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Home My WebLink AboutAPPLICATION, CO, BP - 07-00404 - 570 Woodbridge St - New SFR0xsu o s� A �s ��sHfo .e a CITY OF REX Americas Family Community Building Permit ISSUED TO: PERMIT #: 07 00404 NAME: Rowell Don FOR THE CONSTRUCTION OF: 570 Woodbridge- Romrell JOB ADDRESS: 570 Woodbridge St GENERAL CONTRACTOR: Rowell Homes 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 08/27/2007 Is (: su e / d By � V .�re5tI, 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, 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. Mechanical Final Ins 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. 5. Footing INSPECTION CARD BUILDING Date Aooroved 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 Appr oved 1. Rough -In 2. Final PLUMBING Date Aooroved 1. Sewer Service Conn 2. Water Service Conne 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� R � Certificate of Occupancy CITY O F ° REX City of Rexburg ` Amerita'sFitmi Communit Department of Community Development '•�, 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 0700404 Applicable Edition of Code: International Residential Code 2003 Site Address: 570 Woodbridge St 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: Romrell Don 1094 N 7th E Sugar City, ID 83448 Contractor: Romrell Homes Special Conditions: Unfinished 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 sties inspected on the date listed ws found to be in compliance vVth the requirements of the code for the group and division of occupancy and the use for vlhich the proposed occupancy vies classified. Date C.O. Issued: May C.O Issued by: 09, 2008 (10:3 ) Building Official There shall be no further change in the wdsting 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: �Q Electrical Inspector: PBZAdministrator: I CITY OF REXBURG 0 0 BUILDING PERMIT APPLICATION Please o 0700404 19 E MAIN, REXBURG, ID. 83440 If the ques 208 - 359 -3020 X326 570 Woodbridge- Romrell PARCEL NUMBER: (W. SUBDIVISION: 1, UNIT# BLOCK# LOT# I (Addressing is based on the information - test be accurate) PROPERTY ADD M ACT PHONE # PHONE #: Home (acf Work (90` 3�t- 72 Cell ( ) 3 .. ,;C7 OWNER MAILING ADDRESS: � � t / �; 7 ��. � CITY: —IS �_STATE: ZIP: , *03LV4 EMAIL �, tick( ��,f� , �.? t (� ► C c d*yv� r. FAX I LJj_q 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 STATE ZIP PHONE #: Home ( ) Work ( EMAIL FAX IDAHO REGISTRATION # How many buildings are located on this property? Did you recently purchase this property? No es f yes give owner's name) Is this a lot split? NO YES (Please bring copy of new I PROPOSED USE: S + NG� �� + Q(. Vl l (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Gat OF REXBURG k� t�_e 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 Interna l n 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. ermi void if 7tedd within 180 d ermit void if work stops for 180 days. / Signature of Owner /Applicant DATE Do you prefer to be contacted by fax, email or one? ircle One WARNING — BUILDING PE ST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning aagar 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** on of f Bull Safety Department City of Rexburg 19 E. Main Rexburg, ID 83440 jonellh @rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 of pexe Uq� 's U � s, C I T Y O F R 0& _ Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison Name Address LL C C City Being first duly sworn upon oath, depose and say: A. 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 7- Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: State (If Applicant is also Owner of Record, skip to B) That I am the record owner of the property described on the attached, and I grant my permission to: My commission expires: Please complete the Rtire Application! NAM E,� C l` \t PROPERTY ADDRESS Permit# SUBDIVISION Dwelling Units: 1 Parcel Acres: SETBACKS , FRONT SIDE 3C SIDE t BACK Remodeling Your Buildingl"ome (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 Pra.de)Area Water Meter Quantity: * *** * * * * * ** ***Water Meter Size: �7/ Required./ll .PLUMBING Plumbing Contractor's Name Business Name: iC% C 4' s ►�{ t ,;� Address ^ City 'Q,' - r. State Zip Contact Phone: ( ) j,5 °' 7 Business Phone: Email FIXTURE COUNT (including roughed fixtures, Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) 2— Sprinklers ` 1 7 SP Tub /Showers _Q- - Toilet /Urinal 3L Water Heater I Water Softener Plumbine Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) Signature of l.icenseu wu.. . __- id cense lvuuauc.0 _� D The City of Rexbw rpermitfee schedule "the same as nquned by the State of Idaho Please complete the entire A p p lication! �, P PP NAME /! nXJ f ?Qn C QJ PROPERTY ADDRESS SUBDIVISION aV- l Q - U Permit# Required!!! MECHANICAL Mechanical Contractor's Name , Oil 1 C°`G YyIL� y1 "�1"Z__ Busine s Name Address V aS O CCaVIYAc - _y4 City . ' A/) State Zip _ Cell Phone ( ) ;�, -�,'� , Business Phone Fax ( ) Email Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace _ Furnace /Aix 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 other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic M-Mvi- M91 1 _ W _: ' L 2- J �� Licensed Contractor License number Date Exhaust or Vent Ducts Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents The City of Rexburg's permit fee schedule is the same as required by the State Aug 22 07 02:14p Aug 22 07 02:09p Don Ron"I P.1 Building Safety Department C I T Y 0 f City of Rexburg REXBURG 19 E Moin janefih@rexburg.org Phone: 208.359.3020 x324 v ill. Rexb xgl,10 83440 www.rexbun;.org Fox 206-359-3024 OWNER'S NAME T'kkQl a 1,F) -W.Q i t Permit #07 00404 PROPERI'Y ADDRESS SUBDIVISION 'L= ��% r Ii PHt \SL 570 Woodbridge I LOT BLOCK Required!! ELECTRICAL Electrical C� 7 o1ntt actor's Name E s� � l�1 C>u �' ss� Business Name Address T Q C SC . L ( t GE City ( � u State --�-C � Zip � J__ f 0 i Cell Phone ( c } -3 = �` ` r Business Phone ( ) s�r`. '- �' 1. - Email G z ! S hL ry► at - +• Electrical Estimate (costof%vwng & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES 0FIIVSTALLATI01V (JVe'r Residential.tnc trdcs cverydungcvn&une.d wirfim ncw residential strtretnre and a,1tacbedgrw.Vc at the manic time) Number of meters being installed Up to 200 amp Service* 201 to 400 arnp Service* Over 400 amp Service* Temporary Construction Service, 200 amp or less, one location (for a period not to exceed t year) Existing Residenti:il (# of Branch Circuits) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and /or Cooling (when not Part of a new residential constntcrion permit anti no additional wiring) Modular, ll+Ianufactored or Mobile Horne 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 Amusemcnt /industry 9yinmm rf3 insnectiq�..X"tioml iru eetions eM ed at rc P rg quested inspection rate of $40 per hour. S -tea -o7 Stgnaturc o cnsc Cemtraetor I icensc number Date 1 litxLb: K' r P am; t fir rahalrrk i I nveve At agivinv/ by lhes afe ofldn - • Building Safety Department `�rka..,�, C I TY 0 F City of Rexburg v. REXBURG 19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326 America,'; F,,,.; cn: fr,,t m,r; Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME &� W 6 PROPERTY ADDRESS �70 c9® Permit# SUBDIVISION �"i PHASE LOT .s? BLOCK Requiredffl ELECTRICAL Electrical Contractor's Name Bron Leishman Business Name Leishman Electric Address 442 South 4th East City Rexburg State ID Zip 83440 Cell Phone (2 0$ 390-14 Business Phone (208)- 770 Fax (208) 359 -0918 bcleishman @msn.com Electrical Estimate ( cost of wiring & labor) $ (COMMERCIAL /MULTI- FAMILY ONLY) TYPES OF INS TALLATIONI (New Reside / includes everything contained within the residential structure and attached garage at the same time) v 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) M dular, 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 ctions. Additional inspections charged at requested inspection rate of $40 per hour. / Signature of Licensed Contractor License number Date The schedule it the same as required by the State 7 Bureau of Occupational Licenses Department of Self Governing Agencies The person named has met the requirements for licensure and is entitled under the laws and rules of the State of Idaho to operate as a(n) REGISTERED CONTRACTOR DONALD T ROWELL 1094 N. 7TH E. SUGAR CITY ID 83448 Tana Cory RCT -3061 07123/2008 Chief, B.O.L. Number Expires • 0 rn- �11 - SUBCONTRACTOR LIST / Excavation & Earthwork: -t. �- ` � L- C Concrete: 02,r), �i L Masonry: Y Insulation: BC�1s _1 5 L, DrvwaU: v ► �� `'1 1 ��`�� t c - 4 Floor Coverings: ( - v � Electrical: _ S Special Construction (Manufacturer or Supplier) Roof Trusses: c Floor /Ceiling Joists: Siding /Exterior Trim: