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APPLICATIONS, CO, MULT DOCS - 07-00050 - Madison County Fairgrounds - Addition
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Main St. / Rexburg, ID. 83440 Phone 208 359 -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: Name and Address of Owner: Contractor: Special Conditions: Occupancy: 0700050 International Building Code 201 460 W 2nd N Madison County Fairgrounds Addition Type V, non -rated Maximum occupancy 299 No Madison .County Rexburg, ID Harris, Harold Construction Occupant load must be posted Assembly -Food and /or drink consumption 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 wes 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 which the proposed occupancy vies classified. Date C.O. Issued: June 08, 20 (02:46PM) 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&ZAdministrator: n la CITY OF REXB UKG 0 r BUILDING PERMIT APPLICATION Please co 0 7 000_5() 19 E MAIN, REXBURG, ID. 83440 Madison COUnhr Fairgrounds Addition 208 - 359 -3020 X326 I i `, PARCEL NUMBER: 1 d C .f , � (We wiu proviue uus for you) SUBDIVISION: UNIT# BLOCK# LOT# Addressing is based on the information - must be accurate OWNER NAME. • 4 1 o 44 C 6 C M CONTACT PHONE # a PROPERTY ADDRESS: 1 c�� v D f D to v PHONE #: Home ( ) Work ( ) Cell( ) 3J — 4 71 OWNER MAILING ADDRESS: 3 o 0 M oa d CITY: A e 6 STATE-ILzip:Owd EMAIL FAX APPLICANT (If other than owner) a i h 0. i W Q (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS 3,;� 6 Q p t4 l, CITY: o( STATE; 4 ZIP EMAIL FAX PHONE #: Home ( ) Work ( ) 35 ^ V2 7 Cell ( ) 3/ g CONTRACTOR MAILING ADDRESS: PHONE: Cell# Work# CITY STATE ZIP Fax# EMAIL IDAHO REGISTRATION # & EXP. DATE J0 t!a I q 0 h How many buildings are located on this property? Did you recently purchase this property? ® Yes (If yes give owner's name) Is this a lot split. NC, YES (Please bring copy of new legal description of PROPOSED USE: (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Add ly l5 U U (� F E B 14 2007 1i hTyn P P PY AUTHORIZATION: APPLICANT'S SIGNATURE CERTIFICATION AND A Et "Y 1 n er pcn of " pz'tjtal- t rtereoyeem -f— 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 rm 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 Jre pl4ns on which the permit r approval was based. Perrnit void if not started within 180 days. Permit void if work stops for 180 days. Signature of Owner /Appli ant D ATE l fa t bvf , email or phone? Circle O 1't C1V DU I ING PERMIT MUST BE POS I b'{v E Origination Datepla - e u dable and are paid in full at the tim lication beginning any urg's Acceptance of the plan review fe a of constitute plan approval Completior ata rw.wE Eiwne of application ** **Buildi its Jra�id �f �ouJ ck d clear** DO NOT LSE TROY iOCAL STATE l I STORAGE ARCHIVES CITY O R EX B U R G 2 City of Rexburg Records Management- Building Safety Department City of Rexburg 19 E. Main janellh @rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 o� aBxeURC o C IT Y OF REXBURG -- -- #-W - - s Family Community Affidavit of Legal Interest State of Idaho County of Madison I, Name Address City State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. 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 herin 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 E —N r eU00 Please NAME 10:30 FAX LVV/ I U: ZyRYI CO • ' .• com plete the entire Application! If the question does not app PROPERTY ADDRESS SUBDMSIOIv No, jby4 e. 1 001 0700050 Madison County Fairgrounds Addition D'eRin$ Units: Parcel Acres: SETBACKS FRONT SID I,DE S AC o� Remodc,&W YovtBuBdibg1Home (need Eatj=te) SURFACE SQuAimpooTAGFr (Shag include the exterior wall mtasuxements of the building) First Floor Area Unghbhed Basement are Second floor/loft atea Finished basement area Third floor /loft area Garage area Shed or Ba Carport/Deck (30" above erade)Area Water Meter Quantity: Water Meter Size: Requr'ed Y PLUMBING Plumbing Contractoes Name: Name; Stam zip Contact Phone: ( ) B usiness Phone: ( ) Email Fax PIX7'eURE CQC2jZrnch�dm$ mrlghed {rsrt,�rP, Cloches Washing Machine s sp6nklers Dishrvsal�es Tub /Showets Floox Drain Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa Mater Softener Sinks (Lavatories, kitchens, bat, =op) Plumbing Estimate $ (Co:o mex6al Only) Requimdl Siz=w= of Uc=scd Contactor L omm number Dsn _ - -- The Crty of Rt�a�us�'r�vmrit c scfio" u !dr Wvro V ry a hvd 4 The SAW* ofldaba Bull fig Safety Department City of Rexburg 19 E Main Rexburg, ID 83440 janellh@rexburg.org Phone: 208.359.3020 x326 www.rexburg.org Fax: 208.359.3024 OF RtxB u v 0 o C I T Y O F REXBURG -- 016 - Americas Family Community OWNER'S NAME _ 1 7\ Q Q i 5 o n �C u n `�3 I PROPERTY ADDRESS 740L i V- G ,- 0, 4 W �oC7 o� a�IJPe rmi t# SUBDIVISION PHASE LOT BLOCK Requiredffl ELECTRICAL Electrical Contractor's Name Rf `y no lL Business Name Address P D • 8 c, x 29 h City �t�m, State �Vkc Zip A 3 2 0 Cell Phone 000) 3 S/ — 0 0( S— Business Phon ( ) 54,W 'e— Fax �1 o & 5 — 2 — 77/ 7 Email J wl r 4 e 4. . L 0 "1 Electrical Estimate (cost of wiring & labor) $ 3 5 0 @, — (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: $ 3 S 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 $40 per hour. -2 (e 6 9 Signature of Lic sed Contractor License number Date The City of Bexburg'r permit fee schedule is the same as require by the State of Idaho 7 Feb 14 2007 11:278M • 208- -4275 p.2 Building Safety Departme COY of Real 0700050 I9EMoin JaneNhGtoxburg.org pnorie:i06.359,302( Madison Count Fairgrounds Addition Rexbvrg, JO 83"D www.texbvrg.otg fox. 208.355 y g OWNER'S NAME M lllliSon � PROPERTY ADDRESS 3� I�errnit# SUBDIVISION PHASE LOT BLOCK FF$ 7 6 (r �7n5 Regirred A!f ELECTRICAL �Cl?: y OF R� F1ecttical Contractor's Name rnec .0 ��B usiness Name Address .e). ' D City jiL�DY1 State Cell Phone ( �JI - 2©(&S B usiness Phone ( 60S�a � Email__ N..W CO_ rre+r) . eem Electrical Estimate (most of wising & iabut) $ co (COMMERCIAL /,MULTI - FAMILY ONLY) TYPES OFIIYSTALLAT10N (Now Rrsidet2elal includes evierytbieC cvnrwf acd within the residential structure and atrached garage at the same time) Up to 200 amp Service* 201 to 400 atop Service* Over 400 amp Service* Existing Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one location (for a period.not to exceed 1 year) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and /or Cooling (when aot past of a new residential construction permit and no additions] witin Modular, Manufactured or Mobile Home Other Installations: Wiring not er'ic* covered by any of the above Cost of Wiring & Labor. $ . i 0 Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) __Temporary Amvsernent-Andustry *Inchules a ma xiaw u of 3 inspections. Additional inspections cba_ged at requested inspection rate of $40 per hour. .�IAOVAA) A. _.� C 7 5igaature of rased Comtnv =tor License number Date Tbt Gty rcbeda/e is Me some as mgAdnd h & State of l" n T'd LILLZS9BOZ 0iu -.09i3 spTouRam WU6G :6 11002 ST 9a3 l 07000-50 NEW 4' -0" 2' -5" 2' -5 Madison County Fairgrounds Addition OPENING NEW F I 4I URINALS Q 0 0 EXISTING KITCHEN E> ISTING INDICATES N NEW LOCATION NEW 6 "BLOCK FOR SINKS WALL a� _o I 7 N II o II ' W F OOR — t I B -- - - - - -- - - -- -- -------- - - -- -- ' -0" 3' -6 "-- 3 ' -6 " -+— 4' -1" 16'- 0 0 0 0 It3' - o + MAIN WATI f ob I FD N 0 KITCHEN ADDITION 7'-41/2" PERMANUT POCUME, 41 P OR ATFR Origination Date: `� ► � _t FLOOR Completion Date: Le 141 16' -10 1 = I' 6" LOCAL STATE 29'-0" 4TOasr�F ❑ ARCHfu ,., SCALE: City of Rexburg Records Management- I/9 " =1' -O" N T 2' ® 2 / \ -2" MODESTY 0 / �URTAINS N SEWER BENCH o THRU WALL \ __ -�— WAALL be � ' -0" 3' -6 "-- 3 ' -6 " -+— 4' -1" 16'- 0 0 0 0 It3' - o + MAIN WATI f ob I FD N 0 KITCHEN ADDITION 7'-41/2" PERMANUT POCUME, 41 P OR ATFR Origination Date: `� ► � _t FLOOR Completion Date: Le 141 16' -10 1 = I' 6" LOCAL STATE 29'-0" 4TOasr�F ❑ ARCHfu ,., SCALE: City of Rexburg Records Management- I/9 " =1' -O" N T