HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00221 - 626 Chad Dr - AdditionZ
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CITY OF Certificate of Occupancy
REX
Americas Family Community
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (2081359 -3024
Building Permit No:
Applicable Edition of Code:
Site Address:
Use.and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
0700221
International Residential Code 2006
626 Chad Dr
Single Family Residential Detached Garage
Type V, non -rated
Residential
No '
Name and Address of Owner: Smith Jay B
Contractor:
Special Conditions:
.Occupancy:
626 Chad Dr
Rexburg, ID 83440
Gary Shaw Construction
General Utility
This Certificate, issued pursuant to the requirements of Section 909 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 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: April 13, 2009 (10:17AM)
C.O Issued by:
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: IQ P &ZAdministrator: 10
CITY OF KEXB UAG 0 1 -A TTT
BUILDING PERMIT APPLICATION Please o
19 E MAIN, REXBURG, ID. 83440 If the questi 07 00221
208 - 359 -3020 X326 626 Chad- Detached Garage
PARCEL NUMBER: �`� �,�S�U` i`,2_ (We
1
SUBDIVISION: �(t S C 1 �', -� F UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
OWNER NAME: PAM CONTACT PHONE # 3 S 7- X Fl
PROPERTY ADDRESS: ru G 2 t � C
PHONE #: Home ( ) Work ( ) Cell (20 3 mi 17 V 1
OWNER MAILING ADDRESS: to Z G C,10.� CITY: STATE: I�ZIP: 1 0
EMAIL 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
STATE; ZIP,
PHONE #: Home (
CITY:
EMAIL FAX
Cell (
Work (
CONTRACTOR V;g AU to WIA) II
MAILING ADDRESS: 3?aa w love A4 CITY �xb�,.rs STATE to ZIP $3V9Z)
PHONE #: Home ( ) 3 SG - S T Work ( ) — Cell("
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE ZCG.2I4F3 12
How many buildings are located on this property?
Did you recently purchase this property? Nfo Yes (If yes give owner's name)
Is this a lot split? fLQ� YES (Please bring copy of new legal description of prop S 1 4 2007
PROPOSED USE: G +_ Ip
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, tc.
�1TYOF REXBURG
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: n er pen o r£p
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 ' 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 voi not start within 180 days. Permit void if work stops for 180 days.
5/
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 lanuam 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**
Please complete the e�itire 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 ::I 0
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
Required.!! d,,J*
PLUMBING
Plumbing Contractor's Name: Business Name:
Address City State Zip
Contact Phone: ( ) Business Phone: ( )
Email Fax
FIXTURE COUNT (including roughed Pixtures,�
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)
* * * * * * * * * * * ** *Water Meter Size:
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
License Number& Expiration Date
Signature of Licensed Contractor
The
Date
schedule is the same as required by the State
• •
SUBCONTRACTOR LIST
Excavation & Earthwork:
Masonry:
Insula
Floor
Plumbing:
Special Construction
n (Manufacturer or Supplier)
Roof Trusses: ��� C W e �r —
Floor /Ceiling Joi
Siding /Exterior Trim:
Other: