HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00175 - 343 Talon Dr - New SFR Z
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-;oREXB~k~,9 Certificate of Occupancy
CITY O F
y+>~,, IZE?~BIJRG City of Rexburg
`- ~ ~ `~'--- Department of Community Development
America's Fnmily <:ommunity
1ME5 ~
19 E. Main St. / Rexburg, ID. 83440
Phone (208.) 359-3020 /Fax (2081359-3022
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
06 00175
International Residential Code 2003
343 Talon Dr
Single Family Residence
Type V-N, Unprotected
Residential
No
Name and Address of Owner: Nielsen Curtis W Etux
869 Wymount Terrace
Provo, UT 84604
Contractor: K K Construction
Special Conditions: Unfinished Basement
Occupancy: 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 vtith the requirements ofthe code
for the group and division of occupancy and the use for ttihich the proposed occupancy ties
classified.
Date C.O. Issued: November 16, 2006 (02:24PM)
C.O Issued by:
Building
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 Department• ~ Fire
State of Idaho Electrical Department (208-3
Mar, 31. 200b 10;07AM ~ No. 1853 P~~
CITY OF I'.EX~ URG PERMIT # U~~~ ~ ~S
BUILDING PERMIT APPLICATION Please complete the e
I9 E MAIN, REXBURG, ID. 83440 If the question does not aunly fi -fe~r-ae l i l
208-359-3020 X326
PARCEL NUMBER: (~1~R E C,, LVU'C)at~y-~ (We 06 00175
SUBDIVISION: ~ALcLEwc~i~ vNrT; 343 Talon Dr
(Addressing is based on the information -must be accurate)
OWNER NAME: (~ ~m-~ - ~ ~ ~, ~.,,~ l CONTACT PHONE # `~ ~ ~ - ~- `~ ca ~
PROPERTY ADDRESS: ~3~-{ 3 -1-q ~,~., ~~ -p ~
PHONE #: Home ( ) ~-5`~ _ ~n~/ Work ( ) CeU ( )
OWNER MAILING ADDRESS: ~, ~ L sr S ~Z ~ CITY: Ric t3cntC~ STATE: 1 ~ ZIP:
EMAIL FAX
APPLICANT (If other than owner}
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner mnst accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE; ZIP RMATT.
PHONE #: Home ( ) Work
CITY:
FAX
Cell ( )
CONTRACTOR: K.IK cv
-.Lt.~ s
MAILING ADDRESS: ' ~ p 2~{- CITY
PHONE #: Home
TATS (~ZTP ~3~c~z
Work ~~)_~~S -Si SS Cell (~J cP~l- z~~
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE
How many buildings are located on this property?
Did you recently purchase this property? N~ Yes (If yes give owner's name)
Is this a !ot split? ~ YES (Please bring copy of new Iegal description of property)
PROPOSED USE: ~ ~
(i.e., Sitigle k'arra.i.ly Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addatioat, Etc.)
APPLICANT'' S SIGNATURE, CERTIFICATION AND A'f_TTHORIZATION: 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 Plantiir4$ andloning Commission or the City Council for the City of Rexburg shall be truthful and correct. 1 agree to comply
with all City regulations and Stste laws relating to the subject matter of this application and hereby authorized representatives of the Ciry 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 misreprescntation of fact in the application or on the plans on which the
permit or approval was based. Permit vor1 not started within l80 days. Pertx-it void if work stops for 180 days.
~~~_~
DATE
refer to~be contacted by fax, email or phone? Circle One
WARNING -BUILDING PERMIT MUST' Blr POST)/D ON CONSTRUCTION SITE!
Plan fees are oon-refundable and are paid in full at the time of application beginning January IL2Q05.
Glty of Roztburg'g ,Acceptance of the plan review fee does not constitute plea approval
**1uilding Permit Fees are dne at time of application"" ""Building Permits are void if your check does not clearx*
3
Ma r, 31. 2006 10:07AM No 1853 P
' " ~ ' ~ ~ C~
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
NAME ~ ~i ~~~I
PROPERTY ADDRESS ~ ~}~ --~~,~} ~~ p~i~
SUBDIVISION ~~i~~ w~~
Dwelling Units: ~ Parcel Acres:
SETBACKS
FRONT
SIDE SIDE BACK
Remodeling Your Buiddfng/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area ~ (b~ Unfinished Basement area oZ e 5 ~
Second floor/loft area Finished basement area ~-
Third floor/loft area Garage area ~ ~~,
Shed or Barn Carport/Deck (30" above grade)Area
Water Meter Quantity:
************'"* Water Meter Size:
Required!!!
PLUMBING ~~ ~~~~t ~..~
Plumbing Contractor's Name: ~~s~T `~~ ~~,, grr,~, iciness Name:
Address City , ~ _State-
Contact Phone:
Email
FIXTURE COUNT rncluddn~ roughed fixtures)
~_ Clothes Washing Machine
~_ Dishwasher
c~ Floor Drain
____~_^ Garbage Disposal
f Hot Tub/Spa
Sinks ~ 2 ~ ~~ ~s cur ~ (~
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
Signature of Licensed Contractor
The Ciry of Rexbnrg's
Zip'
J Sprinklers
~_ Tub/Showers
~_ Toilet/CTrinal
~_ Water Heater
( g~~:~-r
(t ~~~~~-~) y
Water Softener ~
G- l2 S~'~
License number
fee schedule is the same cxr
Date
the State of,~daho
Business Phone: ( )_
Fax
4
Ma r.~31. 200b 10 ; 07AM ~ ~ No, 1853 P!' 6 `)
C~
Piease complete the entire .A,pplication! ifthe question aoe~ not apply rai in xa for non
appu~abl~
NAME ~_t ~ 1~Sc-~ ~J
PROPERTY ADDRESS 3~3 t~i~f t~Tz Permit#
SUBDIVISION ~~,,~ w~A
Required!!!
MECHANICAL
Mechanical Contractor's Name: ',~p~R-E C~ I~tz~._ Business Name: '~r~i E~~s~~~~,1 ~~g(4
Address ~~ ~' w' f~G G City s~1~-( State ~ n Zip ~~~~ y
Contact Phone: ( ) 3 ~{ ~ - Ce ~ ~ Z $usiness Phone:
Email Fax ~v~-(-lv - tPC:. [~-
11~ec~hanical Estimate $ (CommerciaUMulti Family Ong)
FIXTURES cg ~.PPLIANCES COU1V7' (Slagle Family Dwelling Only)
Furnace __~ Exhaust or Vent Ducts ~ S
~_ Furnaee/Air Conditioner Combo 3~ ~_ Dryer Vents S
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heatex
Space Heater
Decorative gas-fired appliance ~i ~ ~'
Incinerator System
Boiler
Pool Heater
~~~o
Similar fixtures or Appliances
~~ Fuel Gas Pipe Outlets including stubbed in or futfue outlets ZS
F r'' ; .. g s r-~- ~i
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 ~tnust be shown on plans.
3 ~ ao 3t 1 ~ ~ l
iguature o. icensed Contractor ~..icens number ate
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
Range Hood Vents
Cook Stove Vents
_~ Bath Fan Vents f
other similar vemts & ducts:
5