HomeMy WebLinkAboutAPPLICATION, CO, BP - 06-00360 - 752 Nina Dr - AdditionZ
.~
O =
~ m m
W ~
C
rn v
~
_
^
~
~ Z v -~ o D 3 C
0 0 ~ ~ s o ~ (n
~ m v -c
N y
7 O F
.
~_~~
°'
o m
~~~a°
N ~
~ O
n ~J
'~
C
V
m ~~'o
C /V
0
~ =tea m ~
T ~ '~ a ~
a ~ ~ Z
N O O. 3~ ~ `
D
o ~ m W
-o s o m
v r-
~ ~
o ~'
;~ ~ ~
~ c ~
~
n
~ ~.
l7 7
o ~
`° o m
v
a m
z
~
z
c~ y
m v ~ ~ z D _
~ v ~ o
~v ~
m
m
~f
~_~~
gy
~ ~ T
W
(
p
~ ~ ~
~ Z l7 (O S ~~
77 C
O O O O' N (~
d ~ N O N
~~~ag m ~
~ y y S~ O Z
fD
S -a (gy
~ 7 ~
p
Q ~ ~~ O
~ ~ .~ ~.
C7
~
aw
0 o f ~ _
_
~oo~a ~ m
c
°
a '
'
' C7
H
q1
C
so,n-t m O
~` y
S
~~ ~~ m
~ -i
_
Q~~~
c o a ~~
C7 m
~
~
~~= y O Z
~ ~ ~ y
y
1C
y Z
~ y
~
,
,
D':a..y
~
C
'CT ~ y ~
~.o ~ ~
a ~
O ~
~ ` ~
C 3 ~ ~ Z
~~~ ~ 0 .,0
'
y A 7 3
Q 7 ~
V
~ ~ t
D ~ N
~ N
'+ y N (C
~30
'
o .~ =
~
C7 Z
~.
~
~ y ~ y ~
C -~
~
~ ~ " ~
C '-~"'. T.
~D ~D _S
7 O
~ (D.
W~;y y
~•~ ~~
~ ~
D
a~~`° ~ a
~~~~
~ ~ •+ 3 _
O
7 ~ Q. W O
~ O eD ~•
y
ID <
Q,
.~+~
0 7 L
O
,
O
,.. (p W
a
~.
0
~' g
o
~~~ v
~~ m
~
~~~ ~
~d ~
o ~, , V
n n ~ N
~ ~ _Z
~ ~ ~ ~
a.~~ v
s
~ '
~
'
'a
~. ~Q ~
3 C y
Q,~-~+~
3 ~
7
to y
Z
m
v
m
_~
C
v
0
~, ~ o~
x
. ot~~°
n
~-
A rr
~ ~ H
o O
d7 ~ ~
O co ~.
O ~ ~'
W ~ ~'
O ~ ~
m n o ~. w N
' Z
~
ma ~ o N
„
.z1
g
fn ~
C =~ v ~ ~
~
~
°c
°'
~ m
A0 m ?' m ~ o- - cQ m ~ n
~ ° y ° ~ _ ~ v --I
~zm ~ y ~ ' ,
~ ~
m O
~ ~
3 ~ - Z
ooo ~ ~
a
z A '^ v ~
z~ ~
~ ~~
m o
C W
n
.
c~ o n w g• c ~
~ g c7
o C7
0
3 C
r
~~~ ~ ~ ~ Z T ~ ~ z o
O
~~~
o ~. v ~ G7
~
Z
~ ~ 0 3 ~ ~ ~
m v
z ~ g o ~ a
~ 7 ~
~
n Z N O
y
~ ~
f a
c~
.~
O
d Q.
c0 o
O v ~ Vt .P W N ~
w z
~'
v °'
m
'~ ~ c
_ ''
°'
~ ~ °o ~
0
v
°.:
O
<D
a
oQ gEXSpQC ra CITY o F Certificate of Occupancy
~~ 6
~ O
~jJjZG City of Rexburg
`~ ~, Department of Community Development
'•,,rFF America'sFamil Communi
19 E. Main St. / Rexburg, ID. $3440
Phone 208 359-3020 /Fax 208 359-3024
Building Permit No: 06 00360
Applicable Edition of Code: International Residential Code 2003
Site Address: 752 Nina Dr
Use and Occupancy: Residential Addition
Type of Construction: Type V, non-rated
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Keck Zina
752 Nina Drive
Re~urg, ID 83440
Contractor: Bollinger Construction, Inc
Special Conditions:
Occupancy: ~ Residential -less than 2 units, permanent in nature
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
v-as inspected on the date listed wes found to be in compliance with the requirements ofthe code
for the group and division of occupancy and the use for ttihich the proposed occupancy wes
classified.
Date C.O. Issued: March 31, 2008 (01:19
C.O Issued by: _
Building Official
There shall be no further change in the existing occupancy classification of the building nor shall any structural changes,
modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved
said future changes.
