HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00513 - 284 Mark Ave - New SFRZ
- n
CO
90
M n
M
°
0
�
_
y
3 3
v
Ro C T
M
v
a
CD
0) CL
5
v
7
M
Ill
m
0) 3
-0 3
i
0
uo O O
'"
0
c
�
M
v
Z
3�
w
cn
-1
z
NTC
m Z 'CJ
'O
W O
_
F Z w --I o D
0 o - o
D
C
.
00mv =o
c°9z
-G
CO)
d n a ° o
Z
O
"I
@ CD
-I
�■
^
o o v)
W
m
CD
m
N
N 3 CD y O
p
C N C
T
V
0 N
n o v
n
T
X
�v
CD C� o
n
C
m : CD
0
CL
w v, Ci
m
M
v
ic
' =v
a0�
o
Z
m o o
a ' `°
c
o m
CO)
m
E CD ,= 5 , "
v
r-
<
o 7 3
co
Er
v
O
x CD
C
CD
CL
CD
F—
w 3
X
Ch
CD
o
m
o
d 3
W
a (D
z
i
D
-�
=
w w j ry Z
-�
ID o
m
O < 3 C O
m a 77
X
W
0 y
co Z r cQ
-4
O O N O' N
c CD y
m
o
�O�a
- D 1
m
v
C 7 3 :
Q
N o fp
`n
/
Y/
N N 0 O• N
"
O
n
= 3 a
v m
0
CD :3
o f a �
--I
o
X00
g
m
°
CL
C7
• � Z a
v �
0
-h m ° V�
M r► ^� Z
H m . m cn
� = CC T
I
O `° h e y O ° < v
J < ID �`° y . z v �
�rNQ CD) C D
0 - 0 (A - 0
a O O
O -• "� Z
= to 0 O
ync� V 3
Q Q 1 (D 00
CD Cn
O co .y►
M 3 O ,dti C T
Qy Q0 .. v
s � rt a V
CD CD Zr O
W 0; CA y <
- CD
a�
U) 0 s< Q CD
N CQ D) .; 0 C
CL (D y 0 W '.
N < y O' C- •
Q r+ lG w
E n y
v
m � m v
_ rn C:)
� Q cn
0
o
Na 3
7 7 D Cb
A p CC •A
CD ;u
C o 2
Q � � T.
,x
N O
d. to .�
3 C N
CL •°» -h
>>s
U) (D
7
3
Cn
a
0
N
H.
o Ysa CITY
�C
ti
0 , 4 ,�o
n'
A •r
o O
I
tu
Zt
W D
- n
CO
90
M n
M
°
o
�
U/ —1
y
3 3
v
Ro C T
M
v
a
CD
0) CL
5
v
7
r D
3 m
c 22M
3
Cl)
m
0) 3
-0 3
i
0
uo O O
'"
0
m
0
r
z �
X 00
v
Z
3�
w
cn
-1
- u
NTC
m Z 'CJ
'O
W O
_
g
°
_
�-
pm�
Z0�
.0
CD
it
�■
^
0
�"
n Z
N
3
p
� W
G7 0
O c
C �p
7
CL 3
0
c
ED
D
.N
CD
CD
CD
CD
N
0
0
m
CD
N
Cn
CD
2. .
C r
CD c
o
Z
v �
CD
M
r
M
n
n
9
�
O
p
CO
90
V
P
P
�
W
N
�
v
a
_
y
c
0
v
7
o
c
CL
o
o
C
CD
n
7
c�
n
7
m
7
F
-1
- u
:0
N
N
(O
-
y
�p
3
co
c
v_
Z
D G)
�
5
D
C
9
Z
M
M
n
O
Z
I
0 0
o� o Certificate of Occupancy
's
° REX City of Rexburg
`W Department of Community Development
America's Family Community
19 E. Main St. / Rexburg, ID. 83440
Phone (2081 359 -3020 / Fax (208) 359 -3024
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
0600513
International Residential Code 2003
284 Mark Dr
Single Family Residence
Type V, non -rated
Residential
No
Name and Address of Owner: R 7 Investment Llc
1087 N Meridian Rd
Rupert, ID 83350
Contractor: R7 Investment
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 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 viith the requirements of the code
for the group and division of occupancy and the use for v►hich the proposed occupancy vies
classified.
Date C.O. Issued: December 2007 (12:38PM)
C.O Issued by:
1; � ��
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: E
Fire Inspector: h
P &Z Administrator: 1i )a
CITY OF KEXB URG
BUILT�ING.PERMIT APPLICATION Please
19 E MAIN, REXBURG, ID. 83440 If the quei
208 - 359 -3020 X326
PARCEL NUMBER: N I S L (Tx0 V
PERMIT #
11
0600513
284 Mark -R7 Investment
SUBDIVISION: AuJ&x — snq\� UNIT #_ BLOCK# I LOT #
(Addressing is based on the information - must be accurate) T
UW.NKM NAME r--f- a-r..1L� 1SE%1tUCiA CONTACT PHONE # Q$ 'a 053Q
PROPERTY ADDRESS: L::2E[ M g— —
PHONE #: Home (Dog) 211 _nS ,>Q Work ( ) Cell ( ) 'ol I -OF :,�a
OWNER MAILING ADDRESS: 109i 4zTx4— a;e, n1 CITY: e STATE: 23350
EMAIL FAX & 532 Z1 '�A N �c11�anCe��
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner a
APPLICANT INFORMATION: ADDRESS D CITY:
STATE; ZIP EMAIL
PHONE #: Home ( ) Work ( ) e
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 Yes (If yes give owner's name)
Is this a lot split ?(ED YES (Please bring copy of new legal description of property)
PROPOSED USE: i
(i.e., Single Family Residence, M
Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjur I hereby certif
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 2003
International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was
based. Permit void if not started within 180 days. P void if work stop sf f � or 180 days.
111; 1
Signature of Owner /Applicant ' —� DATE
Do you prefer to be contacted by fax, email o hone? Circle One
WARNING – BUILDING PE UST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non - refundable and are paid in full at the time of application beginning l angAIX 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**
2
'Please complete the mire A p p lication! 46
p PP
NAME Z-7
PROPERTY ADDRESS Permit#
SUBDIVISION
Dwelling Units: Parcel Acres: . aS . pc zE S
SETBACKS
FRONT 30 SIDE 1 SIDE 1 BACK 35'
Remodeling Your Building /Home ( need Estimate $ N A -
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area I S 5 1 Unfinished Basement area 15 Q_
Second floor /loft area N Finished basement area IU&
Third floor /loft area 1U f ti Garage area 6
Shed or Barn A) f b Carport /Deck (30" above grade)Area A)I .
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size: r'y'a, /4
Required Y
PLUMBING (� r
Plumbing Contractor's Name: d; n l Ocd� Business Name: of R cw
R �e Till
Address 1" - d City 0/9 State J — ZipG
Contact Phone: ( ) Business Phone: ( ) 97- g 770
Email Fax 3 57 $ 77
FIXTURE COUNT [inclu&m rou --hed fixtures
Clothes Washing Machine _� Sprinklers
Dishwasher Tub /Showers
Floor Drain 3 Toilet /Urinal
Garbage Disposal Water Heater
Hot Tub /Spa Water Softener
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
a,/ ; S — . /D , / A
Signature c f Licensed Contractor License Number& Expiration Date D e
The City of Kexburg's permit fee schedule is the same as required by the State of Idabo
4
Please complete the entire A p p lication!
•
p PP
NAME - ,n! v �&
PROPERTY ADDRESS 4- I/ 31a sf Permit#
SUBDIVISION
RequiredLY MECHANICAL
Mechanical Contractor's Name �,4, �� SOrI Business Name Pf) -, �l�rh �1
Address P V . 9 7.5� City 6 State 1s- - — zip – w o
Cell Phone ( ) Business Phone ( ) 7 f770
Fax ( ) _� g�7� Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
f Furnace 3`� Exhaust or Vent Ducts 1S
Furnace /Air Conditioner Combo �_ Dryer Vents S
Heat Pump Range Hood Vents
Air Conditioner --' Cook Stove Vents
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
Bath Fan Vents ►
— other similar vents & ducts:
jq�
Fuel Gas Pipe Outlets including stubbed in or future outlets 7,0
I Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Ay12lication
Point of Delivery must be shown on lane.
D. �+dc- C- 16
Signa V7Licensed Contractor License number
The
schedule is the same as
o -i2 -®C
Date
the State of Idaho
5
Building Safety Department 4RexeUpc
CITY O F
City of Rexburg 70 - --
° REX BURG
19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326 Americas Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME R7 Zg Er - STzW eer-f -S
PROPERTY ADDRESS - Z�,Pz/
SUBD17VISION
PHASE LOT BLOCK
Permit #06 00513
284 Mark Dr
Requlredffl
ELECTRICAL
Electrical Contractor's Name Business Name
Address 12�67"ri9D 577 City State Zip
Cell Phone (,?) Business Phone
Fax V59 Email �
Electrical Estimate ( cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(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.
C am- - f3V7 6 3 z 7 ,5
Signature of Wensed Contractor License number Dat
The
schedule it the same as required by the State of Idaho
VA
'Ex Btj
Building Safety Department
City of Rexburg �� o
19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
CITY O F
REXBURG
Americas Family Community
OWNER'S NAME
PROPERTY ADDRESS Permit#
SUBDIVISION )'P.dv
PHASE 1 LOT 9 BLOCK - - Y
RequiredN
ELECTRICAL
Electrical Contractor's Name I Art Business Name } ( 'S. W?V4 -c -y lr rleam
Address // 12a "r2S f X r*r- City PEX&Lr6- State - 4t.b Zip qf3w
Cell Phone ( ) '757- w as ; Business Phone (-668 7,C7 - /t/,9S
Fax 49! .__ Email T WzNme- oe tJe0. rte
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)
A Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
X 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.
<4 e ,� o
Signature of Lice- Contractor License number Da�e
The
schedule is the same as required by the State of Idabo
VA
EXEMPTICOS FROM STATE RECOTRATION
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
Cl 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.
p 06
Signature / Date
Z V 26 1 AJ
Print Name
G1