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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00393 - 264 Seagull Dr - New SFRZ ~ O = --i ' p ~ m mm W /~+ C rn v ,~ ..~ '' ~ z~ -~° D ' ° ' ~ C ° ~ ° 0 0 ~ ~ ~' ° D "~ (/~ ° m v v ~ -° m ° ~ Z ~ O v °~ °- ° cu W ~ ~ ~ ~. y M = ~ m 171 v ~ 7 Q y O c° m ~ ~ y Q c 3~ v n m °~'o C O ° `~ °- v ' a~~ o Z ~' o o ~ ~ 7 °' Ul C '° 3 O m v r _ ~ co ` x C ~ ~ ~ --i -p a . v ~ ~ N D ~ ~ ~ ~ a ~ o m 3 W v ~ Q ~ z ~ ~ z c~ ~a ~ ° ``a ~ m m 6F ° ~ ' - ~ . - ~~N -i ~, C ao~~~ ~ r n c y o~ ~ F ~ m n oa m ~ C N N ~ O 1 T~ U ~ d f O _ ~ o ~ ~ n N s ° .~ n _ <~~~~ o ~ m ~o°~ ~a . a ~ ~ W D ~ m n m ~ S N -i y ~ QoCT ~vD ~ ~ N fl. m~ ~ m y WOO ~ T n ~ ~* ~ Q ~ W ~~ N T C V1 ~ ~ A ~g N ~ ~ O ~ n ~ rt C ~~ Z a ~ g ~ y n Z N y F' ~ W Q. 7 0 v rt <D I~ ~ fl- y y C ~D ~ O ~ Z (/~ >s~~rr .o "o n-1 R1 O y m o ~ y m ~ m m x W ~D py, ~ ~ "~ o v w a ~ ~ ~ ~ m ~ rn .~i ~~~y ~ Z W v _o~~a1 ~ ~ IC y Z N "~ ~ ~ 3 arty 70 ~ ~ ,, $~C N fl. n C ~ a n 'C N -~ ~ ~ a- n.. 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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 00393 International Residential Code 2003 264 Seagull Dr Single Family Residence Type V-N, Unprotected Residential No Heart B Company Po Box 308 Rexburg, ID 83440 Heart B Company 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 ofissuance, this building or that portion of the building that vies inspected on the date listed vies found to be in compliance vuth the requirements ofthe code for the group and division of occupancy and the use for v~hich the proposed occupancy vies classified. Date C.O. Issued: March 08, 2007 :41AM . 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 - -- ~' Electrical Department :_~'`'`"~~~ =---~_ CITY OF REXB URG . PERMIT # • BUILDING PERMIT APPLICATION Please complete the entire Application! 19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable 208-359-3020 X326 PARCEL NUMBER: (We ~'~ 06 00393 sUBDIV1S10N: ~~ C u~ i~-n `~ ~: ~ UNIT#_ 264 Seapr~'11 Dr. (Addressing is based on the mformatton - must be accurate) bµ PROPERTY ADDRESS: CONTACT PHONE # PHONE #: Home ~.3 ~~ ~ [ ~'U f Work ( ) ~ ~(~ °- U ~ 7 ~ /Cell ( ) ?~I ~, ~~ ~ b OWNER MAILING ADDRESS: ~~ ~s u~p~ ~~©~ CITY: ~~~i~~STATE:ZIP:~ EMAIL FAX ~ S~ ` t 3 ~3 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 PHONE #: Home FAX Work ( ) Cell ( ) CONTRACTOR: MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( ) Work ( ) Cell EMAIL FAX IDAHO REGISTRATION # & EXP. DATE 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? N~ YES (Please bring copy of new legal description of property) PROPOSED USE: ~ ~ (i.e., Single Family Residence, P ci ~A ~ 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 pro for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 Int 'onal Code in cases of any false statement or misre the plans on which the permit or ap 1 w a .Permit void if not started within 180 days. Perini 'f ~rk~p~0 ys. / /~ ~.s,.a ,..~ ~~ Pt„~~ P. ~~ 2006 ~' kJ Do you p efer to e c to ted by fax, email or phone? Circl AUG ` ~ NING -BUILDING PERMIT MUST BE P STE ON CONSTRUCTION SI E! Plan fees are non-refundable and are paid in full at the ti a of tint nu ~ 2 OS. City of Rexburg's Acceptance of the plan review ee o~s c ~~p ~''vk~h6 **Building Permit Fees are due at time of application** **Build ec oes not clear** ~OL U f~ 9 U ga, 9 e(/ S M E O ~ c ~Y o r REXBURG America's Family Community • BUILDING SAFETY DEPARTMENT 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 www.rexburq.org ianellh .rexbur4.or4 Affidavit of Legal Interest State of Idaho County of Madison Name Address ~er~~ ~ City State ~vQ~ 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 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 6 6 ~- ' ff ~~ - Signature Subscribed and sworn to before me the day~iid year first above written. Notary Public of Idaho Residing at: My commission expires: 2 Please complete the e~ire Application! JJ ~~ !! If the question does not apply fill in NA for non applicable NAME 1d ~c~ U` I" ~ ~ iu~ ~!