HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00547 - 252 Jill Dr - New SFRZ
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Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
CITY OF
REX
Americas Family Community
Building Permit No: 0600547
Applicable Edition of Code: International Residential Code 2003
Site Address: 252 Jill Dr
Use and Occupancy: Residential
Type of Construction: Type V -N, Unprotected
Design Occupant Load: Single Family Residence
Sprinkler System Required: No
Name and Address of Owner: Heart B Company
Po Box 308
Rexburg, ID 83440
Contractor: Heart B Company
Special Conditions: 1) Electrical rough in was not inspected.
2) Basement is unfinished.
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 109 of the Intemational 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 vuth the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued: July 30, 2
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 Inspec Fire Inspector:
Electrical Inspector: P &Z Administrator:
W7 (10:56A )
r
M
CITY OF KEXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208 - 359 -3020 X326
P-"-- --- ., 0
Please co:
If the questiot
PARCEL NUMBER: ?) ?6 ft % ' �O_l (,V" D ( We w
0600547
252 Jill -Heart B
SUBDIVISION: ' ' 4P 6oy\ UNIT# BLOCK # LOT#
(Addressing is based on the information - must be accurate)
OWNER CONTACT PHONE #
PROPERTY ADDRESS: a (��
PHONE #: Home Work ( ) Cell ( )
OWNER MAILING ADDRESS: ox 3X CITY: Wqv� S TATE:X1)ZIP: � 3�
EMAIL FAX 65 — q�
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
MAILING ADDRESS: �� ��')f 3W CITYAJ V - 1- STATES b ZIP
PHONE #: Home ( ) Work ( ) 6 .54 — O f 3 Cell q6,)
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE_
How many buildings are located on this property?
Did you recently purchase this property? No es (If yes give owner's name)
Is this a lot split?
( YES (Please bring copy of new legal description of property)
PROPOSED USE: �6G r
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Ad
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZAT
that I have read this application and state that the information herein is correct and I swear that any i
hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg sh
City regulations and State laws relating to the subject matter of this application and hereby authorized mentioned property for inspections purposes. NOTE: The building official may revoke a permit on
International Code in c ses of any false statement or misrepresentation of fact in the application or o
based. Pe it idot started with 180 days. Permit void if work stops for 180 days.
Signature
Do you
th`maty hcrea !el�h e in Y and correct. I agre tc mply 'th
the
I / :3 / 0�
DATE
efe to b dpntaicted 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 Tanuary 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**
J
I
2
0
C I T Y OF
REX
Ow-
Americas Family Community
•
BUILDING SAFETY DEPARTMENT
19 E. Main (PO Box 280) Phone: 208 - 359 -3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
www.rexbure.ore janellh@rexburg.ore
Affidavit of Legal Interest
State of Idaho
County of Madison
OF gEXB URC
U
• s�
' e<
S "ED
I,
Name
Address
City State
Being first duly sworn upon oath, depose and say:
U
(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:
3
Please complete the e�itire A lication!
p Pp
If the question does not apply fill in NA for non applicable
NAME � � CN
PROPERTY ADD SS t tr-e Permit#
SUBDNISION ''V*V-
Dwelling Units: Parcel Acres: 5�
SETBACKS
FRONT SIDE SIDE BACK
Remodeling Your Building /Home (need Estimate)
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area 15 Unfinished Basement area is 1
Second floor /loft area Finished basement area
Third floor /loft area Garage area
Shed or Barn Camort /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Requiredffl
PLUMBING
Plumbing Contractor's Name: 062. r��L.�) Business Name: If
Address 7'5 e L'�n L-1 City c State L , Zip
Contact Phone: ( ) 3 1 12 Business Phone:
Fax 36 ` 0 Z ;
FIXTURE COUNT (mcludin� roughed fixtures
Clothes Washing Machine Sprinklers
Dishwasher Tub /Sho-,
Floor Drain Toilet /Ur.
Garbage Disposal Water He:
Hot Tub /Spa �_ Water Sof
_ Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
Signature of Licensed Contractor License Number& Expiration Date ffate
The City of Rexburg's permit fee seheduk is the same as required by the State of Idaho
4
Building Safety Department ik
City of Rexburg 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
C [T Y OF
REXBURG 1. 1.11-1 America's Family Community
�� II yy�� ^
OWNER'S NAME ieay J� �; /J � \/ Permit # 06 00547
PROPERTY ADD SS - a !5 L �►
SUBDIVISION 252 J i 11 Dr
V� 50'
PHASE -# 2 LOT BLOCK
Requiredffl ELECTRICAL
Cull V-A d /
Electrical Contractor's Name Business Name
Addres �tl-; 1 r t i � City F &Vj State Zi&L
Cell Phone (;', ) 1 3i l l � Business Phone
Fax Q, g) U b 0
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.
Sign e ofYi censed Contractor License number
The
schedule is the same as
Nb U
ate
the State of Idaho
7
11/14/2006 14 :16 2084584076 PAYS RACING LLC
PAGE 01
Nov. 26. 2006 4:59PM
•
No. 3195 P. 1
p�n7q�l,/Ap'
Building Safety Department Q
C , T Y a F
City of Rexburg
a
'x
0
RMURG
79 E Mofn
J0ne11h@rex0Vr9,0rg Phone: 208.359,3020 426 ��,
�+
AMETiM3Admlfy Cmmmmnity
Rexburg, 0 83440
www_rexbvrg.org Fox 208.959.3024
NAME
J _
Permit*
(9LQ
/ (
(cf�I
PROPERTY DRESS
SUI3DIVISI0
Re r��re ►.�!
MECIMNICAL
Mechanical Contractor's Name: Business Name:
4�g
Address 2 1, I tF -
OD City j. EntiMi LState ZD
Zip q _
Cell Phone: ( )
3ja Business Phone: ( ) JC2. Y
- Z14lo)
--
Fax: ( ) -
23 Email
Mechanical EO imate S - (Commercial Multi Family Only)
FIXTURES & pLMNCES COUA7 (Single Family Dwelling Only)
ga e I Exhaust or Vent Ducts
Furnace/Air Conditioner Combo — Dryer Vents
Hea Range Hood Vents
Air Cook Stove Vents
Evapo rative Cooler
Unit eaten
Space Heater
gas -fired appliance
System
Pool
Fuel
Heat (Circle a
`2- Bath Fan Vents
other similar vents & ducts:
gas Pipe Outlets including stubbed in or future outlets
that apply)
/->I-% Oil Coal Fireplace Electric Hydronic
Point of Deliver must be,show„n on plans.
VAVfA JIW
of Licensed Contractor License number Date
771.- r by of RorAwro m r?FrmiI h pha ,xnma ae rt?nvirad hV th G .4'fr/M nr 7derhn
• •
SUBCONTRACTOR LIST
Excavation & Earthwork: CZ e b Vfg 9 e\A SQV',
Concrete: �� pO ((��► Q �>f'Vl✓�
Masonry: C- -7 - fy Vr) 6 / ,,\
Roofing: 9k 5 r
Drywall:
Painting: V D
Floor
Coverings: i u{ L (1l� ¢IttoIV
Plumbing: P( Lh W 6 j y-N
L.
NOV 3 2006
Special Construction C�T� OF R�X�UR
(Manufacturer or Supplier)
Roof Trusses: � VV\ L
Floor /Ceiling Joists:
A a V6 r ' kA Siding /Exterior Trim: � *,t ky �t l li`,1 L4V 5I �M W b1
0 0
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
Print Name
Date
7