HomeMy WebLinkAboutBP, CO & DOCS - 06-00253 - Mom's Kandy Kitchen - RemodelZ
O ,~
~ y
_ ~ .~
m m
W ~
rn c ~
g
"i
^~ z
~ 3
~ Z ~ -I o y ~
C
c o~-~ ~a ~
~ ~
~ N a ~ N ,~-,. 0
O 7 N ~
y N W
•
~~•ay o W
m RI
n y Q C N O V
~~a C1 /~
o C 0
~ ~ o ~ ~ ~
°-
_ v _
~-
~ o Z
~
~ a ~
~ m f/1
m
--I
v
~; ` ~_ ~ '~
~ ~ ~
F o ~ '~
v
o m ~
-° O
C '~
V)
~ m
3
v ~
~
m T
a n; ~ ~
m o c
o ~ ...
-1
3 o m
m
~ ~ ~
a m ~ Z D
~
z
d m ~ ~.o D =
~~~~
a m ~ a ~
f ~ W
'D V1
~ Z CCi fQ S
Z}
C
C ~ (D a ~
~ n
"^
~' C N ~ ~ D
~ 1
~
o° m a o m _
x~ ~ ~~ o Z
vo ~~_° o ~
m fD > > `~ C1 ~
o ~ ~• n m
~ C
~ o o
"~~~ ~ m
~ O
.c..
a a
~
D
o
mn
m
N ~
7
O
Qo C T
a
~ ~ A
.p
~ mn
o ~ m ~
~zm
~ >
0
o~p
a n
~ ~ ~
~ Z
~~O
O c'~
Z °
w ~ ~
~ ~
,~ n
Z~ Ut
w ~ Z
m
n ~ ~
N ~
o ~
~ O
-+mn o a
znn ~ ~ ~• '~
~ D
' 7 y ~
.
0
N /~
~i/
n Z
D
F ~
G
3
3
N
'~
O
~v
~~
s ~
7 a
~ ~
~. o ~ -~
°
:,~z z ~
~ _
Q~~~ m
~' o a ~• n
-., '.
H ~ O
~ ~~ Z Z
3 x a, -I ~
... = y a y C
C ~ ~
~ a
a1 ~ = tD O
~ "i
O
o ~. al '~ Z
~ ~ ~ O O O
, ~
~ ~ ~ ~ (1
~ ~ ~ e'D
~ y C C
c N
~~oo;,
a~ a T.
v
ay =~
y
Ct
~ .a ~ p
~~_~
W -~~+i y ~ ~..
fl. ~ ~D ~
.~ 3 a ~
~
~ Os .: ~
W CD
C
~ O ~ O
<D ~ y Q.
0
c ° ~ 0
0
a ~,
~
o
o
~f~ g
v
n;3 ~
rn
~~a
~ ~
c
_ ci 3. N
n, n IC V
~
~ ~ ~
Q. ~ {Q
' ~ ~
tD 3
k ~ ~ O
O
~_ ~ c
d D
m
. cc ~
3 C N
C..~•- -mow
.~
~ H <D
Ut as W N ~
~ ~ ~ ~ ~
m
v a cs m ~
~ ~ ~ ~
cn ~. ~
~ m ~
_ m
~ o n
~ o
T
z
~ _
~ {
CIr~O
m o
C
o x
~ rn
~C
'
~ , ~
~ oar°ti
o -~
O
~
~. C)
A ..
~• ~ +C
m ~
o
~
3 ~
~ ~
~ ~
`2'
0
o~
N ~
W ~ ~
.~
?~
m
v
m
v
~
~
r
C ? ~
~
2
W
m
Z ~
v c> v
C ~
< ~
1D <D
~ C
to Oo V ~ fJ1 ~a W N -a
~
n~i =n
m fn
m
"~ ~
'~
~ 5
c
3 ~
°1
~ ~
c
o T
°o
~ r
~
~
- 3
W
C
z
m ~
<D
Z
y
m
C7
-i
O
Z
yn
v
! ~.
~oaEXB~RG,9 CITY o~ Certificate of Occupancy
` `~ ~~jJlZG City of Rexburg
`u' Department of Community Development
America's Family Community
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:
Occupancy:
06 00253
International Building Code 2003
~ ~-e~,
Mom's Kandy Kitchen
Type V-N, Unprotected
Candy, Custard & Pretzel Store
No
Manwaring Corporation
P O Box 784
Rexburg, ID 83440
Owner
Business, professional or service, restaurants less than 50
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 wes found to be in compliance vuth the requirements ofthe code
for the group and division of occupancy and the use for which the proposed occupancy vies
classified.
Date C.O. Issued: November 16, 2~A6 (08:19AM)
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 or any portion thereof until the Building Official has reviewed and approved
said future changes.
Water Department: r """"""'~ Fire
State of Idaho Electrical Department
CITY OF KEXB U1~G
BUILDING PERMIT APPLICATION Please ~ 06 00253
19 E MAIN, REXBURG, ID. 83440 If the ques Mom's Kandy Kitchen-Remodel.
208=359-3020 X326 n
PARCEL NUMBER: ~~~X ~ I ~~~I ~D ~ ~ (We will provide ttus ror your
SUBDIVISION: UNIT# BLOCK# LOT#
is based on the information -must be
OWNER NAME: /tun ~ r .wr- j~L < ~-- CONTACT PHffONE # 3 S7o _ `~ (~l`(,L_
PROPERTY ADDRESS: ~~S ~ ~ fu ~ S ~' o ~~x b W ~ ..~ 5,3 y`t(~
PHONE #: Home ( ) s~57n °? ~ 1 ~ Work ( ) 357c 3400 Cell ( ) /1/~/4-
OWNER M11 AILING ADDRESS: 5'l4-Yh ~ CITY: STATE: ZIP:
EMAIL '~Ion~C~,~ N .h FAX ZSS~ ~ S (p 30 ZZ
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 CITY:
STATE; ZIP
PHONE #: Home
EMAIL F
Work
Cell
CONTRACTOR:
w
MAILING ADDRESS: ~_ S~ ~ C e!~,~~ CITY rX ~ STATI
PHONE: Home# Work# Cell#_ Fax#
g'3yS~c~
EMAIL ~~t,l,~ ~/ ~>•P IDAHO REGISTRATION # & EXPIRATION DATE
Hnw manv hnilrlinac arP lnratPrl nn Chic nrnr,vrty?
1 L
Did you recently purchase this property? No
Is this a lot split? NO YES (Please bring
J
es (If yes give owner's name) ~-w(~~t.lY_ e r ~-(~
copy of new legal description of property)
PROPOSED USE: (~ Inn wti~rC i Gi X
(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 infom~ation 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 tmthful and correct. I agree to comply with all City regulations and State laws relating
to the subject matter of this application and hereby authorized representatives of the Ciry to enter upon the above-mentioned property for inspections purposes. NOTE:
The building official may revoke a pemut on approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact
in the ap lication or on th son which the pemut or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days.
s / Z3 /_~~
tgnature of Owner/Applicant DATE
Do you prefer to be contacted by fax, mail o hone? Circle One
WARNING -BUILDING PE UST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non-refundable and are paid in full at the dme of application beginning, anu 1.2005.
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
**Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear**
2
04 gEXB URC
~~ ra CY ~TO~F (~
v 90 ~1 W V 1\V
~~ BUILDING SAFETY DEPARTMENT
%,• i ~' 19 E. Main (PO Box 280) Phone: 208-359-3020 x326
'e< ~ S H E D ~ ••A America's Family Community Rexburg, Idaho 83440 Fax: 208-359-3024
www.rexburg.o~e janellhCa rexb~e.ore
Affidavit of Legal Interest
State of Idaho
County of Madison
~,
I, w~ i 6tM ~Vl N/ ~ ~ Z S S o Cwt, ~
Name Address
c ~- L
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 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 herin or as to the
ownership of the property which is the subject of the application.
Dated this a" (~~.1 day of ~:~ p aD , 20~
Subscribed and sworn to before me the day and year first above written.
'~oA ,boo'%,, ~ ~ C
`~~ -,,, ;
~pTAq y '~ Notary Public of Idaho
Z
..r
Residing at: ~~ ~t~~ ,~(,/
PUBI.~G
OF•`~Q~`~~~` My commission expires:
~ .~ ~l ~,l z~ ~ ~
~,.
Please complete the entire Application!
If the question does not apply 511 in NA for non applicable
NAME ~~v(,dP,1-Ge~V-
PROPERTY ADDRESS ~ 50 ~~~ Permit#
SUBDIVISION N/
Dwelling Units: ~~ Parcel Acres: V
SETBACKS
FRONT I~ SIDE SIDE BACK I~
Remodeling You uildin Home (need Estimate) $ ? 0 , D~
SURFACE SQUARE FOOTAGE.• (Shall include the exterior wall measurements of the building)
First Floor Area ~ ~ ~`t" Unfinished Basement are:
Second floor/loft area- Finished basement area_
Third floor/loft area n Garage area
Shed or Barn ~ Carport/Deck (30" above
Water Meter Quantity: I `-~`' "` Water Meter Size: ~
Required ~~!
PLUMBING
Plumbing Contractor's Name: ~ Business Name: ~ ~~ 12.1 tOff~
Address O ..~i) City /~,(~State
Contact Phone: ( ) ~®q ` ~f/Z~ Business Phone: ( )
Email ~ ~ '~.t Fax ~l r`~f
FIXTURE COUNT including roughed fixtures
Clothes Washing Machine
Dishwasher
1 Floor Drain
Garbage Disposal
Hot Tub/Spa
3 Sinks
(Lavatories, kitchens, bar, mop)
Sprinklers
Tub/Showers
~ Toilet/Urinal
Water Heater
Plumbing Estimate $ Sly) (Commercial Only)
Required! S' afore of Licensed Contractor License number
The City of Kexburg's permit fee schedule is the same as
Water Softener
~-~3 - o
the State
Date
4
Please complete the enti~Application! If the question dces~apply fill is NA for non
applicable
NAME
PROI'ERT'~ ADDRESS Permit#
SUBDNISION
Required!!! MECHANICAL
Mechanical Contractor's Name: ~~ ~ $ ~ ? %~ Business Name:
f
Address City State Zip,
Contact Phone: ( ) Business Phone:
Email F
Mechanical Estimate $ ~ ~ '~ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace Exhaust or Vent Ducts
Furnace/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Mechanical Sizir~ Calculations must be submitted with Plans & Avulication
Point of Delivery must be shown on lane.
Required! Signature of Licensed Contractor
The City of Kexburg's
License number
schedule is the .came as
Date
the State of Idaho
5
• •
O~ gEXS URC
~,y r~ CITY O F
"~ o T~L+V7?Tm(~! BUILDING SAFETY DEPARTMENT
> 1\1~1V~ V 1\V
~ 19 E. Main St. Phone: 208-359-3020 x326
'B America's Family Community Rexburg, Idaho 83440 Fax: 208-359-3024
~ ~S H E D ~ °°~ www.re~burQ.orQ janellh~a.rexb~¢.ore
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT #:_
PERMIT APPROVED: YES/ NO
$50.00 FEE PAID: YES/NO
APPROVED BY:
BUSINESS NAME:
OFFICE ADDRESS:
city 1
OFFICE PHONE NUMBER: ( ~~ ) ~Slv -- ,~®0
CONTACT PERSON: ~ ~ CELL PHONE # ( )~
-LOCATION OF WORK TO BE DONE: _
STREET ADDRESS WHERE WORK WILL BE DONE: ~.S- So ~ C~~ S {-
BUSINESS NAME WHERE WORK WILL BE DONE: ~6-tvts ,~~. ~,'~,,,~
DATES FOR WORK TO BE DONE: TO S~ _ 3 I s±
CONTACT PERSON: ~ ri cw.
PHONE NUMBER: ( ) ~.SZ.E, o~~ CELL #
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
^ AUTOMATIC FIRE-EXTINGUISHING SYSTEMS
^ COMPRESSED GASES
^ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
^ FIRE PUMPS AND RELATED EQUIPMENT
^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
^ HAZARDOUS MATERIALS
^ INDUSTRIAL OVENS
^ LP-GAS
^ PRIVATE FIRE HYDRANTS
^ SPRAYING OR DIPPING
^ STANDPIPE SYSTEMS
^ TEMPORARY ~EMBRANE STRUCTURES, TENTS, AND CANOPIES
.~..,, _.
APPLICANTS SIGNATURE ~ DATE
,-
~3
State
Zip
6
SUBCONTRACTOR LIST
Excavation & Earthwork: ~ ~~
Masonry:_ ~ ~~ /
Roofmg:_ N 1 ~
NIA
Floor
Coverings:
IC- ~LS~
i v-e.. ~~9a+i
r~1~ U
Heating: /
Electrical: Lie !S~ ~( ~'_
Special Construction
(Manufacturer or Supplier)
Roof Trusses: / v / ~
Floor/Ceiling Joists: / V
Siding/Exterior Trim: 1 U
7
•
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.gov/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 fox 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~~tify that the above information is true and correct to the best of my knowledge.
7 ~ •-fl
r~ Q.t~WRr'i
Print Name
8
•
cG~~ ~~ R~X.~ttiYf~'
g r~s t v~,ess a~~ tt~a~~o w ~es~~o ~,~,a t r~
(~vr the purpose of wgstewaterPerr~cittixg)
'Y
~. -r5pe o f busGV~esS or estabCis~tw~.evrt?
2. WCCC this ~bus~v~.ess be doiv,,g av-,r~ tape o f food preparat~ow or
coo~iv+.g? ~~~
3. w~at type ~ food preparatow or coa~cwg ~CCC be dove?
Ors ~ ~ ~ ~~ f Z- Vic' ~~--,._
~-. wCCL ti~ere die av~, de rat r i ~ es Nt3
wiCC tfi~e f~cCC~tt~ have food d~sposaC st~stew~.s? ~ - --
7
~..4re ~t~u a bus~.v~,ess pc~v~,wCwg to occupt~ aw exzsti~,g
buifdivt,g? ~y~ ~ orare you desigwiv+,g a v~,ew
facCC~~~?
~. W'~CC dour bus~tn,ess have cLiew~.~caC storage? ties . No
g. wiCC tL~is foci t~tt~ operate t~etxr round? Yes ~ No
~. wiCC here be awl grease traps or suw~,ps at tl~e faciZit~?
,~
~es~ No
so. wL~C tY~e~e be awry tapes o f c1~ew~.zcaCs used at tG~Cs
faci(.~t~, ot~e--tl~arn, ~ousetioCd ctea~n,LCng soCutCows?
~~-. is here av-,t~ v~.ar~.~. fa~tur~vE,g o f products at tf~is fac~~~tt~?
Yes No
_..~
- ,_
:~ ,,
.~
~,
~~ r"' z3`G'~
.~ppcicav~,ts 5~grn.ature /~., L~r4te