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HomeMy WebLinkAboutAPPLICATIONS, BP - 05-00461 - 338 Oaktrail Dr - New SFRZ C'~ rn ^~ ~• p n s ~ ~g~"~ v d °' 3 'm v a ~ ., <__~~~ N y j Q N c y n a c ~ o ~. ~ ~ - ~ ~ ~ c ~ (p ~ N n "' a~ ~ o 0 a O ~ ~ ~ < 0 o d x y ~ S ~ N ~ v fl; m ~ ~ 3 M 0 ~~ a m =~o ~-~ ~ ~~ ~gs~o ~ fl? y d is ~ C ~ N Z ~ ~ y O O N o- N a-+ ~.o ~ ~~~ao 0 ~ N f~R N N ? '^ fD ~ 7 L. .O. 7 0 ~ g ~ ° ~ a ~ ~~d ~~ °=Q a ~ ~~ A W ~~N ~ ,~ c ~ ~,'a Q ~ tc ~ O ,,,,~ = H ~ ~ _ -I ~ ~ N N o. 3 ~ _ c 3 $~y~' H ~ a o ~ c •~ ~ a ~ ~ ~ ~~~ C 3. Os .. m ~~~° C ~ p ~ ~ ~ ~a~~ 0 ~ y ~~ _ < ~ O ~ fl. ~ Q. Z ~HSy ~ ~ "~' n ~D ~D ~ O 3 1- -< oo~Hd <.~~~ ~ ~. _ ., W _ ~' ~~3 ~ N ~ ~ ~ a a ~o o. ~~~~~ ~ W Cif ID 3 m N O a ,~.~. IC o ~ ~~~ ~~~ o ~ ~? `~ a m ~' ~ ~. W ~ ~ c~ = N ~D r Q.K= v ~~ Z ~ ~ o 0 ~. ~ ~ ~ C H V1 0, ': °~ _I o "'~ ' ° m N m z m z O (D -i m n Z 70 c n z N m TI L W g m w w w d v z m ~k m v 0 0 0 's~ ~,r~, ~ij~ ~~. _~ ~~ . o~~oti a ~. a y ~• ~ ~ ~ *e o ~ ~ `('~, ] ~' b ~ t0 ~. H. ~• ~ ~ ~ Wa ~ N m m ° _ ~ O ~ f/1 -1 W ~ ~ n R° m ~' ~ ~ °~ -~ ~oc~ ~ m ~ = ' ' O o m y Q z 3~ v 3 rt ~ 'o W v n Z = z~ C C o ~ ~, 3 v v ' y '-' ~ ~° ~~ Z z z a m ~ ~ 0 ~~ N ~ ~ m ~ m ~ ~ ~° !~ ~ ~ o Om -°o ~ ~ Z ~ g ~ w a ~ Z N < O ~ ~ a o. U7 A W N ~ ~ ~ ~ ~ ~ ~ ~ C ! N ~ 3 1 . _ 3 ~ ? c • 7' ~ N ~ O p ' T _ CO aD V ~ V7 A W N ~ -n N Z i6 n w w cn N ~ v ~ v 5 ~n ~ ~ j ~ p~ 3 ~ o C 0- d ~ o ~ w p • CIS Y OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 PARCEL NUMBER: SUBDIVISION: ~ K ~~~ k ~~. (Addressing is based on the information - rr PERMIT # Please complete the entire Application! If the question does not apply fill in NA for non applicable ( We will provide this for you) UNIT# BLOCK#~LOT#~ lust be accurate) OWNER NAME: CONTACT PHONE # PROPERTY ADDRESS: 3 > g ~a k Ti~a~'~~ ;, ~-,~ ~ur~ ~ ~• PHONE#: Home (~ ~s~y2Q7 Work (~ 339' y2g7 Cell ~~9-`7~~g7 OWNER MAILING ADDRESS~~~1_ y1~,u „CITY: STATE~ZIP:~°~yf EMAIL FAX - 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 ~ ~ ~'IQY ~! STATE; ZIP EMAIL ~' ' PHONE #: Home ( ) Work ( ) Cell ( ) CONTRACTOR: /~ ~ <~!~ MAILING ADDRESS: ~~~~~~~~ ~~' CITY ~ v STATE~~ZIP~;3yy~ PHONE: Home# ork# Cell# ~~- Zg7 EMAIL FAX How many buildings are located on this property? ~ Did you recently purchase this property? No ~s If yes give owner's name) ~piv 7t~w,c~rJ f~ ~ txc ~47~r Is this a lot spl' . 1~0 YES (Please bring copy of new legal description of property) PROPOSED ~ ~~ (i.e e Family Residence ulti Fami ,Apartments, Remodel, arage, 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 a pr was bas Permit v id if started within 180 days. Permit void if work stops for 180 days. ~~~~~ Signature of Own pplicant 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** CITY QF• , .. ~ z ~ ~ ~ a r~ , ~1 t, Y M ~J ~ ~a, ~Z:Pifr `r lM k ~~.. AMER~AS FAMILY C©MMUNITY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 www. rexbu ro. org comdevCaarexburo. ora Affidavit of Legal Interest State of Idaho County of Madison I, f , Name ~~ ~ ~ clty ~~ ~`rJa/ ~~t a J .~' Address T/~ 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 rec •d owner oft e property described on the attached, and I grant my _ permission to: ~~~Y~% {r/~ ~~~~~~~~1na Sf r ~v/'o-L~ Nam 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 ~~~J.G~ ~ l- , 20Q~ Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Please complete the en~e Application! If he ~estion does not apply fill in NA for non applicable NAME ~ ~ /< ~!' PROPERTY ADD SS Permit# SUBDIVISION ~ ~o f f 7 Dwelling Units: Parcel Acres: SETBACKS FRONT 3z ~ SIDE 1.~j ~ SIDE 2O ~ BACK /~ ~~ Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area f 2~'3 Unfinished Basement area /z$ 3 Second floor/loft area -- Finished basement area '--" Third floor/loft area ~ Garage area y,SO Shed or Barn above Water Meter Quantity: ~ * * * * * * * * * * * * * * Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: ~,L/~ ~q r~,/hr r, Business Name: ~~ 1~~ ~^ /'~;~1 q,~ /~~~ hi~7, Address ~ (~ ~( ,~®~ City %~ ~p~ Staten Zips Contact Phone: Email FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine _~ Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa ~_ Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ Sprinklers _~ Tub/Showers ~ Toilet/Urinal Water Heater Water Softener (Commercial Only) ~ G ` ~ Signa e of Licensed ntractor License numb The City of Rexburg's permit fee schedule is the same as ~``^ ~ - !.~'/~ `~ Business Phone: ( ) G~-~~- ~1~ 7 Fax ~~~s'- ~d,3 7 ~/ " / ~' Date by the State of Idaho i i Please complete the entire ppllcationl If the question does n~apply fill in NA for non applicable NAME f PROPERTY AD SS ~ex~v~`9' Permit# SUBDIVISION bE ~~- ~ 7 Required!!! MECHANICAL Mechanical Contractor's Name: ~G~7`' ~~ Business Name: ~~'~~ ~f~',~~~, Address `~ ~ ~~ 1~ City ~-~~~r~- State Zip~y~~' Contact Phone: (J~~ ?} / y/ ,3 ? Business Phone: ( ) ~"~ Email ~~~ y ~~ ~ Jds/~~ , .sl ~" Fax ~~ 3 ~(-~ y~ ~~ Mechanical Estimate $ (Commercial/Multi Family Only) FIX~'URES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace ~' Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances Dryer Vents Range Hood Vents Cook Stove Vents ~' Bath Fan Vents other similar vents & ducts: ~_ Fuel Gas Pipe Outlets including stubbed in or future outlets ~ Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas' it Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ~~ Signature of Licensed Contractor ~ _,, ~~~ License number 2~-~~ Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho ~ y ^ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 1 SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: ~ y G~ w(Q~ 1,~~/~ pr /Q ~ (~ ~DiVG/'r fib Masonry: (~/'/t1 rt'!' S f'©,~ e / "(~5 Dil//'Y Roofing: K-6~(/~~~ L!/Gt. ~~ Y !' Insulation: ']~ (,(,~ Drywall: ~p /~ (,~ ~ I ~~ Painting: ~ /` ~y l~t./q (!~ ~ /' Floor Coverings: o cc~ C ~ S ~ ,~ ~~ ~«-, Plumbing: ~ iv '~ r ~ ~ d ~ ,6 r Heating:__1 ~G.,~ r. f/~j ~ /~ ~~i^i ~G a ' Electrical: ~ d ~ f "~j ~ lam 'f '~^,`GG Roof Trusses: ,~ Floor/Ceiling Joists:_ Siding/Exterior Trim Other: Special Construction (Manufacturer or Supplier) •l I, ~ i ~ ~s /~ e ~ ~ V