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Home My WebLink AboutAPPLICATIONS, CO, BP - 06-00335 - 234 Seagull Dr - New SFRi z ,~ O = ~' ' 0 ~ m m n W ~ C rn o ~ ._ z ~ ~~ ~ ~- o ~ s~ D ~ D C p~ ~ p ~ fD .p S O ~ "'~ ~ ° m m 3 ~ Z ~ m v v ~ O ,,,~ a~ n ' o m W ov~.N~~ < ~_~~ W m _ m~~~y m N p ~ ~ p pc~ ~ c 3 ~ v n v m~ o C O m ~ ~ n m ~~a v a ~ °' Z o o ~' ~ ~ °- ~ ~ C o> Ln v ~ o m "~ v ~ ~ ~ o ~ c to ~ 3 ~ a ~ ~ ~ ~ ~ ~ D ~ ~ N -~ o m W o a~ n Z --I Z c~ --~ m m~ 3 z ' D = ~ p m o ~~ ~ m m ~~ ~ m m n ~ ~ ~ Z n cn ~ 'r1 C o' o o v ~? 7 fA y C n r ` Q d '~ fp O N ~ v ~~~aa m o ~ o d N S fD ~ ~ Z . 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N n ~ ~ A ~ H (~ FC ~ •O ~ ~ m ° ~ ~ n ~ ~' y j ~ b ~I O co N, O ~ `~' w ~ ~I ~~~I ,~ 'O CD W V ~ Ut .p W N -n ~ °' (n a m O '~ S m ~ ~ ~ ~ 3 -ri o ~ ~ ~ O ° r ~ o ~ ~ n sv ~ ~ n v ~ n n m ~ ~ ~ ~ N y ~ S W c r v Z ~ c~ n D 7 7 D 1 Z .D m n --1 Z C7 • o~REXBU~.: __ Certificate of Occupancy ~y ro CITY O P ~~ " ~~~~i City of Rexburg America's Famil Cnmmuni ~ ~ Department of Community Development 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: Name and Address of Owner: Contractor: Special Conditions: Occupancy: 06 00335 International Residential Code 2003 234 Seagull Dr Single Family Residence Type V-N, Unprotected Residential No Pena Elijah Etux 76 N 4th E Rexburg, ID 83440 Olympus Building Group Unfinished basement 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 tim a time of issuance, this building or that portion of the building that toes inspected on the date listed tees found to be in compliance tMth the requirements ofthe code for the group and division of occupancy and the use for which the proposed occupancy toes classified. Date C.O. Issued: January 19, 20037 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: ~~~ ~ ~°~~. F~ Department: ~ ~~ ~~ Electrical Department r-' ik~~= H! Cl~'Y OF REXB URG • PERMIT # ~ BUILDING PERMIT APPLICATION Please 19 E MAIN, REXBURG, ID. 83440 If the qI 06 OO3 3 5 e 208-359-3020 X326 PARCEL NUMBER: , 234 Seagull Dr-Olympus SUBDIVISION: 1'I'~DEQ~g1-Q~.~ ~ LTNIT# BLOCK# ~p LOT# ~~ (Addressing is based on the information -must be accurate) U wIVER NAME: ~~'~,~ ~ N l (.O~`G ~,iJ P~ CONTACT PHONE # "j ~ - ~'' 2.3 $ , PROPERTY ADDRESS: ,~J ~ ~,~/J ,ja,~, PHONE #: Home ( ) ~5~ - ~ ~„ /~ 3 Work ( ) Cell ( ) 7j~ ~.~ g 23 $ OWNER MAILING ADDRESS: ?,6 N, ~ ~, CITY: ~ ~ STATE:1~ ZIP: 83~ EMAIL FAX APPLICANT (If other than owner) L yMQ~S , ~~„y ~ ,~~~D (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS ~ Sic, /S(~? CITY: 14~`~ STATE; ! ~ ZIP g,~D3 EMAIL FAX 227- o I ~-/ PHONE #: Home ( ) ~.~- ~- t~/ ~ Work ( ) ~~~~9 Cell ( ) ~~~/ 7 9 CONTRACTOR: MAILING ADDRESS: ~p ~( (5 b~ CITY PHONE #: Home EMAIL STATE I,~ ZIP ~ p3 Work ( ) ZZZ~ Ol ~ Cell (2~) Zr~~- q/ 19 FAX ~'0~ ~ IDAHO REGISTRATION # & EXP. DATE RC~3~$~ now many bulldmgs are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name) ELI ~~~4 Is this a lot split? PTO YES (Please bring copy of new legal descriptio n~ 2 PROPOSED USE: ~NG(,~ ~.~~L o1 t~ t D~JJC..~ ~~~ ~ 1~I lS (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commerci tion, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZAT Und'~i~~i~alfy ~f penury, I V rtify that I have read this application and state that the information herein is correct and I swear that any info tion which may hereafter b given y me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexbu s 1 o c mply with all City regulations and State laws relating`to'the subject matter of this application and hereb aut~~ e r e er upon the above- oned property for inspections purposes. NOTE: The building official may r provisions oft 03 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or ap val was based. Permit Irp~l if not started within 180 days. Permit void if work stops for 180 days. Signa re of Owner/Applicant DATE Do you prefer to be contacted by fax, email o hon Circle One WARNING -BUILDING PER UST 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** ' • Please complete the entire Application! pp If the question does not apply fill in NA for non applicable NAME ~ L~{MP15 bVt~4tc~G TAP PROPERTY ADDRESS t7j l $ (~j WC.k ~p Permit# SUBDIVISION ~," p ~2SaJ Dwelling Units: SETBACKS i FRONT o~ 5 Parcel Acres: f SIDE SIDE Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area I Second floor/loft area Third floor/loft area Shed or Barn ~~ ~~ Unfinished Basement area C 3~~ Finished basement area -- Garage area 13a Carport/Deck (30" above grade)Area ~ Water Meter Quantity: ~r~ ************** Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: ,(~ ~~,~~Business Name: ~ ` Address ~ ~~~ ~~ ~ ~ City ~ State ~ - Zip Contact Phone: (~ - ~ T(~ Business Phone: ( )~ ~~ Email FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~_ Dishwasher Floor Drain _~ Garbage Disposal Hot Tub/Spa Sinks ~' avatories, kitchens, bar, mop) Plumbi g stimate $ (Commercial Only) I Sprinklers Tub/Showers ~_ Toilet/LJrinal ~_ Water Heater Water Softener `/~ ~~ Signature of License ontractor License number The City of Rexburg's permit fee schedule is the same as State "of Idaho IC BACK Fax_~.~P t~~~~ 4 • P1eaSe Complete the eritlre AppllCatlOril If the question does not apply fill in NA for non applicable NAME ~ I.y~yS YZj,(1~1N 6 ~R-~P PROPERTY ADDRESS Lb-~ ~ S 6~~(o Permit# SUBDIVISION (-~~uh~~ SuaDt~J ~St oe.~ Required!!! MECHANICAL Mechanical Contractor's Name: ~n~i'r1:' ~~ ~~ ~t Business Name: _ ~. Address l~. ~. d%°` `~~~ City jC~~r~ State Contact Phone: (z~f) ~~~-- ~~Business Phone: Email ~~ Zip ~~ Fax ~~' ~ - ~~~~ ~ ~ ~ Mechanical Estimate $ (CommerciaUMulti Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) T Furnace ~ Exhaust or Vent Ducts ~~TT~~" Furnace/Air Conditioner Combo ___~___ Dryer Vents 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 other similar vents & ducts: Heat (Circle all that apply) ~ Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature o ensed Contractor License number --~?~- ~~ Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Range Hood Vents Cook Stove Vents Bath Fan Vents 5 Please complete the ent~Application! If the question doe apply fill is NA for non applicable ..~... NAME C,i ~r+ ~~ ~ PROPERTY ADDRESS _ ~~ S~c•4- G ~,1_C.., 06 0 0 3 3 5 SUBDNISION ~~ ~~sf~a ~~C~.~L;v~ 2 34 Sea u I I D r L ~~-- ~~ _ j3 ~ cc K ~> 9 Required.!! ELECTRICAL -Home Owner's Permit 4~Y' ~'1X~ Name ~~ tl ~H /crv~ Address ~~ ~t/_ ~ ~` ~~T City ~CX t3 cc- ~ ~ State ~ (~ Zip, Cell Phone (v`~~ ~~ ' $o~ 3 ~ Business Phone (36F) 3 5~ "' 9~ Fax 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* 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, 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 *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. r ~~ ~r Signature of Licensed Contractor The License number ~3L/y~ Date s j~ermit fee schedule i.r the same ar required by the State 6 . ~~ • SUBCONTRACTOR LIST Excavation & Earthwork: ~jArR,? ~.~C1r~S ~~:G~ty~ N ~ Concrete: 1DU.I ~ ~ f ENS 6~J ~~~~ Masonry: c7~kptQ,l. ~'~~~~j Roofing: Insulation: Drywall: Painting: `~'-~- `P~}1 ~N ~ Floor _ Coverings: ~ t~ ~ ~ N *~~~/l4-G o~J S Plumbing: ~ChCBUrL(, ~(,U~~~ ~ ~~n1 ~ U i~ Heating: Electrical: ~L ~.l-~L`CCL~,(,, Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: ~-~Iri 'w~~ Siding/Exterior Trim: ~~/ l N ~ ~~~oR$ Other: 6 ..', 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 ^ 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 certify that the above information is true and correct to the best of my knowledge Signature Date Print Name 7