HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00403 - 775 Park St - New SFRCITY OF
° REX
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"•,, Americas Family Community
S ISSUED TO:
Building
Per- it
PERMIT #: 0700-403
NAME: R Hill Construction
FOR THE CONSTRUCTION OF: 775 Park -R Hill Constr JOB ADDRESS: 775 Park St
GENERAL CONTRACTOR: R Hill Const
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
08/24/2007
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 shall be covered
without approval.
INSPECTION CARD
BUILDING
nafa Annrnuod
1. Mechanical Rough In
2. MechanicalPressure
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
(info Annrnvoei
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 , 0
oRnxauR�,ro CITY o F Certificate of Occupancy
REX 13URG City of Rexburg
""— --
America's Family Community Department of Community Development
eo
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:
0700403
International Residential Code 200$
775 Park St
Single Family Residence
Type V, non -rated
Residential
No
Name and Address of Owner: R Hill Construction
6579 E 113 N
Idaho Falls, ID 83401
Contractor: R Hill Const
Special Conditions: 1012 sq ft unfinished basement
Occupancy: Residential - less than 2 units, permanent in nature
This Cerfificate, issued pursuant to the requirements of Section 909 of the lntemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
toes inspected on the date listed vLes found to be in compliance with the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy teas
classified.
Date C.O. Issued: July 01, 2 WAM)
C.O Issued by:
Building Official
r
There shall be no further change in the existing 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 &TV Fire Inspector: h
Electrical lnspector• PBZAdministrator:
CITY OF REXB URG
6 :
BUILDING PERMIT APPLICATION Please c 0700403
t9 E MAIN, REXB URG, ID. 83440 If the quesi
208 - 359 - 3020 X326 775 Park -R Hill Constr
PARCEL NUMBER: -� �1� (
SUBDIVISION: t 40t_ 5 4r..� UNIT# BLOCK #_ LOT# ,
(Addressing is based on the information - must be accurate)
'IC C � +' L t c— CONTACT PHONE #
PROPERTY ADDRESS:--ZLI 1 �5 Ckl cl_ i
PHONE #: Home (
Work ( ) Cell (
OWNER MAILING ADDRESS: j 9 97 1 1=3A- CITY: STATE: �LJ ZIP: 33 Y4 r'
EMAIL r S it. i t0% `►mac c c �'+•� FAX ��. i
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 EMAIL FAX
PHONE #: Home ( ) Work ( ) Cell ( )_
CONTRACTOR
MAILING ADDRESS: CITY
PHONE #: Home (
Work (
Cell(
TE ZIP
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE 3 029
L7 — ]--^+-,4 __ 4,ic I
__ —_ ___ _ —_ r__r ___,.
Did you recently purchase this property? No Yes (If yes give owner's name) f�-
Is this a lot split? &q YES (Please bring copy of new legal description of property)
PROPOSED USE: 51 k 9
(Le., Single Family Residence, Multi 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. Permi nd if not started within 180 days. Permit void if work stops for 180 days. \ �q
� / _Z / 0
Signature of Owner /Appli ant 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 hanua{v 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
g Safety Department
City of Rexburg
janellh@rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
a �.xsua
CITY OF
U REX
c�
Ame&4 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:
' � - 'yti►a�t
� + may; r.— .•.•.x
L1133Rts�iifl*
Dwol t ee��{ U z Paml Ate.
SMBA
F=zd Facu a (If appUcable)
&area w2ftr TMR* r,
S tFACE SQU WMA : (E *A mcJu& 60 e or vM8 of Ow buii )
». 1
Rut Fbw Attu shed Bit arta
am l±WAwd bit wm
T1 flow%ft � C
SW w Bunt CapmbDe* (3V above )
IPM
Diskwadw
FlumDrain
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mWeemp,UWmm%
mm
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11 77
seGrc Daft.
Aerie complete the en �, Pppcation! rf the question doer a 0: in NA for non
appti�ble
NAM R - &4 C vK4 `
PRQPER.'TY ELI DnSS Permit#
SUBDWISIt. N S AZ tai �k 87 CI 1 5 —
Required! f
MCAMCAL
Mechanical Contractor's Name• Business Name:
Address ;C � �y� C A/ � �
Contwt Phme: ( } Z 7 5( Business Pk-)v-- t } -
Email
Fax
M eebniesl Estimate S (Commwdal ialti Ean Qom)
b
FLffUP 'sue` & A-FPL A CES CO r (S&gkFop 1 weffy& O
Exhaust or Vet Dueft
_
F=acel&onditioner Combo Dry= vencs�b
IHea ptunp
Air Con&tioner
EvWontative Cooler
unit Heata
Sp= lamer
Incinuaor System
Fool Heater
Range Hood Vents
Cook Stove Yeats
Bath. Fan [dents
Simila fixtmes or AWliawzs
Fuel Cos Pipe Ouch including stabbM in or fie outlets)`
met Pressure (Meter SUMS') Psi
Meat (Crele ali HW apply) Gas 4R Coal Fireplaces Electne
Mechanical Swag Gala tuns most be snbndtted with Flans & Application
Point of Delivery mast be shown can plans.
IV o
of i dam
WIM
Jun 25 2007 7:24AM Prestige Electric, LLC (208)357-2003 P.1
Jun 25 07 W19a Farmers Instauft 55 P.1
Building Safety Department Of
CRY of Rexbmg
4 M REXBURG
IOEMC*) JonemwexbMMg PhWe.-2rA.jX_3020 X326 C%W -
RexbaaL 0 83Lt0 www.rexburg. Fcvc2W_U9_W24 AMMMI VdIftly CbMM*xo
a N)LME Pennit #07 00403
- 9 Al i C. L • -
MOM O DRESS
SUBDIVI 775 Park
PHASE Air LOT BLOCK Lot 5 Block 8
Rcquim&hl ELECTR.TCAL
Mecto-ua c=m=we, ishIme 6kz& Bu Name A i'
State-"
Cell phorlc(OU aZ1 — AW Business Phone
Fax S7 7 - .2oV -j Ernaii
EkCtt 'C&l Estim*tc (COO OF'Widet & labor) $-� (COPAMERCUL/MULTI-FAMMY ONLY)
TYPES OPINSTALLAY70N
t' CV
9 owuWAwd wA*iv the jr we en d x j S&twrAM* and &ro*chcd as a #&=W d@W
NuMbez of tnetm being installed
Vp to 200 amp S
201 to 400 omp Service*
Chret 400 imp Servicev
Ta V o m'q COnsftucti(m Service. 200 amp or less"Dne location (fOr It Period 11, "t to exceed I year)
Ex Rtudmbd (# of BunCh Circuits)
- Spa, Hot Tub, S w k nm i ng p
Other Ins; tallations: Wr,',, not sPCCffiC%4 coveted by any of th a
Cost of Wiring &,L S
PMELPS Pomestic Irrigation, Sewage)
Requested hupecliors (of existing Witine
Elactfic central Systems Heath: g =d/or Coolin (--h not FinOra nm , rcWft, cm'ftu'doo pftma
Bad no 2"*nw V*i*
Ddodula4 A"nufactuted 02 mobile H'M
- Temporary
inspoct" ch "S *d " ' inglItcdon rau codf)40 per *tx'.
_47 7
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