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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00479 - 642 Meadowbrook St - New SFRZ ~ O - m m ~ W ~ c ~ rn o ~ .,~ z v ~ ~~o~s=D 3 a C o a~~ so ~ ~ = m v v _ ~ ~, ~ ~ N - y m O . + ' ~ m a ' O ~ ~' n ~ o ,-o n n ~ c 3~v o n C / O `D = ' a ~ m 'S m~a a= v v ~f o Z fl' o o ~ ~ 7 ~' ~ 4! C O j o m v r o' ~ ~. c o o w `t "'~ v ~ ~ r Q ~ 3 '~ ~ ~ ~ ~ a ~ o m W v a z ~ ~ ~~,~~Z - a = ~ ~ o ~ m m o~g~ 0 ~ C 7 (/+ Z n co ~ 'A = O ~ ~ ~ y ~ .. N . d ~ N O ~ ~ 1 v ~~ag m o x m a m ~ O Z , w -o .a o ~ v ~o.~ O n - ~ ~ ~ Q m ~ .~ C1 ~ o ° f. ~: ~°°' ~ _ ~ <~~~~ o ~ m ~oo~ m ~ a n n ~ W C. 7 y 0 p 3o~.n-i ^.. 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C -' -' o CO 00 V ~ Ut ~P W N -~ ?~ m cn m ~ ~ v m - S c °' o• o T ~ 3 ~ -n c ~'a~ o ~ o ~ r 0 ~ o m > ~~ n asi > ~~ n o~i ~ ~ v ~ ~ N M ~ S N m 7 ,~o QEXBUQG,,7 ~ c ., ~``', «. o CITY O F 1~L W V 1\V America's Family Community Certificate of ~:cupancy City of Rexburg ' ~ Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax Building Permit No: 06 00479 Applicable Edition of Code: International Residential Code 203 Site Address: 642 Meadowbrook St Use and Occupancy: Single Family Residential Type of Construction: Type: V, non-rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Price Rhett M Etux 170 S 200 E Soda Springs, ID 83276 Contractor: Rhett M Price Special Conditions: Unfinished basement Occupancy: Residential -less than 2 units, permanent in nature 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 Ines inspected on .the date listed Ines found to be in compliance vtiith the requirements of the code for the group and division of occupancy and the use for vtil~ich the proposed occupancy vies classified. Date C.O. Issued: October 30, 2 8 (03:59P ) 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. :l Plumbing Inspe c Electrical Inspector: Fire Inspector: n' ~ ~- P8ZAdministrator: -'~- ~ ~- ,CITY OFREXBURG ~ i BUILDING PERMIT APPLICATION PleasE 06 0047 19 E MAIN, REXBURG, ID. 83440 If the qu 642 Meadowbrook-Price 208-359-3020 X326 PARCEL NUMBER: ~P~cSfiN ~ I ~~~I ~~ (We will provide this for you) SUBDIVISION: S-}~n2b~i die- ~;~ , ~ ~ UNIT# BLOCK# 2 LOT# ~ ~o (Addressing is based on the information -must be accurate) CONTACT PHONE # ~'Y7- 33/.~ PROPERTY ADDRESS: Ioy2 M ea~(o„~ br'ooK , ~eX bc,~a .~d~ $3YY~ PHONE #: Home (ZA8) 5'Y7- 3Siolo Work (tee) s'Y7- 3sis Cell (~) 22/- !o oY/ OWNER MAILING ADDRESS: lea S Za©E CITY: ~4 .S~pi1~.., STATE:.~"a/ ZIP: 8sz>y EMAIL r' pPice ~ i d~'A;~s. eaw~ FAX ~Z.mB~ s'Y7- 3316 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 FAX PHONE #: Home ( ) Work ( ) Cell ( ) CONTRACTOR: ~K h e~~ M ~ r~ ~~ee MAILING ADDRESS: I'1~ S ?.Oa E CITY ~,- S-?N/~ STATE.Sct~ ZIP k'3Z7b PHONE #: Home (2~) ~~?- 32ob Work (zo&) 5Y7 - 33~s Cell (z~) ~~- G o~c/ EMAIL rPlie~~d~;ns .~M FAX 5'Y1- 3g~b IDAHO REGISTRATION # & EXP. DA How many buildings are located on this property? Did you recently purchase this property? ® Yes (If yes give owner's ~ Is this a lot split? ~ YES (Please bring copy of new legal descripti (i.e., S~mgle 1`unily Residenc~, Multi Family, Apartments, Remodel, Garage, APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATI Nay ~ ry c rtify Signature of Owner/Applicant DATE Do you prefer to 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 1.2005. 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 that I have read this application and state that the information herein is correct and I swear that any t w i n me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexbur ri'ffitttCOrr omply 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 2003 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit o pproval s based. P it voi started within 180 days. Permit void if work stops for 180 days. .. ~ O~ RBX& u~C • • ~~, jay CITY O F N ._ o ~~T~1~]''~~'m(~ BUILDING SAFETY DEPARTMENT 19 E. Main (PO Box 280) Phone: 208-359-3020 x~ ~' Rexburg, Idaho 83440 Fax: 208-359-3024 ,e s America's Family Community www.rexbura.oro janellhCc~rexburg.ora ~~sMeo ~a Affidavit of Legal Interest State of Idaho County of Madison I, , Name Address 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 day of , 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: 2 Please complete the enti~Appllcation! If the question does! apply fill in NA for non applicable NAME iZ~~;--p~`re Permit #06 00479 PROPERTY ADDRESS 642 Meadowbrook SUBDIVISION 5'fs~-~Ie•~•~1c ~ Requlred!~~ ELECTRICAL Electrical Contractor's Name ~'rb`- t_Q.IS~r Business Name _ ~ ~ ~r'G~t t>`r _ ~ Address L~~~~ ~--~E,vrvn~~ I~' [~~u' Ciry ?~;~1-~~ ~,a S State ~~ Zip ~3 ~l~ l Cell Phone (~) late ~ ?LJ~R Business Phone (z~S~j SS Z 130 / Fax ( ) ~Z ~ ~D 1 Email Electrical Estimate (cost of wiring & labor) $ (Commercial/Mufti Family Only) TYPES OFINSTALLATION-RESIDENTIAL (New Residential includes everything contained within the residential structure and attached garage at the same hme) _~ 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/or Cooling (when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other Install Bons: Wiring not specifically covered by any of the abov Cost of Wirin & Labor: $ i J1 11 Pumps (Domestic Water, Irrigation, Sewage) t,-~~ Requested Inspections (of existing wiring) ~~, r, n~ ~ ~ 206 Temporary Amusement/Industry ~~ Lot 16 Block 2 *Includes a maximum of 3 inspections. additional inspections charged at requested inspection rate of $40 per hour. of Licensed Contractor ~[~C~J License number 2 ate The City of Bexburg's schedule is the .came as the State ofldaho 6 ` ` **Building Permit Fees are due at time of application** **Building Permits are v ~f you check does not clear** Please complete the e~ire Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Dwelling Units: SETBACKS FRONT SIDE SIDE BACK Fax 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 above Water Meter Count: Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name '(Yi ~Lh~ ~~- 56'e~S Business Name: T~, ~ ~ t ~m ~ ~'~" Address ~. (~ ~c~yc oZ 1 g S City ~ ~- Contact Phone: (2~8) g ~ ~ - ~ ~ ~}- O Business Phone: ( ) Email FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher Floor Drain ~ Garbage Disposal ~ Hot Tub/Spa -1 sinks (Lavatories, kitchens, bar, mop) Sprinklers Tub/ ~ f~ ~ 'M ~, Toile 15 1~ 1, Wate er ~~lL ~ ~ %001 Wate oft ner c~-~r o~ R~xQUR~ Plumbing Estimate $ (Commercial Only) r x 7I 3l/ro Required! Signature of Licensed ontractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Parcel Acres: Unfinished Basement area Finished basement area_ Garage area Permit# State ~ ~ Zip 83 `~ ~ S ~- 4 1. !. ~ ease complete the entire Application. 11__ If the question does not apply fill in NA for non applicable NAME R n~~-~ ~~'i or` PROPERTY ADDRESS Co yz rGJr4 fla w iooc~ Permit# SUBDIVISION `1-~-p~e,b„^~ ~l, ,$k ~ Dwelling Units: ~ Parcel Acres: ,~o~- I (o SETBACKS FRONT SIDE 12/8 ~~ SIDE l2 Z S t l 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 t(// q Third floor/loft area JVI~ Shed or Barn ~l ~ q Unfinished Basement area Finished basement area Garage area Carport/Deck (30" above g Water Meter Quantity: ~j/~~i ************** Water Meter Size: Required!!! PLUMBING ~ Plumbing Contractor's Name: ~~-•~ ~e ,a.~ Business Name: ~.. ~. ~-~ ~1,-.~.~ Address ~Ol M ~-t JZ) ~ City ,~~ • State ~~- Zip Contact Phone: (~ 3 ! ~ ' l ~ ~~ Business Phone: ( ) Email FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~ Dishwasher ~ Floor Drain ~ Garbage Disposal ~ Hot Tub/Spa -1 Sinks (Lavatories, kitchens, bar, mop) Estimate $ (Commercial Only) ~ Sprinklers ~ Tub/Showers z Toilet/Urinal I Water Heater ~ Water Softener icensed Contr r License n ber The City of 1 exburg s permit fee schedule is the same as o~UtJ Date ' by the State of Idaho Fax 4 Building Safety Department City of Rexburg 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OF ~EXBURC :~ ~~ U ~ G ;, CITY O F REXIiURG Amerita's Family Community NAME PROPERTY ADDRESS SUBDIVISION Permit# Required!!! MECHANICAL 1 l1~°'' ~ )Sty .~ 1I o Mechanical Contractor's Name: ~-~' Business Name: ~X~/`Pf~'~ ~ /`1 I !~ Address ~ ~% % ~`~ ~~.~ ~~ City ~ ~ f State .~/~ Zip~,~ Cell Phone: (,h~ r,~C? 1-- ~~ / ~ Business Phone: (,~6~ ~U) - c~S~?