HomeMy WebLinkAboutBP, CO & APPLICATION - 06-00243 - 233 Jill Dr - New SFRZ
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7
,o~~EXB~.k~,' ~ITY oP Certificate of Occupancy
"» ~~jjjZG City of Rexburg
"~' Department of Community Development
America's Family Community
19 E. Main St. / Rexburg, ID. 83440
Phone (2081359-3020 /Fax (2081359-3022
Building Permit No: 06 00243
Applicable Edition of Code: International Residential Code 2003
Site Address: 233 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:
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
v-es inspected on the date listed vies found to be in compliance v-ith 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:
October 04, 0 :36 M)
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 orany portion thereof until the Building Official has reviewed and approved
said future changes.
Water Department~~ Fire
State of Idaho Electrical
iVlar. 14. LUUb IU;U~HIVI
,:.
Cl7'Y ~~' ~~~ rIR G ~ PERMIT #
BUILDING PERMIT APPLICATION Please c~
19 E !trIAIN, REXBURG, ID. 53440 If the questi
20S-3S9-3020 3U26
No.1/46 N. h
06 00243
PARCEL NUMBER: (WE ? -~ 3 Ji 11 Dr
SUBDIVISION:. T111.~'l ~tJ1 ~i'1 UNIT# BLOCK#.~_LOT#~_
(Addressing is based on the information -must be accurate)
CONTACT PHONE # ~~?~S =~~~~'
PROPERTY ADDRESS: aZ 33 :~t,~ ~V
PHONE #; Home ( ) Work ( ) Cell ( )
OWNER MAII.INCr AbDRESS.~j ~/SZp ~ !7~-~;~,, ,~ ~" ~-1
T ITS STATE• ZIP: 3
EMAIL FAX ~j a~ ~- ~ S~~
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authori2ing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS CITY:
STATE; ZIP
EMAIL FAX
PHONE #: Home ( ) Work
Cell ( )
CONTRACTOR: tel. (~~ yap~r ~~
MAILING ADDRESS: l~~A'I'Vl, F CITY STATE ZIP
PHONE #: Home ( ) Work ( ) Cell
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE
uA~a~mOn~r ~1llYtlYYTfTG. nrn ~nnn4n.a r.n 4t~:n w,.~s.a..l.e.7
Did you recently purchase this property?~ Yes (Lf yes give owner's name) ~ '~~ ~~.' ~ _
Is this a lot split?~ YES (Please ring copy of new legal description of rty)
PROPOSED USE: - ~ ~ ~ ~" ~Y 1 ~ [~~:~ ~
(i.e., Single Family Residence, Multi k'atnily, .Apattxn ts, Remodel, Garage, otnmercial, A dition~_lrtc.) ~ ~ '
,.~ ~ • ~,~ r rb ~ ~p ~',
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION Under penalty ~fp~rj~liYt
that 1 have read dais applics~tion and state that the iafotxtaatioaa herein is correct and I swear that any information which raiay fieieall;~'6e gaven y e
in hearings before the Planning and honing Comanission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply
with al! City regulations and State laws relating to the subject matter of this application and hereby authorized zcprescntativcs of the City to castor
upon the above-mentioned property fo.r inspections purposes. NOTE: The building official may revolve a pecnait on approval issued under the
provisions of the 2000 International Codo " 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 id f not ed within 180 days. Permit void if work stops for 180 days.
;..
Signature of Own App cant DATE
Do you prefer to be contacted by fax, email or phone? Circle One
WARNING -BUILDING PERMIT MIDST BE POSTED ON CONSTRUCTION SITE!
Plan Ease are non-rel~tndable and are paid in i~tll at the time of application beglnping January 1.2QpS.
!':~.. nFRnsi...rn~e ~,.,;e^~~^^~ ^*•he plan review fee does not constitute plan approval
~~gn; R e c e_i_y e d_ T i m ereM a r _14:_1e 1.0 _ 0 9 AMho„*+ +*Building Permits are void if your check does not clear**
Mar, 14. 2UU6 lU:U9AM
Remodeling Your ~uilding/Home (need Estimate) $
Please com lete the tie ~
p r Appl~cat~on.
If t question does not apply fill in NA for non applicable
NAl~iE ('^
PROPERTY ADDRE S Pennit#
SUBDIVISION
Dwelling Units: ~ Parcel Acres:
SETBACKS
FRONT ~~ 5IDE ~I SIDE ~ ~ BACK ~~
No, 1 /46 P, 6
Water Meter Quantity: ~ ************** Water Meter Size:
n
Required!!!
PL UM.~I,NG
Plumbing Contractor's Name: ~ G1- (C~ ~ ~ ~ ~~ ~~. Business Name:
Address
Contact Phone:
Email
City State Zip
~~ - f (~ (~ if Business Phone:
Fax
FIXTURE CDUNT rncludinS roughed fixtures
~ Clothes Washing N.iachine
Dishwasher
^~ Floor Drain
Garbage Disposal
Hot Tub/Spa
' ~i Sinks
kitchens, bar, mop)
~ ~ Sprinklers
TubfShowers
Toilet/Urinal
Water Heater
i ~ Water Softener
Plumbing Estimate $ (Commercial Only)
Signature of Licensed Contractor License ,number
z'he City of Rexburg s permit fee schedule is the same as
~~~
Da e
by the State ofldaho
SU12~ACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area ~ ~ ~7~ Unfinished Basement area I (-7 0
Second floor/loft area Finished basement area
Third floor/loft area Gazage area
Shed or Barn Carport/Deck (30" above grade)Area
Received Time Mar~l4~ 10~09AM
4
IVlar, 14. LUUb IU;UyHIVI IVo. 1146 N. I
.. ~ I
Please complete the entire Application. If the question does not apply fill in NA for non
applicable
NAME
PROPER ADDRES _~ '' _ ~ Permit#
SUBDIVISION ~
Requr~ed!!! MECHANICAL
Mechanical Contractor's Name: ~jr~,( `~~ti(,~/1/l _-- Business Name:
Address City State Zip
Contact Phone: ( ) ~S ~ ' Q~~~ Business Phone: ( )
Email Fax
Mechanical Estimate S (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COYIIVT (Sifagle Fancily Dwellij~g Orly)
~ Furnace U Exhaust or Vent Ducts
_~ Furnace/Air Conditioner Combo Dryer Vents
Q Heat Pump ~ Range Hood Vents
~ Air Conditioner
(~ Evaporative Cooler
a Unit Heater
Cook Stove Vents
'1 ~ Bath Fan Vents
other similar vents & ducts:
f~ Space Heater
Decorative gas-fired appliance
~ Incinerator System
~ Boiler
Pool Heater
d Similar fixtures or Appliances
o~ Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pxessure (Meter Supply) PSI
Heat (Circle all that apply~~~G Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
~~~~
S' arure f Li sed Contractor License number
i ~ aCo
ate
The City of Rexburg's permit fee schedule is the same as required y3' the State of fdaho
Received Time-Mar~14,-10~09AM ~~~~
14. LUUb IU:UyHiVI
t
rrrr~..~arrrr~~~~~~~~~~~~~~~8~~~~~~at~rt~~~~~~~r~~~~~~n~~~~t1~t1~~~t~~~~~~~~~~/~~~~~~~~ntl~a~~>trt
SUECO.NTRACTOR LIST
Excavation & Earthwork:
Concrete: %~~C,~ ~~ F~ ~~ ~ `~ ~C~~i'~~d
Masonry:,
Roofing:
IVo, l 146
•
(,~~~,
(..~~ ...
Insulation: (. G~6~~G(. ~l5 ~ ~ `' I :3 -~ ' 7~~ ~ ,~~~ ~y
Drywall: ~'~Gf~/~/1~ ~~~ ~' ~'3 (l' 7~
Painting: ~(,~ / ~ G(~`~'l~ ~ ~~ ~ ~ ~~~ ~
Floor r ~ ~~ _ ~ 7 7
Coverings: ~~i~~~ 5
Plumbing: /-77,~~.~~,5 ~ (.~' ~ ~ ~ ' ~c~~~
Heating:
Electrical:
7~-~~"~
Special Construction
(Manufacturer or Supplier)
Roof Trusses: ~ ll r~~ l~l f l'U~5 v~ ~~/ ~' ~QU~
Floor/Ceiling Joists: rJ" ~ ~ Jr L€' ~" ~ Z ~~
Siding/Exterior Trim: /`7 /l cZ~L.~~~~2~5 ~ ~~ ~ S `~-~~
Other:
Received Time Mar,14~ 10~09AM
6
.~
~r tuuv I v: uor+ly iVo, i /4b r, 4
4~HURc
o
~ ~Q CITY OF _
~o
~~ REXI3URG BUILDING SAFETY DEPARTMENT
day
° 79 E. ain APO Box 280) Phone: 208-3593020 X328
~
'•,,6~ .a' America'sFasnilyCommuniry
cv ~ Rexburg, Idaho 83440
~rw,rex>aurg_org Fsx: 208-359024
Janellh(~rex6ura.ors~
Affidavit of Legal Interest
State of Idaho
Cou~nt~y of M, iadison
Name d
City
Being first duly sworn upon oath, depose and say:
~y57~ ~ ~~'s'~. ~ aid
Address
~`4~
State
(If Applicant is also Owner of Record, skip to S)
A. That I am the record owner of the property described on the attached, and ! meant my
permission to:
Name
Address
to submit the accompanying application pertaining to that property.
B. I agree to indemuoify, 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 ~ 20~_
Sligna2ure
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
Received Time Mar~14~ 10~09AM
2