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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00403 - 606 Chad Dr - AdditionZ 0 --I C7 rn ~.o ~ s; ~~~~~ m n n ~ v o~Q~~ o~~~:~. ~ N ~ ~ N - .. ~ ~ n c ~n ~ n 0 c 3~' v ~ ~ ~ ~ c ~ ~ d ~ 3 c .. °~ n n ~ ~ 7 ~ a O j -~ 3 ~ a ~ ° o m x ~ y Q S ~ o o 3 Q ~ a m S o = o o c o < . ~ m w a is ~ Z~~ ~ °~~°_' d N O (D 2 F ~ m Q- o ~ d N. (gyp ~ fA - 'O O ~ ~ .~ ~ ~ ~ _ ~ o ~. x-~ID m ~ ~ Q- n __ ~' -~ m m W _C r v_ ~ Z v ~ 3 C o ~ ~ W m m n C O v ~ O Z C m --i v ~ ~ v c V) -~ '~ r D o m W v z-~ z c~ ~ a m m ~+ C D r m ~ O Z ~ w 0 4, C7 n ~ m n -f W C C. 0 i t v tD O C v Q. N C ~D 1V Q W 1c 3 0, c~ --i m O ~ ~ v, m .~ W `° °, ~ Q~~~ ~ ~ _ m 3 ~ k ~ '-~ ~ 0 !O O ~ ~~ H ~ ~ ~ ~ ~ y Z N U! art ~ ~ ~~Na n c ~ ao~c ~ O - i ~ c ~ c ~ ~ ~' Z _ ,~ d ~ '~ ° ~ N C1 ~ S <D O O Q (D O . <D -~ ~ D ~!J 41 H y C n 3 co ~ O .O+ ~ ~ Q fA Q O N ~ N CD ~ ~ ~' K ` meu?3 0 W ~' H ~ c ~:~~• ~ ~ . ° ' Q- - ~~ ~~3°- D n ~ ~ ~ ~ ~ O W _ O ~_ ~ O H fD < Q. 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Z ~^ = . m ~ D ~ C ~ W Z~ N ~ Z p:C '~ G~~O o o c ~ r W Z O n ~ N Q ~~J T 7 v _ 4J C ~ -p N ` Z Z Z ~° o o ~ m v v G) ~ g c ~ m m m ~ o z ~ D. ~ ~ ~ y n Z N < < ~ ~ ~ ~ a a c0 Oo V O) CT A W N --~ ?t ~ ~ w ~ n v cn ~ ~ w ~' p ~ v _ 3 ~' ~' o ~ -rt v ~ ~ -n c n. d 3 -n p ~ co r `< o c ,;o RgXBURCl7 v c '`~~1Nf~ CITY of ~ certificate of ~cupancy REXBURG N, ---- America's Family Community Fax (208) 359024 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 00403 International Residential Code 2006 606 Chad Dr Addition Type V, non-rated Residential No Jones Bryan R Etux 606 Chad Dr Rexburg, ID 83440 Same As Owner Addition Only 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 vies inspected on the date listed vies found to be in compliance v>!th the requirements ofthe code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: March 19, 20 2 C.O Issued by: City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 M) 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. Plumbing Inspector: Electrical Inspector: Fire Inspector: ~ `~~ w P8~ZAdministrator: ~-/ ~ CITY'OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X326 PARCEL NUMBER: PERMIT # • Please complete the entire Application! If the question does not apply fill in NA for non applicable SUBDIVISION: Ul` (Addressing is based on the information -must be accurate) 06 00403 606 Chad Dr. 3 ~CLw~ ~ayLQ,s CONTACT PHONE # ~(~ -S (~ ~ '~ PROPERTY ADDRESS: PHONE #: Home (~)3~stc-~-(33'~ Work ( ) OWNER MAILING ADDRESS: ~.~,ti.Q_, ~.5 C~' ~~~ITY: . .-. , EMAIL .-~ (7VY1 FAX Cell (E~ 3 ~ 'l ' S (o STATE: ZIP: 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; ZIP EMAIL PHONE #: Home ( ) Work ( ) CONTRACTOR: MAILING ADDRESS: CITY PHONE #: Home ( ) EMAIL FAX CITY: FAX Cell ( ) STATE ZIP Work ( ) Cell ( ) IDAHO REGISTRATION # & EXP. DATE How many buildings are located on this property? ~ Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: j ~ C~ -~f -i~~~ (i.e., Single Family Residence, Mult'NFamily, Apartments, Rid 1, 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 herei in hearin s before the Plannin a d Z i C i i th Ci e~ s at ~ on`which may hereafter be given by me i Co ral t hf l I u d l g g n on ng omm ss on or e ty r a r correct. agree to comp a t u an y with all City regulations and State laws relating to the subject matte 'app ica ion an ere y au ' e¢,representatives of the City to enter upon the above-mentioned property for inspections purposes. NOT building official may revok it on approval issued under the provisions of the 2003 International Code in cases of any false state permit or approval was based. Permit void if not started within 18 n y . misr~~~en~at~,int in erm is d i{{work s ops for ~ a lication or on the plans on which the ds. of ~ ~ [ y ~ 2~C7(~ DATE Do you pre~e~" to bd cjontacted by fax, email or phone . irc a ne "~~~~~~~^' WARNING -BUILDING PERMIT MUST 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** 3 Please com lete the eire A lication! ~ P PP If the question does not apply fill in NA for non applicable NAME 1~ ewe- 5 PROPERTY ADDRESS (~ 1r~a Y~ Permit# SUBDIVISION Dwelling Units: SETBACKS FRONT SIDE BACK Remodeling Your Building/Home (need Estimate) $ J~'~~nDC7 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 __I.~I-~ 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: Address Contact Phone: Email City Business Phone: Fax ', FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Water Heater Water Softener 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 SIDE Business Name: Parcel Acres: ). State Zip Sprinklers Tub/Showers Toilet/[Jrinal 4 • • Plea5C COIriplete the entlre AppllCatlOnl If the question does not apply fill in NA for non applicable NAME ~ ~ S PROPERTY AD SS Permit# SUBDIVISION Required!!! MECHANICAL Mechanical Contractor's Name: S~ Business Name: Address City State Contact Phone: ( ) Business Phone: ( ) Email Fax Mechanical Estimate $ (CommerciaUMulti Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace 1 Exhaust or Vent Ducts Furnace/Air Conditioner Combo 1 Dryer Vents (~nUi1n~ ~~5-I~~rS ,' ~--+r Heat Pump ~ Range Hood Vents Air Conditioner ~ Cook Stove Vents `'~~ j _ Evaporative Cooler ~-- Bath Fan Vents Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater ~_ other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) as Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Apulication Point of Delivery must be shown on plans. Signature of Licensed Contractor The City of License number 's permit fee schedule is the same as Zip Date the State of Idaho 5 .~. 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 $2000 ^ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ^ Any type of water district operations ^ Work in rural districts for fire prevention purposes Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months ^ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ^ Real estate licensee/property manager acting within Idaho Code ^ Engaging in the logging industry ^ Renter working on the property where they live with the property owners approval ^ Construction of a building used for industrial chemical processing per Idaho Code ^ Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify that the above information is true and correct to the best of my knowledge. ~1/II~ ~ ~ I ~-I ~ 2~`~0 C~ S Print 7 • Building Safety Department ~Fµ~~~~.k.:,` ~,.,.,. o F. City of Rexburg `' -- ----.....-- --------- _....------- `~ ~ REXBURG - > ~~ 19 E Main jone0h@rexburg.org Phone: 208.359.3020 x326 ;~,nrria~it Fn,nil~• Cn,nnuurrn• Rexburg, !D 83440 www_rexburg.org Fax: 208.359.3024 OWNER'S NAME ~!' I Q ~l ~ M d-i''y ~ Dr1r°S PROPERTY ADDRESS ~ ©~ c h ad, ~r ~ ~t,r. SUBDNISION PHASE LOT BLOCK 06 00403 606 Chad Dr-Jones Addition Required.!! .Er,ECrRlc~ Electrical Contractor's Name ~~ ~ ~~ -~/lt III (1~X ate Business Name ~~' ~. ~~ U~1 CL~ S ~ (>°C'fY l C' Address ~j~S ~ ~ ~ ~ ' City (~e~X-bl:' ~~ State ~~ Zip~534Yn Cell Phone (ZD$) ~ x-03 , Cl (fly ~ Business Phone (ae~ ~ n S (~ ,~~' a~~0 Fax ( ) Email Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY O1VL'S~ TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) r~ ~ d ~ , Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) 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 wising) Modular, Manufactured or Mobile Home Other Installations: W'~ a not specifically coveted by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement/Industry *Includes aximum of 3 ~ spec[ions. Additional inspections charged at requested inspection rate of $40 per hour. ~-~~~~y Signatur ELicensed Contractor License numbez The I•d 69~b0-9S9-80Z (ee rchedule is the came ar ne Date the Stati sp~emP3 Royal eDE=LO 90 80 noN