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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00211 - 660 Centennial Loop - New SFRZ .~ O ~ ~ '~ ~ m m W c ~ v ~ rn .~ ~ ~-o~s~D ~ C ~ ~ m ~ D oo~a~o -c c ~ a ~ m 3 z m a a o ~°-' o- ~ ~ m O W g~~~.y-~ °° m ~ _~ m _~~ Q~, o ~ ~ a O ~ c~i m o ~. -o n c 3 ~ a n m ~ ~° o C O ~ ~ `° ~ ' a m _~ d y a v Z n~f O o o ~ ~ a ' `° c o ~ ~ y a ~ o m ""'~ ~ m ~ O r- < ~ ~ ~ ~ o ~ _ O x ~ ~ ~ ~ ~ ~, ~ 3 ~ r fD N N ~, ~ o m ~ ~ W O a m ~ Z ~v~sZ a = ~a ~a ~a v v~ m m C'p Q ~. O ~ m ~, a x ~ W [o Z ~ co s '71 0 0 ~ ~ w n O. C N 0 ~ -~ _v o ~ m o- o m ~v ~ ~ ~ ~ Z m ~ ~~.~ ~ s (/~ ~~o~o ~ m m ° tea"' n n D m n m $ y -1 y ~ Q° m T ~ ~ ~ Q ~ v D m 3?m v'+ ~ 3 Woo ~T ~ ~ _: ~ ~ ~ ~ ~o o on N T C ~ ~ ~3 p_ O - O Z n ~ ~ N ~' CD O -~mn a ~ c P't" O m '~ Z C7 - ' fD y Q ~ /~ ~ j ~/~ ~ Z N O v a~ (~ O V < {~ Q. 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O ~ `~' N ~ ~' ~ ~• ~ ~ ~'' ~'G ~ '' o CO W~ V ~ fJi A W N _n ~ - cn ~ ~ ~ p ~ 5 y C ~ ~ ~ ~ ~ T O O Q. o ~ -n O O ~• ~ N ~ O.- m n 3 n v cT A ~ n d m n ~ n ~ T! -v ~ v 5 y c ~ ~ y ~ 7 z '~ mm^ •I Z W n v Z 7 G) y D 7 7 D i o~~ExBUR~,° CITY of Certificate of Occupancy .c, y _._ ~+~ ~~jjjZG City of Rexburg `u' De artment of Communi}~~ Develo ment America's Family Community (~ •7 l~ 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3024 Building Permit No: 06 00211 Applicable Edition of Code: International Residential Code 2003 Site Address: 660 Centennial Loop Use and Occupancy: Single Family Residence Type of Construction: Type V, non-rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Day Steven L Etux 2083 Oak Haven PI Sandy, UT 84093 Contractor: Day Construction Llc Special Conditions: Occupancy: Residential -less than 2 units, permanent in nature This Certificate, issued pursuant to the requirements of Section 909 of the International Building Code, cerfifies that, at the time time of issuance, this building or that portion of the building that wes inspected on the date listed vies found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy wes classified. Date C.O. Issued C.O Issued by: ............y .,......p. 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: c Electricallnspector ~b Fire Inspector: y ~ l~- P8ZAdministrator: n ~ a- -`, Ple ase compete the et ire Application! If the question does not apply fill in NA for non applicable NAME _YST~r1~ Q~ f-~ PROPERTY ADDRESS Permit# SUBDIVISION l~~Ay' ~'~ ~,,o ~i~~ Dwelling Units: SETBACKS J FRONT °L SIDE SIDE ~ ~ BACK ~~ ~ Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~~ Zd SZ Unfinished Basement area -~~'-Zb ~rZ Second floor/loft area Finished basement area Third floor/loft area Garage area ,,-- r j p ~ Shed or Barn Carport/Deck ( 03 hove grade)Area 2SZ~ Water Meter Quantity: ~ f/ ************** Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: Address Contact Phone: Email FIXTURE COUNT (including roughed fixtures) f Clothes Washing Machine City State Zip. Business Phone: Fax Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa '~ r'"5~`' 3K"'? Sinks ~ (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature of Licensed Contractor The City of Rexburg's permit, Sprinklers l Tub/Showers ~{ .~ Toilet/LJrinal ~ Water Heater Water Softener License number Date e schedule is the same as required by the State of Idaho Parcel Acres: ZZ~ Business Name: _. __ .. ___ _.. _ . ___.._ X002.. _____ _. 04/0372007 10:38 FAX Apr. j. IUU/ 1U:laAM No.396h E'. 3 • ~ !I•' ~yyy:~.~. •'iIMYI1'I!!1.~1~4/H~+1M \r1A~.~:. • /,ti~MIH+1L~r~•t. w.y V. N "V1 ' ' •PTea-se co~plet'er'the ~~eII'~tre Appliyea~on. ~zr the q,aestion dose ztot agg]y ~~ i Np A for non ~~•~"~~~" '~~ ~~~~ applicable RAME R S Dy~ Dl¢ ~ ~ Permit# (~ ~Q. ~ I I SUBDIVISION P Regt~i~edlll Mechanical Contractor's Name: Address MEC~ICA~ Contact Phone: City Business Phone: ( State Zip Email Fax Mechamxcal Estimate $ (CommerceaUMaltiFemily On]y) k~TU.R~ES c$ APPI:IANGES COUNT (S'ingle Family Uwell„~cg On~y1 Furnace '~ Exhaust or Vent Ducts ~ ° ~ FurneceJAir Conditioner Combo 3S ~ bryer Vents r~ Hcat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater 1 Decorative gas-fired appliance ~S Incinerator System Boiler Pool Heater 1~a Sizniiar Fixtures or AppXiartces ~ Fuel Gas Pipe Outlets includi~zg stubbed in or fimire outlets ~, '~' ~~ ~ ~ Inlet Pressure (Meter Supply) PSI Hest (Circle all that apply) Gas Oil Coal Fireplace Electric Mechanical Sizing Calcalat~ons must be submitted with Plans ~ Appiica~on Po;nt of Delivery must be shown on plans. ~ ~~ ~ f~ ~, M,r~z~t^ eI~- S~goature of Licensed Contractor License amber Daze Rangy Hood V ants Cook Stove Vents ~~, ~~.~ n~~r; 9 ~ 1.. S_...._.L_ Bath Fan Vents ~~~ 1~~ ~,,~,''r''1~Y~'~ -~ r~~ ' other similar vests Bt ducts: ~ ~ ~ i~ Business Name: The City osRexb~g's permit fee schedule is the same cis regui~ed by the State Building Safety Department ok~~XA~~~,o ~ , .,. ~ a ,: City of Rexburg ~~ RE~BURG _.. t,,, 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Arr:erica's Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME `~-~~ ~ ~~-~ _ Permit # 06 00211 PROPERTY ADDRESS Ca '~ ~~ °„ v ;`,g-% SUBDIVISION ~ ~~~~ ~ ~ V~~1//.~;~ 660 Centennial Loop PHASE LOT BLOCK Required.!! ELECTRICAL ~~// --%< < ~~~~~ Electrical Contractor's Name ~o~~'t'k.tuw ~ ~ ~, G/~S ~ Business Name ~~~~~ ~~'~„5r'N- Address ~ orPy r3~=~, ~~.~+..; ~~ • City ~C=' `Jv;. State ~~ Zip ~%YU Cell Phone (aQ~ ~~ ~`"!~~ ~- ~ Business Phone (2~) ~5 ~ ' `/ ~/ ~ ~ ~ Fax (,~-~f3) ~~/,~ ' lQ (?~ `3 Email Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY ONLY) TYPES OFINSTALLATION(RESIDENTIAL) (New Residential includes everything contained within the residential structure and attached garage at the same time) L/~Up to 200 amp Service* I 201 to 400 amp Service* Over 400 amp Service* I Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Existing Residential (# of Branch Circuits) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and/or Cooling (when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) T ' porary Amusement/Industry *Includes of inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Licensed Contractor License number Date The City of Rexburg s permit fee schedule is the .came as required by the State of Idaho 7 ~'~ TY OF REXB URG .• PERMIT # ~ _ ~~ l ~ w, ., .. . BUILDING PERMIT APPLICATION Please comp 19 E MAIN, REXBURG, ID. 83440 If the question doE 06 0021 1 208-359-3020 X322 PARCEL NUMBER: ~I"/Z/~!~!~ ~~5~~/~U (We will I 660 Centennial Loop SUBDIVISION: ~ ~~ ~~tr' L~1~- ~1C ~,c UNIT# BLOCK#~LOT# ~ ~ (Addressing is based on the information - st be accurate) {~%jq 5~ ,~ OWNER NAME: S ~G'~ ~/~3`' CONTACT PHONE # / ~' ~~ % ~!J/ ~, / y: PROPERTY ADDRESS: _ ~ ' ~G~o ~~.Cr1 `' PHONE #: Homed ($©~ c1~~f trl G~~~ Work~(~p/j ..SSj ~''~'~~` Cell( ~/~ f~ ~°' OWNER MAILING ADDRESS:Zf~~,S ®~1~~'fl~ITY: ~~ ~ STATF~ZIP:c~}"~~ EMAIL FAX 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; ZIP EMAIL PHONE #: Home ( ) Work CITY: FAX Cell CONTRACTOR: MAILING ADDRESS: PHONE: Home# EMAIL CITY STATE ZIP Work# Cell# FAX How many buildings are located on this property? ~i~ , Did you recently purchase this property? No .Yes` If yes give owner's name) ('~~~' ~'~'~K-1 ~,~" Is this a lot s lit? N ~" YES Please brin co of new le al descri tion of ro ert p ~ ( g pY g p p p Y) PROPOSED USE: .S'l/19f~t~ ~~ ~fi <`~~ "~'~ Sj ~ Cit1G 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 m er of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purpos TE: The building official may revoke a permit on approval issued under the provisions of the 2000 Inte nal Code in cases a fals statement or misrepresenta ~ i r i on which the permit or approval.ya=a~b e' . Permit void i st w' in 180 days. Permit void if o of 0 s~ ~ ~, Ji' /' / L / L ignature of caner/Applicant MAY - Do you prefer to be contacted by fax, Qn ~ Circle One WARNING -BUILDING PERMIT MUST BE POSTE ON ONSTRUCTION SITE Plan fees are non-refundable and are paid in full at the time of a pliip~ye City of Rexburg's Acceptance of the plan review fee does no ti ut an **Building Permit Fees are due at time of application** **Building Permits are voi if you check does not clear** Affidavit of Legal Interest State of Idaho County of Madison I, S~ ~//~ .D~1/' Name city Being first duly sworn upon oath, depose and say: ~0~~ ~~~ ~~U~~y ~%9~ ~' Address ___s~ h 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 ownership of the property which is the subject of the application. Dated this ~~ , ~ day of 1 ""~,~, , 20 ~~ f f, ./r Signature Subscribed and sworn to before me the day and year first above written. ~..•••"""'"""•••F~4~i~ Notary Public o daho ~pTAAX ~ Residing at: ~~ ~1~,~ SE ~~ ~ u~~ +~ "~ i ~. My commission expires: ~JI ~~ ~ ~'y1E O~f'~~~~