HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00181 - 602 Autumn Ct - New SFRZ
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F; QgEXBUgC'9 --
'"~ Certificate of occupancy
C I T Y O F
U.~ ~~~Cir City of Rexburg
`~ ~ Department of Community Development
America's Famil • Communi •
'~`'sa.o
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
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:
06 00181
International Residential Code 2003
602 Autumn Ct
Residential
Type V-N, Unprotected
Single Family Residence
No
Sutherland Scott Etux
544 W 2nd N
Rexburg, ID 83440
Sutherland Development, Llc
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 vas found to be in compliance v>ith the requirements of the code
for the group and division of occupancy and the use for ttil~ich the proposed occupancy vies
classified.
Date C.O. Issued: March 08, 2 (02:28
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 Depa
Fire
State of Idaho Electrical DepartmenX (208-356-4830): ~~~ ~ ~ -
CITY Off' REXB URG
PERMIT # ~ D~ f ~ ~
BUILDING PERMIT APPLICATION Please complete the entire Application!
19 E MAIN, REXBURG, ID. 83440 If the question
208-359-3020 X326 ~6 ~~ 1 g 1
PARCEL NUMBER: ~ P~ ~ eV~{ gD~01 y0 (We v
1 /~ 602 Autumn CT
SUBDIVISION:~r~'~.S % ~'Q /~ y " l UNIT#
(Addressing is based on the information -must be accurate)
OWNER NAME: SCp-H- ~ Nl,, he([/ S~~h ~i(An0/ CONTACT P/HfONE # 3 S ~ " l ~ S Z
PROPERTY ADDRESS:_~~~(~ a~oC~ ~ ~ ~~tvly~<,~ 6~~~'ytiff s~~O~~'L•l~ ®~,
PHONE #: Home ( ) .S - j ~ S 1 Work ( ) 3 ~~ "- 3~ ~® Cell
OWNER MAILING ADDRESS: ~ `f ~ ~r Z ha/ ~~ CITY: ~~' h~~~
3 ~~
,~' 2
® STATE:~ZIP: ~ ~~~~
EMAIL ~,, C iN\ ~~ v- ~ 1 ~" Yu h o v ~ Co vh FAX ~ S ~ " ~ g ~ Z
c~ a A~tutiln
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner m a
APPLICANT INFORMATION: ADDRESS IT~ ,,.,,~
STATE; ZIP EMAIL AX
PHONE #: Home ( ) Work ( ) C~~~
CONTRACTOR: -Gr R n -~ U~ ® IPy, l
MAILING ADDRESS: S ~t t( ~~ 1'I`~ ~~ CITY~~ 4l~ STATE~ZIP ~ ~yys
PHONE #: Home ( ) J ~ q ~ ~~ ~1 Work ( ) 3 S~6- ~~ ~~ Cell ( ) ~ / ~ -3 ~ /~ Z.
EMAIL~,ST;~~/ 14°YuI~,FAX ~S ~'~~8 sL IDAHO REGISTRATION # ~ C E -So
How many buildings are located on this property? o :1
Did you recently purchase this property? No es If yes give owner's name) / ~-~I'/- ~'~ s~1 /
Is this a lot split?~IYES (Please bring copy of n,~jw legal,/description of property)
PROPOSED USE: S i~%~-C ~h'1 i ~ l~-~S~ vI t ~1 C~
(i.e., Single Family Residence, Multi Family, Apartments! Remodel, Garage, 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 approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. C
~ ~/~/ ~ L7
Signature of Owner/Applicant DATE
Do you prefer to be contacted by fax, email o ho Circle One
WARNING -BUILDING PER 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 your check does not clear**
3
eIBOLPublic -Public Record Information Page I of 1
j~, ~ ~~~ i ~ 1, tvs3{e•~~• 1. fli~~
Public Record Information Date: 3/22/2006
Record Inauirv -Browsing
Facility Name SUTHERLAND DEVELOPMENT LLC
Owner RUSTY SUTHERLAND, et al
Profession IDAHO CONTRACTORS BOARD
Type CONTRACTING BUSINESS
Number RCE - 506
Address of Record
City/State/Zip REXBURG ID 83440
Country USA
Date of Record 11/9/2005
Registered/Licensed
By
Status Current
Discipline Status
Expiration date 11/9/2006
Disciplinary Action
Action Date Action
NOTE: This document is a copy of the electronic record of the person named above and constitutes a verification of
that record. If official certification of this record is required, a written request must be submitted together with a
$10.00 fee to the Bureau of Occupational Licenses, 1109 Main St., Suite 220, Boise, ID 83702.
https://secure.ibol.Idaho.gov/eIBOLPublic/LicensePublicRecord.aspx?Profession=CON&... 3/22/2006
Please com lete the eire A lication! •
P PP
If the ques 'on does not apply fill in NA for non applicable
NAME -5~ ~K ~~ lCf~
PROPERTY ADDRESS D ~- j~ f( Permit#
SUBDIVISION ~~tq ~°l~"~C,s~- -lr ~l li,'fJ
Dwelling Units: ( Parcel Acres:
SETBACKS
FRONT l S 1 SIDE `C ZJ t SIDE BACK
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area Z .~ ~ ~ Unfinished Basement area /~/~
Second floor/loft area ~ Finished basement area 2 ,,$' .Z
Third floor/loft area ~/ Garage area l 3 3 6
Shed or Barn ,~ Carport/Deck (30" above grade)Area /V ,
Water Meter Quantity:
Water Meter Size:
Required!!!
PLUMBING ~~ ~ y ~~ p~~ ~ ~~~~ ~ ~~' ~.~~'r~~
Plumbing Contractor's Name: ~ ~ ~ Business Name:
Address ~ b t7 I" ~ ~~C ~ d ~` S~'~'~ City ~~~~'~~ State ~ zip ~6 3 yy~
Contact Phone: ( ) ~ ~6 " ~ ~?4 Business Phone: ( ) ~ S~ " ~ ~~
Email
FIXTURE COUNT (including roughed fixtures)
( Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
~~ Hot Tub/Spa
9 Sinks
(Lavatories, kitchens, bar, mop)
Plumb' g E imate $ (Commercial Only)
1V /4 Sprinklers
J'r ~/-~ Tub/Showers
J Toilet/Urinal
2 Water Heater
Water Softener
~~~~~
Signature of Licensed Contractor License number
The City of Rexburg's permit fee schedule is the same as
D
by t~e State of Idaho
Fax
4
.Please complete the entire Application! If the question noes not apply rll in Na for non
applicable
NAME -~ Co ~~ vl-er / !f /9
PROPERTY ADDRESS v f ~/ J OG ~ 'L Permit#
SUBDIVISION ~ ~~ .r ' li '~
~' Required!!! MECHANICA
Mechamcal Contractor s Name: ~ ~" ~' Business Na
Address ~ ~ ~ ~ ~ ~~ 11 ~ ~``x ~ ~1 X City ~W~'+% State ~ Zip ~ 3 YS'~
Contact Phone: (~) 3 S 6 r6 ~ ~ ~ Business Phone: ( )
Email Fax
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace 3 s ~_ Exhaust or Vent Ducts ~ ~
~_ Furnace/Air Conditioner Combo ~~i ~ Dryer Vents
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Z Decorative gas-fired appliance ~ ~
Incinerator System
Boiler
Pool Heater
y~ Similar fixtures or Appliances
10[ Fuel Gas Pipe Outlets including stubbed in or future outlets 3~
~_ Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Zlo
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
ignature of L' d Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
Range Hood Vents
Cook Stove Vents
s Bath Fan Vents ZS
other similar vents & ducts:
5
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v~
9
ea,
e~~ 5 H E D ~
CITY O F
REXBURG
America's Family Community
BUILDING SAFETY DEPARTMENT
19 E. Main (PO Box 280) Phone: 208-359-3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
www.rexbura.org ianellh rexburg.ora
Affidavit of Legal Interest
State of Idaho
County of Madison
I, „S~j ~~~ ~r~~n Gr ,
Name
~~ ~~~
~- ~ ,
city
Being first duly sworn upon oath, depose and say:
~C' c~~ ~ Zh rr~ `V ~-~ f ~
Address
State
(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 ownersh/ip of the property which is the subje/c~t of the application.
Dated this ~O ~~ day of ~"/ Pl ~. l , 20 ~
Subscribed and sworn to before me the day and year first above written.
~`~~~~~~~w~lttrFt-
~~ R. $,q l~lr
`~~~~~~\i51f 4t s:~~~ rf~
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rig Nj- ~'~'(j Q ~, ~ ~
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Notary Public of Idaho
Residing at: . ~-~---g ~~ tx ~..,
My commission expires - 7 ~ ~ 4
2