HomeMy WebLinkAboutBP, CO & APPLICATION - 06-00320 - 721 Johnson St - New SFR
~
O _
N
~ m m
W ~
~ ~
rn
v
~
..~ ~
~• o ~~~ D
o
o 3
~ C
o~~~
~ V)
~
° m ~D ~
~ m a a Z
3 O
~ n
~ m
~_~=°
7 a ~'
~ m
•
•
p
co m c
'
p
~
n ~
o ~•~ n
~
c ~ S v C1 /
v ~ ~ o C O
m '__ 3 a m
v ~ ~. c
°- ~ ~ O Z
~ O o ~ ~
~ °- ~ y C
~ = d
-o ~ o to
m
~° ~ o r
~ ~ ~
s
_
v
o ~
~ _
~
~
~ C
~
~ ~ r
n' c y
m
~ ~ '~
n ~
a ~ o m
v
a m ~
Z ~
Z
~v,sZ
- a =
~ ~ a
~v ~
~ m
a~
~ i1
r
° ~ 5. o
N ~ ~
C ~ N
~ Z. n (C 3 ~
?1
C
0 0 ~ a °1 n
~ ~ m a a m
o c o
m m
~ m a
~
Z
i.
_
~ ~
v ai ~ o. ~
-~ ~~ ~ C1
°` v
0 0 ~ ~
•
~oo~~ g m
~Q
a
a
m n
m $
fA -~I
N S
~
ivy ... `°-~
h N ~ O
o
o O O
~ T ~
~ ~
~ ~ O
~
A _• ~
O
7
Z
(
j
y T C C r
~ ~ ~
m z v
g
~ o
N ~ ~
~ ~
O
im
- o ~ c ~
rn
z
~ ~
y ~-
~
~pz ~ /
~
\V
~ Z N
O
-i
v
~~
-~
~; 'a
o
~~
a
W
Q
7
y
a
N
C
~y
to
'~/l
Ste.,, f'1 -i
~ ,~r:~
~ ~ f/J
W ~ ~~
a~~~
~oa^~
~ ~ ~ H
3 a--c
~~ya
'ao~c
- ~
C'1 ~ ~a
flt ~ = ~
__ ..
~~°`~
tp n' ~
01 O Q
~ ~ ~ t~D
O H .y+~
c =
m ~ °o ~'
Q. ep ~' o
`Gy ~y
3 'a " n
<D <D ~ C
W~~~,
•~ ~
a~? ~ ~
~,~~a
~ C1 ,r
C.
N ~ ~ W
~ < H G.
C'f <D ~
~ ~
1~-- ~ O
~~~
~_~
.~ `~ a
O ~,
7
n n ~
~ T
7 O eD
~ ~ ~
X ~ ,fir
~,tC 3
3 C y
C. •~~- ~
~ ~ S
3 N lD
m
Z
m
n
0
z
n
TI
m
n
Z
C
n
--I
Z
b
v
N
L
0
O
7
D
X
v
Q
L
~_
g
m
y
N_
L
0
O
O
D
m
Q
CD
n
0
C
rt
O
Z
D
m
Q
C7
0
..
C
C7
0•
n
V/
m
v
0
m
3 4#
m yea C~Tfo
,~ x
o ~
'; .~i
_ o~~o~
a
h
a
e i.~
~ NH
~~
n
H
~C
0
0
o~
o~
W~
o~'~
Gi ~i W N ..a
O N
7
°'
- 0
~
o.
