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Home My WebLink AboutAPPLICATION - 06-00619 - 441 Maple Dr - Remodelr , • CITY OF REXB URG BUILDING PERMIT APPLICATION Please 19 E MAIN, REXBURG, ID. 83440 If the que 208 - 359 -3020 X326 • 0600619 441 Maple Dr -Tietj en PARCEL NUMBER: r LI'V (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) PROPERTY ADDRESS: CONTACT PHONE # pv!" PHONE #: Home ( J3Y — ,d0S y Work ( ) 3 5"6' - 76 Cell( OWNER MAILINNG ADDRESS: So G s > l j CITY: STATE ZIP - 17wU EMAIL /' 6j � �X� - �o FAX a?d � ; 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 STATE; ZIP, EMAIL F PHONE #: Home ( Work ( ) Cell ( 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? N Yes f yes give owner's name) AllcW U C fR e X Is this a lot spli . NO YES (Please bring copy of new legal description o PROPOSED USE: T4,0 /e,< (i.e., Single Family Residence Multi Famil , Apartments, Remodel, Garage, Commercial, Ad APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATI that I have read this application and state that the information herein is correct and I swear that any in 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 ro e f i - ti NOTF Th b ild ff •al k .fy in th all ove- F p rty or nspec ons purposes. e u mg o tct may revo e a permit on a , , 3 International Cod 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. Pe id if not -t within 180 da s. Permit void if work stops for 180 days. 1?6 l ckl 6 afore 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 knumy L 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 CITY: � V E n FJnde 2 0 2006 Prp�e�nalty of perjury, I he y ce n which may hereafter be�e__giv by L t ti e ne�li'Ve .fy in th all ove- F p rty or nspec ons purposes. e u mg o tct may revo e a permit on a , , 3 International Cod 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. Pe id if not -t within 180 da s. Permit void if work stops for 180 days. 1?6 l ckl 6 afore 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 knumy L 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 CITY: 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 ��XB� R � te a, f 0 U � C IT Y OF REXBURG Americas Family Community OWNER'S NAM _ � Ar� l� I C4 e,�G/ PROPERTY ADDRESS ! l 1 4& ( -,2P i k� r h f e ,�, ? Permit# SUBDIVISION PHASE LOT BLOCK HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name Address S�� /i 'e s'� y V 3 � City � State Zip Cell Phone (�N t) 3 i - 3 3j Home Phone d 6 s (.i Fax 7 5- 2 Email tj 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. Signature of H4dAe Owner The schedule is the same as - - or Date the State 31 J'lease complete the entir A p p lication! P Pp NAME PROPERTY ADDRESS SUBDIVISION Ll Permit# RequiredLY MECHANICAL Mechanical Contractor's Name (� Ae- . Business Name Address City State Zip Cell Phone ( ) Business Phone ( Fax ( Email Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater haust or Vent Ducts Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & APPlication / Point of Delivery must be shown on plans. Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the Sta of Idaho Please complete the entire Application! NAME PROPERTY ADDRESS Permit# SUBDIVISION Dwelling Units: Parcel Acres: 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 Unfinished Basement area Second floor /loft area Finished basement area Third floor /loft area Garage area Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Require&ff PLUMBING Plumbing Contractor's Name: / Lj lif e Business Name: Address City State Zip, Contact Phone: ( ) Business Phone: Email Fax FIXTURE COUNT (inclu&ngroughed fixtures _Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Sprinklers Tub /Showers Toilet /Urinal Water Heater Water Softener Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) Signature of Licensed Cont ctor The License Number& Expiration Date Date schedule is the same as required by the State of Id aho 4 OY gEXBUAC U O February 13, 2009 Ronald Tietjen 2650 W Highway 33 Rexburg, Idaho 83440 RE: Building Permit 06 00619 Dear Ronald; 0 C I T Y O F REXBURG Americas Family Community Recently, the City of Rexburg Building Department has undertaken an effort to go through existing permits that have not been completed. Your property at 441 Maple Dr. has not had a final electrical inspection on the washer /dryer installation that was permitted on March 3, 2007. The State statute, which has been adopted by the City of Rexburg states `every permit issued ...shall expire by limitation and become null and void if the work authorized by such permit is not commenced within ninety (90) days from the date of issuance of such permit or if the work authori .Zed by such permit is suspended or abandoned at any time after work is commenced for a period of one hundred eighty (180) days ". The electrical inspector did a rough in inspection but was not called for a final inspection; therefore, a final is still needed. It is important to complete all required inspections for your safety and to ensure code requirements have been met. Please contact our office within 15 days to schedule a final inspection so this permit can be closed. Otherwise, the permit will be considered expired. Our inspection hotline (359.3020 ext. 345) is available 24 hours /day to schedule this inspection. Please contact me if you have any questions. I can be reached at 359.3020 ext. 346 or janellhnn,rexburg.org Sincerely, 9 - � Y aAQ941 - v JaNell Hansen Building Safety Coordinator JaNell Hansen Building Safety Coordinator 19 E. Main Rexburg, ID 83440 P. O. Box 280 www.rglln .orr Phone (208) 359.3020 ext.346 Fax (208) 359.3024