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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00542 - 316 Jill Dr - New SFRz O CO O OD v v d d7 W 0 A w _ N '0 (n v v 3 3 T T - m M 0 � � ;u � c M 2� 'i ■� z F'o 0. -A a a C o o��� o = ` 3 -< y m .0 n 3. m m z O --I v a 4 3 CD -� W o .CD CD m M ,cam.. �o 0 0 a 3 3 n o X c a v CD o c O :3 CL CL a o c CO) co v r 3 cc o v CO (D D c y a .� 0 3* N y = o o m CD 3 W v n m z D Z D 2 m 0) � z � a iD o < a w m m Q f a V I � � � .L � (D y a x CD C :3 0 0 ID n :3 N < o r a C y O CD f a� ag m y 0 y = �D O Z m ? m ti N 3 O C v a) 0 o. 1 . O 0 n Z) - 3 • � m > < n m > �. R. 0 0 <��SIS� 0 m fD p O a CL l7 v cD 0 1 0 <D Q- ms W N CL CD CD 0 5 y O 0 Z (/� r 0 n -i �Ti O � 0 0 cD = ? z n 10. `` y m -� m m x gr to a m (D o m K k n cc a t cc O a '� n p m 04`� CD N. z '■■� N "� a Q O r yO_ O C - N -1 n o m= J p x 0 z g W 'O m N0=5 Q � m CL 0. -� C IN N @ to (D L c W 3 O Q; O - n am _a :3 O N =r N CD n �D �D O ct W b! 0 r• 0 3 � EL E m 0 M a � 'o W 0 CD N C. 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Main St. / Rexburg, ID. 83440 Phone 208 359 -3020 /Fax 208 359 -3024 Building Permit No: 0600542 Applicable Edition of Code: International Residential Code 2003 Site Address: 316 Jill 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: Fogle Randi Etux 866 S 7th W Sugar City, ID 83448 Contractor: Build -Rite Construction Inc Special Conditions: Occupancy: 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 was inspected on the date listed was found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. Date C.O. Issued: June 07 (11:1 C.O Issued by: Building Official There shall be no further change in the existing 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: Fire Inspector: Electrical Inspector: LZ:�, C�:I_ Vy ZA Y G * FY OF REXB URG BUILbING PERMIT APPLICATION Please 19 E MAIN, REXBURG, ID. 83440 If the qua 208, 359 - 30,20 X326 PARCEL NUMBER: )I��� 1 1 ) Y7�t,> ,� �'`'i IV 0600542 316 Jill -Fogle SUBDIVISION: A L & A i a..., UNIT# BLOCK# - 7 LOT# (Addressing is based on the information - must be accurate) OWNER NAME: CONTACT PHONE # PROPERTY ADDRESS: 316 PHONE #: Home ( 3S6 7 3. 6 '1 Work ( ) Cell (bcA) 317 ' 1 0 5 b OWNER MAILING ADDRESS: SSbb 7 w CITY: vat ^A e � STATE: i ZIP: EMAIL FAX 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 g .a AL _ Q r_ c r" ,A - X , �at . MAILING ADDRESS: %b(, S 7 y o CITY .ocr Ail c 1 STATE k3`\\ -A PHONE #: Home (2Ck 3t ? b 2 Work ( Cell ( 3k7 Rt ®S(. EMAIL FAX IDAHO REGISTRATION # & EXP. DATE V_CE - gS11 How many buildin are located on this property? N © rJ 2. Did you recently purchase this property? No Yes If yes give owner's name) ea, i li a ' r� ra ra n Is this a lot split? 0 PROPOSED USE: YES (Please bring copy of new legal description of S `•., (i.e., Single Family Residence, Multi Family, Apartments, "S. .101e - 94 Garage, Commercial, 2006 APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATIO Un --- T ham. L., L• ertify that I have read this application and state that the information herein is correct and I swear that any info ti c )�r e in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be 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. Permit void if work stops for 180 days. �4- AL V) 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 anuarT, 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** PERMIT # 4 0 2 REXR V*JG 0 �� r CITY OF o BUILDING SAFETY DEPARTMENT REX 19 E. Main (PO Box 280) Phone: 208- 359 -3020 x326 CW Rexburg, Idaho 83440 Fax: 208- 359 -3024 { Americas Family Community www.rexbure.ore j ellh = xexburg. rg ee , Affidavit of Legal Interest State of Idaho County of Madison I, Name Address City State Being first duly sworn upon oath, depose and say: W (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: f4 e 0 Please complete the entire Application! If the question does not apply fill in NA for non Applicable NAME A••� F oaf- PROPERTY ADDRESS Permit# SUBDIVISION �ke ►y Le S c,.1 a4 Dwelling Units: Parcel Acres: SETBACKS FRONT Z0 SIDE 5 SIDE S BACK :2 C7 Remodeling Your Building /Home ( need Estimate $ l A 0 1 , c x> w SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 1 y Unfinished Basement area \ 7 y \ Second floor /loft area "' Finished basement area Third floor /loft area Garage area - 7 5b Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: ?A Requlredffl PLUMBING Plumbing Contractor's Name: C'>QA6 Att c� 0b4 \c), Business Name: Address '" `t3 `°\ 3 nJ City tier u > c. State { . ' w. cr Zip Contact Phone: ( 'ICA) Business Phone: (10%) Email Fax FIXTURE COUNT (including roughed fixtures Clothes Washing Machine —J— Dishwasher —1— Floor Drain Garbage Disposal - Hot Tub /Spa G Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Sprinklers 3 Tub /Showers 3 Toilet /Urinal Water Heater Water Softener Signature of Licensed Contractor License Number& Expiration Date Date The City of Rexbu rg's permit fee schedule is the same as required by the State of Idabo 4 Please complete the entir Applic ation! If the question does not apply fill in NA for non appmeabk NAME �Z aro \ T ae, \.f- PROPERTY ADDRESS Permit# SUBDIVISION Required!!! MECHANICAL Mechanical Contractor's Name: ty\ �N � \^. c} c Business Name: Address ` - N e L N ;* ,.A City > , a An C - _ State A e3 Acv Zip � �'�� � Contact Phone: (2iD$) '\C) ` 6 Business Phone: ( ) S °1 ' 2& 72 Email F Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace I Exhaust or Vent Ducts Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater X Decorative gas -fired appliance Incinerator System Boiler Dryer Vents Range Hood Vents Cook Stove Vents 3 Bath Fan Vents other similar vents & ducts: r I _ Pool Heater Fuel as Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mech I Sizing Calculations must be submitted with Plans & Ap2hc� anon License number 5 The City of Bexburg's permit fee schedule is the same as required by the State of Idaho 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 Permit # 06 00542 316 Jill Dr -Fogle CITY OF R Ow ._...,,..r.._..._,._._..,.„ Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE 2t- LOT BLOC RequiredLY ELECTRICAL Electrical Contractor's Name , . . T E V R Y V I R G ! ! N- Business Name Vt (Z a i N C LG C°;TP- 1 C- Address 1 11 N U � LC N . lam R City n CX B ,' P- 63- State :L D — zip - 6-5 W o Cell Phone (20 ) 35 ! X 1 . 1 O Business Phone (2c 'Z 3 s - 77 3 C, Fax ( Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) / L 0, oc Aft Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* `C e- 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 Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry aFX B VR � y 6 ove OCT 31 2006 CITY OF REXBURG *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. r %nature License Contractor d - The X77 License number schedule is the same as `0 Date the State of Idaho SUBCONTRACTOR LIST Excavation & Earthwork: L\, rA a. P, A N& Masonry: Roofing: Insulation: ti�.ke 5 Drywall: Painting: Floor Coverings: c As c P. n t c12 S Plumbing tz -, & Art CV-" (\ Heating: tV" c w CPO C Electrical: "�l-e ft p- V ., IR CG ; .,.> Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joists: VS A\ C, . Siding /Exterior Trim: 't VL 4 V oo S\ - cco , �Z o c,1 , R,t \\ t " A &S n t <10R RA A Arc ; R. Other: tAr- k�oacs 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.iboLidaho.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 7