HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00364 - 92 Star View Dr - New SFR04 gBXB 0 0
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CITY OF
REX
Americas Family Community
B uilding
Permit
,ISSUED TO:
PERMIT #: 07003,64
NAME: Fogle Kevin Etal
FOR THE CONSTRUCTION OF: 92 Star View - Fogle JOB ADDRESS: 92 Star View Dr
GENERAL CONTRACTOR: Kevin Fogle
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.
4ODate Approved
08/23/2007
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
■ accepted drawings. approval. No structural framework of
3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shalt be covered
without aooroval.
4
INSPECTION CARD
BUILDING
Date roved
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 proved
1. Rough -In
2. Final
PLUMBING
nate a
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
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7
���gEXB f CITY of Certificate of Occupancy
u REX RG City of Rexburg
`
America'sFamil C ommuni t y Department of Community Development
'•,, M.o
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 - 3024
Building Permit No: 0700364
Applicable Edition of Code: International Residential Code 2006
Site Address: 92 Star View Dr
Use and Occupancy: Single Family Residence
Type of Construction: Type V, non -rated
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Gardner Scott &
723 Lupine Cr
Rexburg, ID 83440
Contractor: Kevin Fogle
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
wes inspected on the date listed vies found to be in compliance idth 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: December , 008 (0 PM)
C.O Issued by: C�
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 Inspecto : Fire Inspector:
Electrical Inspector P &Z Administrator
oFR�XBUR� CITY O F Certificate of Occupancy
�.�► RFURG City of Rexburg
americasFam yCommunity Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
_ Phone (208) 359 -3020 / Fax (2081359.3024
Building Permit No: 0700364
Applicable Edition of Code: International Residential Code 2006
Site Address: 92 Star View Dr
Use and Occupancy: Single Family Residence
Type of Construction: Type V, non -rated
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Gardner Scott &
723 Lupine Cr
Rexburg, ID 83440
Contractor: Kevin Fogle
Special Conditions: Approval for upstairs only. Basement cannot be occupied until final
inspection is approved.
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 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: August 22, 2902 (03:1
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:
ti
Electrical Inspector: '`
Fire Inspector: n
P &Z Administrator: {��.
��gEXHUg
y � CIT "Y O F
REXB Y�T� Please C
V 1\ If the yues 07 003 64 9
6 E6 tY
America's Family Community 92 Star View - Basment Finish
RESIDENTIAL BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID 83440
208 - 359 -3020 X326
PARCEL NUMBER (We will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
PROPERTY ADD
CONTACT PHONE #
:�cx 6 ur4 I b �.
0
PHONE #: Home ( ) Work ( ) t� �' Cell ( ) e 334 q
OWNER MAILING ADDRESS: 723 L_Vp I Vie— CITY: . kt STATE: ).bZIP: 34 f 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: ADD
STATE; ZIP.
PHONE #: Home (
CITY:
EMAIL FAX
Work (
Cell (
CONTRACTOR Efiiv ricy
MAILING ADDRESS: CITY STATE ZIP
PHONE #: Home ( ) Work ( ) Cell ( )
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE
How many buildings are located on this property?
Did you recently purchase this property? No es If yes, list previous owner's n
Is this a lot split? O ) YES (Please bring copy of new legal description of pro ApR $ 2008
PROPOSED USE: ti-n 1 _VVdy_
(i.e., Single Family Residence, Multi amily, Apartments, Remodel, G`a
Commercial, Addition, c.)
F REXBURG
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: ° '' rfrTi certify
that I have read this application and state that the information herein is correct and I swear that any information ' `# lay 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.
Signature of Owner /Applicant DATE
Do you prefer to be contacted by fax, email v4 phon 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 Tamar 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**
BuildOg Safety Department
City of Rexburg
19 E. Main ionellh @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
�� gERB Ug
U G
CITY OF
REXBURG OW
Americas Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
I,
Name
City
Address
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:
Please complete the Aire Application!
NAME �6 - �JYfiV G� (S3 &4"—Cl rLt�'
PROPERTY ADDREMa r v bCvv r.
SUBDIVISION l
Dwelling Units: Parcel Acres:
SETBACKS
FRONT
•
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 Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Required.!►!
ho e> <<��e
PLUMBING
Plumbing Contractor's Name: W heN Business Name:
; � 3 ,
Address City State Zip
Contact Phone: ( ) Business Phone: ( )
Email Fax
FIXTURE COUNT (including roughed Fixtures
/
Clothes Washing Machine
Sprinklers
Dishwasher
Tub /Showers
Floor Drain
2
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 a required by th St
Date
Please complete the entiR Application!
NAME Ci K r
PROPERTY ADD $S 91 �W �� � L� g 3 ��
SUBDIVISION WCVX Va,tl�+i
Permit#
Required Y
MECHANICAL
Mechanical Contractor's Name O W VAX Business Name
Addres
City State zip
Cell Phone ( ) Business Phone ( )
Fax ( )
Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace
Furnace /Air Conditioner Combo
Heat Pump
Air Conditioner
Exhaust or Vent Ducts
Dryer Vents
Range Hood Vents
/ Cook Stove Vents
Evaporative Cooler - Bath Fan Vents
Unit Heater �� other similar vents & ducts:
Space Heater
` Decorative gas -fired appliance
Incinerator System
Rniler
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
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.
Signature of Licensed Contractor License number
The City of Rexburg s permit fee schedule is the same as
the State of Idaho
Date
Building Safety Department
City of Rexburg
19 E Main janeiih @rexburg.org Phone: 208.359.3020 x326
Rexburg, 1D 83440 www.rexburg.org Fax: 208.359.3024
`f Q,EXBUR
0
�<o
CITY 0
REXBURG
Americ6 Family Community
OWNER'S NAME 5 ""t (- I &i_d VO
PROPERTY ADDRESS qZ ,�WtCW Permit#
SUBDIVISION i4ld v- 64,U61
PHASE LOT BLOCK
HOME OWNER'S ELECTRICAL PERMIT
Home Owner's Name JCe Fre
Address 0 1 2- i y low Dr City �U State 1 Zip 9, 31 q o
Cell Phone Home Phone
Fax ( ) Email
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
For power supplier requirements visit www.rockymtnpower.net
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)
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
The City of Rexburg's permit fee schedule is the same as
g 08
Date
the State of Idaho
Building Safety Department
City of Rexburg
19 E Main janellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax 208.359.3024
OWNER'S NAME
PROPERTY ADDRES L 6
SUBDIVISION ,-(,
PHASE LOT BLOC
C IT car
RE XBURG
fin rICRt F:Pndli' CI1)7171lLmpi'
Permit #07 00364
92 Star View Dr
Requiredffl
ELECTRICAL
Electrical Contractor's Name Bron Leishman Business Name Leishman Electric
Address 442 South 4th East City Rexburg State ID Zip 83440
Cell Phone (2 0 0 390-1 Business Phone (2 0 �- 3 5 6 - 3 7 7 0
Fax (208) 359 -0918
bcleishman @msn.com
Electrical Estimate (cost of wiring & labor) $ � QMb (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTALLATIONI
(NewResidentialincl es everything contained within the residential structure and attachedgarage at the same time)
p to 200 amp Service*
201 to 400 amp Service*
vex 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, I 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 Licensed Contractor Incense number Date
The
schedule is the same as required by the State
7
• 0
SUBCONTRACTOR LIST
Excavation & Earthwork:
Masonry:
Roofing:
Insulation:
Drywall: () w h-P/Y
Painting: Q W Yom'
Floor'' e
Coverings: 1 In �� D Yl ✓�
Plumbing:
Electrical: , o w n�
Special Construction
(Manufacturer or Supplier)
Roof
Floor /Ceiling Joists:
Siding /Exterior
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
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.
De
Signature Date
/1 3 c�Y
Print Name
CITYY OF REXB URG
BUILDING PERMIT APPLICATION Please 4 0700364
19 E MAIN, REXBURG, ID. 83440 If the quest
208 - 359 - 3020 X326 92 Star View D r -Fog e
PARCEL NUMBER: Q: 1Q f q i(A .i! 4L�) (Wc
SUBDIVISION: UNIT# BLOCK # #`
(Addressing is based on the information Jmust be accurate)
OWNER NAME l/ f:�; L.L CONTACT PHONE #
PROPERTY ADDRESS:
PHONE #: Home Work( ) Cell (rvj) 33`7--c,
OWNER MAILING ADDRESS / 3 4-k-S 4` 1 CITY: t � �•�� TATE: 1` ZIP: &3�[j�
EMAIL _ f °, Lf fang c� c,- r c W FAX
APPLICANT (If other than owner) b� o 4 , f A
(Applicant if other than owner, a statement authorizing applican to ac as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS 27 S / ,St 1 CITY: T
STATE; L ZIP E 3L ' EMAIL : � �J tmy q)aey 1 ; ctt. I FAX
PHONE #: Home Work
Cell �4) 3 3 ei —eiG 2 6
CONTRACTOR:. 1 t4
MAILING ADDRESS: t STATE ZIP k3 Li y�
PHONE #: Home PW-8) 35 - L , y 5� Work ( ) Cell W 3 3 , f-e , � , 6 °z6
EMAIL ` SAX IDAHO REGISTRATION # & EXP. DATE 4 /1 G c
How many buildings are located on this property? 1
Did you recently purchase this property No Yes (If yes give owner's name)
Is this a lot split ?(N�!) YES (Please bring copy of new legal description of prope L �
PROPOSED USE:
(i.e., Single Family Residence, Multi amily, Apattments,Akemodel, Garage, Commercial, Addition, Et .
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Un r pen ti
that I have read this application and state that the information herein is correct and I swear that any information 'cl nWhre ih hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthfu J o comp y 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. Permi void if not started wit ' 180 days. Permit void if work stops for 180 days.
Sign re of Owner /A cant 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 Tanuaty 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**
Please complete the e�itire Ap
p Pp
NAME
PROPERTY ADDRES L3
SUBDIVISION Q`
Dwelling Units:
Parcel Acres:
Permit#
SETBACKS
FRONT S Z SIDE SIDE _BACK 2y "
Remodeling Your Building /Home ( need Estimate $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area i �G/5_ Unfinished Basement area
Second floor /loft area Finished basement area
Third floor /loft area Garage area ft
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size: 3�<
Requlredffl
PLUMBING
Plumbing Contractor's Name: Z Business Name: Centeoc o G l I L rRbi �'1�i
Address f !i�ok f City k� by 1 State Zip
Contact Phone: 0616) 651 - O'; AP Business Phone: (
Email Fax
FIXTURE COUNT tncludin rou hed fixtures
Clothes Washing Machine I Sprinklers
_ Dishwasher Tub /Showers
Floor Drain Toilet /Urinal
Garbage Disposal Water Heater
Hot Tub /Spa Water Softener
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $ /U< (COMMERCIAL /MULTI - FAMILY ONLY)
Signatu e of Licens d Contractor License Number& Expiration Date
The 00 of Kexburg's permit fee schedule is the same as required by the State of Idaho
Please complete the entire lication! •
P PP
NAME
PROPERTY ADDRESS V_ I L,* Permit#
SUBDIVISION
Requiredffl MECHANICAL
Mechanical Contractor's Name M (t /��� Business Name
Address City : Z a u f' State Zip &. Y
Cell Phone ( ) 3 r?^ '���/ Business Phone ( ) 3 ,5K— , ?_3 is
Fax ( ) Email
Mechanical Estimate $ (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
c��c ti Vv Xn 'V���'-�
other similar vents & ducts:
_ Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that appl Ga Oil Coal Fireplace Electric Hydronic
of Licensed
The
I — Exhaust or Vent Ducts
Dryer Vents
Range Hood Vents
Cook Stove Vents
P — Bath Fan Vents
License number
schedule is the same as
7 3
ate
the State of Idaho