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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00226 - 697 Johnson St - New SFRZ O -~ m W c O rn_ ^ O '_' f.o ~ ~~ y 3 ~~~m ~ D 0 o m~ S O -< ~. o ~° m m 3 Z ~ m v v °o m a ~_' m m O~ ~ y~ Q y o m ^' co m a -„ O n ~' o ~.~ n c ~ ~ v n 'm m ~ o' C a m ~ °- O °- n g O ~' o_ 0 3 ~ ~ °- 3 ~ C o ~ ~ y -o ~ o m c m ~ D ~ ~ ~ o ~ _ o O ~ ~ ~ C ~ ~ 3 .~ < ~ y ~ -~ o ~ .~ W a~ Z Z c~ ~~~Z a -~ ~ o ~ a m Q ~ R01 ~ ~ ~c:o ~ m .°-' rn o- ~' -I ~ Z ~ co ~- 'i1 o ~ n C N N ~ o- ~' y. o m -D-I ~ o o~mao m ism y m ~ O m o ~ O = 3 ~ ~ ~ n ~ m ~ ~ ~ n o ° ~• cni" o '4 (D ~ O ~ ~. ~ o ~ a n ~ __ m "'' C m _~ Z r "~ v W ~ fl. D y m v m r Z m v ~~ ~ .~ Q. O ~ y N C <D Q. 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W N -~ '?i _ (~ ~ O '~ v 5 y c 7 °: 'Ti ~ ~ ~ '77 O ~ v 3 ~ O ~ ~ ~ N c m n m ~ ~` m Z ~ n v ~ ~ v m ~ d ~ n w ~ ~ ~ w y m y y ~ ~ (fl S 3 OQ gEXBUgC Certificate of occupancy u ?~~ ___._ CITY O F ~~ ~~ijJjZG City of Rexburg "~,,rNFp ; AmericdsFrtmilyCommunity Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3024 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 06 00226 International Residential Code 2003 697 Johnson Ave Single Family Residence Type V-N, Unprotected Residential No Name and Address of Owner: Alexander Construction 3902E 132 N Rigby, ID 83442 Contractor: Alexander Construction Special Conditions: 900 sq. ft. 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 was inspected on the date listed was 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 was classified. Date C.O. Issued: June 13, 2007 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. Plumbing Inspector: Electrical " . CITY OF REXBURG BUILDING PERMIT APPLICATION ~~E~~S~ i 19 E MAIN, REXBURG, ID. 83440 If the goes 208-359-3020 X326 ~~ ~~N \? S y~~o\~ PARCEL NUMBER: ~ ~~ ~' ill Q ~j o~t7a~ I7 (V, _ SUBDIVISION: ~C~tscfi~', sB,a ~~~~~~ ~ ~' LTNIT# (Addressing is based on the information -must be accurate) ~t accompany this application.) CITY: FAX Cell ( ) OWNER NAME: CONTACT PHONE # PROPERTY ADDRESS: ~ o /4U~ ~(~Gj, ~ `~'`l~~l~o PHONE #: Home OWNER MAILING ADDRESS: EMAIL - r - - - STATE: ZIP: 06 00226 ~'~~ Johnson Ave ~~ r-- - --- --- --~ ~ - -i CITY FAX APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner APPLICANT INFORMATION: ADDRESS STATE; ZIP Work ( } Cell.( EMAIL PHONE #: Home ( ) Work CONTRACTOR: MAILING ADDRESS: . ~ °jf1 Z- ~ /,j ~i? - CITY, ~~, 1 STATEZIP 8~~12 PHONE #: Home ( ) 7 ~s -, !~ J 2~Work ( ) C~11( ) ~ S? - ~ ~~,d EMAIL /' h~~~ B/" FAX °~~,~ ll?~ IDAHO REGISTRATION # & EXP. DATE /~~~ ~7~~ now many vtuicungs are iocateu vn tms propeny: Did you recently purchase this property? No r~ (If yes give owner's nun Is this a lot split? ~ YES (Please bring copy of new legal description PROPOSED USE: 5i~~/,e ~~%/r~ _ (i.e., Single Family Residence, M 'Family, Apartmen ,Remodel, Garage, Commercial, APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION that I have read this application and state that the information herein is correct and I swear that any ~ in hearings before the Planning and Zoning Commission or the City Cowtcil for the City of Rexburg sha with all City regulations and State laws relating to the subject matter of this application and hereby autlx upon the above-mentioned property for inspections purposes. NOTE: The bw7ding official may revoke provisions of the 2 International m cases of any false statement or misrepresentation of fact in ~ permit or appro:gased. Permit v . if not started within 180 days. Permit void if work stops for Signature of Do you pp Etc.