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HomeMy WebLinkAboutAPPLICATIONS, CO, MULT DOCS - 07-00227-00228 - Teton Wireless Storage Unit - Remodel"fHeo �• CITY OF REX URG CW America's Family Community OSSUED TO: NAME: Teton Wireless Building Per- it PERMIT #: 0700228, FOR THE CONSTRUCTION OF: Teton Wireless- Storage Unit I JOB ADDRESS: GENERAL CONTRACTOR: Morgan Meacham This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on the Building Permit Application as approved by the Building Inspector. Date Approved Issued B Building Inspector THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING A CERTIFICATE OF OCCUPANCY 1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of on the premises during construction. the building beyond the point indicated 3. Drywall 2) The permit will become null and void in the event of any deviation from the in each successive inspection without NOTICEO accepted drawings. approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered without approval. or concealed without approval. INSPECTION CARD BUILDING Date Approved 1. Framing 2. Insulation 3. Drywall 4. Final ELECTRICAL Date Approved 1. Rough -In 2. Final OTHER Date Approved 1. Fire Department Fins 24 Hour Notice and Permit Number required to make inspection appointments For Inspections Call 359 -3020 option 2 or extension 326 A CERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL $ PLUMBING INSPECTION CITY O -REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 0700228 Pleas( Teton Wireless- „ yam Storage Unit Remodel PARCEL NUMBER , /'�� �r -� � D (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# is ba sed on the information - must be accurate) /�14 ,6,tfi�v��4oH UWIVER NAME. l_ 11 kl- CONTACT PHONE # 1 I f S f PROPERTY ADDRESS: PHONE #: Home ( g) 3s(Q 7371 Work 7371 Cell �, 70f,0/7/ OWNER MAILING ADDRESS: 5,44 CITY: STATE: ZIP: EMAIL FAX ?.off 3S(o' 075 APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this a APPLICANT INFORMATION: ADDRESS ! �s � R V ( } c'� �' C ITY: , VA I S STATE; ZIP 53M EMAIL FAX f �� PHONE #: Home ( ) Work ( ?1,9 !S 10 S C? L Z. Cell ( CONTRACTOR AA c Ac H A-AA MAILING ADDRESS: ` X CITY — STATE �1 ZIP 4� y4Z PHONE: Cell# , t Work# Fax# EMAI &y - , : y1IN` �(i'd1y�s IDAHO REGISTRATION # & EXP. DATE �L c- How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: (- v M6 err At--• (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 wl the per it was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Signature of Owner /App scant Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTR Plan fees are non - refundable and are paid in full at the time of application begi City of Rexburg's Acceptance of the plan review fee does not constitute * *Building Permit Fees are due at time of application** **Building Permits are void i / lP / OF W LAM U 19 LK 2005. AY ot 1 l 7 X07 C ITY 0 REXBURG r Building Safety Department �o�£XB�R�,� CITY o F City of Rexburg R r V nT TTY r� � 1� 79 E. Main jonellh @rexburg.org Phone: 208.359.3020 ext 326 America's Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 "`° ,••' Affidavit of Legal Interest State of Idaho County of Madison M.,JAa.�iit F hN✓ , j Name j Address / X, 0/.� :V 4 le-eyn 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 in permission to: �V Mrcl,GJS / / /s' �� tG Name Address 3'y 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 �S� day of /�z .20 Signature S bscribed and sworn to before me the day and year firs above written. �� L.. R DA, i'i% Notary '.•O� A R •• s pUg\- �i��� // S . ..... .... .. �` it1111111U at: My commission expires: ' � �� • 0 ,;replete the entire Application! If the question does not apply fill in NA for non applicable ,&TY ADDRESS /VISION ,welling Units: SETBACKS FRONT_ Parcel Acres: Permit# SIDE SIDE BACK Remodeling Your Building /Home (need Estimate $ �I , r C SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Unfinished Basement area 1 Second floor /loft area '✓ 1 "A Finished basement area Third floor /loft area ak- Garage area AIA Shed or Barn A/ //V Carport /Deck (30" above grade)Area lv t k Water Meter Quantity: �' ` , -J, ", Water Meter Size: Requiredffl PLUMBING Plumbing Contractor's Name: Business Name: City State Zip. Contact Phone: ( ) Business Phone: Email Fax FIXTURE COUNT (including roughed fractures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mo Plumbing Estimate $ A (Commercial Only) Sprinklers Tub /Showers Toilet /Urinal Water Heater Water Softener Requiredl Signature of Licensed Contractor License number The City of ReAurg's permit fee schedule is the same as Date the State of Idaho 4 • Building Safety Department City of Oexburg 19 E Main janetthgrexburg.org Phone. 208.359.3020 x326 Rexburg. ID 83444 wWwrexbur o •'< •••� ST - r9 faac 208.359.3024 CITY OF America's ramilyOrmrmunify OWNER'S NAME PROPFA'fY ADD RESS 4 f 7. IV Z or j G- SUSDTVISIoN PHASE LOT - BLOCK R equ&cd,t;/t Electrical Contractor's Nawc Permit #07 00228 Teton Wireless - Storage Unit Remodel 147 N 2nd E r C 't'A Name L= Addres �c5 d �� SA Cell phone (fie; . 1 — S V C�i B usiness Phone- Fax (L-8) SZ � - C='y l --? E mait �� . 4� -G e r y f73 Z .! 4/ d Electrical Estimate (coat of wising & labor) $ ®- c> (COMMERCIAL /MULTI- FAMILY ONLX) TYPES 4FIN TALLA:TI ©N Wew Acmdedxj wcludcs rverythy0g coaramed within the mwdentrat 8ltucturc and attachedgarage at the same W"ej Number of meters being .installed Up to 200 amp Sexvicc* 201 to 400 amp Service* Over 400 atop Service* Temporary Const Service, 20o amp of less, one location (for a period not to exceed 1 year) —Existing Residential (# of Bran Circuits) Spa, Hot Tub, Swmaming Pool Electxie Central Systems Heatisag and /or Cooling (when .+rot part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Othelt Installations: Wlttag not specifically coveted by any of the above Cost of W iring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) — _ Requested Inspections (of c dsdng wiring) Tetnporarq Amusement /Industry *Includes., pmt of 3 inspections. tldditlonal inspectors charged st requesud inspecti rate of $4.0 Per hour. Siguamm of Lic ens ed CVi1t7'aC*ar L.icc' m m mbtm D a te A e_ 0 T'6* Tbs GJlV o f Kai AUX8 PM—tfee rchedrde jr the rame w rgwnd bj rbe Slate , iplete the entire • Apphcatlon! If the question does apply fill in NA for non tTY ADDRESS AAISION Permit# Required!!! MECHANICAL Mechanical Contractor's Name: / l Business Name: Address City---------.State Zip Contact Phone: ( ) Business Phone: ( ) Email Fax Mechanical Estimate $ (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. Required! Signature of Licensed Contractor The License number 's permit fee schedule is the same as Date the State of Idabo 5 BuildiNg Safety Department 4xB�A � CiTY OF City of Rexburg 7 n r V RT T7� G G l�.r,1 l � i� J Cky 19 E. Main jonellh @rexburg.org Phone: 208.359.3020 Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO - APPLICANT INFORMATION: Business Name: Office Address: l U o2 o Office Phone Number: ( Contractor Performing the Work: Contact Person: APPROVED BY: City State Street Address Where Work Will Be Done: Business Name Where Work Will Be Don, Dates For Work To Be Done: s2 ! Contact Person: a Phone Number: () S 9 S OZ Cell # ( - ) PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR: ❑ AUTOMATIC FIRE- EXTINGUISHING SYSTEMS ❑ COMPRESSED GASES ❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ❑ FIRE PUMPS AND RELATED EQUIPMENT ❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ❑ HAZARDOUS MATERIALS ❑ INDUSTRIAL OVENS ❑ LP -GAS ❑ PRIVATE FIRE HYDRANTS ❑ SPRAYING OR DIPPING ❑ STANDPIPE SYSTEMS ❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES Applicant's Signature Date Cell Phone # ( ) 7 � �e��e � QCs MA'G 1 _. ::�_�� _._ _ _ _ __ _ ___ �lo