HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00507 - 327 Talon Dr - New SFRZ
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O� �iEXBG�,rC
CITY OF Certificate of Occupancy
REX
America's Family Community
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
ne
3
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:
0600507
International Residential Code 2003
327 Talon Dr
Single Family Residence
Type V -N, Unprotected
Residential
0
Springmont Llc
P O Box 604
Rexburg, ID 83440
Springmont Llc
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 of issuance, this building or that portion of the building that
wes inspected on the date listed vies found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy vies
classified.
Date C.O. Issued: Decem 2
C.O Issued by:
WZA
Building Official
:10P
n
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 • e Inspector:
Electrical inspector: _ P &Z Administrator:
1 J
CITY OF AEXB UAG
BUILDING PERMIT APPLICATION P1eam
,ONTACT PHONE # _3 - 7Z yS 9;
a ,
19 E MAIN, REXBURG, ID. 83440 If the qu 327 Talon Dr -Whyte
208 - 359 - 3020 X326
PARCEL NUMBER: - Uv � C r We will provide this for you)
SUBDIVISION: E" k AJd 6 W f UNIT# BLOCK# LOT# --
(Addressing is based on th 'information - must be accurate)
PROPERTY ADDRESS: S
mw
PHONE #: Home ( ) -3 SG 9' 3 - 15 - Work ( ) 3 s to ` ®s Cell
OWNER MAILING ADDRESS: 36 2 g..� el CITY: � STATE ZIP:
EMAIL 1A f L ��S'yf'!!. / e- FAX 5 S 6 g` l?
APPLICANT (If other than owner) A-"
(Applicant if other than owner, a statement authorizing applicant to aef as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS G 9 /e. AQJ,- 7` CITY: ke x >cv
STATE; .1 ZIP EMAIL ✓A66. 1 �e- J SR'Y; ACf FAX S6 0 G '
PHONE #: Home ( ) _Y S6 Work ( ) Y ° O JTr Cell ( ) 3 /- `I 19 J
CONTRACTOR _y ,0 ,
,L-/_ C_
a - ss 2-
MAILING ADDRESS: , 0, L3 a CITY rC e-x STATE --X-4 ZIP U VZO
PHONE #: Home "lq , )V fWork ( ) , ° 3J�L D S'g Cell
EMAIL W 1 d. "fAX 3 Sd 01 1; 2 - 4 ' IDAHO REGISTRATION # & EXP. DATE
ADn,c ` i <' a n
How many buildings are located on this property? (!:; o /1! G
Did you recently purchase this property? No Yes If yes give owner's name
- 07 YES (Please bring copy of new legal description of property)
PROPOSED this a lot spht<.N ROPOSED USE: ✓ of a le.- - P A 122
(i.e., Single Family Residence, Multi Fa y, Apartments, Remodel,
J
•
0600507
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 building official may revoke a permit on approval is kuu-of the 2 003
International Code in cases of any false statement or misrepresentation of fact in the application or on the plans c e tpral VIs
based. Pe void if not start Fd within 180 days. Permit void if work stops for 180 days. b �U►f
�� � V
Signature of Owner /App ' ant A Z J j!
Do you prefer to be contacted by fax, email or phone? Circle One
WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRU
Plan fees are non - refundable and are paid in full at the time of application begin in V DU
City of Rexburg's Acceptance of the plan review fee does not constitute p ,/�
**Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear** �� 2
Build
Safety Department
City of Rexburg
79 E. Main
Rexburg, ID 83440
janellh @rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
.;0 .99 000%.' !9
U �
C I T Y OF
RE XBURG
America's Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
Na the Address
x Jf�y7o
City 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 attached, and I grant my /
permission to: 'Ta4t / —:? �z eq t e-� . �CIaY
Name ^ T 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 A day of U , 20 p
Signature
Subscribed and sworn to before me the day and year first above written.
NICKI L. STEARS /Ph L/5/, 2 L
STATE OF IDAHO Notary Pubhq of Idaho
NOTARY PUBLIC Residing at: Re at: Idaho Falls, I daho
M Y Commission Expires: 01/03/2012
My commission expires:
Pie' ase complete the entire re A lication!
p Pp
NAME
PROPERTY ADDRE S 7_ Permit#
SUBDIVISIO /4
Dwelling Units: Parcel Acres:
SETBACKS
FRONT '� S SIDE !' SIDE Z b BACK ---- , "L
Remodeling Your Building /Home (need Estimate)
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area � 1 0 - 7 Unfinished Basement area d
Second floor /loft area ; Finished basement area
Third floor /loft area Garage area 1 4 16
Shed or Barn Carport /Deck (30" above grade)Area
3 rl
��
Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size:
Required.!!
PLTIMnfvG
401 AJ M D o .J
Plumbing Contractor's Name: 1� �- i l �dbi4l Business Name:
Address ® O City Stat z Zip
Contact Phone: Business Phone: ( ) 7 S ` X7 7 -0
Email Fax , �� — 7 7 L'o
FIXTURE C OUNT (includin -- roughed fixtures
Clothes Washing Machine V Sprinklers
Dishwasher Tub /Showers
Floor Drain ' q Toilet /Urinal
Garbage Disposal e Water Heater
Hot Tub /Spa Water Softener
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
�g o
Signature of Licensed Contractor License Number& Expiration Date to
The City of Rexburg's permit fee schedule is the same as required by the State of Idabo
4
Please complete the entire Application!
NAME J� 1
PROPER ADD SS
SUBDIVISION le /y ,.t c Y
Permit#
RequiredLY
Mechanical Contractor's Name
MECHANICAL
Business Name 6 b 4'e4 - we f1'h;
City G State Zip & °
Cell Phone ( ) Business Phone F72 b
Fax ( d y 7 ?e Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace 3
Furnace /Air Conditioner Combo
Heat Pump
C Air Conditioner t 5
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Exhaust or Vent Ducts s
_ Dryer Vents S
Range Hood Vents S
Cook Stove Vents g-
I ( Bath Fan Vents Zo
other similar vents & ducts:
�fl
Pool Heater
_ Fuel Gas Pipe Outlets including stubbed in or future outlets 1
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) (2) Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & AMlication
Point of Delivery must be shown on plans,
"0 YZ ,-� - Or 0-/410( Lo- IZ - 06
Signatu&ticensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
5
Building Safety Department pF4EXBUR�
City of Rexburg
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 r <•, Fa
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
C I T Y O F
REXBURG
11__1.1.____ _. 06.1
Americas Family Community
OWNER'S NAME J ti i ow y'
PROPERTY ADDRESS � �g fl D Permit#
SUBDIVISION F— ,. c, i r e Z1vjr rC pS 1 fG S
PHASE 1 LOT ,f_ BLOCK
HOME 0 W7VER - S ELECTRICAL PERMIT
Home Owner's Name
v1-1� /- /- 6
Address 0'y (�� City State - Zip
Cell Phone J Home Phone ( ) v� '�) J
Fax ( ) 6 ; e Email
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*
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 charged at requested inspection rate of $40 per hour.
Signatur o Home Owner
The
.rchedule is the same as
�; v' a' e �
Date
the State
31
Building Safety Department City of Rexburg 11;
19 E Main janellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME
PROPERTY ADDRE S
SUBDIVISION —EA Q le Gtf sh, J ,
PHASE LOT --T_ BLOCK
CITY O F
REXBURG
America's Family Community
Permit #06 00507
327 Talon Dr
Required!►)
ELECTRICAL
Electrical Contractor's Name 1.1 �C Ll �.� I�j�' `l Business Name X 4 r 0 ' )`` l {�
Address I zz q13 C - A - AX Ci _State 12 2 Zip Y_5 i
Cell Phone ,M Business Phone
Fax P "' / > ,
(�t� Email � �.. C -_ �- �c< ///i�
Electrical Estimate ( cost of wiring & labor) $ P 0V (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTALLATION(RESIDENTIAL)
(New Residential includes everything contained within the residential structure and attached garage at the same time)
X 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, Sw immin g 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 am ' of 3 in pections. Additional inspections charged at requested inspection rate of $40 per hour.
Si re of Licensed Contractor License number
The
schedule is the same as
Date
the State of Idabo
7
.............................. m ......................
SUBCONTRACTOR LIST
Excavation &
w
;, .J
Concrete: 3 4
Masonry: �t? U j� �G 1��✓ /UL�t
Roofing:
Insulation: go t,
Drywall:
Pa ,7'.N
Floor /
Coverings: ,� (l/ U2 e'�) ,� / j A)
Plumbing:
r _
Electrical: ,/ —�/�► jt� /LG ? 14 / c-- q t fG -/)
Special Construction
(Manufacturer or Supplier)
Roof Trusses: 5 -4
Floor /Ceiling Joists: >4"b cl
Siding /Exterior
S 7 GG a f Y 4i k
Other:
• • • EXEMPTICOS FROM STATE REGOTRATION
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
Print Name
Date
E