The URL can be used to link to this page

Home My WebLink AboutAPPLICATIONS, CO, BP - 05-00442 - 764 Poplar Cir - New SFR~ ~ W~ o y m ~ !n ~ c -n ~ D~ 2 = C. ~ m mm ~ ~ Q; ~ ~ ~ 1" m m m ~~oo rn ~ ~ Z Z W ~" ~ '+ ~ ~ r'~ v .~ ~ '."~ 1 Q 3 a y ~ ~ ~ ~ ~ m ~ r: O ~zd-+oD 3 ~ ~ ~~y~ n C ~ ~ r` ... a r~ -~ ~ sw Ot .. .?~ A ~ m ~ p C ~ ~D ~ <D ~k ~ o° m ~ 0 ~ y ~!Q n ~ ~ v i a 0 ~ ~ 3 p Ol ~ ~ °-~ ~ o Z °'~ Q-o ~ °' a~~ ~ ~N~y ~ ~ ~ 3 v d! ~ 'C .- ~ n -o ~ o m ~ ~~s ~ v r- W ~w ~, a s ~ ~ ~ ~ m o Q ~ ~ ~; o W y ~~3Q- ~ C V) c vi ~ ~ "" 3 ~ ~ 3 ~ ~ ~ <D y ~ C W g ' ~ ~ m y '~ 'G o ~ .°. ~c pip ~ ~~ • ~ ~ W v ~ ~° ~ c m Z D $ ~~~ v ~ ~ n~ ~ ~ Z 3 G7 ~ ~ `~ C (~/~ v v~ 3 z D = C1 ~~ V~ ``o~~f m fl'I c~i~ ~ ~ ~ N ax ~ ~ g ~~ ~ ~ z n co ~ ?1 C - ~ ~ ~0 c o~ m~ C'1 7 C~ ~ ~. ~' D r C..+, ~ ~ a y, o m ~ C v ~ ~ m a o m ~ ~ k~ Ct ~ x- v~ m o O Z ~~ o ~ _ T ^ ~ y N n g, w o Y I ~ C V! ^.: ~, C7 o~ a~ v ..~ c o z o x~~~ D m 3 y~ m o o° o z a °" n m n ~ N m ~ o N ~ cyi, ~ y 3 ~ .~ m s~m-n ~ v n n C~~ 7 7 1 i Q ~ Z ooOO N ~ Z~m v ~, Z ~ C C ~ p n w ~ ~ ~ ~ r y~~ ~ ~ a W ° v ~~$ N o.~ Z v ~ v ~ ~ m n o o~ O •°: °.: Z n C7 -a j m ^ ~ D o °- ~ Z ~ y n ~ N ~ O ~ ~ Ul A W N -+ ~ ~ ~ ~ - ~ 0 a ~ ~ CO ~ ~ 3 3 ~ c~ ~ ? n m ~ m ~ ~ 2 n m ~ 0 0 <D O. CO OD V ~ U1 A W N ~ ?~ ~ ~ 01 cA w ~ v - 3 N ~ -n ~, ~ T g v O ~ -n o ~ r Q p~REXBUg~., ~ y o •> ~,rY or Certificate of Occupancy ~~~~ ~ - America's Family Community City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Fax Building Permit No: 05 00442 Applicable Edition of Code: International Building Code 2003 Site Address: 764 Poplar Cir 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: Heart B Company Po Box 308 Rexburg, ID 83440 Contractor: Heart B Company Special Conditions: Unfinished Basement Occupancy: Residential, single family dwellings, lodging houses This Cen`ificate, 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 wes inspected on the date listed vies found to be in compliance with the requirements ofthe code for the group and division of occupancy and the use for which the proposed occupancy wes classified. Date C.O. Issued: April 18, 2006 :38AM) C.O Issued by: z~/~~ Building OfFcial 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 Departmen • ~-. Fire Depa State of Idaho Electrical Department (208-356-4830):---~'~-~~ ` f ~. CITE' OF REXB URG • P B~.IILDING PERMIT APPLICATION Please co. 19 E MAIN, REXBURG, ID. 83440 If the questio: ~ 00442 05 .208-359-3020 X322 O 7b4 POPLAR CIRCLE PARCEL NUMBER: ~~~~~~- ~~~~We vvlll pruviue ~iii~ iur yuu~ SUBDIVISION: ~ ~ ~ ~i-'~,~ ~ UNIT# (Addressing is based on the information -must be accurate) BLOCK#~LOT#~ CONTACT PHONE # PROPERTY ADDRESS: of new legal description of PHONE #: Home ( ) ~ S~.'l ZU ~ Work ( ) ~~'`d l Z~ Cell ( ) ~~~'~ ~ ~~ ~ ~ OWNER MAILING ADDRES~ 1~0~ ~X' a0 a CITY: K~-~'~u v~ STATE:~ZIP: 4~ ~~' EMAIL FAX ~.~ ~'~f J~~-~ APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS. STATE; ZIP, PHONE #: Home CONTRACTOR: CITY: FAX Cell ( )_ 5 ~ ABP, ~ ~? MAILING ADDRESS: pU1C' 3~~ I ~ v CITY u ~ / STATE~'~ZIP-~ PHONE: Home# EMAIL Work# FAX How many buildings are located on this property? Did you recently purchase this property? No es If yes give owner's name Is this a lot split?