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Home My WebLink AboutAPPLICATIONS, CO, MULT DOCS - 06-00147 - 350 Bare St - Triplex Remodelo44ExeuRC~ v o 'e{~~HFD ~,TY of Certificate of Occupancy REXI3ZTI~ZG America's Family Community City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 /Fax (208) 359-3024 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 06 00147 International Building Code 2003 350 Bare St Multi-Family Apartments Type. V, non-rated Triplex No Name and Address of Owner: Houtz Ryan Etux 247 Marianne Dr Contractor: Rexburg, ID 83440 Owner/Lessee Special Conditions: No electrical inspections were performed by the City of Rexburg; the work was done by the homeowner without a permit at the time the State of Idaho was responsible for permits and inspections. Occupancy: Residential - 3 or more units primarily permanent in nature (apts) This Certificate, issued pursuant to the requirements of Section 109 of the lntemational Building Code, certifies that, at the time time of issuance, this building or that portion of the building that vtias 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 v-es classified. Date C.O. Issued: January 23, 22:40 G~%'~ C.O Issued Ny: 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. Plumbing Inspector: Fire Inspector: ~ ~ Electricallnspector: ~~~ PBZAdministrator: /~ . CI~'~ OF REXB URG BUILDING PERMIT APPLICATION Pled 060147 20 3519- 020 X3 BURG, ID. 83440 If the *~ ~ ~ ~ a ~,~ ~•_ ~ ~ ~+~ PARCEL NUMBER:~~~~ ~~ ~ ~I ~7 (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information -must be accurate) Ill ~.n~..,.. , .. ible CONTACT PHONE # PROPERTY ADDRESS: `~~7~,.'~ r,~ ~~ PHONE #: Home ( ) ~~-j~~,-~ Work ( ) Ce11( ) OWNER MAILING ADDRESS: ~. (~, ~P~ U~ CITY: ~( (,~ TATE:~~LIP: (~,~~~~ EMAIL FAX APPLICANT (If other than owner) '` (Applicant if other than owner, a statement authorizing a plicant to act as agent for owner m Origination Date: ~ 1 APPLICANT INFORMATION: ADDRESS C'nmIG1T~~ STATE; ZIP EMAIL FASO NOT DESTRQy PHONE #: Home ( ) Work t.ocAt. STATE ( ) Cel~ ~TORAGE ^ eoru~VES CONTRACTOR: ~'"(~ ~ (~,(,J~~,,~-L, MAILING ADDRESSt~ CITY STATE ZIP, PHONE: Home# Work# Cell# EMAIL FAX i clal~o ~~~~ 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`?{~~NO~ YES (Please bring copy of new legal description of prope ~_ ,~ PROPOSED USE: ~ ~~.~~ f~ ~ I~-I 1 I~~'~~" (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition l~ I ~ I I IJ !_~ i~ I ;i ,k FEB 0 1 2006 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 pe it or oval was aced. Permit void if not started within 180 days. Permit void if work stops for 180 days. `~ ~j-~ /~/ V v Signature o caner/A p cant 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** Affidavit of Legal Interest State of Idaho County of Madison ~' Name ~~ ,i~ ~ ~` ~.~ , r.a ~ , City Address ~~~ 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 r ord owner the o rty described on the att~, and I ,grant my permission to: ~~;?';~4'1-1L~p~~.i ,?li_J~ td°`~{'' C-~.-~ 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 _ j ~~~~~ day of ~ ,.f '~ , 20 ~- t ~.-r.. _ ~ Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: .~ ~~~~ise co~~l~~~F the ei re~~~. licatio~~ .. ,,. ._ ~ ~~ ~~. _.r.~w.. _ r... ,.. ~...,~ w. , ~ .. pP ~~ I the q estion does not apply fill in NA for non applicable NAME _..,~4~z'' ~, PROPERTY ADDRESS -- ~ ~ ` ~" f - - Permit# SUBDIVISION ,~ Dwelling Units: ~ Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $ ~ ~] t D 0 D SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area % ~.LL? Second floor/loft area i ~ G' Third floor/loft area Shed or Barn Unfinished Basement area Finished basement area Garage area Carport/Deck (30" above grade)Area Water Meter Quantity: ************** Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: Address Contact Phone: Email city Business Phone: Fax State Zip FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ ~ (Commercial Only) ~~ Sprinklers ,~ Tub/Showers _~ Toilet/LTrinal Water Heater ~_ Water Softener Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho "".,:.-~~-~~. ~~ j~~t;4.i~1~' Business Name: -Please complete the ent Application! if the gnest~on does. apply fill in NA for non applicable NAME ~ )~,,.- ~ ~ ~ ~'~ PROPERTY ADDRESS "=~ Grp ~ fy.. ,S -- Permit# SUBDIVISION Required!!! MECHANICAL Mechanical Contractor's Name: ~{'~~~,~'`~ ~~G~%r"7`~f~- Business Name: Address Contact Phone: Email Zip Mechanical Estimate $ (CommerciaVMulti Family Only) FIXTURES & APPLL9NCES COUNT (Single Famil Dw Only) ~11~ Furnace ~' -~~ Exhaust or Vent Ducts ~' Furnace/Air Conditioner Combo ~ ~ Dryer Vents Heat Pump ___~__ Range Hood Vents 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 Inlet Pressure (Meter Supply) PSI other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace lect Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor License number Date City Business Phone: ( ) Fax State Cook Stove Vents ~_ Bath Fan Vents - - °~ C1TY QF _ ~ .~:~ ~ ?! ~ r .., .~ ~ ~:~t ~ ` ~ z -° y l .E t' " ~ Q R~:~Bt IR~ ~ +~P~G .yE7 .7u: ~' t , ?t any, i~r, '~.~i ~ ~ , ~. ~4 ArVtERICA'S FAMILY COMMt1NE'fY 19 E. Main (PO Box 280) Phone: 208-359-3020 x2 Rexburg, Idaho 83440 Fax: 208-359-3024 ' www.rexburg.org cathvwCa~rexbur .orq Site Plan Checklist Permit Number: ~~ Application Information Applicant: ~ ' `~~ Phone: `~` ~1' ~~~'~; Applicant's Address: ~~ j~y'~ City: ST: ~~ Zip:~1.G Project Address: ~'7j %?~~y~~~-j Recorded Owner: ~~~~~'~ ~~ C " ~"~~1".1~:-- Phone: ~~'~"~i'0~ FAX: Recorded Owner Address: ~ v ~ (~ S City: ~~_ ST: ~ Zip: `tj ~ ~ (~ Development Information ^ 1. Site plan must be drawn to scale, be legible and also be submitted electronically if possible. ^ 2. Adjoining streets labeled. ^ 3. Right-of--way location and width, curb to curb widths and sidewalk location. ^ 4. Building location, sq footage and dimensions, with distance to property lines and distances between buildings. ^ 5. Show existing and proposed easements. ^ 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains). 0 7. Proposed utilities including tie in location to existing services and new easements. D 8. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). ^ 9. Storm drainage plan for parking lot and roof areas, with calculations. ^ 10. Fire hydrants and fire suppression lines (including tie to City lines). ^ Sprinkled ^ Not Sprinkled ~ ~ ^ 11. Indicate Fire apparatus access. n .....-._.. ~~ ^ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers)..... __ _ ^ 13. Landscaping (type and total area, including dimensions). ^ 14. Trash facilities. ^ 15. North Arrow ^ 16. Drawing to Scale, including a graphic scale (11 %2 x 17"paper if possible). ^ 17. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ^ 18. Legal description of proposed building site included. ^ 19. Percent of lot covered by building or paving calculated. ^ 20. Show 10% snow storage area. ^ 21. Distance of entrances from street corner indicated. ^ 22. Current Vicinity Map. (81/2 x 11 ") at 1" = 300' scale, showing location of the property. NOTE: SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. ~ ~ ~~.~_~ ~l 1 _~ _~ a I ~ l --, -". ___ _. i _._~ -_.~___.~~,._-. - 4- ,- r I~I ~, ~ ~~ I I i ~ i ~~.~~~_ ~--.-. ~ - - - ~ ~. 1 -a _ r ~' - l _~~ ~ ~ ~-_ _~_ _- - .- ._ _ . ~ J ~ I_- ' - - -- -- - - _-I-_ - . ~ ~___l- _. _ _ _~~ _._. ~i ~ , ~ --._~. _- _~_l____~---;.- -_ _-_- ~,~ _~__-l_i~ 11__ -_- _-- _.__. ~_.__ ~~._-- ! ~~t ~~ l r r-_..i 1 I .Y. .r~~_.-. ...~ -.,-_-i ~ ~ I ~~ ' ~ ~ - ~ - ~ ~ - - ~-----~-~- 1 «- - --- --;-,-,--~- ~-_~~_---,-_-~ -~ - -,--, a q - " +~ ~ I _ l .. _ -,_ ~~~ .; ~~ '~` ~- G I ~ - -~, " - - - -- -- -- ~- -- - - - - - -j-- -',- - - - ~ ~ ~ '~ ~ - ~~ _ F--~ - ys-. 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