Loading...
HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00320 - 777 Johnson St - New SFRQ4 gEXB UR u� r� CITY OF REX A `w .' Americas Family Community ��SNED t0 Building Permit ISSUED TO: PERMIT #: 0700320 NAME: Harris David Etux FOR THE CONSTRUCTION OF: 777 Johnson- Harris JOB ADDRESS: 777 Johnson Ave GENERAL CONTRACTOR: Night Owl Builders 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 Building Inspector THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE 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 NOTICE! on the premises during construction. 2) The permit will become null and void in the event of any deviation from the the building beyond the point indicated in each successive inspection without accepted drawings. 3) No foundation, structural, electrical, nor plumbing work shall be concealed approval. No structural framework of any underground work shall be covered without approval. 4. Layout INSPECTION CARD BUILDING Date AD oroved 1. Mechanical Rough In 2. Mechanical Pressure 3. Mechanical Final Ins 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 roved 1. Sewer Service Conn 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 ACERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL & PLUMBING INSPECTION 0 �� 4axsu 1� CITY OF REX BURG ' ol Americas Family Community Certificate Of Occup a y City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 ne Building Permit No: 0700320 Applicable Edition of Code: International Residential Code 2003 Site Address: 777 Johnson Ave Use and Occupancy: Single Family Residence Type of Construction: Type V -N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Harris David Etux 382 E 3000 N Rexburg, ID 83440 Contractor: Night Owl Builders Special Conditions: Occupancy: Residential, single family dwellings, lodging houses This Certificate, issued pursuant to the requirements of Section 909 of the Intemational Building Code, certifies that, at the time time of issuance, this Kos inspected on the date listed (ties found to be in compliance e o e th the requirements that for the group and division of occupancy and the use for vtl�ich the proposed ,occupancy code classified. Date C.O. Issued: September 27 07 (09:1 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- Electrical Inspector: Fire Inspector: V) P &Z Administrator: V�t� CITY. OF REXB UAG 0 BUILDING PERMIT APPLICATI1 19 E MAIN, REXBURG, ID. 8344( 208 - 359 -3020 X326 0700320 9 777 Johnson - Harris PARCEL NUMBER J( C (We will provide this for A$ L for fi" I c, ITYOFRFXSURO SUBDIVISION: & p,1 UNIT# BLOCK #LOT# (Addressing is based on the information - must be accurate) CONTACT PHONE # 2,-.?t3 PROPERTY ADD PHONE #: Home ( ) Work ( ) Cell ( OWNER MAILING ADDRESS: CITY: STATE: ZIP: EMAIL F 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 EMAIL F PHONE #: Home ( Work ( Cell ( CONTRACTOR MAILING ADDRESS: _? Z � �� ,�1 CITY STATE Cb ZIP 9 PHONE #: Home ( ) Work ( ) Cell ( _7r7 - 2 S .7 EMAI �;:(. rrlJ f .l FAX �� C/ b 7 - IDAHO REGISTRATION # & EXP. DATE R ( C - / 6 ' 6 6 L / F Xx"w U11.uy LJUUUU A.IC XUt ULCU 011 UM PIUPCILy: Did you recently purchase this property? No es If yes give owner's name) Is this a lot split? (L'40 YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., tngle a y esidence Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjur I hereb 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 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. rgnature 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 fanuary Z 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** CITY: Bull Safety Department City of Rexburg 19 E. Main Rexburg, ID 83440 jonellh@rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 'iOF REXB UR v o CITY O F R EX B URG Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison I, Name City Being first duly sworn upon oath, depose and say: Address State (If Applicant is also Owner of Record, skip to B) r t'ITYY 0 F � �U 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 3 day of JZA (ti 0 20 - 01 Subscribed and sworn to before me the day and vear first above written. a „ HAR f.. „ ye O T AR y 4 � � n ��• P U BI,1G C r; •,, o, , y P-6 0'? " . Please complete the entire Ap p pp NAME j ✓,� ✓�lry�'� PROPERTY ADDRESS SUBDIVISION Dwelling Units: SETBACKS FRONT 3 2- Parcel Z- Parcel Acres: Permit# SIDE SIDE BACK Remodeling Your Building /Home ( need Estimate $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area I Unfinished Basement area _&_ Second floor /loft area Finished basement area cn-. Third floor /loft area 1,5p- Garage area 16 f , i Shed or Barn 19- Carport /Dec (30" above grade)Area 8- Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: - -?/Y Requiredffl PLUMBING / Plumbing Contractor's Name: /.)ri�u r14 1-41 Business Name: C/ , �(,.. �✓r►(��, Address /� �� y �� �� 1 " City y, 64 //s State ::7 D Zip 0 11,- 3 5'0 Contact Phone: (,, 23 - 3 / 3 ,6 Business Phone: ( Email ja F FIXTURE COUNT (including roughed fixtures Clothes Washing Machine r Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ ` Sprinklers Tub /Showers Toilet /Urinal Water Heater I Water Softener (COMMERCIAL /MULTI - FAMILY ONLY) Z&e� & Signature of Licensed Contractor The I'_ 1) 6 1 y q/3 P��� 6 0 License se Number& Expiration Date Date 's permit fee schedule is the same as required by the State of Idaho Please complete the enti• Ap i P PP NAME a ,i /�iY)J PROPERTY ADDRESS F SUBDIVISION X Required!!! MECHANICAL Mechanical Contractor's Name 1 Xv Business Name T i We. -/0— Addr % a ,�. k�0 Gt. Ci tate .M9 Zip p y Cell Phone (1,79) ,?13 4% Business Phone ( Fax (lot) 33 04 2 y Email s 4Ae� y54, <' rte 9.r•� ee Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo 1 Dryer Vents 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 other similar vents & ducts: Heat (Circle all that apply) &j� Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on Mans. Signature of Licensed Contractor The Range Hood Vents Cook Stove Vents 7i Bath Fan Vents g�q License number schedule is the same as /,)7 0 a - Date the State Building Safety Department io0.EXBV i CITY OF City of Rexburg �� 'o R XBT mG ' s 0& ! 1� 19 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 dn4 i�Y7s Permit #07 00320 PROPERTY ADDRESS `1 - 1 1011 " SLn SUBDIVISION .,c%,✓ 777 Joh 3 LOT BLOC J Requlred!►l ELECTRICAL Electrical Contractor's Name Business Name �1 �H ^ gyp !fin it Address Z/ City State - Zip �' r/ Y 0 Cell Phone (Zvi) 3J Business Phone ( ) Fax ( ) Email Electrical Estimate ( cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) 1 Number of meters being installed � 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) r7 _; • - - -- _ Modular, Manufactured or Mobile Home�� .__l i' ;i Other Installations: Wiring not specifically covered by any of the ab l Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) ' i 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. A�� C - 1 ? -,� :�, 6 / 3 0 /D Signature of Licensed Contractor License number Date The City of Rexburo's permit fee schedule is the same as required by the State of Idabo • • SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: ; G JUL 1 Masonry: A)N� -5 /L4,P4J">JUQ Y Roofing: rr'e -. Insulation: CU/i.AeC Drywall: t- Vm S Painting: Floor Coverings: S ep k- 4 se. 7�- += ��ni✓S Plumbing. Heating: Special Construction (Manufacturer or Supplier) Roof Trusses: RI) G /"eJ� Floor /Ceiling Joists: 9 C- 4,Y.5 7 Siding /Exterior Trim: Ze - 0 �// Other: