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Home My WebLink AboutBP, CO & APP - 06-00284 - 668 Meadowbrook St - New SFRZ ~..I ~ ~ Zy ,~ yia C,TfO ~+ s Z ~ 3 ~ D ~ ~ m m 04 .i~ ~- ~ ~ ~ ~ m o R1 ~ ~ . ~ 0° ~ ~~ c'a o a~ n p 3 0 aa'~°l ~ ~ -a v ~ g ~ . ~ n `~ Q sa ,,.~ o. %''i n `~ o ~, ~ C7 T Gt O Q ~ N p~ -I ~ v m ~ ~ C N ~ ~ ' !~D ~j ~ ~ 'c ~ O y ~ ~ ~ ~~Q m ~ °O<~o~ -a a0i v • n ~ F O Z ~ y ~ O ~• 0 v a;~~ ~ ~ `~ H y W ~ ~ ~ m C .~ Ul .- -o s o I'f1 "'~ ~ W S O ~ S-1 at lD ~ o ~ _ _v N ~~~a o F ~ ~ C ~ C_ N .a Q. ~ 7 s ~ ~ ~ ~ a ~ N 'a O W CD 7 Q, 'C O N a; C N D ~ s ~ ~~ H ~. ~. 3 ~ O IT y ~ o a._°.~ W ~ • ~ v ~ s Z D = n~ ~ N m o ~` o ~ a~ m m c ~; ~ rn ~~Na~ -~ W l1 ~acc ~ ~ C ~ N ~ (p O o ~ Q v n C C1 ~"- tD CD a .•. y O N D r ~ Q r- ~ Q • F ~ m a o R~1 _v i <D ~ y v~ m o ~ ^^Z ~~ O ~ n-Si N~ 3. ~ ~ Y, 3 C y p Q~ ~ .,~ n ~ p, fl:-O,. ~ < ~c s ai a' ` m ~ N tD tp p, O ~ OYL m ~ c C'1 n ~ WD ~ Z RI n ~ m o N ~ vy, -~i ~ ~ ~ .p m !7~ m ?i ~ m n C) °a ~ °~ _ ~ c~~ ~ ~ ~ O a3o O O y ° ~. O ~ Z _ .. z~ T ~ ~ Z C C ai '-' c ;° ~' ~ W ~ v ~Z~ w ~ ~ Z Z Z ~r~ O ~ ~. ~~ ~ N m -v ~ z~g o ~ a z ~ ~' C7 Z N ~ O O ~ Vl A W N ~ • ~ - ~ ~ a ~ o c ~ co ? ~ ~ m m ~ m ~ ~ N ~ <_. m ~ ~ T - O ~ 7 O <D a ~ ~ O CO N V ~ al A W N ~ a m ~ = v, o ~ ~ co o ~ o ~ o c° v ~ m ~ a~ ~ m ~ 'o ~ ~ ~ N C ~ ~ N ~ 7 a ~; QpEXBUg~,l9 U ~ >, '°~,_ .o CITY O F REXI3URG America's Famtly Community Certificate of Occupancy City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3024 Building Permit No: 06 00284 Applicable Edition of Code: International Residential Code 2003 Site Address: 668 Meadowbrook St 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: Romney Glenn & Cindy Po Box 431 Sugar City, ID 83448 Contractor: Same As Applicant Special Conditions: Partial finished basement (784 sf unfinished) Occupancy: Residential, single family dwellings, lodging houses This Certificate, issued pursuant to the requirements of Section 109 of the lntemational 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 ofthe code for the group and division of occupancy and the use for v~hich the proposed occupancy vies classified. Date C.O. Issued: October 12, 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. Plumbing Inspec Fire Inspector: --l~.~a Electricallnspector: ~ P~ZAdministrator: `~~ Building Safety Department City of Rexburg 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org fax: 208.359.3024 c~.~e.xnu~C ''a ~: ., ,*9` CITY O N REXI3Z.TIZG ~.~, _ _._ America's Family (;ommuniry OWNER'S NAME ~"~--°~ ~ `~ ~ o'-til~- PROPERTY ADDRESS G~~ ~ ~ rcrr> SUBDIVISION ~`~'bll)~ ~ +-Ld.~ PHASE / LOT ~ ~ BLOCK_~_ Permit # 06 00284 668 Meadowbrook Required.!! ELECTRICAL Electrical Contractor's Name l1 ! ~ " ~'~-$usiness Name ~ U F-~l~l ~/1~~~~ -~i ~~~~ll~ Address ~~ (~ ~ ,~' Z.~, City N~>~-~ State ~~ ZipJ~~'~ ,~ Cell Phone (~~) , 5 ~3"~ - ~ ~ Business Phone (° ) c~~ Fax ( ) Email Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY ONLY) TYPES OFINSTALLATION(RESIDENTIAL) (New Residential includes everything contained within the residential structure and attached garage at the same time) Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Existing Residential (# of Branch Circuits) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and/or Cooling (when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement/Industry a maximum inspections. Additional inspections charged at requested inspection rate of $40 per hour. ~ ~ ` 1~~~~ Signature of ensed Contractor License n ber Date The schedule is the came as required by the State of Idaho 7 CITY OF REXB URG BUILDING PERMIT APPLICATION PERMIT # Q(~~,7&~ Please con 19 E MAIN, REXBURG, ID. 83440 If the question ~6 00284 208-359-3020 X326 PARCEL NUMBER: 1~ZPt~ S I N B Id~DI ~c~ (We ~; 668 Meadowbrook SUBDIVISION: ~~~~`,~~JYt~~~~ UNIT# BLOCK# LOT# (Addressing is based on the information - ust be accurate) CONTACT PHONE # 3;j(~ -~~~(n PROPERTY ADDRESS: C..,~ly~~ I`~ ~ caG'~ y~ ~`;~JL~I~ ~~,~ x ~~ ~,,,~~-~ PHONE #: Home (~~ ~~j(v--?~-15~-, Work (~~) ~4~ ~ 7~7C~ Cell (Zoe ~(~`~-- ~~'~ OWNER MAILING ADDRESS: ~~ '°~.-~yx ~ ~ CITY: Ju<~~r Cl-~~ STATE:.~ZIP:~~~ ., EMAIL uJ ~ ~ ~ ~ , l c ~~~ C~ ~ ~l C 0'vv-~ FAX -j4~, -- '7 ~ ~ -j 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 STATE; ZIP CITY: EMAIL PHONE #: Home ( ) Work ( ) FAX Cell ( ) CONTRACTOR: ~~ W i-,~,~ MAILING ADDRESS: CITY STATE ZIP PHONE #: Home EMAIL FAX Work ( ) Cell IDAHO REGISTRATION # & F.X] How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name; Is this a lot split? NO YES (Please bring copy of new legal description of PROPOSED USE: (tom ~(~,1(1'~! ~, ~~J ~(~U(1~ (i.e., Single Family Residence, ul i Family, Apartme ts, Remodel, Garage, Commercial, Ac 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 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 representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Pe^it void if not started within 180 days. Permit void if work stops for 180 days. ~ J / I ~a /~ Signature o ~""~ " r plicant ~~ DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning January 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** 3 URA gEXB UR C OF ~~ rd CITY O F "~ o ~V~T~)n BUILDING SAFETY DEPARTMENT 1V~ V I~LT 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 ~1v Rexburg,ldaho 83440 Fax:208-359-3024 e<, America's Family Community SHfD www.rexburg.org janellh _rexburg.org Affidavit of Legal Interest State of Idaho County of Madison Name 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 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 day of , 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: 2 Please com lete the e~ire A lication! P Pp ,.~ If the question does not apply fill in NA for non applicable NAME ~~' ~ ~ V, < ., ~ r~vY, PROPERTY ADDRESS ,d,~~~~, ~ ~-~,~t~~~ Permit# SUBDIVISION `j}~,~~~~,.e , Dwelling Units: Parcel Acres: SETBACKS ~ r i , FRONT ~ SIDE Z4 SIDE ~ BACK ZZ Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~y ~i ~ ~ Unfinished Basement area ~ ~~, Second floor/loft area - Finished basement area~~~' Third floor/loft area - Garage area 17 ~' Shed or Barn - Carport/Deck (30" above grade)Area Water Meter Quantity: ************** Water Meter Size: `~ Required!!! PLUMBING _ t Plumbing Contractor's Name: { ~~~ ~~s /~Business Name:~~l,~ ~~~~~~ Address ~~~~' ,-~-~~r~~~~ c City ,~yne,,i State ~ ~ Zip Contact Phone: ( ) Business Phone: ( ) ,2c+er _ 3 ~~ ~ Email FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~ Dishwasher Floor Drain ( Garbage Disposal Hot Tub/Spa ~~ Sinks (Lavatories, kitchens, bar, mop) Fax .3 2. l Plumbing Estimate $ (Commercial Only) ~._ G ~~ ~rS.r-~-. a ensed' Contractor Lig ne se number The Ciry of Rexburg's permit fee schedule is the same as Sprinklers Tub/Showers Toilet/Urinal Water Heater Water Softener _~~~ ~~ by the State of Idaho 4 Please com lete the entire A lication! P PP applicable NAME ~- c...~~tvt..~ ~ t~ e-~13v ~j PROPERTY ADDRESS ("(~'~ ~~~~~,~,~ ~:+rc~K SUBDIVISION ~~-~~zl-~~-~stic~g~ If the question does not apply fill in NA for non Permit# Required!!! MECHANICAL Mechanical Contractor's Name: i r ` ~ Business Name: ~~1~~ h Address ~ 2~~~ `~ [~ ~ City 1/?l State ~j Zip U Contact Phone: ~) 3 Z~ ~~~ ~ Business Phone: Email -~~~• X14-~ I ~ 0 Mechanical Estimate $ (CommerciaUMulti Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace ~ Exhaust or Vent Ducts ~_ Furnace/Air Conditioner Combo ~ Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Decorative gas-fired appliance ~~~~o Incinerator System Boiler D ~ (~ (~ (1 M 2 Pool Heater lM 15 0 V t5 Similar fixtures or Appliances SAY ~ ~, Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI CITY 0 F R EXB U R G Heat (Circle all that app Gas Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ~"~ ~ ~ v r i natu e of Lic sed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 5 • L SUBCONTRACTOR LIST Excavation & Earthwork: ~ ~ ~ ('~, , ~, ~ _~ (' 1~.t ~) ~'~ ~ ~ ~,r`~j Concrete: ~ ~ t ~ ~~ ~1 ~ ~J rJ~".t~7 ~~~ In`~~'~ U~C,~ ~Y1 Masonry: ~.~/(.~ in ~~ iJ~V ~~ Roofing: J ~ J (~ ~-- ,• Insulation: - ~ ~ ' ~' Drywall: ~ ~ °~..~~~ ~.C~i(~C~I~`:~ Painting: ~~ ~ 91P,( Floor Coverings: ~ ~ ~~~' ~ Plumbing: y~~ ~ ~~, ac~~ y~"~'~' l Heating: ~ ~ , -~~~~ r~ ~ Electrical: ~~j, ~ ~~ ~ ~ ~ ~ ~ ~ Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: ~~ Siding/Exterior Trim: ~(~i~ Other: 6 ~ ~ t F 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 for fire prevention purposes ~I 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 h by ertify that~tk~e above information is true and correct to the best of my knowledge. G _..._: J j ~rJ C~ Signature - Date ~ ~. Print Name 7