HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00230 - 673 Johnson St - New SFRZ
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~o~R~xapk,,row CITY o~ Certificate of Occupancy
~Y~i ~~~,G City of Rexburg
' "Y , ~, Department of Community Development
Americrs's Famil C'ommuni
19 E. Main St. / Rexburg, ID. 83440
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:
06 00230
International Residential Code 2003
673 Johnson Ave
Single Family Residence
Type V-N, Unprotected
Residential
No
Leishman Nick And Tina
415 Violet
Rexburg, iD 83440
Kay,. Jared
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 ofissuance, this building or that portion of the building that
vies inspected on the date listed wes found to be in compliance vNth the requirements ofthe code
for the group and division of occupancy and the use for vihich the proposed occupancy v-es
classified.
Date C.O. Issued: January 11, 2007 (09
C.O Issued by:
Building
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: De
_ i
State of Idaho Electrical Department
o~gfxaVq~ • ~
4 ~ R~~G C qty of Rexburg
.,
Am¢ncdt Family Community
STATE OF IDAHO
August 9, 2006
REQUEST FOR A CONDITIONAL BUILDING PERMIT
FOR PARTIAL BUILDING CONSTRUCTION
P.O Box 280
19 E. Main St.
Rexburg, Idaho 83440
Phone (208) 359-3020
Fax (208) 359-3022
e-Mail
TO: Building Official for the City of Rexburg
Pursuant to the provisions of the International Building Code 2000, the undersigned requests that
a building permit be issued for:
Footings and Foundations only at:
339 W 1st N
Rexburg, 83440
Acknowledgment is made that the plans for the complex are not complete and that final approval
of the building will not be given until the final plans have been approved. We recognize that
proceeding with partial construction at this time is entirely at the risk of the Architect/Owner
with there being no assurance that the final Certificate of Occupancy for the entire building or
structure will be granted.
We further absolve the City of Rexburg and officers and employees thereof, of all resposibility
for the issuance of a partial permit and further. agree that any work performed under this permit
will be removed or otherwise corrected to be in accord with the requirements. of the final
approved plans when a permit for the entire building of structure is finally granted.
Dated: Wednesday August 9 2006. By
Approved: Wednesday August 9 2006.
CITY OF REXBURG
- J II Hansen
Permit Coordinator /Tech
of ~k.xsuR\
~, r~
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~G
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CITY O F
]~VT~~'TT`j~ BUILDING SAFETY DEPARTMENT
1~1.~ J 1\. ___ 19 E. Main (PO Box 280) Phone: 208-359-3020 x326
`~' ~ ~ Rexburg, Idaho 83440 Fax: 208-359-3024
America's Family Consmunity yyyyyy.rexbur~ ^•^ ianellh rexburg.orq
Affidavit of Le
State of Idaho
County of Madison
I, ~ ~ ~
Name
~~x~~~~ ,
city
Being first duly sworn upon oath, depose and say:
06 00230
673 Johnson Ave
Address
State
. a~
(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 ~~y day of /' ®~k , 20 (~~
Subscribed and sworn to before me the day and year first above written.
`````~~~~zu~ rG v',`e
~~o,
~.~Q~~ ....... F~y~9,o;~
N~T/~R ~. ' ~,
~-o® e
PU~~.`~ . ~,~ s
~.
-.
Notary Public of Idaho
Residing at:
My commission expire ~ ~- ~
~kK~ ~ ~ ~ ~ ~ LS
CITY OF REXBURG
2
~ • • • • •
:Please complete the entire Appllcation!
If the question does not apply fill in NA for non applicable
NAME /Ihc~i~ `~Tt~°1tR L~IS~~,.l
PROPERTY ADDRESS Permit#
SUBDIVISION ~~~flEPSp ~
Dwelling Units: ! Parcel Acres: ~ r2 ~
SETBACKS
FRONT SIDE,
SIDE BACK
Remodeling Your Building/Home (need Estimate) $ R
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area / 8v?a Unfinished Basement area J~f c~a
Second floor/loft area Q Finished basement area o
Third floor/loft area o Garage area 73x2
Shed or Barn (%' Carport/Deck (30" above grade)Area O
Water Meter Quantity:
~r
************** Water Meter Size: -3/~
Required!!!
PLUMBING
Plumbing Contractor's Name: ~ r~-dt~c~ ~,1~ Business Name: /4
Address 7'~~` ,,~~~ J~~/~~ s/`, ~ City ~ ~ State .~ ` Zip~~
Contact Phone: (p'~~ ~,~(~ ~-~~77~ Business Phone: ( ) ~~'~(/
Email Fax ~1,~ ~~ ~ ~~~
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine Sprinklers
~_ Dishwasher ~ Tub/Showers
Floor Drain ~ Toilet/LJrinal
f Garbage Disposal ~_ Water Heater
Hot Tub/Spa Water Softener
_~ Sinks
(Lavatories, kitchens, bar, mop)
Plumbi g Estimate $ (Commercial Only)
Signature of Licensed Contractor License number Dat
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
4
• •
Please Complete the entire AppllCatlOn! If the question does not apply fill in NA for non
applicable
NAME /~ l C ~ ~- Ti it A L~ i s NM A,J
PROPERTY ADDRESS Permit#
SUBDIVISION l~~.l'p~2,5ca~J
Required!!!
MECHANICAL
Mechanical Contractor's Name: ~ ~4%~~ vt b = f Business Name:
~ /n,~ ~ ,
Address ~ (1~ I~ , ,7 ~" City :~/'` State ._.~ Zip ;~y-~
Contact Phone: (~ca~) ~ 5 ~ - ~~ ~ 7 G' Business Phone: ( )
Email
Fax
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES c~ APPLIANCES COUNT (Single Family Dwelling Only)
_~ Furnace 3 ~ ~ Exhaust or Vent Ducts ~ b~
Furnace/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Dryer Vents S"'
Range Hood Vents
Cook Stove Vents
Bath Fan Vents ~~
other similar vents & ducts:
Space Heater
/La
~_ Decorative gas-fired appliance r~
Incinerator System
Boiler
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets z,s'
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signatur censed Contractor License number
The City of Rexburg's permit fee schedule is the same as
Date
the State of Idaho
•
SUBCONTRACTOR LIST
Excavation & Earthwork: ~ f ~ \~G j
(~.D, V '~
Concrete:~~[
Masonry: ~ ~S<=.
Roofing: ~.~-~ '~
Insulation: U V~
Drywall: ~-1bG~ i
Painting:
Floor
Coverings:
Plumbing:
Heating:
Electrical:
`..
I~.J ~ r l~
~I~~ ~ ~C.x,.~ ~ r
~l: ~~J~i \ ~~
1~
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor/Ceiling Joists:_
Siding/Exterior Trim:
Other:
6
2
EXEMPTIONS FROM STATE REGISTRATION
As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State
registration number or your exemption from the State registration. Please send a copy of your state registration
or fill out this form showing your exemption and send it with your license renewal or your next permit
application.
(This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions
please see the State's website at www.ibol.idaho.g;ov/cont.htm)
Currently State licensed pursuant to Title 54 Idaho Code, Chapters:
3 Architects,
10 Electrical Contractors/Journeyman,
12 Engineers/Surveyors,
19 Public Works Contractors (exempt from fee only registration required),
26 Plumbing/Plumbers,
45 Public Works Construction Management Licensing Act (exempt from fee only registration required),
or
50 Installation of heating, ventilation and air conditioning systems
Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit
charitable activity with no wages or salary
Employee of a US Government agency (State, City, County, or other municipality)
Public Utility doing construction, maintenance, or development to its own business
Involved with gas, oil or mineral operations
Supplier doing no installation or fabricating
Contracting a project or projects with a total cost less than $2000
Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code
Any type of water district operations
^ Work in rural districts for fire prevention purposes
^ Owner who performs work on own property or contracts with a registered contractor to do work as long
as the property is not for resale within 12 months
^ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on
that property
^ Real estate licensee/property manager acting within Idaho Code
^ Engaging in the logging industry
^ Renter working on the property where they live with the property owners approval
^ Construction of a building used for industrial chemical processing per Idaho Code
^ Construction of a modular building (defined by Idaho Code) to be moved out of state
I hereby ce ify that the Bove i rmation is true and correct to the best of my knowledge.
l c -
Signature ate
Print Name
7