~ Fax: Email ~c~ Mechanical Estimate ~~. c~C% (CommerciaUMulti Family Only) FIXT RES & APPLIANCES COUNT (Single Family Dwelling Only) _ ~~ Furnace Exhaust or Vent Ducts Furnace/Air Conditioner Combo ~ Dryer Vents Heat Pump Range Hood Vents Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Cook Stove Vents Bath Fan Vents other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets Heat (Circle all that apply) Gas ~ Oil Coal Fireplace Electric H; :r, ~ .'~ ` ~ 'ii la ~ I a , *~.,~ Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Sig a of Licensed Contractor The City of Rexburg's 5i y~ License number schedule is the same as ~ ~J Date the State of Idaho • ~IeaSe COriljlletC the eritlPe AppllCatlOri~ If the question does not apply fill in NA for non applicable NAME R h e-il- M • ~r~ c~ PROPERTY ADDRESS IoYZ ~'Ic~~.,b~oo rc Permit# SUBDIVISION S~c.,~b.,a,~ OrY ~ i Required!!! MECHANICAL Mechanical Contractor's Name: Business Name: Address City State Zip, Contact Phone: ( ) Business Phone: ( ) Email Fax Mechanical Estimate $ (Commercial/Multi Family Only) F ~ TU,RES & APPLL~CES COUNT (Single Family Dwelling Only) ,/ Furnace 3 r,~-- Exhaust or Vent Ducts ?~ Furnace/Air Conditioner Combo ~ Dryer Vents S Heat Pump r Range Hood Vents ~ Air Conditioner Cook Stove Vents Evaporative Cooler Unit Heater Space Heater ~, Decorative gas-fired appliance ' S Incinerator System Boiler Pool Heater Similar fixtures or Appliances Fuel Gas Pipe Outlets including stubbed in or future outlets 2 ~ Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric la Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature icensed Co or License number Date The City ofRexburg s permit fee schedule is the same as required by the State ofldaho ~' - Bath Fan Vents to other similar vents & ducts: 5 i .. • • SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: ~ Q~ ~ Masonry: ~ -V ,N Roofing:_ ~/ ~ ~~~~~ ~~sa~~~~~ ~tUti n Insulation:_ SCt Drywall: S c ~ Painting: ,S Pi~~ Floor Coverings: Plumbing:_ Sid- Heating: KC. ^ n c .Q Electrical: L.Q~Sh'^^'~ ~ ~ ~~ ~- GO~tS~~ue`~b^n A~~M ~~ ~l~ .~~~~ Special Construction (Manufacturer or Supplier) Roof Trusses: S~ ~~+lG ~3~' Floor/Ceiling Joists: s'~-~ Q J~.c. w{J f Siding/Exterior Trim: /,~~ ~ l `Jwl ~ ~/S Other: 6 4 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 ~V RECORDING REQUESTED BY First American Title Company AND WHEN RECORDED MAIL TO: First American Title Company 127. East Main Rexburg, ID 83440 L" 1~il~F~I~:ix ~. Instrument # 327435 REXBURG, MADISON, IDAHO 2006-04-18 .04:38:00 No. of Pages: fi Recorded for :FIRST AMERICAN TIT E MARILYId R. RASMUSSE ' ,~: 18.00 Ex-Officio Recorder bep File No.: 158061-RX (mh) WARRANTY DEED Date: April 06, 2006 For Value Received, BC Stonebridge, L"LC, hereinafter called the Grantor, hereby grants, bargains, sells and conveys unto Rhett M. Price and Colleen Price, husband and wife, hereinafter called the Grantee, whose current address is 170 South 200 East, Soda Springs, ID 83276, the following described premises, situated in Madison County, Idaho, to-wit: Lot 16, Block 2, Stonebridge Division No. 1, Madison County, Idaho, as shown on the plat recorded March 19, 2002, as Instrument No. 294676. SUBJECT TO all easements, right of ways, covenants, restrictions, reservations, applicable building and zoning ordinances and use regulations and restrictions of record, and payment of accruing present year taxes and assessments as agreed to by parties above. TO HAVE AND TO HOLD the said premises, with its appurtenances, unto the said Grantee, and to the Grantee's heirs and assigns forever. And the said Grantor does hereby covenant to -and with the said Grantee, that the Grantor is the owner in fee simple of said premises; that said premises are free from all encumbrances except current years taxes, levies, and assessments, and except U.S. Patent reservations, restrictions, easements of record and easements visible upon the premises, and that Grantor will warrant and defend the same from all claims whatsoever. ne for Recorder's Use Onl 'i~'°l~ ~~ 5:`.' 2 6 2006 ~ ~~ ~~~~~