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Home My WebLink AboutAPPLICATIONS, CO, BP - 06-00460 - 582 Autumn Dr - New SFRz ~- .~ ? _ '~ .g '~~~ ~ m ~ ~ ~ rv ~ ~' ~ ~ ~ `° v,' Z fA c~ -. ^~ ~ '~ ~ G. 3cy~ ~ ~ v v a ~ z~ -io D 3~ ~ ~~ y a ~ C ~ n S~ ~ ~ C ~ ~ O~ C -'I ~ m .o ~ o -< m aa~-o-o O ~ ~ rt O --+;m ~ ~ a v a ~. m :°. ~ ~ C~ ~, Z 0 3~ W o .m a c v ~.~; ~ v m '~~ g v~ `O ni ~ ~• ~ a m0 y ~ S ~ 17 ~ m ~° o C ~ ~ <D ~ lD ~ N m _~ n m _~ < c O ~ ~ m w y a v ~p 7 0 °+ 7 c 'o. = v a m fl. n ~ < =~ O Z ay ~3 0 ~ ~ -p- ~ cy C 'r M ~ N 0 v fA 3 'O .+ O~ ~ ~ ~D <D ~ ~ C c ~ ~ m0 ~ W ~ N ~ ~ W ~ Q N ~D O ~ r- s -I o m ~ ~ v W N ~~~~ ~ ;~ ~ ~ C ~ c_ to a a. v 3 ~ D cn ~<NQ. a ~ o m ~ ~~~`° g ~ a W ° ~ ~~a a ~ ~ n o ~~~ v Z '~ ~ n ~ ~ m ~ -~ ~ `~ a N md5:~z. 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W N -~ ~ ~ v ,~ ~ ~' - ~ ~ ~ v ~ ~ ~° ~ ~ m r. o ~ °ort ~~ ,~ o ~ m v ~. ~ ~ m ~ _. n v v _. ~ v ~ v ~ ~ y N co ~- N ~ 7 OF BE~ukC ~~ !~ 9 Uj~ 0 CITY O F REXI3URG America's Family Community Certificate of occupancy City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 06 00460 Applicable Edition of Code: International Residential Code 2003 Site Address: 582 Autumn Dr Use and Occupancy: Single Family Residence Type of Construction: Type V-N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Brett Jensen Construction Po Box 847 Rexburg, ID 83440 Contractor: Brett Jensen Construction Special Conditions: Occupancy: Residential, single family dwellings, lodging houses This Certificate, issued pursuant to the requirements of Section 109 of the lntemational 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 tees found to be in compliance vvth the requirements of the code for the group and division of occupancy and the use for ttihich the proposed occupancy vies classified. Date C.O. Issued: August 14, 2007 3P 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. Plumbing Inspecto~_ Fire Inspector: ~ 3 ~ Electrical Inspector: P&Z Administrator: ~'~ ~' GF REXB URG • _ PERMIT # • .... _ BUILDING PERMIT APPLICATION Please 19 E MAIN, REXBURG, ID. 83440 If the que; Q6 (}Qa-(~Q 208-359-3020 X322 58? Autumn Ct Jensen Constr. PARCEL NUMBER: ~~ ~~ ~y ~ ~1 ~ I D ~ ( ~ SUBDIVISION: f~~"t-'7/-~ / ~~/t ~ UNIT# BLOCK#~LOT# 1~ (Addressing is based on the information - st be accurate) OWNER NAML~~ CONTACT PHONE # PROPERTY ADDRESS: _~~~ ,~ ~c~C~z2 ~!' PHONE #: Home ~~) 3.~9 ~- 955.3 Work ~~ 339~33~3 Cell ( ) ~.3/3-~- 7 3.S OWNER MAILING ADDRESS: ~~ ~y7 CITY: ~ STATE ZIP:~~l'C~ EMAIL ~.f'~~,-, ~o~~L'~P~AX ~.5~ c>7G~ APPLICANT (If other than owner) ~ licant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) .~ APPLICA RMATION: ADDRESS CITY: STATE; EMAIL FAX PHONE #: Home Wor Cell ( ) CONTRACTOR: r~Z7-J~.~~~ MAILING ADDRESS: ~ ~`t/ 7 CITY STATE ~,1~ ZIP PHONE: Home#t~l ~j~~ Work# Cell# :3~3- 3,e EMAIL FAX~~~~~07G~ t~1 -~ ~ ~ n nn How many buildings are located on this property? /f/a-yrsz- Did you recently purchase this propert~~~es (If yes give owner's name) Is this a lot split? NO YES (Ple/ase bring co y of new le al description of PRO S i-~/P ~~~~ ~S~cG- Remodel, Garage, Commercial, ,, c:J°_ - 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 building official may revoke a permit on approval issued under the provisions of the 2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permi~proval was based. ~'ermit void if not started within 180 days. Permit void if work stops for 180 days. of DATE Do you prefer ~ be contacted by fax, email or phone? Circle One 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. ZOOS. 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 you check does not clear** Please complete th. ..Appl~i'tf~!_.. _ _...._-----~-~_._. _...~. If the question does not apply fill in NA for non applicable NAME PROPERT ADDRESS ~ ~ ~~,.,.r ~ Permit# SUBDIVISION G- Dwelling Units: Parcel Acres: SETBACKS FRONT ~G5 SIDE ~ ~ SIDE ~ S BACK Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~.SS Unfinished Basement area Second floor/loft area 7a Finished baseme~~~ea ~C~S Third floor/loft area Garage area Shed or Barn 0" above )Area Water Meter Quantity: ************** Water Meter Size: ~ Required!!! PLUMBING ~~~ ~ Plumbing Contractor's Name: _ /1 Business Name: ~~~~ -. Address City~L° State Zip Contact Phone: ( ) 3~~- g'7~Ce Business Phone: ( ) Email Fax ~`~~` t~~~~ FIXTURE COUNT (including roughed fixtures) l Clothes Washing Machine Dishwasher Floor Drain r Garbage Disposal Hot Tub/Spa ~ Sinks ~ a Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Water Heater Water Softener Sig ature f Licensed Contractor License number The City of Rexburg's permitfee schedule is the same as ~-~° 06 Date > the State of Idaho Sprinklers 5~~ Tub/Showers ~ --5+ Toilet/Urinal '_..~.~....,__~ _. p ~..~.. .w ~._ pp ~„~.~ ~ ~r_ _, __W_q a ._..m,. ~ pP Y Please com l"et°e tl~ie entr A ~~~`Iication. If the uestion does nit a 1 ~fll in NA for~non applicable NAME ~~L' ~`~ ~~`- PROPERTY ADDRESS ~ ~a-~- Permit# SUBDIVISION ~ ~~ ~.~ Required!!! MECHANICAL Mechanical Contractor's Name: ~~~?~ ~ J~h>~.5~ Business Name: ~ ~,~--- Address City State Zip Contact Phone: ( ) ~~ "~~~~ Business Phone: ( ) Email Fax Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwellin Only) Furnace 3 S Exhaust or Vent Ducts !~' Furnace/Air Conditioner Combo rs' _~ Dryer Vents ~ Heat Pump Range Hood Vents Air Conditioner Cook Stove Vents Evaporative Cooler ~~ Bath Fan Vents 3 0 Unit Heater other similar vents & ducts: Space Heater Decorative gas-fired appliance ~° Z!~ Incinerator System Boiler Pool Heater Similar fixtures or Appliances Fuel Gas Pipe Outlets including stubbed in or future outlets Z Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature o nsed Contractor License number The City of Rexburg's permit fee schedule is the same as 9- /~ o~ Date the State of Idaho Building Safety Department City of Rexburg 19 E Main janellhQrexburg.org Phone: 208.359.3020 x326 Rexburg, 1D 83440 www.rexburg.org Fox: 208.359.3024 ,l ti/ - ~) CI'i'1' CS F i ----- !i)"C r1Cii+ I'~l)ii1!'Cf)I77rti!~: ti i' OWNER'S NAME PROPERTY ADD SS SUBDIVISION PHASE LOT B CK Permit #06 00460 582 Autumn Dr Required.!! ~r,ECT~zrc~ Electrical Contractor's Name Bron Leishman Business Name Leishman Electric Address 442 South 4th East City Rexbur Cell Phone (2 0 8) _ 3 9 0 -1 4~~ Business Phone (2 0 ~- 3 5 6- 3 7 7 0 Fax (~08) 359-0918 bcleishman@msn.com Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY ONLY) TYPES OFINSTALLATIDN~ (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* 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 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 chazged at requested inspection rate of $40 per hour. Signature of Licensed Contractor License number Date The .rchedrrk u the .came ur nguired by the State of Idaho 7 Building Safety Department City of Rexburg 19 E Main janellhQrexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME ~- PROPERTY ADDRESS !~ 7'~,-~ ,- SUBDIVISION P S ~ PHASE ~ LOT / BLOCK~_ OF aEX6 UAC y~ !9 U~ O ~.~ Eo CITY O F REXBURG America's Family Community Permit # 06 00460 582 Autumn Ct Required.!! ELECTRICAL ~ / / Electrical Co/ntractor's Name ~ ~ S/'/mati"1 Business Name ~~;Shi.-ra-•, o~ ~J•t ~/~ " ~ Address 7 ~~ ~f Q ~ ~ S City State Zip Cell Phone ( ) ~/a~~%~ Business Phone ( ) 3Jr~ 37~~ Fax ( ) Email 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/ Cooling (w en 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 m um of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. 9 ~d^~~ Signature of Licensed Contractor License number Date The schedule is the came as required by the State 6 ~AktC) ~~25