Plumbing Inspector a Fire Inspector: ~ ~ ~~
Electrical Inspector: P&Z Administrator:~1~
_. - _. ~^._ .f.~ ...J. ... _ _ _, 54 `rye.
.. _. -
CITY OF REXB URG
BUILDING PERMIT APPLICATION Please
19 E MAIN, REXBURG, ID. 83440 If the qu
208-359-3020 X326
PARCEL NUMBER:
PERMIT # ~ ~03(p ~
06 003 60
752 Nina Dr-Keck Addition
SUBDIVISION: fi IG~S '~a ~ Y~G~• UNIT#
(Addressing is based on the information -must be accurate)
BLOCK# ~ LOT# ~~
Z1
PROPERTY ADDRESS: 7`~~a Ni
CONTACT PHONE #
PHONE #: Home (~p~?,~ - ~$() Work ~ ?~~' ~ ._/~jQp Cell
OWNER MAILING ADDRESS: 75~~ , ya~~; CITY: ~ r STATE~ZIP~S~
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
STATE;
PHONE #: Home ( )
ZIP EMAIL
Work ( )
Cell ( )
CONTRACTOR:
N,C.
MAILING ADDRESS: T • Q V I3`I CITY t'~~ n~"0 !1 STATE
PHONE #: Home (2~~ ~z - ~3 i n Work (J-~ 3c; (- ~~ f~ ~l -Cell ( )
~ Irc~n~a I . ~c in
EMAIL{~,,Il~nuc~Lc~l-tu:NcnFA ~'2 , ~~IS' IDAHO REGISTRATION # & EXP. DATE RCS q l21 l'l~'Ci
How many buildings are located on this property? 1
Did you recently purchase this property? ~T Yes (If yes give owner's name)
Is this a lot split? ~ YES (Please bring copy of new legal description of property)
PROPOSED USE: Rt'ylitt'~n~'1c~.~ f't~C~;t~il C1'-
(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 b o i val issued under the
provisions of the 2003 International Code in cases of any false statement or m >~ s ti of ct i tl ap a on the plans on which the
permit or approval was based. Permit void if not started within 180 days. Pe sfrn / ,'
/~~s~
Sig t e of Owne Applicant
Do ou prefer to be contacted by fax, email or phone? Ci cle ne
WARNING -BUILDING PE pMIT MUST B Pib1p~~~ TE
Plan fees are non-refundable and are aid in full at t e t ~ f ~ ti 2005.
City of Rexburg's Acceptance of the plan review ee oes not cons ~ u e p an ap
**Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear**
3
CITY:
FAX
(~ ZIP ~'3`{L
~o, Ord
'~
".~~
r
9
08,
6 (~ S H E D ~
•
CITY O F
REXI3URG
America's Family Community
u
BUILDING SAFETY DEPARTMENT
19 E. Main (PO Box 280) Phone: 208-359-3020 x32E
Rexburg, Idaho 83440
www.rexburq.org
Fax:208-359-3024
ianellhCa~rexburg.org
Affidavit of Legal Interest
State of Idaho
County of Madison
Name
~~
City
~5a~, ~~~/7riJ-~
Address
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 a ached, d I rant my
permission
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~_
Subscribed and sworn to before me the day and year first above written.
,0,p ~•,,~ - f ~~_ ~
r , ~.,,~ •• Notary Public of Idaho
OT /-R Y s
,.. • •" Residing at: ~RP,m(Z(~~.. ~~~
t
+~ PV$~~G ~ ~ M commission ex fires: ~7 ~ ZZ ~ ZED 1(
2
lease complete the ire Application!
_..:.~~
NAME
PROPERTY AD~SS ~7 ~ ~~ G~ `~~ Permit#
SUBDNISION T~ ~ ~>
Dwelling Units: Parcel Acres:
SETBACKS '
FRONT SIDE SIDE BACK ':
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area
Second floor/loft area
Third floor/loft area
Shed or Barn
Unfinished Basement area
Finished basement area-
Garage area
~'.a,-„nrt/i~eck (30" above
Water Meter Quantity:
**************Water Meter Size:
Required-t~ -~
I'L UMBIN~
Plumbing Contractor's Name: ~ ~~~ ~ ~ Business Name:
Address ~~ ~ + l~l Cx C City ~. ~' State Zip
Contact Phone: ~),-`~ ~> (0~~~%7~~~ Business Phone: ( )
FIXTURE COUNT /including roughed fixtures)
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub/Spa
Sprinklers
i Tub/Ss
l oi] t/Urinal
Water Heater
Water Softener
i Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (COMMERCIAL/MULTI-FAMILY ONLY)
Signature of ~censed Contractor
The City of Bexbu
License Nuxnber& Expiration Date
schedule is the same as required by the State
Date
4
07!07!2006 11:57 2083599409 ADUAhICED PLUMBING PAGE 02
dUl-OT^+'006 i~.28A}~ FR01~-PALL RIUR~ECTRiC aD6-652-T8Z5 ~ T~g88 P.002/OOZ F^P39
P~eas~e carlnp~ete the entire .~,pp~ic~tit~n!
Yf tote questitru does not Apply fill iu1 NA for nou applicable
NA11+~E ~
FK4PER ADDRESS ~7~~`"~ iY1Q,. Ar.. ~. i .I3 P~noat#
SUEDIVISIQN
I7wellin~ Units: ~_ Parcel Acres:
SE'~'l~3ACKS
FRtJNT SIDE SIDE BACK
Re»r+vdelirrg Yarn Brrild~reg/~tlome (pct Estimate} $
S1LJI~.FA~CE SQUARE FOQ'Z`ACrE: Shall include the ~terior wail measurements of #i~e buildin8}
First Floor` Area ~ X7nfinishCd Basement area ~
Second florxr/lo#k area _... ,, ,~~ rs. Finished basemc~t are~- ~1~
Third floo3r/loft area ~ ~ -n~ ~, Garage area ~n (~..
Shed Qc Horn h .~ _ CaxpoacUDeck (3Q'° above ~radc}Ama
''Water iV~eter Quantnty:
*'~*s*'~*****$** Water 1V~eter ~ti3ce;
Rey~~i,~er~! r f ~ ~~ ~ -
(~~ 1(~ n
Plumber Contract s N~gae: ~~V ~,q usiness N i+.
AclciresS 12~ I L~, City G~1 Statte ! ~ Zip~~
row !'hems: ( ) 13nsi~ess Phaae; tZt~i'~ - ~~
Email fax
~ Clothes OVashix~g M.achin~e
.~ D~.shvvasher
D T'ioor Train
t3a1'bage Disposal
~ Hut Ttzbl~pa
~ SittI:s
(Lavatories, kitchens, bar, mop)
d Sprinklers
1 1'ublS#zowars
Toilet/[Jriryai
1i~atcr Heater
~ Safter~x
~'l Estimate $ _ (Comme~r^~ial [?nly)
t"' --
Si tug of Lfceased Caautretcr LitenSe number
,'art G'ity of 14arbirrg's psr~vafe fee aehedeelc is tJ~s sans a~
~,
. ~
I]ate
by rhea"rare ofxdaho
4
P1eaSe COlllplete the eritlre AppllCatlOri ~ If the question does not apply fill in NA for non
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required!!!
', Mechanical Contractor's Name:
Address
Contact Phone: ( )
Email
Business Name:
_City State
Business Phone: ( )
Fax
MECHANICAL
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 Range Hood Vents
Air Conditioner Cook Stove Vents
Evaporative Cooler ~_ Bath Fan Vents
Unit Heater other similar vents & ducts:
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
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Zip
Mechanical Sizing Calculations must be submitted with Plans & An>plication
Point of Delivery must be shown on »lans.
The City of Rexburg's permit fee schedule is the same as
NSA
Date
the State of Idaho
Signature of Licensed Contractor License number
5
•
SUBCONTRACTOR LIST
Excavation & Earthwork: A~ ~ TC~~~'C~;tN ~K~C4~VG~-~ ~ - ~~ ~- ~~-~'l~i D
Concrete: ~ 1 l' U ~ h l~h~t~ EYl
Masonry:
Roofing: ~~YYIG
Insulation:
Drywall:
Painting:
Floor
Coverings:
Plumbing: ~'dyG~,wc~G~, ~~~,~n~~i-1,c~ ~. C1'lz,~Hal1.~
Heating:
Electrical ~~~~~~ ~G~,(~ ~~~~r~~c~.
Special Construction
(Manufacturer or Supplier)
Roof Trusses: ~j~~
Floor/Ceiling Joists: pjYYl(~
Siding/Exterior Trim: ~ '~
Other:
6
•
Building Safety Department ~~ ~~~xB~~~~,~ ~ , .r Y o
City of Rexburg ~ 'o n r~T mG
., .1~ V 1\
_.~... n, W_~
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 qn:ericas Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME J~E'_ c ~ Z t ~Q' O6 00360
PROPERTY ADDRESS ~" t't~q
SUBDIVISION 7S2 Nina. -Addition
PHASE LOT ~ ~' BLOCK
Required.!! ELECTRICAL
GGZ 1~~.~ ~~ti~!/ 1
Electrical Contractor's Name.-5/a ~ ccr,~ ~/cc'~ri Business Name ~~~/~~~r ~r~Tr~
Address~ex f? Co City ~~~4~~ State Zip ~y~
Cell Phone (~~) ~i ~~ ~7 J S~ Business Phone (?~ ~S~ 7 z S~
Fax ( ) ~/j ~ ~ Email 67 ~~_
Electrical Estimate (cost of wiring & labor) $ /~Q~ (COMMERCIAL/MULTI-FAMILY ONLY)
TYPES OFINSTALLATION
(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*
d Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
D 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
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
~ ~~ ~ ~ ~ ~ ~ Z9'
Signature of Licensed Contractor L cense numT-
The
schedule is the .came as
ate
by the State of Idaho