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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00340 - 642 Harvest Dr - New SFRz O . ~ - m m n W ~ c ~ rn v ~ ^~ ~ o~S=~ a C o °~ 3° ~ -~ ~ _ a°~ ~ ~ `° o -~ ..a ~~" ~ ~ ~ ~~ .NN f=°~. W m m ~~ ~ o ~ ~ N O ,v ~ _ V C n /~ d = `~ o C ' O ~ ~~n m ~ m ~ a p °' n °' ~ f 0 Z m o o ~ ~ _ °" ~ N C _ o m "'~ ° ~ v ~- 6 ~ ~ S 5 7 ._. S ~ o ~ o m ;~ ~ -~ o c V~ ~ .~ -~ 'G i- °~ N o ~ o m .~ ~ ~ a m Z °d~sz n 2 _~ ~° ~-° ~ m m ~~ ~ ° ° c o N ~ N d ~ ~ Z ~ co ~ ?t C ° ~ 0 0 ~ ~ n r n ~ N o~ ~ ~ ~ °~a$ m _ ° S° ~ o Z N N (D S -" N ~ _ w ° ~ ~ . ~ n> ~ -3 ~= n (/~ a m ~ .~ n _ ~~v ~ ~ ° o ~ o ~ m a ~ a n -C W fl. -~ ~D O N N c a ~~n~ ~ r. ~; ~_- W~~y aim 3~~ ccoa^' ~ ~ ~G y. ~_ a = c ~~~~ 'ao~c ~~~~~ ~, ~~~ o ~.~ ~ ~° '~ y C7 ~ ~ ~ ~ ~ O N ~ ~ ~ ~ O ,~.~, Q. <D Q- O ~ H ~ N ~ ~ 3 0 .7 ~ ~+ N p1 ~. 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G. v rt ~ ~ ~ o ~~ a Ut .P W N ~ ~ ~ ~ ~ ~ ° ° w ~ °' ~ c ~ ~ ~ ~ 3 ~ ~ 0 7 m ~ ~ ~ ~ . ~ ~ ~ o 3 T 7 -~ ' O CO DD v ~ W A W N -~ _n - (n ~ °' ~ ~ ~ = 5 ~ ~ o ~ T ~ ~ cfl T O a °' p' ~ T O ~° ~ N m ~ n' v m ~ n m m ~ v ~ ~ ~ ~ y N ~ f0 ~ ~p 7 ~aexsuRC, ~,*,. f; v c .> ~~` Eo Certificate of ~cu pancy CITY O F City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 REXI3URG America's Family Community Building Permit No: 06 00340 Applicable Edition of Code: International Residential Code 2003 Site Address: 642 Harvest Dr Use and Occupancy: .Residential Type of Construction: Type V-N, Unprotected Design Occupant Load: Single Family Residence Sprinkler System Required: No Name and Address of Owner: Howard Cody 281 N 5th W Rexburg, ID 83440 Contractor: Mosely, Todd 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 vies inspected on the date listed vas found to be in compliance v~ith the requirements of the code for the group and division of occupancy and the use for v-hich the proposed occupancy vies classified. Date C.O. issued: April 05, 2007 (09:28AM) C.O Issued by: 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• Fire State of Idaho Electrical De °~~Y OF REXB URG BLIILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X326 PARCEL NUMBER: SUBDIVISION: UNIT# BLOCK#~_LOT# (Addressing is ba on the informati n -must be accurate) ~~~ ,-_ ~ _ CONTACT PHONE #_ ~"(~ _ ~ 7ay PROPERTY ADDRESS: PHONE #: Home (~n$) 35 ~ -~~y Work ( ) S.-..~ Cell ( )~ OWNER MAILING ADDRESS: ~Q,/ ~/, ~~~. ,CITY; ,(~ ~' STATE:~ZIP:_ _ yon EMAIL APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) .~ DAD ~ dTT -{~ ["`h ~ d ~~ `1 "~ l~ Please 06 00340 If the que 642 Harvest Dr FAX APPLICANT INFORMATION: ADDRESS STATE; ZIP EMAIL PHONE #: Home Work CITY: FAX Cell CONTRACTOR: MAILING ADDRESS:~L/yg~(/ L%Qq~ ~/ ~ CITY STATE ~ ZIP D?yyp k PHONE #: Home Mpg) ~„~ - Sy99 Work ( ~ lj/~ ylp Cell ~q~ - ,z/~ 7 b EMAIL ~~ -FAX /1//4 IDAHO REGISTRATION # & EXP. DATEpiT~/ 5/eq~ ~ How many buildings are located on this property? Did you recently purchase this property? No es If yes give owner's name) ~~~ ~~~ Is this a lot split?