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Home My WebLink AboutAPPLICATIONS, CO - 07-00034 - 490 Pioneer Rd - New SFR04 gEXBURC 4 J y U� p CITY OF REX BURG C - -- America's Family Community Certificate of Occupancy City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 - 3020 / Far (9nm 'Asa - 'Zn '2d Building Permit No: 0700034 Applicable Edition of Code: International Building Code 2003 Site Address: 781 Griffin St Use and Occupancy: Single Family Residential Type of Construction: Type V -N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Jones Logan & Kelsey 490 Pioneer Rd #11 -201 Rexburg, ID 83440 Contractor: The Construction Connection Special Conditions: Unfinished Basement 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 vies inspected on the date listed vies found to be in compliance Wth the requirements of the code for the group and division of occupancy and the use for vthlch the proposed occupancy vies classified. Date C.O. Issued: July 18, 2007 (08:18AM) 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 Inspector: Fire Inspector: In! , Electrical Inspector: P&Z Administrator: _ ` "Building Permit Fees are dUJ6at time of application" "Building Permits are if you check does not clear" Please complete the Aire Application NAME question does not apply fill in NA for non applicable PROPERTY AD > RESS permit# SUBDIVISI Dwelling Ui SETBACKS FRONT Remodelin, �.ieed Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Second floor /loft area Third floor /loft area Shed or Barn Unfinished Basement area Finished basement area Garage area Carport/Deck 0" above Water Meter Count: Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: 5�, ,� Business Name: Address �! f� y7 fi 11 City State - �V zip -F - Contact Phone: ( ) Business Phone: Email Fax FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Sprinklers Dishwasher Tub /Showers Floor Drain Toilet/Urinal Garbage Disposal Water Heater Hot Tub /Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Esti ate $ (Commercial Only) Require S' ature of icensed Contractor License number Date The City of Rexburg's per mit f schedule is the same as required by the State of Idaho 1 � .cress b� SIDE BACK 11 CITY OF KEXB URG , • BUILDING PERMIT APPLICATION Please c 07 00034 19 E MAIN, REXBURG, ID. 83440 If the questi 781 Griffin St -Jones 208 - 359 - 3020 X326 f\j PARCEL NUMBER: t' l� 1V V) `, (.901 1 Q (We will provide this for you) SUBDIVISION: gU&.T UNIT# AQS - 3 BLOCK# LOT #_ (Addressing is based on the information - must be accurate) CONTACT PHONE # PROPERTY ADDRESS enA c, SU ('V phase , &(_I, - 6 L..k„�T 7� PHONE #: Home (aZ Work ( ) Cell ( ) OWNER MAILING ADDRESS: 0 P i64o g RO / NPI CITY:�_STATE: �.0 ZIP: EMAIL l6q 05 ;one -s � �Z ► com 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 MAILING ADDRESS: T 9D 1 �i o!l �f ied CITY :40 STATE S ZIP 1 0 ft PHONE #: Home ( ) Work (v ��`� 495 Cell ( ) IDAHO REGISTRATION # & EXP. DATE kCT - T T 1 . .1 1' i.vw iilauy LJU.LULIU%3 it1G XkJt_d LCIL U11 UH6 PlUPC1Ly: Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split? YES (Please bring copy of new legal description of property) PROPOSED USE: J (i.e., Single Family Residence, MW(' Family, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereb 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 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. Pe id if not s ted wifli? 180 days. Permit void if work stops for 180 days. � natu Ownepl F plicant DATE Do u pr td be contacted by fax, email o hon Circle One a�O lj9d &5V WARNING — BUILDING PERMI MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning Tanuam 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 Pleas' e complete the e`kire Application! NAME PROPER ADDRESS YdAk9ol RV& ! glodi ;6 4 1 Permit# SUBDIVISION Dwelling Units: Parcel C FRO T ;9,P .� SIDE ��. SIDE a$ BACK , Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area l Z Z4 Unfinished Basement area /G 9 Z Second floor /loft area Finished basement area Third floor /loft area Garage area 65 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: Requiredffl PLUMBING Plumbing Contractor's Name: Business Name: Address City �.a �� State Zip fC >� Contact Phone d ) �� Business Phone: eo° -) 716' Email Fax FIXTURE CO UNT fincludinsr roughed fixtures Clothes Washing Machine Sprinklers Dishwasher Tub /Showers Floor Drain_ Toilet /Urinal Garbage Disposal �_ Water Heater Hot Tub /Spa _ - Water Softener Sinks (Lavatories, kitchens, bar, mop) stwe� ' � 0_u Plumbing Estimate $ U < O C) (COMMERCIAL /MULTI - FAMILY ONLY) // Signature of LicenseJ Contract- License Number& Vxpira4on Date Date The City of Kexburg'xpermit fee schedule is the same as required by the State of Idabo * * * * * * * * * * * ** *Water Meter Size: 4 Please com complete the entir Ap P PP NAME �- PROPER ADDRESS_ /(at „ 3 Z. -W ) 7 SUBDIVISION Requiredffl MECHANICAL 0 Permit #07 00034 781 Griffin St Mechanical Contractor's Name �c ,tV��- Business Name Cam, Address � �'I ` City /� , { State 7 Cell Phone (;oJ) ; , � d'`j� Business Phone 711 J Fax ( ) Email Mechanical Estimate $ �. ` (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace 1 - X Furnace /Air Conditioner Combo 3r Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance 157 Incinerator System Boiler Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets 3 Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic 1 - 7v Mechanical Sizing Calculations must be submitted with Plans & UlLhcation Point of Delivery must be shown on plans. S gnature of Licensed ontractor License number D to The City of Kexburg - permit fee schedule is the same as required by the State of Idaho Z Exhaust or Vent Ducts /O j Dryer Vents 15 Range Hood Vents Cook Stove Vents 3 Bath Fan Vents /S other similar vents & ducts: W Building Safety Department Y �tixe� R � City of Rexburg �; , 's o 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y O F REXBU Americo Family Community OWNER'S NAME Z- 4." 7;•.css PROPERTY ADDRES Rase_ 3 8 L l 7 Permit# SUBDIVISION PHASE 3 LOT BLOCK Required f!l ELECTRICAL Electrical Contractor's Name /,-%---) Business Name - " ` �✓ < Address �, � L� City &4 cam-. State / Zip Cell Phone c;I 6: i' :2_ Business Phone PCB Fax ( ) Email bye) 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) 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. r Signature of Licensed Contractor License number The fee schedule is the .came as I A- - D z Date the State of Idaho VA • 0 State of ldah(i - _Division of building Safety 1090 E. Waterto"r Street .' Meridian ID 83642 (208) 334 kvvaw2 s:late:id.us /dbs JQS�f�W `Fc MCMURTREY Issued subject to the provisions of Idaho Code Dave Munroe Dirk Kemp:horne Admiriistrator Governor T Lic /Cer /Reg Issued Expires HVC Journeyman 2418 02101/05 03131/07 HVC Contractor 2 02/01/05 03131/07 JMC PLB Journeyman 10215 05/14192 0361/07