~ U V~l/ PROPERTY ADD SS Permit# SUBDIVISION ~CV~plpy~riU~ 5 u Dwelling Units: SETBACKS ~ 1 FRONT !j 5 SIDE ~ ~ SIDE Remodeling Your Building/Home (need Estimate) $ BACK SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~ `'~7j ~ ,~~ Unfinished Basement area ~ / ~/ ,~ ~ ,J Second floor/loft area Finished basement area `~ Third floor/loft area Garage area ,s~ ~ ~,~- Shed or Barn Carport/Deck (30" above grade)Area Water Meter Quantity: ************** Water Meter Size: Required!!! PLUMBING ~ ` \ ~ S Plumbing C tractor's Name: ~ I~ ~ U1M Yee Business Name. ~ w~-~ Address ~~ ~ ~y' ~ Cit ~~ W State ~ ~ Zi g y ~- r~~ Contact Phone: ( ) Business Phone: ( ) Zj~b "`~ `77t~ Email Fax FIXTURE COUNT includin rou hed rxtures Clothes Washing Machine ~_ Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (L vatories, kitchens, bar, mop) Plumb' Estimate $ (Commercial Only) Water Softener Sig ature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Parcel Acres: ~ ~ ~ `- Sprinklers Tub/Showers 3 Toilet/Urinal ~ Water Heater 4 07/25/2006 05:21 2084584076 PAYS RACING LLC PAGE 01 pub. /. 2006.1; 52P!til • . No, 2527 P, 2 Please cola~plete the entire Applicatyo~! ~ the gae~at;o,a does not apply X311 in NA fbr nan applicable NAME PROP11tT ADDRESS(, Pezmit# SC.JBDIVISION .required!!! .11~~'C~141v.~CAL ... Mcaba~aacal Contractor"s Natn~e; ~, 1 '1/ .1° ~, , ~.!_ Business Nam®• Address?~~ ~, 1.~('/J f~ w„Ci.ty ~ fate Zip ~~ Contact Phone: ( ) -~ ~ L( ~ Business Phone: ( ) 31 ~;(~~~ ---~ r-,o(/~ Email. Fax ~02L(-~~~~, Mechanical Eetltnate S _ (Comam,erciaUMulti Family Only) ,F,LX,TU.RES c~ .~.PP,L~4.~VCES COUNT (Sir~g~'e Family Dx-ellirg OntY) - ( Furnace (- - Exheust or Vant Ducts Furnace/Air Conditionevr Combo ~~ Dryer Vents Heax Pump Range Hood Vents Air Conditioner Cook Stove Vents Evaporative Cooler _~ Bath Fan Vets Unit Heata~r other sirxvilar vents 8t duets; Space Heater ~~,,,_,,, Decorative gaq-f red appliance Incinerator System, Boiler Pool Heater Similar ,Etxtures or Appliances ~~ Fuel Gas Pipe Outlets including stubbed in or future outlets ~~~ Inlet Pressure (N.[eter Supply) PSI Heat (Circle all that apply) C3as Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plt~nffi 8~ Application Point of Delivery must be shown on plans. 5igoature of Licensed Cantrs,atcor Licectse number Daze r ~ ~ ~ a • . • SUBCONTRACTOR LIST Excavation & Earthwork: ~ CT~'pv~ c~,~ Concrete: ~ POD ~ ~ ~ caj~ Masonry: Roofing: Insulation: ~ Drywall: Painting: C C~ G t lyd, Floor ~ t Coverings: ~~d ttJ ~a,~ ~ ~~ ~~~ Plumbing: ~c~v~~~ Heating: `l ~~,La, Electrical: ~`~, ~., ~ ~'~ ~~` (~C Special Construction (Manufacturer or Supplier) Roof Trusses: 1D- Floor/Ceiling Joists: ~ ~~ ~- Siding/Exterior Trim: Other: 6 x • C_~ 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 ~ ~ ` O4R6XBURC ~,~ r9 _ CIT~F "~ o ~~T m~ BUILDING SAFETY DEPARTMENT lJ 1~ ~ 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 America's Family Community Rexburg, Idaho 83440 Fax: 208-359-3024 ~B`' ~ H E o ~ sm www.rexburo.org janellh@rexburg.org Office Hours: Monday-Friday 8:OOam-4:OOpm Single Family Residential Pre-Construction Checklist Seismic Design Category - D Ground Snow - SO lbs. per sq. ft. Frost Depth - 36" Roof Snow Load - 351bs. per sq. ft. Wind Load - 90 MPH The following items should be completed before you submit your building permit application. Completion of a Building Permit Application: You may print this application from our website www.rexburg.org or pick up a copy at the City Hall Annex Building (address above). For Re ' ential Permits: (the following is required to be submitted before the Application can be approved) 2 sets of site plans and 2 sets of building plans ^ Energy Compliance Report: The State of Idaho has adopted the International Energy Conservation Code (IECC). A Compliance Review must be completed and submitted (the rescheck software is available o line at www.energycodes.gov). `b` 1 " e 3 of the Application must include the Idaho Contractor's Registration Number or the exemption rm must be completed and si~rled, see Page 7. Page 4 of the Application must be completed and si nay your Plumber. A copy of the Plumber's License is required for our files. ^ Page 5 of the Application must be completed and si ng ed b~your Mechanical Contractor, a copy of the Mechanical License is required for our files. ^ Mechanical system sizing and design is required. ^ Truss details including engineered floor joists are required. Electrical Permit: If your construction involves electrical, you will be required to purchase an electrical permit from the State of Idaho according to the State of Idaho Electrical Department. • The Electrical Inspector can be contacted at (208)-356-4830 or toll free 1-800-839-9239. • The Electrical application is available at the City Hall Annex Building. Subdivisions: If you plan to build in a subdivision please check the Rexburg Development Code for any requirements such as, property setbacks, architecture board approval, etc. This information is available at Rexburg City Hall located at 12 N. Center. New Residential Homes: If your building permit is for a new home, you will need the parcel number (a parcel number is the county's property identification which recognizes a plot of land) and a new physical address will be issued. If you do not know the parcel number and cannot find a record of it, please bring the name of the subdivision, phase, and the lot and block numbers. The correct location is vital to assure correct addressing. Remodels: If you are considering a remodel, a cou of the bid or estimate for the remodel must be submitted with the Permit Application. • 2 sets of Plans are required (may need IECC Review). • Additions are the same requirements as new construction. Oct.24. 2006 10:33AM ~ ~ No. 2953 P. Building Safety Department o•*~'°~, ~, 7 Y o F c~ ~ R~><burg ~ R~BURG .~ . ~,~, 19FMOin jwrelNi®~xbwgwg Phone:20s3.35930a0x326 -'-~., .~~ A.neriotYEw++ITyCo~nawl~Y R6xbwg,lD8.4s/0 www.(exbur~-o!g f07C, -~__"• •••.• O~~N ~..-~~- ~ Permit #06 00393 PROPER'T'Y ADDRESS ~ 6 n ,~ea l,jl SUBDIVISYON 1-} ~ ~ :~ `F {~ n PHASE ~ LOT ~' BLOCK l ~ b 1~I' Rec~-u~ted!~! EI~ECTRI'CAL Electrical Contractor's Name ~ ~^ ,~ ~~ ~ ~[Busir~ess Name Cell Phone (~~;~) U~~ ~~l a l4 Business Phone (2a~) ~e SLp `~~f o G Fax (~ b~') ~'S(~ ' ~ ~t i p q Email_ 1~ -~.~(..r ~ (~~'~.~,n~ ~ Aw, F~ectzica~ ~~a~ (mot ~~ ~ mom) a (COMMERCIAi./MLTI.TI-FAMILY ONLY) ?7'a°ES OFIIYS?"1l~I.I.e~TlON~ (Ne~vBeatidt~atl~rl~~lud~s tlr.~v~,+c~ataiaed Within therasidea~/aarnctmr avrd auached8ara~e ar the same tfaie) ~/ Up to 200 soap Scroi+cc* 201 to 400 amp Sexv,icc* Over 400 amp Service* Temporary Construction Service, 200 smp otless, oae location (fora.peziod not to exceed 1 year) E~osting Residential (# of Breach Circuits) Spa, Hot Tub, Swimming pool E-leceric Coatral Systems Heating and/ar Cao>iuQg {evhai not part of a nev rcaidaotial camsttvction permit sad no addifiooal ePitiu~ Mos~ular, Maaufactuted or Mobile Home Other InstaDsdons: Wiring sot specifically cavesed by any of the above Cost of Wliriag & Labor: $ Pumps (Domestic Water, Iaigatioa, Sewage) Requested Iziapecaons (of exssvng vsncmp~ Temporary Amusezatmt/Industry tIad s ma~eerinm of econns. Additional inspoctiams ~ 9t:equG,ted iaSpcction ssbc of f40 pes boos. Sippn of.lioensed Conttactar Isocnx uam Dave The aal~rabtb it ibs rater ar ~btd by Rbe Sraae T 'd 690-9S9-80Z sp~emp3 s;o~a1 7 dTE=90 90 SZ X00 ~