} ~ ~~ ~ 1 02006 ~e truthful and correct. I agree to comply ed representatives of the City to enter permit on appt+oval issued under the application or on the plans on which the )days. DATE o be contacted by fax, email or phone? Circle One WARNING -BUILDING PERMiT MUST BE POSTED ON CONSTRICTION SITE.' Plan fees are non-refundable and are paid in fnll at the time of application begi rag lanuarv 1.200 f itv of Re~hnraw Arrentance of the n1An review fee dne~ not cpnstitute than 8onrov8l u Please c®m~~et~ ~ e~~~r~ ~.i~a~t~~! If the question does not apply fill in l~A for ~ NAME I~ t%~ I~ROPERTY ADDRESS SUBDIVISION ~~,~ C~Sv.-~ Dwelling Units:. SETBACKS FRONT SIDE SIDE Remodeling Four BuildinglHome (need Estimate) $. Unfinished Basement area Finished basement area Garage area ~'~ Carnort/Deck (30" above e SURFACE SQUARE FOOTAGE: (Shall include the exterior wall. First Floor Area J'..~--®~ Second floor/loft area - Third floor/loft area _ Shed or Barn -- Water Meter Quantity: ~~~~~~~~~~~~~::~ Water BACK PLUMBING Plumbing Contractor's Name: ~1~~~ Business Name: Address City Contact Phone: ( ) j~ $f - / ~ ~.,,~ Business Phone: ( ) Email Fax FIXTURE COi11VT ('occluding roughed fixtures) 1 Clothes Washing Machine Dishwasher ~_ Floor Drain ~ Garbage Disposal "" Hot Tub/Spa Sinks vatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) ignaty of Licensed Contractor The City ofRexburg s p Parcel Acres: L--~ Sprink Tub/S' 3 ~ Toilets 1 Water of the building) ~~i? y'o~ sea ~--- Size: ~~~" ~~-: state ~~' zip 83 ~ z,~ 1 Water Softener 7 License number D e schedule is the same as required by t State of Idaho • P~~~SIe CUIl1~1-~~t~ i~h~ eiltil'#~ ~~?~}~l~atit~ti~ If ties geaestion does not ~ppiy iiii in NA for non appiicabie NAME PROPERTY ADDRESS P~rmit# SUBDIVISION ~e~i~~e' ~ r t MEC~~~INICAL Mechanical Contractor's Name: ~ ~,~ /~~~~~.Pr,,.- Business Name Address City ~~~~ -~ Contact Phone: ( ) 7~'~ - ~~ ~'~ Business Phone: ( ) Email <<s~~ ~,~ Zip Mechanical Estimate $ (CommerciaUMulti Family Only) FIXTURES & APPLIANCES COUNT {Single Family Dwelling Only) Furnace ~ S __~ Exhaust Furnace/Air Conditioner Combo _~ Dryer V Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater ~_ Decorative gas-fired appliance ~S Incinerator System Boiler Pool Heater Similar fixtures or Appliances Vent Ducts S cS _~ Range Hold Vents ~ i Cook Sto .Vents Z Bath Fan ents ~ a other simiiar vents & ducts: ((moo 3 Fuel Gas Pipe Outlets including stubbed in or future outlets Z~ Inlet Pressure (Meter' Supply) PSI Heat (Circle all that apply)] Oil Coal Fireplace Electric ~': Mechanical Sizing Calculations must be submitted with =lens & Application Point of Delivery must be shown on pla ' s. ~~~ " ignature of Licensed Contractor License number a Date The City of Rexburg s permit fee schechde is the same as required by the State of Idaho • ^^rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr~ SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry:_~ f Y l~~ ran Roofing: . vs ,~~.~ ~/~~'~' Insulation: ~~~ 1~'y Drywall:. Painting: Floor Coverings: Plumbing: s !~G ~ll~i%-, Heating: 1~ h j~ ~ ~>. Electrical: J~/~'~~~.z ~ ~Eef J~~f Special Constraction (Manufacturer or Supplier) Roof Trusses: 1~~G ~~ss 4 Floor/Ceiling Joists: E~ _ Siding/Exterior Trim: ~ ~ ~~ S',; Other: 6 CITY ©F 1~~ V 1i~3 America's Family Community BUILDING SAFETY DEPARTMENT Re~urg, Idaho 83440 Fa~c 208-359-3024 ianeilh(8trexburg.org Affidavit of Legal Interest State of Idaho County of Madison// a e Address city 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 attacIed, 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~ntained herein or as to the ownership of the property which is the subject of the applicatOn. Dated this ~~ day of /~'~`~~ , 20 ~~ Subscribed and sworn to before me the day a ~~9~ ~j~.~ ~~ ~"~ ^ r " G otary bli .:: ~ 1 . Resi first above writte~I. of Idaho ..~ . '~-. My commission expires: