HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00441 - 536 Eaglewood Dr - New SFRZ •
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o~QExB~.R~.a ~i r Y o ~ Certificate of Occu pansy
° ~~~G City of Rexburg
- `y' Department of Community Development
'<<, Ameriut'sFamilyCtrmmunity
ME6
19 E. Main St. / Rexburg, ID. 83440
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
05 00441
International Residential Code 2003
536 Eaglewood Dr
Single Family Residence
Type V-N, Unprotected
Residential
No
Muir Jerry
2026 S Fork Cir
,__ -
Sugar City, ID 83448
Jerry Muir
a,~ry ~,~~ ty ~~. >~;~ I shy ,:~ ~s~
Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 909 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 vies found to be in compliance tnith the requirements ofthe code
for the group and division of occupancy and the use for Itihich the proposed occupancy vies
classified.
Date C.O. Issued: November 27, 200 3:32PM
r
C.O Issued by:
Building Official
There shall be no further change in the existing 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 D p r Went:
State of Idaho Electrical Department (208-356-4830): --y
CI~YOFREXBURG
BUILDING PERMIT APPLICATION Please ci
19 E MAIN, REXBURG, ID. 83440 If the questi
208-359-3020 X322
PARCEL NUMBER:- ~~ ~(~ ~~ f ~ (~ ~ p~ ( We
05 00441.
536 Englewood Dr
SUBDIVISION: - 4 ~~ ~,,,r,~J UNIT# BLOCK#~_LOT#_~
(Addressing is based on~he information -must be accurate)
OWNER NAME: -' r ~„~~ ~(rl ~1 CONTACT PHONE # 2a$ - -7~' 7,.c~ J ti5'
PROPERTY ADDRESS:- ~~_ ~ ~ ~ ~ ~~~ ;~ . ~,: ,_ _- ^ : ^
`^~ ,l~ v.y wig. r
PHONE #: Home (Z~'d) ,.~ S ~, 7 i U ~j Work (2~tf) ~ S~ 7 - ~ ~ `! S Cell ( ) '~ ~j~ -- ~ c~ ~;, C~
OWNER MAILING ADDRESS: 'gyp 2 ~ ~ ~~~G:~~e-CITY: ~ ~i,-C, f STATE;~,.i~ZIP: ~,~~/~~
EMAIL FAX
APPLICANT (If other than owner) ;~( ~j~
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE;
ZIP EMAIL
PHONE #: Home
Work
CONTRACTOR:
MAILING ADDRESS:
PHONE: Home#
EMAIL
Work#
FAX
CITY:
FAX
Cell ( )
D
2005
-CITY STATE ZIP
Cell# 13y - -
How many buildings are located on this property?
Did you recently purchase this property? No Yes (If yes give owner's name)
Is this a lot split? ~ YES (Please bring copy of new legal description of property)
PROPOSED USE: S ,,~, 5 ~ ~ 1~~ n
(i.e., Single Family Residence, Multi Fa ily, Apartments,
S~,>~j
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.
a
Signature
Do vout
wner/ plicant DATE
.,fer to e 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**
~ r
...Please-: complete the entire Application! ~ _ _ _. ,.. __.
If the question does not apply fill in NA for non applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
Parcel Acres:
SETBACKS
FRONT SIDE SIDE
BACK
Remodeling Your Building/Home (need Estimate) $
Permit#
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area 2 - Unfinished Basement area Z2
Second floor/loft area b~ Finished basement area
Third floor/loft area Garage area ~-~, ~~
Shed or Barn Carport/Deck (30" above grade)Area
Water Meter Quantity:
************** Water Meter Size: ,~j
Required!!!
PLUMBING
~-,
Plumbing Contractor's Name: _ J t ~ ~~~~6~ business Name:
Address `~ 1 ~ S' S~, (S'~' - City~~~~-~~ !~ f~ State (~~ Zip~~~f
Contact Phone: (Zy~) ~ 2 t ~ 1 ~~ / Business Phone: (Lsy) S` L Y - f i ~ l'
Email Fax ~ ~' ' f~'Z 2- - ~~~
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine
Dishwasher
/~ Floor Drain
Garbage Disposal
Hot Tub/Spa
s, kitchens, bar, mop)
` Sprinklers
~~""~ Z--Tub/Showers
Toilet/LTrinal
~- Water Heater
Water Softener
(Commercial Only)
o~~~anr~f~~
III NOV 0 4 2005 u
of Licensed Contractor Licenser number Dane
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
c ~ r y
Please complete the entire Application! Iftne question apes not apply sil in Na for non
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required!!!
Contractor's Name:
Address
City
Contact Phone: (~ ~~ 9~/ ,^ ~ j ~(~ Business Phone:
Email
Fax
~"~ '
Mechanical Estimate $ ~~~~~~~CommerciaUMulti Famil Onl
~~c ~ Y Y)
s Name: ~
State ' Zip~~~-
) S~-~
FIXTURES & APPLL9NCES COUNT (Single Family Dwelling Only)
~_ Furnace____.___ _ _` _ Exhaust or Vent Ducts ~ s
Furnace/Air Conditioner Combo 3S ~ Dryer Vents ~ s
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
..,Space Heater
Decorative gas-fired appliance ~~
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Range Hood Vents
Cook Stove Vents
r Bath Fan Vents z~
~ ~®
-f- ~
~~
~ ~s
other similar vents & ducts:
~ ~ 1 Fuel Gas Pipe Outlets including stubbed in or future outlets jp
~~~~ Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
[~ ~ ~ ~ D t~'J ~ 'Iii
i
NOV 0 ~ 2005 ~';~
apical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
J /~ _ ~.
of Licensed Contractor License number Date
MECHANICAL
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
.~~...~..., ~ ~na-
_~.~.~-~. w . ,_ ,.,._~,,,, , . ,~ ,~ _ M.~...~~„ .., - _ _,.~...,~_, ~,......e.. ~ .~ ~~,.~.,......„.
SUBCONTRACTOR LIST
Excavation & Earthwork: J`-J'1 C-~
Concrete:
Masonry:
Roofing:_ ~ ~ ~~ ~4 ~ t1 ~~' ~ °~ , +*,~
Insulation: ~ t~ w~ n t r 'i ~ ~~ ;~~ ~.1 ~ ,~-~ ~,r~,
Drywall:
Painting:
;~r
~ ~ ~, , n ~_ ; ^ G-
Floor ~ ~
Coverings: ~ ~ '~ C, c~ f ~,,1~ S
Plumbing:_ ~.~ ~ ~ ~u+~.1,-~ ~i
Heating:
Electrical:
h
c~~l
~~ L~ f
Special Construction
(Manufacturer or Supplier)
Roof Trusses: ~ -}c,c,~ (' or~--r~Cn~r~
Floor/Ceiling Joists: ~~.-a-r,c~~ ~~, ; 1 ~ ,'~a~ ~~~~~ i
Siding/Exterior Trim:
Other: