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Home My WebLink AboutAPPLICATIONS, CO, BP - 06-00164 - 1355 S 2nd E - New SFR ~ W O ~, •i7• ~ _ ITl ~' o U m m 171 ~ Q- .~.; ~ ~ ~ m 177 ~ °; _ ~ ~ ~ '~ ~ ca o ~ ~ n p ~' ~ oK~a~ .~ .~ ~ ~ ~ _ is ~ ~ ° ~ m~ ~ D C ~~ H~ ~ ~ ~ A" n '~ 3 ~~ ~• ~ ~ a O '~ m p y ~ ~ a ~. 'm m ,~ ~ p ~, Z n- 'O - ~ ~ c y n a~ ~ y n= S j ~ ~ m =~ ~ C 0 ~ N N~ ~ m ~ m ~' °. p ~ O H O ~ °'~ m C ~ ~N ~ N ~ -0 3 o m ~ cD ID .~ c m ~ p '••~ ~ C'- N rt v ~ ~ 3 ".~ Q N O ~D ~ o ~ O W ~ O ~ S _~ ~ Q. m ~ 3 '~ ~ ~ ~ N ~ ~ W ~ ^ c f/1 ~ ~ O ~ y , Q ~" m O 177 w ? a .~« ~ W ~ ,~ '" ° ~ ,,. --1 ~ C7 sv d cZi -1 .< `~ n. N ~ ~ ~ ~Z;. D = n<N fR a ~ m m ` ~ ' ` ~ v y a~ ~ ~ n ~m ~y~"~ ar a°~ C~ a ~ N. ~ ;m --~ S c • i ~ m. a o m '.p k ~D pi o _ ~ °-' v m o O Z p1 cD O '71 /^•~ ~~ ~ ..c n ~ a~A, o~ °: v C ~ O A S °~o° ~~ ~ m ~y~ m ~ ~ n a -~G m n ~ N m ~ N Z7 0 ~ ~ „p m s~ 'C -'n ~ v n C1 v -~ o ~~m ~ y' O ~ Z 030 0 0 ~ ~ ~ W Z~-n m ~ Z ~ C C z~c~i ~ ~ ~ Z W z p m c ~ ~ m mz~° o ~ ~ Z n~z~ oN ~_•~ Q ~ ~ --~ m n c p•F Om~ ~ ~ ~. Z7 ~ y n Z N O -a C7i ~ W N -~ "n G) ~ ~ ~ v ~ - ~ m m o ~ ~ ~ . m ~ 3 ~ 0 2 ~ ~ ~ <. ~ ? ~ m 5 0 0 ~ _~ m ~ v m O -~ .' O (fl W V d) V7 .p W N _n ~• cn Q v p ~' 5 ~ ~' ~ ~ -n o v T o ~ r m m ~. m ~. -n -o d y s ~ ~ ~ O ~. m O oQ4EXBUR~f~ ~l,.Y of Certificate of Occupancy ,~ 75 ° ~~j,jjZG City of Rexburg `~'' De artment of Communefi, Develo ment America's Famify Community p `7 p 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: 06 00164 Applicable Edition of Code: International Residential Code 2003 Site Address: -'~~` v ~'~ ~ Use and Occupancy: Single Family Residential Type of Construction: Type V-N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Hirrlinger Jim & Jennica 15 E Main St Rexburg, ID 83440 Contractor: Owner Special Conditions: Occupancy: 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 toes found to be in compliance vtith the requirements ofthe code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: October 12, 200 0:47A .~ 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 State of Idaho Electrical Department CITY OF REXB URG ~ PERMIT # BUILD~IG PERMIT APPLICATION Please complete th~entire A lication! pp 19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable 208-359-3020 X322 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: ~- f ~~~~,t~ ~~ (,1,1.) fi~~~, UNIT# ~ BLOCK# ~ I I LOT# (Addressing is based on theinformation -must be accurate) OWNER NAME: ~ ~ ~ ~ ~,~~~ ,,~~~~~ CONTACT PHONE # ~ 51 •' !a I d ~, PROPERTY ADDRESS: Sky J~ ~~ p'~ i V~-., ~ ~~~~, 11,N,/~l >~ PHONE#: Home (~.~)?~~ -~q~t Work (z~),j~F- ~C>q Cell (c'=~jJSf-~'fc'3 OWNER MAILING ADDRESS: ` ~ ~- . r?~^, ~~ ~'~ CITY:~t~~'~ STATEy~ZIP: ~~~i`i'~ EMAIL+-~,~- ~ f-~.n~ +r~~~ ~tjrf FAX v~~' ~13J~) 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: PHONE #: Home ZIP EMAIL Work CONTRACTOR: MAILING ADDRESS: PHONE: Home# EMAIL Work# FAX CITY: FAX Cell ( ) -CITY STATE ZIP Cell# Gdah~ regi~~ra~lc~n~ 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?~ YES (Please bring copy of new legal description of prope PROPOSED USE: (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, b ~' C~ D ~ ~ l f~ IU ~_ APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under ~~~ - -F..or;,,n, T hereby certi that I have read this application and state that the information herein is correct and I swear that any information which may hereaft be giv- en 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 pr perry inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the OO,Inte atio 1 Co e in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or app a w ba d. rmit id if not started within 180 days. Permit void if work stops for 180 days. 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** ~''~ob CITY C7~ • ~`~q8~~~~a`~` AME:RtCA'S FI~A~tELY G~PftMUN!`t'Y 19 E. Main APO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 wvuw. rexburg.org comdevCa~ rexbu rp.or4 Affidavit of Legal Interest State of Idaho County of Madison I, Name 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 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 , 20 Signature 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 e>~re Application! If the question does not apply fill in NA for non applicable NAME .-~) ~ ~ a ~ t v~ PROPERTY ADDRESS ~ k'~ Permit# SUBDIVISION1~~Litiy~~~w ~,e~ E,~ ,~g,XG~~~ i-1~~~H~"a Dwelling Units: I Parcel Acres: , SETBACKS ~ ~` FRONT ~ ,~ SIDE ~ SIDE ~ BACK ~~ Remodeling Your Building/Home (need Estimate) $ ~ ~ ~C~Ut~ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Second floor/loft area Third floor/loft area Shed or Barn Unfinished Basement area Finished basement area )_~~~ Garage area_ ~JzZ. Carport/Deck (30" above grade)Area Water Meter Quantity: .~ ************** Water Meter Size: ~ Required!!! PLUMBING /~ Plumbing Contractor's Name: ~...~/r"-~i~ Address Contact Phone: Email Business Name: City Business Phone: FIXTURE COUNT (including roughed fixtures ~_ Clothes Washing Machine ~; Dishwasher 9 Floor Drain 1 Garbage Disposal Hot Tub/Spa `~ Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature of Licensed Contractor The City of Rexburg's I Water Softener License number Date e schedule is the same as required by the State of Idaho Fax State Zip Sprinklers Tub/Showers t Toilet/Urinal ~~ Water Heater OM :J&B Heating • FRX N0. :2083590624 May. 19 2006 08:40AM P1 May, '18. 2006 9 ; 07~M ~ No. 2; 37 p. 2i2 Please Cortiplete the entire. AppliCBtiOn1 If the yuestioo does L..~ apply fill in NA Por non gppNcaDle NAME },w+ ~~~ rr~r PROPERTY f1DDRE55 Permit# ~(,p (~(} ~(~ SUBDIVISION [._4~-l/d_u~~i ~ Dr~•rcF~e_~~ Rehr aired l1 ! ~ ~I~~A.NI CAL Meehataical Contre~ctor',s Namc: _ Business Name: Address ~N _~ ~!~ ~ City ,ir 3tate_~~ Zip Contact Phone: (~ .~l 3 ~ ~ ~ _Business Phone: (L ~j ?~S ~ O ~o '~~ Email Fax -3 .S GJ P 6 Mechanical Estimate $ (CommerciallMulti Fauaily Only) FIX1T1RES' ~ APPL~lNCE~ COUN? (Sing/e Fmr~y Dwelling Only) J Furnace `~ Ex~ha~st or V®nt Ducts FurnaceJAir Conditioner Combo Heat Pump i Asir Conditioner Er-aporative Cooler Unit Heater .N__ ~_, Dryer Vents Rangc Hood Vents Cook 5tov~ Vents ~+- Bath Fan Vents other similar vents ~ ducts: Space Heater ~. Decorative ~s-Bred appliance Incincratar systcnt Boii~r HoaLer lar Fixtut~s or Appliances Qes Pipe Outlets including stubbed in or future outlets Pressure (Meter Supply) PSl Heat (Clrele all that apply~0i] Coal Fireplace Electric Mechanical Sizing Calculations must be sabmitted with Plana & Application Pint of Delivery must be shown on plans. - ~ ~ ° ~~ 3~,tm of Licensed Can actor ClAAe DuuaQber ( Dat T,le schedule,,c the sorse ar required by the Sucre of /.aabo Please complete the entir`~'Application! If the question doesapply fill in NA for non applicable NAME .Jlt~-'~ ~~I Y`~'~1:~ t~ PROPERTY ADDRESS ~Kytatfi_r; P~. Permit# SUBDIVISION C/C.~/%~,~ritrv~l 7~r~°1~~~r,~ ~ Required!!! ~ EC~IANICAL ~~ ~~ Mechanical Contractor's Name: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email Fax Mechanical Estimate $ (CommerciaVMulti Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace -~ Exhaust or Vent Ducts Furnace/Air Conditioner Combo ~ Dryer Vents _ Heat Pump i Air Conditioner Evaporative Cooler Unit Heater Space Heater ~. Decorative gas-fired appliance Incinerator System Boiler Heater fixtures or Appliances Range Hood Vents ~ Cook Stove Vents f'' _ Bath Fan Vents other similar vents & ducts: Gas Pipe Outlets including stubbed in or future outlets Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil 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 The City of Rexburg's permit fee schedule is the same as Date the State of Idaho • SUBCONTRACTOR LIST Excavation & Earthwork: ~ ~~ ~/ ~~~~;2 Concrete: ~('~~ ~`i0~`~•'I~J~ Masonry: ~~, ~~~ ~~ f ~~ ~ ~~ Roofing: Insulation: ~"ll ~ ~ ~,~ ~~ j lJ~c'^~ ~ l L~~? Drywall: ~l~'~ l~ ~- G~ Painting: _~2 ~ ~~ Floor f Coverings:~F'~ r ~~ ~ ~/~ ~~ Plumbing: ~ J~~ ~1 V~''~~' ~~ Heating: ~~ 1~~1 ~l rr ~l z~ ~~~'~V Electrical: '1" (nt>~ ~/C2~ ~ ~ Special Construction (Manufacturer or Supplier) Roof Trusses: ~~~~ ~.~~ l Floor/Ceiling Joists: /~ Siding/Exterior Trim: ~~~ ~ c~~~ ~'i..~~~ h ~~ Other: EXEMPTION'S FROM STATE REG~TRATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your state registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at www.ibol.idaho.gov/cont.htm) ^ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors/Journeyman, 12 Engineers/Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing/Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ^ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ^ Employee of a US Government agency (State, City, County, or other municipality) ^ Public Utility doing construction, maintenance, or development to its own business ^ Involved with gas, oil or mineral operations ^ Supplier doing no installation or fabricating ^ Contracting a project or projects with a total cost less than $2000 ^ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ^ Any type of water district operations ^ ~ Work in rural districts for fire prevention purposes ~f Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months ^ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ^ Real estate licensee/property manager acting within Idaho Code ^ Engaging in the logging industry ^ Renter working on the property where they live with the property owners approval ^ Construction of a building used for industrial chemical processing per Idaho Code ^ Construct~Qn of a modular building (defined by Idaho Code) to be moved out of state Ire y 'fy ha the above information is true and correct to the best of my knowledge. ~~~~ ~v G~ Sign re Date Jiw'l ~~1Q~~1~'%~~~"~ Print Name