HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00239 - 780 Yost St - New SFRo4 SEXB URC
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CITY OF
REX
Americas Family Community
Building
Permit
'ISSUED TO:
PERMIT #: 0700239
NAME: Weatherhead Shawn & Debbie
FOR THE CONSTRUCTION OF: 780 Yost - Weatherhead
GENERAL CONTRACTOR:
Vrska Home Solutions Llc
JOB ADDRESS: 780 Yost St
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 By
A�L �d
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
i 2) The permit will become null and void in the event of any deviation from the in each successive inspection without
NOTICE
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 Annrnverl
F 1. Mechanical Rough Ir
2. Mechanical Pressure
3. Mechanical Final Insl
4. Layout
5. Footing
6. Foundation
7. Framing
8. Insulation
9. Drywall
10. Sidewalk
11. Final
ELECTRICAL
Date Approved
1. Rough -In
2. Final
PLUMBING
Date Approved
1. Sewer Service Conni
2. Water Service Conn(
3. Rough -In
4. Ground Rough -In
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
�;Qg6X8 U,CIG _ CITY o F Certificate of Mdupancy
U� RE X13j ,jjZG City of Rexburg
"y C ommuni t y � FDepartment of Community Development
'•,,
<fl
19 E. Main St. / Rexburg, ID. 83440
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
0700239
International Residential Code 2006
- 7$0 `10S Sf
Single Family Residential
Type V, non -rated
Residential
No
Name and Address of Owner: Reese Bob
437 N 4185 E
Rigby, ID 83442
4 .
Contractor: Vrska;Home Solutions Llc
Special Conditions: Unfinished Basement
L.
Occupancy: Resicl1ential - less than 2 units, permanent in nature
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 vuth the requirements of the code
for the group and division of occupancy and the use for vihich the proposed occupancy vies
classified.
Date C.O. Issued: February 25 09 (02:24PM
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 Insp Fire Inspector: n G
Electrical Inspector • P &Z Administrator:
CITY OF REXB URG 0
BUILDING PERMIT APPLICATION Please 0 00239
19 E MAIN, REXBURG, ID. 83440 If the qu 780 Yost-Weatherhead
208 - 359 -3020 X326
PARCEL NUMBER: FF+9� DS AT�L /' l ' ( We will provicte this tor you)
SUBDIVISION: N e h Ate S o ^ UNIT# BLOCK# g LOT# ZZ-
(Addressing is based on the information - must be accurate)
OWNER NAME: a CONTACT PHONE #
PROPERTY ADDRESS: 6 ' 4 66 N , �] EL �
PHONE #: Home Work (W) q5 - _a6s7 Cell ( )
OWNER MAILING ADDRESS: II CITY: STATE:�ZIP:
�-}��
EMAIL S (0erl j (2- Vb�� 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 F
PHONE #: Home (
Work ( ) Cell (
CONTRACTOR
MAILING ADDRESS: CITY K X�L� STATE s b ZIP j 3 9
PHONE #: Home 75 — Work( ) Cell ( )
�R } r►�t , l• co,
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE 4 4 db
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 ?(::N::D) YES (Please bring copy of new legal description of property)
PR —SE D USE:
(i.e. Ingle Family Res Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereby 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 representa of the City to enter u pon the above -
mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval ti u er p�' i s na t
International Code in cases of any false statement or misrepresentation of fact in the application or on the pla h aae �l p ov „yva
based. Permit void if not start within 180 days. Permit void if work stops for 180 days. (� I
14 4 /
of
DA
you prefe jo - bt — contacted by fax, email or phone? Circle One
WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTR T EXB U R G
Plan fees are non - refundable and are paid in full at the time of application begi in u IO .
City of Rexburg's Acceptance of the plan review fee does not constitute plan approva
**Building Permit Fees are due at time of application** * *Building Permits are void if your check does not clear**
Builogg Safety Department* T
�XBU4 CITY OF
City of Rexburg � 'o � rvnT mG
1�L.1\17 lJ 1\
19 E. Main jonellh@rexburg.org Phone: 208.359.3020 America's Family Community
Rexburg, ID 83440 www.rexburg.org Fox: 208.359.3024
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 herein 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:
Affidavit of Legal Interest
Please complete the entire A p p lication!
P pp
' NAME
PROPERTY ADDRESS
SUBDIVISION
0
Permit#
�2Z
Dwelling Units: Parcel Acres:
SETBACKS
FRONT 3 3 SIDE SIDE BACK 2�
Remodeling Your Building /Home (need Estimate $ 4
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area — 1! l d Unfinished Basement area " 0
Second floor /loft area Finished basement area 6
Third floor /loft area Garage area 6 6
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
RequlredMf
PLUMBING
Plumbing Contractor's Name: l ) ' A c Business Name: /44jke 6dyl n 4iOh
Address City S\ l State zip
Contact Phone: (Zf $) - 7 1 "� Business Phone: ( )
Email
FIXTURE COUNT (includingrou hed fixtures
Clothes Washing Machine
Dishwasher
1 Floor Drain
Garbage Disposal
Sprinklers
Tub /Showers
7? 2- Toilet /Urinal
Hot Tub /Spa
r) 4 Sinks (Lavatories, kitchens, bar, mop)
Water Heater
Water Softener
$ f (-) O 0 (COMMERCIAL /MULTI - FAMILY ONLY)
z qVe - Iq i d a z
Signature of ensed Contractor License Number& E iratlon Date Date
The City of Rexburg s permit fee schedule is the same as required by the State o Idaho
Please complete the entire A p p lication!
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
RequiredN
MECHANICAL
Mechanical Contractor's Name V.0_ r -IL Business Name P l Gam, A ko , � V , ) Address bZ� City State Zip �3��Z
Cell Phone �- 8) 70q -'q6 S__d Business Phone ( )
Fax (� Q�) - ;5 1 8 Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace � { Exhaust or Vent Ducts
Furnace /Air Conditioner Combo I Dryer Vents
�— Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Range Hood Vents
Cook Stove Vents
2 '" Bath Fan Vents
other similar vents & ducts:
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
Y Z Inlet Pressure (Meter Supply) PSI
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
7 � A Z ,
� �
ignature of L ed Contractor License number Dat
The City of Rexburg's permit fee schedule is the same as required by the State
Building Safety Department jk City of Rexburg
19 E Main ionelih @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
C I T Y OF
REXBURG
_ __ 0 _ ________
Americas family Community
n
OWNER'S NAME
PROPERTY ADDRESS \ C
SUBDIVISION L�UTT
PHASE LOT 2 ?_ BLOCK 6
A%$Dm�
780 Yost- Weatherhead
Requiredffl
ELECTRICAL
Electrical Contractor's Name e0 � � � t� S d �, Business Name
Address 2--72— N` ;�oo City L�v State Zi
Cell Phone (Zo°) 1 Z8 $-3 Business Phone ( )
Fax ( ) Email
Electrical Estimate (cost of wiring & labor) $ q b () (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
Number of meters being installed
I 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
*Includeaaum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor License number Date
The City of Rexburg s permit fee schedule is the same as required by the State
• •
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: CO ^ 5 t (- L)C� v
Masonry: cal b5p
' 1
Roofing: M V�
Insulation: � K
Painting: 1
Floor 5 I
.ro.:„ .�. Cx�-e. 1 V) �- t oy S
�4
Heating:
Electrical:
Special Construction
c (Manufacturer or Supplier)
Roof Trusses: V `" "�` �� S - , - ,
Floor /Ceiling Joists: 7S
Siding /Exterior Trim: 7 L -6, r- 6
Other:
0
EXEMPTIONS FROM STATE REGISTRATION
As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State
registration number or your exemption from the State registration. Please send a copy of your state registration or
fill out this form showing your exemption and send it with your license renewal or your next permit application.
(This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please
see the State's website at w�vw.ibol.idaho.gov /cont.htm
❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters:
3 Architects,
10 Electrical Contractors /journeyman,
12 Engineers /Surveyors,
19 Public Works Contractors (exempt from fee only registration required),
26 Plumbing /Plumbers,
45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or
50 Installation of heating, ventilation and air conditioning systems
❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable
activity with no wages or salary
❑ Employee of a US Government agency (State, City, County, or other municipality)
❑ Public Utility doing construction, maintenance, or development to its own business
❑ Involved with gas, oil or mineral operations
❑ Supplier doing no installation or fabricating
❑ Contracting a project or projects with a total cost less than $2000
❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code
❑ Any type of water district operations
❑ Work in rural districts for fire prevention purposes
❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as
the property is not for resale within 12 months
❑ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that
property
❑ Real estate licensee /property manager acting within Idaho Code
❑ Engaging in the logging industry
❑ Renter working on the property where they live with the property owners approval
❑ Construction of a building used for industrial chemical processing per Idaho Code
❑ Construction of a modular building (defined by Idaho Code) to be moved out of state
I hereby certify that the above information is true and correct to the best of my knowledge.
Signature
Date
Print Name