HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00488 - 358 Oaktrail Dr - New SFR
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CITY O F
REXI3URG
America's Family CommKnify
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:
Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (2081359-3020 /Fax r~nQ- ~~a_zn~~
05 00488
International Building Code 2003
358 Oaktrail Dr
Single Family Residence
Type V-N, Unprotected
Residential
No
Kartchner Homes Of Idaho Inc
3456E 17th St Suite 210
Ammon, ID 83406
Kartchner Homes
Residential, single family dwellings, lodging houses
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 vies found to be in compliance vuth the requirements ofthe code
for the group and division of occupancy and the use for v~hich the proposed occupancy vies
classified.
Date C.O. Issued: May 24, 2006 :23AM)
r
C.O Issued by:
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 Departmen • ire
State of Idaho Electrical Department (208-356-48301
Uct. 4. 1UU5 y:4~RM
' , CI~~ OF REXB URG ~~
.ehFrflYwiPMV~AIM•i
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X322
PARCEL NUMBER:
SUBDIVISION: ~ ~,~G ~ ro D k
(Addressing is based on the information - mi
iu o. I 1 I ~ r. Z
Please c~ OS 0088
If the questi~
358 Oaktrail ~r-MFR
( We
UNIT# BLOCK#_~LOT#~
ast be accurate)
OWNER NAME: ,\ CONTACT PHONE # S d = ~&9' ~
PROPERTY ADDRESS: 3S~ OG,,L~h'at-~ l~/r1/i'
PHONE #: Home ( ) Work ( Cell ( )
OWNER MAILING ADDRESS: 3Y57P lam. ,/ ~- ~ CITY:~ir~(~STATE;-~2IP: a¢35~G
EMAIL FAX ,'~ a ~ ~~5 ~
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for ownex must accompany this application.)
APPLICANT INFORMATION: ADDRESS
CITY:
STATE; ZIP EMAIL FAX,
PHONE #: Home ( ) - Work ( ).
Cell ( )
CONTRACTOR:
MAILING ADDRESS:
PHONE: Home#
~ - fin/ ~'S~ a~ ~ CITY A7h /I2~ STATE -~ ZIP
Work# Sa8-S'~95~ Cell# 7Uy l<5aS
t./
How many buildings are located on this property? /
Did you recently purchase this property? ~ Yes (If yes give owner's name;
Is this a lot split? NO YES (Please bring copy of/~new legal description of
PROPOSED USE: ~n-,~1 ~rn~ ~l~i I~.G4.t~~~~
(i.e., Single Family Residence, Multi Fa~iiy, .A.patttnent§, Rettxodel, Garage, Commercial, Ac
yaG
005
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION; er pemairy of perjury, I hereby certify
that I have read this application and stale that the information herein is correct and I swear that any informs hcrgatter be given by me
in hearings before the Planning and Zoning Commission or the Ciry Council for the Ciry of Rexburg shall be truthful and corre t~-e comply
with all Ciry 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 Codc 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 1 SO days. Permit void if work stops for 1 SO days.
~'' Cir n ~~'lulo ~02 / ~P" ~ G~
Stgna a o£Owner/Applicant DATT
Do you prefer to be contacted by fax, email or phone? Circle One
WARNII~G - BUILDING PER.NX'1T 1V1UST BE POSTED ON CONSTRUCTION SITEI
plan Pees are non-reititndable and sre paid in full et the time of application beginning January 1.2005.
Clty of Resburg's Acceptance of the plan review fee does not constitute plan approval
**$rR e c e i v e d T i m e a~0 c t• 4• m 9~ 4 6 A M:ation*• w•Building Permit& are void if you check does oat clear**
Oct. 4, 200h 9:4hAM
•
CITY OF
RF~BLIR~
AMERICAS FAMILY CpMMUNifIY 19 E. Mdln (PO BOX 280) Phone: 208-359-3020 x326
Rexburg,ldaho 83440 Fax:208-359-3024
www.rexburo.oro comd~~t@~P..xhura ora
Affidavit of Legal Interest
State of Idaho
County of Madison
I, /~zYu.~ 3`~57o Q, / ~' .!u,~.~ yid
Name i Address
~`~ri ti2~iYl
city
Being first duly sworn upon oath, depose and say:
~~r~o
state
(If Applicant ~ also Owner of Record, skip to B)
A. That I am the record owner of the property described on the attached, and Y 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 ~? Q'~ day of ,~~~,Glil~Z~y/ , 20 o.S~
Subscribed and sworn to before me the day and year first above written,
Notary Public of Idaho
Residing at:
My commission expires:
No. 1 1 /~ r, 3
Received Time Oct, 4. 9~46AM
Uct. 4. ZUUS y.4~AM
iuo. ~ ~ ~~ r. 4
~~ Tf the question does not apply fill in NA for non applicable
NAME ~ ,.~'
PROPERTY ADD S S '3 5 g ~Gt~c~/xai.~ ~, . Permit#
SUBDIVISION ~IX ~l,~i-a~l~
Dwelling Units: ~~ Parcel Acres: ~ 3
SETBACKS ~ S~
FRONT
SIDE ~ 4 ~ SIDE ~G~ BACK ~ ~ ~
Remodeling Your Building/Home (need Estimate) $.
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area Unfinished Basement area
Second floor/!oft area Finished basement axea
Third floor/loft area Garage area
Shed or Barn Carport/Deck (30" above g
Water Meter Quantity:
***~=********** Water Meter Size: ~1h
Requr~e !!!
PLUMBING _
Plumbing Contractor's Name: D c~.~ 2 ~O~ ~5~ 1~Business Name: .
Address ~~,~,3Q ~• ~7~gZ~ru,~ City State~s~ Zip~lP
Contact Phone: (P20~ 3 ~ 7 -~l ~Qd Business Phone: ( )
Email
FIXTURE COUNT (including rouehed fixtures)
Clothes Washing Machine
~ bishwasher
_~ Floor Drain
~ Garbage Disposal
~~ Hot Tub/Spa
_~ S1nkS
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
_~ Sprinklers
J? Tub/Showers
Toilet/Urinal
Water Heater
T Water Softener
Signature of Licensed Contractor T~icense number
Z'he City of Rexburg's permit fee schedule is the same as
Z. Z~ OS
Date
by the State of Idaho
Fax
Received Time Oct 4. 9:46AM
Uct. 4. 1UUh N:4hAM
applicable
NAME ~Gh~~'
PROPERTY AD RES 5~ 'cr. ~'
SUBU.IVISION
~equi~ed!!!
MECHANICAL
Mechanical Contractor's Name: ~jfYG2(~G ; ~p,~~ Business Nat:ne: ~~/~il-Y,-~GLh.~,~ rr
Address ~J 5 ~'Q~1~riI7/l City ~~Z~ ~`S State ~ Zip ~3 `f°~
Contact Phone: (20~ ~5 7 - 0 5d~! Business Phone: ( )
Email
Fax
Mechanical Estimate $ (CommerciallMulti Family Only)
FIXTURES & APPLIANCES CDUNT (Bangle Family Dwelling Only)
_~ Furnace ~_ Exhaust or Vent Ducts I J
Furnace/Air Conditioner Combo 3~~ ~ 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
Fuel Gas Pipe Outlets including stubbed in or future outlets i ~ ~ ~
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) ,Gas Oil Coal Fireplace .Electric
No.llla N. ~
~ ~0
Mechanical Sizing Calculations must be submitted with flans & Application
Point of Delivery must be shown on plans.
Signature Liccnsed Contractor
The City of Rexburg s
02 (~~ ~/
.L.icense .nuzr~bcr
schedule is the same as
the State of Idaho
nnn
os 00488
3s8 Oaktrail Dr-SFR
Range Hood Vents
Cook Stove Vents
z Bath Fan Vents i d
other similar vents & ducts:
Date
Received Time Oct. 4. 9:46AM
Oct. 4. 2005 9:46AM
No, I I /~
,,: ,
,..~.m..o..,~,~.,... .w,~,.,..,,,.~.,~..~,.~~.:,.e.. .~,..~M.,,,.,..,~....v..,,~~,_..o..~...~...~.~.
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: ~~~%t,(~t~~GwiA~ ~l/IZ~I-.vim
Masonry;
Roofing:
Insulation:
Drywall:.
Painting:.
Floor
Coverings:
%G~~Y~Gs
Heating: ~~ ,/I2~~ ~7l' v
Electrical: `o~~~~ ~'1/l~iYi'C.~
Special Construction
(Manufacturer or Supplier)
Roof Trusses: /'r'G~L~~, % `'U~SS
Floor/Ceiling Joists: /~ ~ ~i
Siding/Exterior Trim: /~'~~ ~OCI.~~JYIS -
Other:
Received Time Oct 4, 9~46AM