HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00324 - 767 Johnson St - New SFROF g6XB URC
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America's Family Community
Permit
ISSUED TO:
PERMIT #: 0700324
NAME: Harris David Etux
FOR THE CONSTRUCTION OF: 767 Johnson Ave- Harris JOB ADDRESS: 767 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
on the premises during construction,
the building beyond the point indicated
N O
T
I C
E 2) The permit will become null and void in the event of any deviation from the
in each successive inspection without
4. Layout
■ 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.
INSPECTION CARD
BUILDING
Date Approved
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 Aonroved
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
o��EXB�k� CITY O F, Certificate of Occupancy
r
REX d' City of Rexburg
'•,, ..o AmericasFamlyCommunity Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3024
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
0700324
International Residential Code 2003
767 ,ohnson Ave
Singe Family Residence
Type V, non -rated
Residential
f
No
Hams David Etux
382 E 3000 N
Rexburg, ID 83440
Night Owl Builders
Special Conditions:
Occupancy: Residential - less than 2 units, permanent in nature
This Certificate, issued pursuant to the rAulrements 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
►ties inspected on the date listed vies found to be in compliance vtith the requirements of the code
for the group and division of occupancy e'hd the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued: April 30,
C.O Issued by:
G2/G
Building Official,
1
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 lnspect t� PSZAdministrator: N
CHY. OF K.EAB UKG 0 PERMIT # a
BUILDING PERMIT APPLICATION Please cc
19 E MAIN, REXBURG, ID. 83440 If the questic 0700324
208 - 359 - 3020 X326 '
767 Johnson- Harris
PARCEL NUMBER: � � ` � � °;,`� (We v
SUBDIVISION: /'�1 lN�Sv.n UNIT# BLOCK# LOT# J r
(Addressing is based on the information - must be accurate)
s CONTACT PHONE # 7� & e5LZ S 2
PROPERTY
PHONE #: Home ( ) Work ( ) Cell ( )
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
EMAIL FAX
APPLICANT (If other than owner) �5
(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 ( )
C ONTRACTOR
MAILING ADDRESS: ?'d2_ F. ,?ov c> A) CITY —�� —STATE 2-V ZIP_.9YYY'o
PHONE #: Horne
Work
Cell (_'C) - 2 5_
EMA VAX 1 Lb ( oi�� IDAHO REGISTRATION # & EXP. DATE ZCC l S
T
How many buildings are located on this property? — z!5
Did you recently purchase this property? No eVe` s�If yes give owner's name)
Is this a lot split? C_=/ YES (Please bring copy of new legal description of property)
Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, 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 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.
0
�i"g Owner /Applicant DATE
Do you prefer to be contacted by fag, email or one �e One
WARNING — BUILDING P T BE POSTED ON CONSTRUCTION SITEI
Plan fees are non - refundable and are paid in full at the time of application beginning jay L JW,
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 dear**
Buil
Safety Departm
City of Rexburg
19 E. Main
Rexburg, ID 83440
ionellh @rexburg.org Phone: 208.359.3020
www.rexburg.org Fox: 208.359.3024
OF SOC8 V#
v
CITY OF
REXBURG
. _.w -- _ nW -- _
Americas Famt4 Community
Affidavit of Legal Interest
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 3L lh 20 —
Signs ure
Subscribed and sworn to before me the day and year first above written.
\\\`\ \ \�ti111i 1I1I1111 / / /if
�\�\�P�,. N E R n f �
*
PUBLIC r' * = Notary Pubhc of Idaho
Residing at
My commission expires: I t , , —
Please complete the entire Ap
p pp
NAME 0,Av t D & Ct ,e 1 S
PROPERTY ADDRESS Permit#
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
FRONT 7 2 SIDE SIDE - BACK Z r�
Remodeling Your Building /Home ( need Estimate $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area Z 3q.( Unfinished Basement area z9`
Second floor /loft area �3- Finished basement area -6
Third floor /loft area - Garage area
Shed or Barn , e5P- Carport/Deck (30" above grade)Area - t">- -
Water Meter Quantity: I **************Water Meter Size: ! �x
Requiredffl
PLUMBING
Plumbing Contractor's Name: ��� ��G ; _,4� 2 Business Name:
Address & 3 Z L' A,!h --/i �`` dr -.ffj� City —Le�4 , 911 State =19 Zip _Y2-LV1
Contact Phone: V,? Z 5 I - ? S Business Phone: ( )
FIXTURE COUNT wdudingroughed Bxtures)
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
_ Sinks (Lavatories, kitchens, bar, mop)
_ 0 Sprinklers
3h Tub /Showers
- Toilet /Urinal
I Water Heater
I Water Softener
Plumbing Estimate $ (COMMERCIAL /MULTI- FAMILY ONLY)
bAi ' 113
Signature of Licensied Contractor License Number& Expiration Date Date
The City of Bexburg's permit fee scheduk is the sa as requirrd by the State
Please complete the en • Ap
NAME din -
PROPERTY ADDRESS
SUBDIVISION &, zz.r�;�.
Z Exhaust or Vent Ducts
I Dryer Vents
RequiredW
MECF "ICAL
Mechanical Contractor's Name z� Business Name T3 & A
Address �? �� � �,,�, r� City Zy ,. . State - Zip ,
Cell Phone (/- b) f G24L7 Business Phone ( )
Fax ( ) S9 A l Email b e4 F A 4
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace
I _ Furnace /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler .!7
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Range Hood Vents
Cook Stove Vents
0
Permit#
7 Bath Fan Vents
other similar vents & ducts:
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
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 pla ns.,
Signature of Licensed Contractor
The
S�
License number
schedule is the same as
/30/07
Date
the State
0 0
Building Safety Department �RkBUR,,
City of Rexburg
19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fox: 208.339.3024
OWNER'S NAME is1 'd
PROPERTY ADDRESS
SUBDIVISION a� � i�_
PHASE 7 LOT BLOCK 2
CITY OF
REXBURG
America's Fatnil , Co„unur,ity
0700324
767 Johnson- Harris
Requiredffl
ELECTRICAL
Electrical Contractor's Name �TfPr _1 Business Name lam,
Address �„ r' City Y �, State __L Zip ? �' 0
Cell Phone (1,,4 3.$) — 1 4 �v 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 attacbedgarage at the same time)
umber of meters being installed
Y U to 200 am Service*
P P
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
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $4o per hour.
6 -
Signature of Licensed Contractor License number Date
The
schedule is the same as regrind by the State oflduho
■■ r■■■■■ ■■ ■ ■ r■ ■ ■ ■■■■■•r ■■■■ ■ ■■■■• ■ ■ ■ rr■ rrr■■■ rr■■■■ r■■■■■■■ ■■rrr■r■rr■■■■■■■■■
SUBCONTRACTOR LIST
Excavation & Earthwork: /- 4 u er
Masonry: — A V 45
Roofing. L ",o
Insulation: P r!
Drywall:
Floor
Heating.
Electrical•
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor /Ceiling Joists: /3/k - e 4--
Siding /Exterior Trim:
Other: