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APPLICATIONS, CO, MULT DOCS - 07-00075 - Ben's Brand Name Shoes - Remodel
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Main St. I Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 Building Permit No: 0700075 Applicable Edition of Code: International Building Code 2003 Site Address: 896 University Blvd Use and Occupancy: Ben's Brand Name Shoes Type of Construction: Type V -N, Unprotected Design Occupant Load: Commercial Sprinkler System Required: No Name and Address of Owner: Taylor John W Managing Memb 246 W Golden Harvest Road Draper, UT 84020 Contractor: Garon Bell Special Conditions: Occupancy: Mercantile, display and sale of merchandise 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 v►es found to be in compliance Wth the requirements of the code for the group and division of occupancy and the use for vthich the proposed occupancy vies classified. Date C.O. Issued: November 14, 2007 (0 1 PM) 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 Electrical Inspector: P &Z Administrator: • TEMP0WRY O� gEXB U G CITY OF Certificate of Occupancy REX CW Americo Family Community City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 I Phone (208) 359 -3020 / Fax (208) 359 -3024 Building Permit No: 0700075 Applicable Edition of Code: International Building Code 2003 Site Address: 896 University Blvd Use and Occupancy: Ben's Brand Name Shoes Type of Construction: Type V -N, Unprotected Design Occupant Load: Commercial Sprinkler System Required: No Name and Address of Owner: Taylor John W Managing Memb 246 W Golden Harvest Road Draper, UT 84020 Contractor: Garon Bell Special Conditions: 0 r , k�S A bc VV O - V - 1 \ 1f'\ S _ I to 2bOS a orpv l 1 *vv\ SGT, 03 Occupancy: Mercantile, display and sale of merchandise (°p 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 vLes found to be in compliance vWth the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy vties classified. Date C.O. Issued: November 14, 2007 (0 . 1 PM) CIO 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• Electrical Inspector: PAZ Administrator: CITY OF RE,XB URG 00075 BUILDING PERMIT APPLICATION Please Rexida- Remodel 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 896 Un Blvd PARCEL NUMBER L ;AO I (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# Addressinjz is based on the information - must be accurate OWNER NAME: f A L L CONTACT PHONE # PROPERTY ADDRESS: PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: ,�/�G ii E,.,1 /!� /,' CITY: r STATE: 11 / ' EMAIL FAX APPLICANT (If other than owner) `'` -1 (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: L STATE; ZE J. ZIP 1- 1 I EMAIL FAX PHONE #: Home ( ) �% �L�7L Work ( ) Cell( CONTRACTOR 1 l MAILING ADDRESS: f f (� � , '� CITY E STATU�ZIp PHONE: Cell # 6 �C1 ! ' Z Work# 5 t� �� ax# EMAIL IDAHO REGISTRATION # & EXP. DATE ���� / ✓1 �`' '� ���/ i' How many buildings are located on this property? Did you recently purchase this property? 0 Yes (If yes give owner's name) Is this a lots lit? ,�T�r YES lease bring co of new legal des tion of p roper ty) split? (P g PY g P p p tY) PROPOSF.T) ITSF.• C,._ (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereb certif 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. Permit void if not started within 180 days. Permit void if work stops for 180 days. 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 &nuary 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 Feb 28 07 12:21p Keep It Marketing Feb.26. 2007 11:24AM . 943 9724 p.1 No. 3770 P. 2 Building Safety Department City of Rexburg 19 E. Main lone#h@rexbvrg.org Phone: 208.359.3020 exf 326 Rexburg. V 83440 www.rexburg.org fax: 208.3593024 CITY of REXBURG Ow— AMC4406 Family Cam—itr Affidavit of Legal Interest State of Idaho County of Madison � Name Address Wi Scare Being fast 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 tv � = l 1 � r✓s`f �>L %� --t Name Addieas 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 hetin or as to the ownership of the property which is the subject of the application. Dated this day of 9P x l 1 ~4cz— Subscribed and sworn to before me the day and year first above written. ^w � t t�ctietailP y D O O"' AR 'y, ��y Not" o£Idabo y s Residing at (J My commission expires: 7 3 BuildRiig Safety Department City of Rexburg 19 E. Main ionellh@rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OF REXBvk �y �o 'y u o CITY O F REX BURG OW _____ America's Family Community Affidavit of Legal Interest State of Idaho County of Madison 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. t4 O R T�4 M ;' •• ��� °. Notary Pub We of Idaho V OTAR y � : Residing at: s G : My commission expires: 7 Please complete the afire Application! 0 If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Dwelling Units: Parcel SETBACKS FRONT Permit# SIDE SIDE BACK need Estimate) $ " SURFACE SQUARE FOOTAGE. (Shall include the exterior wall measurements of the building) First Floor Unfinished Basement Second floor /loft area Finished basement area_ Third floor /loft area Garage area Shed or Barn Carport /Deck (30" above Water Meter Quantity: Water Meter Size: Required!!! PLUMBING ,fin Plumbing Contractor's Name: M ALI u Business Name: MOU Address !Jk)-g - r 526 go City` PMX13ur -C, State �1 Zip 9S44? Contact Phone: (Zog) 35(Q- 03Za Business Phone: (-208 at5&- G!S70 Email M+ We, trri(P V weo . czar Fax _-zos- s6te -O FIXTURE COUNT (mcludmgroughed fzxtures� 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) '9.5 0 .00 (Commercial Only) Required! Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 4 Please complete the entV Application! If the question does apply fill in NA for non applicable • NAME PROPERTY ADDRESS SUBDIVISION Permit# Requiredffl MECHANICAL Mechanical Contractor's Name: 114 AR11,j 4j, Lt_ Business Name: Address tnJF � 2F90 5 O City TZ� u 2 G State .=L7 Zip Z_% 44 Contact Phone: (US) S-57& - 0 70 Business Phone: ( e;) S6_6 Q,�; Email M - � rl WS (EP, Con Fax 20 K - ss -C 2� F, $ 07, 00 (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: 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. 44 V nzZ o 2 - Z g -0 ^] Required! Signature of Licensed Contractor License number Date The City of Kexburg's permit fee schedule is the same as required by the State 5 Buildift Safety Department " yoPtxB�.A��Q CITY 0 City of Rexburg � 'o — n RE � lJ 1G TT mG 79 E Main janellh @rexburg.org Phone: 208.359.3020 x326 Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# Requiredffl -- ELECTRICAL Electrical Contractor's Nam r t lcl Business Name Address `t'71 .5c� City State zip Cell Phone ( ) ��20 /f S "e, Business Phone d Fax ( ) Email <Fltq ,,Jcost of wiring & labor) $ /X,Se6 (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residendal structure and attached garage at the same time) Up to 200 amp Service* *"� 201 to 400 amp 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, Sw immin g 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. Signa e f 'tensed Contractor License number The schedule is the same as J- a 2 -© Date the State rol