~O /YES (Please bring copy of new legal description of property) PROPOSED USE: _ J/i'1G/~t ,~~~j y ~~o (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 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 buil ' mut on a royal issued under the provisions of the 2003 International Code in cases of any false statement or mis n o finRhelio~ the plans on which the permit or approval was based. Permit void if not started within 180 days. Pe o o~i{{((~18 av 1 n ~ 3s~' ~~ -a / ~b Signature of Owner/Applicant 1 Do you prefer to be contacted by fax, email or on . Cir e O WARNING -BUILDING PERMIT MUST BE O TTE; Plan fees are non-refundable and are paid in full at th ticr~ f~li~en 1 2005. City of Rexburg's Acceptance of the plan revi **Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear** ~~ . ~ rd U 7 'a > • SNED~ CITY O F REXBURG 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.rexburg.org ianellhCcDrexburg.org Affidavit of Legal Interest State of Idaho County of Madison I ~'~' ~ ~-rJ 1~'G,rc~ Z~ I N , ~~ ~ 1/V Name Address ~-~ ~ ~~I ~-c~ l i~ ~~ City State Being first duly sworn upon oath, depose and say: A. (If Applicant is also Owner of Record, skip to B) 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 ~ ~ ~ h day of J ~q ~ ~ ~ , 20 O (~ Subscribed and sworn to before me the day and year first above written. p OTARY'•. ~ N `; ~ ~. pU81-IC ~ 4p11j/' /CIIlI~IN~~~~~\\\\ of Idaho Residing at: e ,~. My commission expires: ~'/g' © g 2 Please com lete the entire A lication! P Pp applicable NAME QGf/Q/^p~ PROPERT A DRES SUBDIVISION -,~!/lrL~S l~Gl L~ r ~_ If the question does not apply fill in NA for non Permit# Required!!! MECHANICAL Mechanical Contractor's Name: ~GX %~ (~_Business Name: 1,111 Address ,~plp ~ ~, ~ City~(~~~~State Zip 3yL/j} Contact Phone: (Zpg) (p -rj,~(p/ Business Phone: (Zp$) ~j5~- G~/?~7 Email ,(//4 Fax ~~ Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwellin 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 ~1 yt~ Pool Heater ~ Dryer Vents /V 4~ Range Hood Vents ~Il~ Cook Stove Vents 3 Bath Fan Vents ~l IL~ other similar vents & ducts: ~_ Fuel Gas Pipe Outlets including stubbed in or future outlets ~_ Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizinse Calculations must be submitted with Plans & ADDlication Point of Delivery must be shown on plans. G (~ Signature of Licensed Contractor The City of Rexburg's C 3~' 7~ D~_ (d--o~ License number Date {ee schedule is the same as required by the State of Idaho Please com lete the e~ire A lication! . P AP . If the qu stion does not apply fill in NA for non applicable NAME PROPER A SS Permit# SUBDIVISION ~~~ c°ll Dwelling Units: y Parcel Acres: SETBACKS FRONT y5 ~ SIDE ~--7, ~ SIDE y (~ ~ BACK (pZ Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~a~l ~ Unfinished Basement area ~pc{ Second floor/loft area ~/(P Finished basement area ,~~ Third floor/loft area ,y ~q. Garage area /D 3 Shed or Barn ~/~[} Carport/Deck (30" above grade)Area~>l~ Water Meter Quantity: ************** Water Meter Size: 2 n Required!!! PLUMBING ~' ~ ~ . Plumbing Contractor's Name: ,~,p. /~%L%L/~t'~ Business Name: f7//.~'I/~/~O' / /lGf~,fJll?e Address- 91t~~~t(f, ~'~+ ~ , City State Zip~7~~4r~ Contact Phone: (~ -) ~~ - yy(oy Business Phone: ( 9D' y~ll~o 6 Email /~/~- Fax A/~ FIXTURE COUNT (including roughed fixtures) ~ Clothes Washing Machine ~ Sprinklers f Dishwasher _,~ Tub/Showers ~ Floor Drain ~I Toilet/Urinal I Garbage Disposal ~ Water Heater $ Hot Tub/Spa ~ Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 4 i ~ SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: /,7Q'/''I/ ~`~~ ~~p G~,~j,6 Masonry:- ~ L`L~2~ `~~(~/,,l S Roofing:_ ~~( ~~j~ Insulation: ~ ,0~~~~ ~ l~M Drywall: aC {~- Painting: ~~~,~ ~(/~G Floor Coverings: (~ Plumbing: ~j`~~ ~ ~~~ Heating: ~~ ~/ ~~~Q(~/C77~j Electrical: T`~(/ ~~'q/~J _ ,, Special Construction (Manufacturer or Supplier) Roof Trusses: ~~~ //~~'~ ~~~SS Floor/Ceiling Joists: ,Z-7 ~~~'lJSS ~ ~~ f Siding/Exterior Trim: ~~ 6/ ~ rd, Other: /I / 64