~i YES (Please bring PROPOSED USE: ~ 1 ~ ~ W (i.e., Single Family Residence, Multi Family, Apart ~~ 3 ~~ ~ p g X005 Remodel, Garage, Commercial, 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 inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 20 Q Internati ode in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approv as base rt vo' if not sta ithin 180 days. Permit void if work stops for 180 days. /~/~ Signature of Own /Ap licant DATE Do you prefer o be ontacted y ax, email or hon Circle One ARNING LDING PE ST BE POSTED ON CONSTRUCTION SITE! n 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** EMAIL Work Cell# °. t _...,..__ • State of Idaho County of Madison Affidavit of Legal Interest I, Name Address City State Being first duly sworn upon oath, depose and say: A. • (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 Signature Subscribed and sworn to before me the day and year first above written. 20 Notary Public of Idaho Residing at: My commission expires: ~ 5~ ~ Please complete the a ire Application! If the question does not apply fill in NA for non applicable NAME ~ :~ ~ . PROPERTY ADDRESS Urn UU' Permit# SUBDIVISION (~}C~~~~jy~r~r~~= Dwelling Units: Parcel Acres: E ~- J~ SETBACKS , ~ FRONT ~~ ~ SIDE l SIDE ~~ BACK Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 1 ~ l Second floor/loft area `'' Third floor/loft area ~' Shed or Barn, Unfinished Basement area 1 ~ ~ ~ Finished basement area Garage area ~ ~ Carport/Deck (30" above grade)Area Water Meter Count: Water Meter Size: ~~ S Required!!! PLUMBING , Plumbing Contractor's Name: ,~t~,J ~?~j,~) Business Name: /p~~c,~j~,P~~~r,~,r2 b ~~u Address 7~ /~(~ ~~d k City ~ c ~ State Zip-~¢ Contact Phone: ( )~ D,G~gf~~ Business Phone: ( )~p-877C`~ Email FIXTURE COUNT (including roughed fixtures) I Clothes Washing Machine Dishwasher _~ Floor Drain { Garbage Disposal Hot Tub/Spa Sinks ( avatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature of Licensed Contractor The City of Rexburg's Sprinklers ~~ Tub/Showers Toilet/LTrinal ~_ Water Heater ~ Water Softener ~'1l~ - ~5-- o License number L} to fee schedule is the same as required by the State of Idaho Fax ~~p - ~ 7 ~[~ _ ~'~- Please complete the entiiApplication! If the question doe*t apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Required!!! MECHANICAL ,Q ~~~,~, _n ' VI Mechanical Contractor's Name: ~~~`~~" Business Name: ~~' ~~ o~ ~J_ ~- Addresses ~ y`/ ~ E' ~ City,~~ ~~~~'~ _State_ Zip 8~yy~~ Contact Phone: (~~ 1~ l3 •~ ~ y`f ~ _ 1" Business Phono. ' ; f~~ y `~~ 6~ _ Email Mechanical Estimate $ Fax (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Air Conditioner Space Heater .2 Bath Fan Vents /o Range Hood Vents Boiler ~ ~ ~ ~a Cook Stove Vents ~ Decorative Gas Fireplaces Dryer Vents t S~ Evaporative Cooler ~ Exhaust or vent ducts *~~ ~ _~ Fuel as i in fixtures or a liance outlets (g ) p~p g pp ~ ~ rS Furnace 3~ Furnace/Air Conditioner Combo Heat Pump Incinerator Pool Heater Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Unit Heater Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ' ~~ ~ Signature of censed Contractor LicensC x.,..___ __ ~ ~ Lfiate Required! The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 5 . ~, ^ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ / ~ ~ ~ \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 1 SUBCONTRACTOR LIST Excavation & Earthwork: ~ ~l\ V~h Y7~~~1f~ Concrete: a;y~lv~,h d7Pk5o4I~ Masonry: Roofing: Insulation: ~~U~~ ~wau.~.,~tv'~ Drywall: ~e C~ ~- ~ ~G y ~l~ ~-~1,Y'~ Painting: ~ `~ t~ ~' ~' Floor Coverings: ~P~yw( se Plumbing: ~~uV~ ~~I~ V~y ,~ w~ Heating: Electrical: G-1~ ~-, ~ ~(~ ~( Special Construction (Manufacturer or Supplier) Roof Trusses: .L~ v ~ ~ ~~ Floor/Ceiling Joists: ID ~liti~_ Siding/Exterior Trim: ~ L'~if~ ~ 2 U. Other: