HomeMy WebLinkAboutAPPLICATION, CO, MULT DOCS - 07-00332 - 45 E 1st N - Shed�� e 1tEXBUR CI �
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CITY O F
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America's Family Community
Building
Permit
`ISSUED TO:
PERMIT #: 0700332
NAME: Klingler Steven Etux
FOR THE CONSTRUCTION OF: 45 E 1st N -Shed JOB ADDRESS: 45 E 1st N
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 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. Framing
■ 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 aDDroval.
INSPECTION CARD
BUILDING
Date Approved
1. Layout
2. Footing
3. Foundation
4. Framing
5. Insulation
6. Drywall
7. 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
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America's Family Community
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Certificate of Occupancy
City of Rexburg
Department of Community Development
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:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
0700332
International Residential Code 2006
45 E 1st N
Shed
Type V, non -rated
Residential
No
Klingler Steven Etux
45E 1 N
Rexburg, ID 83440
Owner /Lessee
General Utility
This Certificate, issued pursuant to the requirements of Section 109 of the Intemational 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 v►ith the requirements of the code
for the group and division of occupancy and the use for zhich the proposed occupancy vies
classified.
Date C.O. Issued: March 31 20 .3
C.O Issued by:
P P P l 0 wo-.0.00.!
Building Official .
There shall be no further change in the ebsting 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: n f
Electrical Inspector: �-
Fire Inspector: n /a-
P&ZAdministrator: a 1
CITY OF KEXB UKG 0
PERMIT # 46
BUILDING PERMIT APPLICATION Please
19 E MAIN, REXBURG, ID. 83440 If the que 0700332
208 - 359 -3020 X326
PARCEL NUMBER: �'!� (�i 45 E 1 st N- Klingler Shed
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
CONTACT PHONE #
PROPERTY ADDRESS:
Sf A-)
PHONE #: Home (, *) 351''3073 Work 36'C1 — 3 3/ D Cell (
OWNER MAILING ADDRESS: # S E ( st N CITY: v t STATE: _ - W ZIP: 8 �i/ o
EMAIL 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 EMA
PHONE #: Home ( ) Work (
FAX
Cell (
CONTRACTOR C7s&2�of&
MAILING ADDRESS: CITY STATE ZIP
PHONE #: Home ( )
Work (
Cell ( )
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE
How mnnv hnildinoq are lnrnted on this nrnnertvP
Did you recently purchase this property? Yes (If yes give owner's name)
Is this a lot split? CO) YES (Please bring copy of new legal description of property)
PROPOSED USE: 5, for - t e_ 6L4-g)
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty 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. 1 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 s ment or misrepresentation of fact in the application or on the plans on which the permit or approval was
based. Per it void if not stazte wi n 180 days. Permit void if work stops for 180 days.
_L 2 - 7 / 07
e 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 anuar 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**
Bull
19 E. Main
Rexburg, ID 83440
Safety Department
City of Rexburg
janellh@rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
.; �pEXBU�p�,,7
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CITY O F
REXBURG
Americas Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
6k
I , 1 (; nk
Name r'"
City
y e (s4- .v
Address
:Z
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 OA 2A A AM 2� day of Sy -'( , 20 7
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
Please complete the eltire Application!
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
SETBACKS
FRONT
Parcel Acres:
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 Unfinished Basement area
Second floor /loft area Finished basement area
Third floor /loft area Garage area
Shed or Barn '0 Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Required 111
PLUMBING
Plumbing Contractor's Name: Business Name:
Address City State Zip
Contact Phone: ( ) Business Phone: ( )
FIXTUR COUNT (includin- rou --hed 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
The
License Number& Expiration Date
schedule is the same as required by the State of Idaho
Date
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 www.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
p1 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.
- 27 -a7
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0700332
45 E I st N-Shed
D)k G E
IrAUG - 1 20077
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