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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00439 - 1272 Pleasant View - New SFRZ ~ O ~"~ ~ Vs ~ ~ m m W C rn v _ ~ _ ^ G7 ~• o ~ s 3 D ~ 3 > C ~~ 0 o fD v s o ~ ~ ~° ~ ~ n ~ -o a 3 ~ O ~ o ~ ~ ~ ~~ °° m . ~ v =~ ~ ~~' -~ m . o !O N ~ !N O ~1 V ~ ~ G , ~ c 3 ~ ~ C1 v m ~ ~ o C O ~ _ ~ ° m _ ' w ~ a G ~ °' ~ ~ O ~? oo~ ~ ~ °~•'w, C ~ ~ w -o g o f/! m ~ ~° ~ o r ~ ~ ~ _ ~ T ~ v o ~ C V~ ~ ~ ~ ~ `° 3 ?~ r < ~ n 7 y ~ o ~ o m W v a ~ Z Z ~ ~ v~,;~Z a = ~~ ~o ~-~ ~ m m of ~ ~ s ~• ~ N ~ ~ TT C = W ~ Z ~ co ~ ' ~ Z1 W C o o ~ v °? 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W N ?i ~ ~ ~ cn v - ° c ~ a o c °_ ~ ~ ~ ~' m z ~ ~ ~ z m ' ~ o Z v 0 O C ~ ~ m 3 n C v O 0 CO OD v ~ Ul ? W N ~ v ~ v °: m ~ v '~ m ~' fl; ? v ~ ~ c n ~ o' ~ o ~ ~ 0 c a~ 44~xsuA~,a UM~ O tit'+H[n CITY of ,. Certificate of occupancy T~EXI3URG America's Family Community City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 ne (208) 359-3020 /Fax Building Permit No: 05 00439 Applicable Edition of Code: Intemational Residential Code 2003 Site Address: 1272 Pleasant View 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: R Jay Taylor Construction Inc 3968 E Sunnyside Rd 4b Ammon, ID 83406 Contractor: R Jay Taylor Construction, Inc Special Conditions: 130 sq ft unfinished basement Occupancy: Residential, single family dwellings, lodging houses This Certificate, issued pursuant to the requirements of Section 109 of the Intemational 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 vuth 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: August 06, 2007 (02:04PM) C.O Issued by: ~~~ Building Official There shall be no further change in the e~asting occupancy classification ofthe building nor shall anystructural 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: ~ I n P8~Z Administrator: k ~Gl - Cl7'Y OF REXB URG PEu>urTT # • -- ~e~,.... ~ ...,~~.,.....,,...,.~.,: BUILDING PERMIT APPLICATION Please con 1~~E MAIN, REXBURG, ID. 83440 If the question 05 00439 208-359-3020 X322 1272 Pleasant View PARCEL NUMBER: ~~~~1~ ® (We v 1 SUBDIVISION: Vlol~`F~ V ~EvJ E$~A~~,S iJNIT# BLOCK#~_LOT#~ (Addressing is based on the in rmation -must be accurate) OWNER NAME: `~ ~~.. ~ CONTACT PHONE # PROPERTY ADDRESS: t~, o~ ~,~~J..l~ ~e,:~J PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: CITY: STATE: ZIP: EMAIL FAX APPLICANT (If other than owner) (Applicant if other than owner, a statemen applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS STATE: PHONE #: Home ( ) ZIP EMAIL Work ( ) CONTRACTOR: MAILING ADDRESS: PHONE: Home# EMAIL CITY: FAX_ Cell ( )_ iO /~ Tiv ~ . ~. ~ ~~S-~(' ~, CITY Ar-,MOn STATE~(~ZIP 3yb4, Work#~IpQ - ~3 -3~e11# COQ - ~~ - O 17e~ FAX o~°~J~~~33?S How many buildings are located on this nronertv? Did you recently purchase this property? No ~e (If yes give owner's name) ~(`iAN (~An~~. Is this a lot split? JO YES (Please bring copy of new legal description of property) PROPOSED USE: ~'tllo \ - At (i.e., Single Family Residence, Mu 'Family, A S~ 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 voi rted within s. Permit void if work stops for 180 days. ...._ .- I. II /Sj7 / OS Signat of Owner/Applicant DATE Do you prefer to be contact ,email or one? Circle One WARN - UILDING 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 Reaburg'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** Affidavit of Legal Interest State of Idaho County of Madison I, Name City State Being first duly sworn upon oath, depose and say: Address (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: 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 ~~-N - day of /~ oJC,r+~..(' , 20 ~ Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: • Tease complete the Mire Application! If the question does not apply fill in NA for non applicable NAME ~k-SE1oZ' P~l)Ml~i~n~ PROPERTY ADD l_~ ~ Permit# SUBDIVISION l~gl~co.l~;c..J ESTATES Dwelling Units: j?~ Ac:- Parcel Acres: SETBACKS FRONT ~' SIDE IS' SIDE IS ~ BACK ~~' Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 19gQ~ sr.~ ~~ Unfinished Basement area (07`0 Second floor/loft area Finished basement area 9~R Third floor/loft area Garage area ~~ y0 Shed or Barn Carport/Deck (30" above grade)Area l40 Water Meter Quantity: ~ * * * * * * * * * * * * * * Water Meter Size: ~~' 1 Required!!! PLUMBING Plumbing Contractor's Name: ~/Q~ j~~Y/// Business Name: ~/Psd~~/ l~l~I,d/i Address ~U ~aX ~~~~~ City ~U 'rll State '~ Zip Contact Phone: (1~) .~~' ~fl~~ Business Phone: (~d~) ~Z 3' ~ 7~~ Email Fax ~ 2' ~ ~~5 FIXTURE COUNT (including roughed fixtures) ~ Clothes Washing Machine ~ Sprinklers Dishwasher ~ Tub/Showers Floor Drain 7 Toilet/LJrinal ~ Garbage Disposal ~ Water Heater __._ Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Water Softener Plumbing Estimate $ (Commercial Only) /° -~Z~`'6 3 Signature of Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as ~~ ~' ~J Date by the State of Idaho ' _. Tease .complete the ent a AppllCatlOn! If the question does not apply fill in NA for non apT,-licable NAME ICr'tE ~~t1 PROPERTY ADDRESS ~ ~ OC,it. ~ Permit# SUBDIVISION UAl1E~v~~.~ esfir~t FS Required!!! MECHANICAL ~~ Mechanical Contractor's Name: ~ Business Name: Address~~~ ~ • ~~~( ~ .City ~ ~- ~ State ~~ Zip Contact Phone: (Z~l )Cj~~ ° ~y ~ Business Phone: Q,~) SL3 -3S~~~1 Email Fax ~~~ ~ Z 3 -3 ~ l.p 4 . Mechanical Estimate $ (CommerciaUMulti Family Only) FIXTURES & APPLL9NCES COUNT ~~ Furnace ~_ Furnace/Air Conditioner Combo/Air Conditioner Combo Heat Pump Air Conditioner ~' Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance ~ 5 Incinerator System Boiler Pool Heater Dryer Vents ~ ~ ~ ~ Range Hood Vents ~ Cook Stove Vents ~~ Bath Fan Vents z~ Similar fixtures or Appliances 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 other similar vents & ducts: lZ~ -r Sa ~- ?a ,~ ,o Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. • ~~ ~~ tore of Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as Date the State of Idaho (Single Family Dwelling Only) ( Exhaust or Vent Ducts ~ N ~ ~ _ _ • ,~~.. . ~.a .......................................................................................~ SUBCONTRACTOR LIST Excavation & Earthwork: ~A~\ (it~~.i~S ~?CC(-~t~(-~~~~pl~ Concrete: CQnCCe~C- Masonry: Roofing: ~. Insulation: (~~F}~,;{.~ Tr,s~~c.~~~,~,n Drywall:~Qs~ ~zv,~ (~~~ Painting: TdJ,, __ /~~-~C~ PAi~~,n~ Floor Coverings: Ca2p~ CO nCep~S Plumbing: «p~E S NAT P 1 u ~ b~ Heating: C~:~. Electrical: l ~ ~ (~.-~(`~ L Special Construction (Manufacturer or Supplier) Roof Trusses: ~Iv1 C t.J~ l Floor/Ceiling Joists: ~`1(' _ I,J ~,ST Siding/Exterior Trim: Other: