D~2Yu1ALL Painting: M~~ pe~~17-jam Floor Coverings: 7 Plumbing: 4.lgYi~lE~S Pc.ur>Bi~IG Heating: AtJ~I~A l1EtNAtiI(GAL Electrical: SEI El_EGTIZ,t G4[... Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: _ ~'/A Siding/Exterior Trim: ~//q Other: ^- 7 • City of Rexburg 19 E. Main St. Rexburg, Id. 83440 Re: Center for Sight Remodel Review Action Dear Sirs, NOV 3 0 2005 U 13y Please review the attached information regarding the permit deficiencies. Accessibility Review: Please see attached revised floor plan. Grab bars will be installed on wall next to the toilet. The basement will not be used for separate lease space. The basement will remain unfinished. Building Code Fire Compliance Review: The basement will remain unfinished. Number of Parking Spaces: The basement will remain unfinished. Mechanical Review: The mechanical system will remain in tact and as is with the following exceptions. One heat register will be added under the receptionist's desk. The registers serving the bathroom and office will be relocated. We may add a return air duct in each of the rooms in place of the one in the hall. A Mechanical Contractor has not been selected. We will probably use our own men to reroute the ducts and not have a mechanical contractor. If you have any questions please feel free to give me a call. Sincerel , ~~~. ve awson he enali Group 208-552-1000 / 208-521-8270 Fax: 208-359-3022 1 ' 1 A 3~' -~. 32 ~ ~- a ' ' ~ 0 ' ~ ' o o 10'-2~' 9 -8 10 -8~ +~o n n~+.n Aom . m ~o m '0 ~° o: ~ -v 3 N m O~ 3 m~ Q N N ~~ Q- I'l fi1 N p~ V D n '~ o s nO 3 ~p X 0~ ~ D 7C O 3 ~ ~ D` 3 7C 3 c~ 1 ~ j 0 3~ 3 ~ ~ j 3~ .1 X 4 h p Z ~ ~ ~ l --. N ~ ~ N O p ~ 0 3 h j 0 3 . r 3 w fL7Y-~ ~ ~ l~ ~ _ 'III ~\/`~J\/~ --~ A cD o 0~0 '""' .= w r ~ n ~ o V IVH• O D ~ 1 ~ ~ d 3~' I i ey 6'-9~' 6'-1' ~ ~ 3~' s m w ns w 5'-6• i A w • ~, D n .., ~~ ~_O tv ~ ~-' Z ~ ~., .-~ ~ o ~ o O O h (T1 z n 3 w ~a N~ ~ d ~ ,~ .-. 0 v g a' ~N ~ ~ ~ m Z z o ~ ~ h ~~~ ~ 3~• is--i~. 31. C ~- o s o r0 ~ Q Q n ~--~~. C _~_ ~_ O 5 o rD CJl Q Q n ~ r3~. bd ~ oQ ~ ~~~ s~ ~o o O ~o n S S~ o ~ o ~1- W Q iC7 O O 3 (~ O 3 3 o ~ o~ D r0 Q ~--8~. 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