HomeMy WebLinkAboutBP, CO & APPLICATION - 06-00216 - 249 Jill Dr - New SFRZ
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CITY O F
REXBURG
~ -
America's Family Community
Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 3
Building Permit No: 06 00216
Applicable Edition of Code: International Residential Code 2003
Site Address: 249 Jill Dr
Use and Occupancy: Single Family Residence
Type of Construction: Type V-N, Unprotected
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Kartchner Homes
3456E 17th St Ste 210
Idaho Falls, ID 83406
Contractor: Kartchner Homes
Special Conditions: Unfinished Basement
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 vies found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for v~hich the proposed occupancy vies
classified.
Date C.O. Issued: September 06 2006 (01:35PM)
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 D
State of Idaho Electrical Department
w~a r, 14. LUUb I U: UtlHIVI No, 1 /46 f', h
- CI.7'~' ~F' RE~'~ URG ~ PERMIT # ~y pp a 1 Go
BUILDING PERMIT APPLICATION Please complete the entire Application!
19 E ~.iIAIN, REXBURG, ID. 83440 If the question
208-359-3020 X326
PARCEL NUMBER: • ,R P BZ ~{ N (~ S aD (~ 030 (We ~, OG 0021 G
SUBDIVISION:~~~' /1~ UNIT# 249 Jill Dr
(Addressing is based on the information -must be accurate)
OWNER NAME: U' ,Fi - CONTACT PHONE # ~ a.~s- FlFs`1 ~
PROPERTY ADDRESS: a
PHONE #; Home ( ) Work ( )
OWNER MAILING ADDRESS: 3~fSZ,P r 7~ ~. _ ~CrTY: Cell T~ ~~2 fo
~fi S,cu~",t STATE. ZIP.
EMAIL laAX ~ a ~- ~s ~S~
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorising applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
CITY:
STATE; ZIP EMAIL
PHONE #: Home ( ) Work
Cell
CONTRACTOR: ( ~ ~_
MAILING ADDRESS: ~~A7Yl.L' CITY STATE ZIP
PHONE #: Home ( ) Work ( ) Cell ( )
EMAIL
FAX
IDAHO REGISTRATION # & EXP, DATE_~Z,CC- "L X79
Hotiv menu huilclinac arP 1nratPA nn th;c rrrnrarhv7
Did you recently purchase this property? ~ Yes (If yes give owner's name)
Is this a lot split? ~ YES (Please bring copy of new legal description of property)
PROPOSED USE: ~1 I.VA~ e YYarYI A~ ,~.~~
(a.e., Bangle Fatxdly Residence, Multi Pannxly; .rlpart~ezats, Rezuodel, Gara e, Comznercxal, Addition, Pte.)
~ - l7-0~
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenatty ofperjury, I hereby certify
that 1 have read this application and state that the infomaation herein is correct and I sweat 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 rcprescntativcs of the City to rntcr
upon the above mentioned pzoperry fo.r ir~speaions purposes. NOT1E: ',fhe building official may revoke a pectn~it on approval issued under the
provisions of the 2000 International Code in cases of any~sc statement or misrcpresentation of fa ~ or n ens on which the
permit or approval was based' hermit ~oid i; ry~t startedJ~vilhin 180 days_ Pecp~it void if work stop p^ y~ ~ ~ (1// ~ (~'~
Signature of Own is DATE
Do you prefer to be contacted by fax, email hone? ircle One ~~~ nY - ~- 2006
WARNING -BUILDING 5T BE POSTED ON CO STR TION SITE!
Plan fees are non-refundable and are paid In furl at the time of appllcatio be
!':~., nPT7nsh.....~s A,.,;e.•+~.,,.~ ^r•he pIaa review fee does not con tit~t, a ,py ova ~V=~ ~ 9
yiB,,; R e c e_i v e d_ T i m ereM a r _14:_1e 1.0 _ 0 9 A Mrion~~ **.guilding Permits are eclc.dnes:~ut i~te` `~
3
Nlar, l4, 1UU6 IU:UyAI~
No, 1146 P. 6
Please com lete the~entire A lication!
P Pp
NAlVIE , ~^I~t~qu tion does not apply fill in NA for non applicable
PROPERTY ADDRESS Permit#
SUBDIVISION ~-~~,yy~p~ ~1
Dwellzng Units: ~ Parcel Acres:
SETBACKS
FRONT o2 r'J SIDE
SIDE ~~ BACK 3 ~
Remodeling Your Building/Home (need Estimate) ~
~ ~~
Water Meter Quantity: _ _ ************** Water Meter Size:
Required!!!
PL UMBLIITG A-r_
Plumbing Contractor's Name: ~Q,~Q, ~.~1 ~ ~ ~ Business Name: G1 G~
Address City State Zip
Contact Phone: ( ) .~ ~ ~ ~ ~QQ ~ Business Phone: ( )
Email
FIXTURE COUNT rncludin~ roughed fixtures
Fax
~ Clothes Washing lkiachine 0 Sprinklers
Dishwasher ~ ~ TubfShotivers
_~_ Floor Drain ~~ Toilet/CTrinal
Garbage Disposal ~_ Water Heater
Q Hot Tub/Spa d Water Softener
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
_ ~~i ~-~ ~
Signature of tcensed Con2xactor LicerLSe.number
~'he City of Rexburg's permit fee schedule is the same as
~~ ~ ~d~
Date
by tfte State ofldaho
SUI2FACl; SQUARE FOOTAGE: (Shall include the extexior wall measurements of the building)
First Floor Area I ~ ~ ~ Unf'uushed Basement area ~ ~ u S
Second floor/loft area Fuushed basement area
Third floor/loft area Garage area
Shed or Barn Carport/Deck (30" above grade)Area
3~
Received Time Mar,14~ 10~09AM
4
IVlar. 14. 1UUb IU:UyHIVI
IVo. 1146 f'. I
1 •
~le~se com lete the en~re A 11cat1on. If the question does not apply sill in NA for non
P PP
applicable
NAME r v Y
PROPER ADD SS ~ ~1 ~~ Permit#
SUBDIVISION ,(,i1 SGt~
Requited!!!
MECHANICAL
Mechanical Contractor's Name: ~ (~,(,(,~/~ ~.t,IL~rI _ _ Business Name: Y.P~Y~17~1'YIG.h (r~ ~ r
Address City State Zip
Contact Phone: ( ) 7~~' OS3`-f Business Phone: ( )
Email
Fax
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXT j RES ~ APPLL4NCE5 COl'INT (Si~igle Famaly Dw !ling Only) ,~ I~~
Furnace ,~ Exhaust or Vent Ducts \ v
d Furnace/Air Conditioner Combo ~ D er Vents ~~
ry
0 Heat Pump ~ Range Hood Vents
6 Air Conditioner ~ Cook Stove Vents
Q Evaporative Coolex
0 Unit Heater
___`_(~! Space Heater
4 Decorative gas-fired appliance
~ Incinerator System
o' I3oiler
4' Pool Heater
_~ Bath Fan Vents
~_ other similar vents & ducts:
d Similar fixtures or Appliances
a. Fuel Gas Pipe Outlets including stubbed in or futuxe outlets
Inlet Pxessure (Meter Supply) PSI
Heat (Circle all that apply) ®Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
~u 3 L-(
gna of L ensed Contractor License nwnber
The City of Rexburg's permit fee schedule is the same as
eceived Time-Mar.14,-10~09AM
~- `~~ °~
Date
the State ofldaho
5
14. 1UUb I U: UyHiVI
•
IVo. 114b N. ~
r^^^^..~.r..r~~rrrr~r~~~~~~~~~~~r~~a~i~~~~~~~~~~~~~ar^^rr~~~~r~~~~~~~~~~r~^*r~~~~~~~~~~~r~s~~
SLTI3CO.NTRACTOR LIST
Excavation & Earthwork:
l a~~-
~ - ~~~
Concrete: ~~,~~~ ~a~ ~ `~ ~~~~
Masonry:
Roofing;
Insulation: ~%e~.~c.~/s `J / Lf 35 ' 7~~ - 7~.~ ~
Drywall: ~~=~'~/~/d %) 2 ~f ~~ Q ~ 7~
Painting ~(~ / 07' GLJ~YIL ~ ~~ ~ ~ ~~`l ~7
Floor `~ ~~ - ~ 7 7 7
Coverings: ~~/~z~.~'-~'~~ 5
Plumbing: /~7~f .~,, ~~ (,a~' ~ ~ ~ ' ~c~~~
Electrical:
Roof Trusses:
(~~ .~
5" 7--~~ ~
~/~.
U~5
Floor/Ceiling Joists: ~ ~ ~ ~ ~ ~ ~ ~~
Siding/Exterior Trim: /~! c~~(~~rj2,5 ~ ~~ ~ ~ °~-~~
Other:
Special Construction
(Manui'actu~rer or Supplier)
--
Received Time Mar~14~ 10~09AM
6
IYldf. I`F. LUUU IV;UONIVI CVO, I/4b f. 4
4~euRc
~ !
o
~,i ~~ CITY OF _
~~~ o
~
~ BUILDING SAFETY ,IJEPARTMENT
l~
1W 1..~ 1\
l.~rl\ I9 E. ain lP0 Box 280) Phone: 208-359020 x328
°} ~'
'• .0~ America'sFas~tilyCvmmunity
~/dp~p , Rexburg, Idaho 83440
~wW.rexfaursa_org Fsx: 208.359024
lanallh(~rex6ur~orn
Affidavit o~ Legal Interest
State of Idaho
Cou ty of Madison
Name Address
City State
Being first duly swoxn 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 indemuni.fy, defend and hold Rexburg City and its employees harmless from any
claim or liability resultixig .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~
SIg'n8'tllfe
Subscribed and sworn to before me the day and year first above written.
Notary i'ublic of Idaho
Residing at:
Received Time Mar~l4~ 10;09AM
My commission expires:
2