~
c
s co
s
~ ~
cu
~
~
~
m ~
~
~
< '
m
~
7
~ O
3
7
i
f
7
u
D
S
1
i
L
~ 'O CO Oo V ~ V1 ? WW N -
~
~
w p;
m
~ ~
`~
~ t/~
~
v
~ N
~
~ O
~
a
~ O
~
~ ~
o
c ~
~
a
v
n
v ~
~
s
d
~
m zz
C~
~
~-
v
n
a~
~ v ~
N y
N ~
~
N ~ ~
f
'o
r
C
~_
Z
_C
r
v
Z
7 G)
u
D
3
3
L
z
m
n
Z
n
O4 REXBUk,,,a ~ r T Y o F Certificate of Occupancy
yF __..J.__ -_
° ~~jjJjZG City of Rexburg
`~' De artment of Communi}~, Develo ment
Americrs's F'nmily Community p `,~ p
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
06 00320
International Residential Code 2003
721 Johnson Ave
Single Family Residence
Type V-N, Unprotected
Residential
No
Name and Address of Owner: Alexander Construction Inc
3902E 132 N
Rigby, ID 83442
Contractor: Alexander Construction
Special Conditions: 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 of issuance, this building or that portion of the building that
wes inspected on the date listed was found to be in compliance with the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy wes
classified.
Date C.O. Issued: November 21 (10:10
C.O Issued by:
Building Official
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: ~ Fire Department:
-~~c~-~-, n nn
State of Idaho Electrical Department
Please complete the ent~Application! If the question does apply fill in NA for non
applicable n
NAME ~ ~c~''~''O~'<<'' [ ~S ~' .
PROPERTY ADDRESS ~l ~c~N~+so~, Permit #06 00320
SUBDIVISION _ ~ ~~P rS o,,.
Required.!!
ELECTRICAL
Electrical Contractor's Name ~cc~ ~c,,,.e` s0~- Business Name IV ~~ L-=g~~ ~. ;
Address~j C~ Co ~ f ~~ ~ ~,. ,~ ~,~ }~~ ~ City ~ ~- State 1... f~ Zip yd CP
Cell Phone (~ ~-S'~- q ~/~ ~ Business Phone (x..08) ~-~'~. - 9y~ ~
Fax (.Zog) 54a . Co/ 3 ? Email
Electrical Estimate (cost of wiring & labor) $ (Commercial/Mufti Family Only)
TYPES OFINSTALLATION-RESIDENTIAL
(New Residential includes everything contained within the residential structure and attached garage at the same time)
'~L7p to 200 amp Service*
201 to 400 amp Service* t~GCS~~ ~ ~~~ -k~tr-~~~
Over 400 amp Service*
Existing Residential (# of Branch Circuits)
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Spa, Hot Tub, Swimtning 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
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
* 33 y 9~-
ignature of Licensed Contractor License number
The City
schedule is the .came as required
// O~
Date
the State of Idaho
6
CITY OF REXB URG
BUILBING PERMIT APPLICATION
T 9 E MAIN, REXBURG, ID. 83440
208-359-3020 X326
(Please bring copy of new legal description of property)
PARCEL NUMBER:~~~'~'-~~j~~~;~~,~~'-~ C~ (We
SUBDIVISION: .lit ,C/fBi, UNIT#
(Addressing is based on the information -must be accurate)
06 00320
721 Johnson-Alexander
BLOCK# LOT#
OWNER NAME: CONTACT PHONE #
PROPERTY ADDRESS: ~ ~ ~ ~~~~~ C1~ ~~
PHONE #: Home ( ) Work ( ) Cell ( )
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
EMAIL FAX
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 EMAIL FAX
PHONE #: Home ( ) Work ( ) Cell ( )
CONTRACTOR: lysc ~c .
MAILING ADDRESS: ?j' y't~Z ~ l 32 ~'• CITY ~,o~G STATE.Zi~ ZIP ~~yt'Z
PHONE #: Home ( ) 7L/,~-1/`aS'Work ( ) Cell ( ) /'~~ ~'~ ~~
EMAIL lisp /'~i~ J~Jo FAX ~i1s '1~ZSr IDAHO REGISTRATION # & EXP. DATE ~~~ 35'70
a 7,
new uiauy ouuuings are Ioca>:ea on mis properiy~l /
Did you recently purchase this property? No ~ (If yes give owner's name
Is this a lot split? DSO YES
PROPOSED USE: 5,.
(i.e., Single Family Residence, M
pRRMTT #
Please ca
If the questic
i 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 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 a li tinu.aRi representatives of the City to enter
upon the above- tinned property f r inspections purposes. NO e it ci m re e p it on approval issued under the
provisions o 000 Internationa ode in cases of any false stat r~isr a lication or on the plans on which the
permit or val was based. P t void if not started within 18 ermit void if work stops for 0 s.
2 0 2006 ~ / ~ / ~C
Sign ur of Owner/Ap icant DATE
Do you prefer to be contacted by fax, email or pho e? it ---J
WARNING -BUILDING PERMIT U ~ RI~J~"1' SITE!
Plan fees are non-refundable and are paid in ul e n eginning January 1, 2005.
City of Rexburg's Acceptance of the p an 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
~~ .;r~~
9
m~
00,
B (~ S H E D ~
•
CITY O F
REXI3URG
America's Family Community
BUILDING SAFETY DEPARTMENT
19 E. Main (PO Box 280) Phone: 208-359-3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
www.rexbura.ora ianellhCc~rexburg.org
Affidavit of Legal Interest
State of Idaho
County of Madison
I, ~y'fij .~ l i2~.
Nam Address
~`~ ~y ,
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
and Year first above written.
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 \/lf~!t s 20 ~1'v
Subscribed and sworn to before me the
~',~p~ ~O
..' ~~ i~'f~~,
-•~°°"'
~%eo ~N'~~a-
of Idaho
Residing at:
Address
Residing in IdaAo Falls, ID
Commission Expires: 12-22-07
My commission expires:
2
Please com lete the e~ire A lication! ,
. P PP
f the question does not apply fill in NA for non applicable
NAME ~,,~ ~ ~,~
PROPERTY ADDRESS Permit#
SUBDIVISION G~~n~(a,- ~~,
Dwelling Units:
SETBACKS
FRONT SIDE
Parcel Acres:
SIDE
BACK
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area `~ ~ ~ Unfinished Basement area
Second floor/loft area Finished basement area
Third floor/loft area Garage area
Shed or Barn Carport/Deck (30" above grade)Area
Water Meter Quantity:
************** Water Meter Size:
Required!!!
PLUMBING
Plumbing Contractor's Name: ~G,~~ /~~~,~sli ~ ~ ~ Business Name:
Address City /jl~' State ~~ Zip f',32?/
Contact Phone: ( ) ~~ y~'d~ Business Phone: ( ) ~~~ ' /~ Y~
Email
FIXTURE COUNT (includinP roughed fixtures)
1 Clothes Washing Machine
/ Dishwasher
/ Floor Drain
/ Garbage Disposal
`" Hot Tub/Spa
Sinks
(Lavatories, kitchens, bar, mop)
l Water Heater
~- Water Softener 1
Plumbing Estimate $ (Commercial Only)
~h ~~~
Sign re f ensed Contractor License number
The City of Rexburg's permit fee schedule is the same as
G/G /O6
Date
the State of Idaho
Fax
Sprinklers
!~ 2 Tub/Showers
-~`-
,1 7i Toilet/LJrinal
4
Please com lete the entir~ 1' -
p pp Ication. If the question does not apply fill in NA for non
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required!!!
MECHANICAL
Mechanical Contractor's Name: ~ f~l l/~s~lG'/'y Business Name:
Address City State
Contact Phone: ( ) 7~~ ~~i,~0 Business Phone: ( )
Email
Fax
Mechanical Estimate $ (CommerciaUMulti Family Only)
FIXTURES & APPLL4NCES COUNT
Furnace ~ S
Furnace/Air Conditioner Combo
Heat Pump
--r 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 Z i
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
~ ~ ~a
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
gn re of Licensed Contractor
(Single Family Dwelling Only)
Exhaust or Vent Ducts IS
~1~- Dryer Vents ~
Range Hood Vents
~~i ~~
License number
The City of Rexburg's permit fee schedule is the same as
Zip
~/z~ o,~'
Date
the State of Idaho
Cook Stove Vents
~~~_ Bath Fan Vents ~~
other similar vents & ducts:
5