HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00323 - 299 Seagull Dr - Basement FinishOe XB URG,
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CITY OF
REX
Americas Family Community
Building
Permit
ISSUED TO:
PERMIT #: 0700323
NAME: Getz Aaron P Etux
FOR THE CONSTRUCTION OF: 299 Seagull -Getz JOB ADDRESS: 299 Seagull Dr
GENERAL CONTRACTOR: Owner
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 Inspec
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
on the premises during construction.
2) The permit will become null and void in the event of any deviation from the
NOTICE!
the building beyond the point indicated
in each successive inspection without
3. Drywall
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 aooroval.
INSPECTION CARD
BUILDING
Date ADDroved
1. Framing
2. Insulation
3. Drywall
4. Final
ELECTRICAL
Date Approved
1. Rough -In
2. Final
PLUMBING
Date roved
1. Water Service Conn(
2. Rough -In
3. Final
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
FyO� 48X SET
,r � , 7
0
CITY OF Certificate of Occupancy
REX
CW
AmMc4 Family Community
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
/ Fax
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
0700323
International Residential Code 2003
299 Seagull Dr
Single Family Residence
Type V, non -rated
Residential
No
Name and Address of Owner: Getz Aaron P Etux
299 Seagull Dr
Rexburg, ID 83440
Contractor: Owner /Lessee
Special Conditions: Finished Basement
Occupancy: Residential - 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 vtith 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: February 25, 200
C.O Issued, by:
Building
17PM)
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 Inspecto ..
Fire Inspector: - YAW
P &Z Administrator:
CITY OF AEXB UAG
BUILDING PERMIT APPLICATION Please (
19 E MAIN, REXBURG, ID. 83440 If the quesl
208 - 359 -3020 X326
PARCEL NUMBER -) iA N D � lX� �? C 0 jt` i ( W,
0700323
299 Seagull -Getz
SUBDIVISION: UNIT# BLOCK# LOT# Z
(Addressing is based on the information - must be accurate)
0[,7VER NAME: CONTACT PHONE # 2&Z- 57-0
PROPERTY ADDRESS: J D 'AS44
PHONE #: Home (rypgl &A Work (W) 3 Cell aog 5 - &15'Z
OWNER MAILING ADDRESS: lg SwuyAk D , CITY: STATE: ZIP: `93
EMAI FAX 2D�b 35�i - - l
APPLICANT (If other than owner) hWVZ41
(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 FAX
PHONE #: Home (
Work (
Cell (
now many duucangs are located on this property
Did you recently purchase this property? No Yes (If yes give owner's name) Q E
Is this a lot split? YES (Please bring copy of new legal description of pro
PROPOSED USE: S fkwMi", \ (,q ACVge, JUL 19 2407
(i.e., Single Family Residence, Multi Familr?Apartments, Remodel, Garage, Commercial, AdditionjEtc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: UnGe ITny @ M
that I have read this application and state that the information herein is correct and I swear that any informati erea ter a given by me m
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 no •tarted within 180 da s. Permit void if work stops for 180 days. &�� . — 7- , r - I- / o
Signature of Owner /Applicant DATE
Do you prefer to be contacted by fax, email AZD 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 lanuary 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**
Buil
19 E. Main
Rexburg, ID 83440
ng Safety Department
City of Rexburg
ionellh@rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
o
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��fMfn
CITY OF
REXBURG
Americo Family Cownunity
Affidavit of Legal Interest
State of Idaho
County of Madison
Name Address
, fig YJ � c�0.1n c�
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 t , 20
Signa e
Subscribed and sworn to before me the day and year first above written.
ON FJ
7 Q Q DT A,
e` �� o
STq� OF \O
Public of Idaho
Residing at: x6a.�. A-7
My commission expires:
_ II
3
Please complete the entire Application!
NAME _ Aa,c v, Lzjg•
PROPERTY ADDRESS 2q°k 5Gtna„„1 Dr.
SUBDIVISION U&yAtCeqv,
Dwelling Units
SETBACKS
FRONT
Parcel Acres: .?.'A
0
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 131(0.3 Unfinished Basement area ( 140
Second floor /loft ft are Finished basement area
Third floor /lo area h A Garage area L44L. s
Shed or Barn A10, Carport /Deck (30" above grade)Area Ala
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Required.!! No
PLUMBING
Plumbing Contractor's Name: Business Name:
Address City State Zip
Contact Phone: ( ) Business Phone: ( )
Email Fax
FIXTURE COUNT (including roughed fixtures
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)
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
Signature of Licensed Contractor License Number& Expiration Date Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
4
Please complete the entire Application!
NAME A o rrwa (Ae A&
PROPERTY ADDRESS 2 CA 1'n_4,AA,l V r _ Permit#
SUBDIVISION _ 1 &Q2 �
c,�"
Required.!! MECHANICAL Ma adwLtl &v �
,ao-r - G-- , t"Irya.
Mechanical Contractor's Name Business Name
Address Ciry State Zip
Cell Phone ( ) Business Phone ( )
Fax ( )
Email
Mechanical Estimate $ j2_ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace
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
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.
Signature of Licensed Contractor License number
The GO of Rexhurg's permit fee schedule is the same as
Date
the State of Idaho
Exhaust or Vent Ducts
Dryer Vents
Range Hood Vents
Cook Stove Vents
5
• •
Building Safety Department
4 , t� CITY o �T r• �r
City of Rexburg R' ���� \
19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 j , az &
AmerumilvCommunity
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 ',,
OWNER'S NAME A&,,%^ Cae
PROPERTY ADDRESS _�� S &u.l l Dr. Permit#
SUBDIVISION 1- �evrle� sev
PHASE 1 LOT S BLOCK S
HOME O WNER'S ELECTRICAL PERMIT
Home Owner's Name Ao r&, cg Gtr=
Address 2ciq_�-1t op. Ciry Q C�lbty,rg State S D Zip $ 440
Cell Phone (Zo$) _$ZD - (nd?iZ Home Phone ('jam$) 666q- 719
Fax (Zb$) �5- 0611 Email F
TYPES OFINSTALLATION
(New Residential includes everything contained within the residential structure and attachedgarage at the same time)
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)
�0 Existing Residential (# of Branch Circuits} -V To b OzWecj 6 4 , pur.el %%A
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
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of Home Owner Date
The City of Rexburg s permit fee schedule is the saute as required by the State of Idaho
Building Safety Department ,�xRffl C t T Y OF
City of Rexburg RF XB V RG
19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Americas FwrnityCommunity
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME A"&., 61tu_
PROPERTY ADDRESS U!j Permit#
SUBDIVISION
PHASE t LOT S BLOCK S
Requrredffl
Electrical Contractor's Name Business Name
Address City State Zip
Cell Phone ( ) Business Phone
Fax ( ) Email
Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTALLATION
(New Residential includes everything contained within the residential structure and attachedgarage at the same time)
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
ELECTRICAL
•
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor
License number
The
Date
schedule is the tame as required by the State of Idaho
7
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete:
Masonry:
Roofing:
Insulation:
Drywall:
Painting:
Floor
Coverings:
Plumbing:
Heating:
Electrical:
Special Construction
(Manufacturer or Supplier)
Roof Truss
Floor /Ceiling Joists:
Siding /Exterior
Other:
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 pen 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 -, N�ww.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.
am
Signature Date
Print Name
E