HomeMy WebLinkAboutBP, CO & APPLICATION - 06-00303 - 314 Seagull Dr - New SFRZ
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CITY O F
REXBURG
Americai Family Community
Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3
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 00303
International Residential Code 2003
314 Seagull Dr
___ - -_
Single Family Residence
Type V-N, Unprotected
Residential
No
Alexander Construction
3902E 132 N
Rigby, ID 83442
Alexander Construction
1100 sq. ft. Unfinished Basement
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 of issuance, this building or that portion of the building that
vies inspected on the date listed vies found to be in compliance v-ith the requirements ofthe code
for the group and division of occupancy and the use for v-hich the proposed occupancy v-es
classified.
Date C.O. Issued
C.O Issued by:
aunamg vrncia~
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• a~~-"~°'Y~ Fire
State of Idaho Electrical Department f208.356-48301
s''l-'
•
CITY OF REXB ERG PERMIT #
BUILDING PERMIT APPLICATION ~~~~5~ CI317f1~1
19 E MAIN, REXBURG, ID. 83440 If the question dod 06 00303
208-359-3020 X326
PARCEL NUMBER: ~~~~~~(~ ~ ~ (We will 1 6g2 JO~1SOri AVe
SUBDIVISION: ~~ h,;j„U~f~, UNI I'# BLOCK#~_LOT#~_
(Addressing is based on the inforniation -must be accurate)
OWNER NAME: CONTACT PHONE #
PROPERTY ADDRESS: i ~_ ~` ~j ~~h ~(1,~~
PHONE #: Home ( ) Work ( ) Cell
OWNER MAILING ADDRESS: CITY:
EMAIL FAX
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner mast; accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE: ZIP:
CITY:
STATE; ZIP EMAIL FAX
PHONE #: Home ( ) Work ( ) ell
CONTRACTOR: ~r,~~~ ~ ~is~i°~~~~.r~-, ~ ..ICs
MAILING ADDRESS: ,3 ~~ ~ ~' ~ 3~ CITY ~ ~,d~ _: STATE~~%` ZIP ~~~Y ~--
PHONE #: Home ( ) ~yS -//`73 Work { ) 7S~ ~~~ jd
EMAIL FAX IDAHO REGISTRATION #
How many buildings are located on this property? ~
Did you recently purchase this property? No~"~(If yes give owner's name
Is this a lot split YES
PROPOSED USE: -
(i.e., Single Family Residence, ul1
. DATE ,Qty a5 7~
(Please bring copy of new legal description of property)
Garage, Commercial, Addition, Etc.)
Family,
APPLICANT'S SIGNAT(JRE, CERTIFICATION AND AUTHORIZATION: Under penahy of perjury, I hereby certify
that I have read this application and state that the information herein is correct a~ I swear that any inf on which may hereafter be given by me
in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shat(,, truthful and correct. I agee to comply
with all City regulations and State taws relating to the subject matter of this application and hereby autho representatives of the City to enter
upon the above-mentioned property far inspections purposes. NOTE: The building official may revoke a mit on approval issued under the
provisions of the 2000 International a in cases of any false statement or misrepresentation of fact in thk application or on the plans on which the
permit or was based. P tt void if not started within 180 days. Permit void if work stops for I ~4 days.
~~ ~ 7i ~
Ri ah of er/Anniicant DATE
Do you prefer to be contacted by fax, email or phone? Circle One
WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRU~C1'ION SITE!
Plan fees are non-refundable and are paid in full at the time of application beginming Janirarv L 2005.
f ifv of Rp~hnra'c Arrentanee of the nlAn review fee dO~e not constitute flan aDDPOVa1
• • i,
I'e~s~ ca-~lete t~~ entire ~.p~~tt~e~l~~
If the question does not aggly fill in NA for nan aglicable
NAME ~-~. ~
PROPERTY ADDRESS Pvrnut#
SUBDIVISION ~~~.~r~~
Dwelling Units:
SETBACKS
FRONT
Parcel Acres:
SIDE SIDE BACK
Remodeling Your Building/Home (need Estimate} $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building}
F
r.
First Floor Area ~G ~,~ ' Unfinished Basement area %/,~ y
Second floor/1oft area- y~2~ Finished basement area ~ ef~,~
Third floor/loft area `- Garage area
Shed or Barn ~ Carport/Deck (34" above grad Area ~'
Water Meter Quantity: ~ ~ * * * * ~ ~ ~* ~ ~ ~'~ ~ Water
.cure ~ ~ ~
PLUMBING
Plumbing Contractor's Name: ~ y~ Business Name:
Address
Contact Phone:
Email
G ~/~ 1~ ~/3 Business Phone:
Fax
FIXTURE COUNT (including ror~hed fixtures
_~ Clothes Washing Machine _~ Sprink
~_ Dishwasher _~ Tub/Sl
~_ Floor Drain ~ Toileb
_~ Garbage Disposal _~ Water
-~- Hot Tub/Spa ~_ Water
Sinks
(Lavatories, kitchens, bar, mop}
Plumbing Estimate $ (Commercial Only)
afore icensed Contractor
The City ofRexburg's p
size: 3
State -~ Zip Si ~ ?
2
License number U~e
t_fee schedule is the same as required by t State ofldaho
City
•
P~I~~Str C(iTtii~3~4Fr~~ ~~lE' t'.IttIP~ A~1p~iCatti@II~ If tl~e question does not apply fill in NA for non
applicable
NAME ~G T
PROPERTY ADDRESS Parmit#
SUBDIVISION ~y,,•~.,~--~,~
ez~i~el ~! MEC ICAL
Mechanical Contractor's Name: Business Name: ~~~` ~`~`` ~~
Address City /tom°"~ G- ~ Skate ,.-~,~ Zip
Contact Phone: ( ) ~~~~-- ~~~ Business Phone: ( )
Email
Mechanical Estimate $ (CommerciaUMulti Family Only}
FIXTURES & APPLL4IVCES COUNT (Single Family Dwellin Only) ~'
_~ Furnace ~ Exhaust o> Vent Ducts I ~
_~ FurnacelAir Conditioner Combo ~
Heat Pump
Air Conditioner ~
Evaporative Cooler
Unit Heater
Space Heater
~_ Decorative gas-fired appliance ~ ~
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets / O
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply}~ Oil Coal Fireplace Electric
Fax
Dryer Vents pr
~ Range H Vents
Cook Sto "Vents
_~ Bath Fan ents l~
other similar vents & ducts:
~ IL~
Mechanical Sizing Calculations must be submitted with glans & Application
~, Point of Delivery must be shown on pla 's.
of Licensed Contractor
~'
~. Date..
The
License number
schedule is the same as
State of Idaho
• i
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SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: ,~~-r~i,
Masonry: ~~ Y ~~
Roofing: )'~'2~'!'l a'i'r v~ ~.~
x
Insulation: ~/~is~ .~
Painting: / s~ ~.~. ~~
Floor
Coverings:
Plumbing: ~j~-Z~,r~~ ~~ ~ld~h,
Heating: ~it h j_ ~ ~>.
4
Electrical: ,J~/~'7~~~.~ ~~~ ~~~`
Special Construction
(Manufacturer or Supplier)
Roof Trusses: Y ~G
Floor/Ceiling Joists:
Siding/Exterior Trim: ~ ~~ 5„
Other:
6
~o: .;`o
1 7
:>
B( ~_,
.T
rsHt~ ya
CITY O F
~~ l..i 1\~
America's Family Community
BUILDING SAFETY DEPARTMENT
{9 E. Main (PO Box 280) Phone: 20&359-3020 x32E
R@XbUI'g, Idaho 83440
1=a~c 208-359-3024
ianelihl~rexburo.oro
Affidavit of Legal Interest
State of Idaho
County of Madison
I, ~
Na
!` ~'
City
Being first duly sworn upon oath, depose and say:
~,~/
S fete ~
(If Applicant is also Owner of Record, slap to B)
That I am the record owner of the property described on the attac~Ied, and I grant my
permission to:
A.
Name
Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexburg City and its emplhyees 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 applicatt~<ion.
Dated this ~ ~ day of .~ ~~ , 20 J~
Sign
Subscribed and sworn to before me the day and year first above
SCOTT STEARS
STATE OF IDAHO
NOTARY PUBLIC
Notary Public
Residing at: ~ ~
My commission expires: (~ ~ lp ~ ~ ~~