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Home My WebLink AboutAPPLICATIONS, CO, BP - 07-00410 - 251 Polo Dr - New SFRQ J ,SXH El CITY OF • • REX N � V . ,1 t a x e o °•A America's Family Community Permit • ISSUED TO: PERMIT #: 0700410 NAME: Nichols Mark FOR THE CONSTRUCTION OF: 251 Nichols -White Sands JOB ADDRESS: 251 Polo Dr GENERAL CONTRACTOR: White Sands Construction 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 Approve Issued By Building lnspectq!� 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 accepted drawings. each successive inspection without 3) No foundation, structural, electrical, nor plumbing work shall be concealed approval. No structural framework of any underground work shall be covered without approval 4. Layout INSPECTION CARD BUILDING Date Onnrnvarl 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 PLUMBING Date a roved 1. Sewer Service Conn 2. Water Service Conn( 3. Rough -In 4. Ground Rough -In 5. 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 EXBURC C I T Y OF _ Certificate of Occupancy ° a REX 3 URG City of Rexburg Americas Family Community Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 0700410 Applicable Edition of Code: International Residential Code 2003 Site Address: a5 I - F0 10 br 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: Nichols Mark Po Box 836 Idaho Falls, ID 83402 Contractor: White Sands Construction 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 vies inspected on the date listed vies found to be in compliance 4th 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: January 06, 2009 (11:07AM) C.O Issued Bu 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 Inspect Fire Inspector: Electrical lnspecto P&Z Administrator: CIT Y OF KEXB UKG Work ( ) Cell ( ) , BUILDING PERMIT APPLICATION Please 0700410 19 E MAIN, REXBURG, ID. 83440 If the ques 208 - 359 -3020 X326 c 251 Polo Dr -White Sands PARCEL NUMBER: `��' M � �u �j L o C ex SUBDIVISION: H4Aa4X_S� UNIT# BLOCK# LOT # (Addressing is based on the information - must be accurate) OWNER NAME M A r k N, J o \S CONTACT PHONE # 2 0 8 3 lo0 - 5'9'5'Z. PROPERTY ADDRESS: a k. C V 2 l , , 4 I 2 -5 - 1 Par I O C> r PHONE #: Home ( OWNER MAILING ADDRESS: 05 zoo $3CP CITY: R.e..r STATE: Z 7 XIP: 831 Y O EMAIL FAX APPLICANT (If other than owner) M tg-rk N � o ( S (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS 190S CITY: !.J ko �A <( S STATE; _ rio ZIP 1 S u02 EMAIL FAX PHONE #: Home JVV) 9 Coo - $85 Work ( ) Cell ( ) CONTRACTOR Z7 MAILING ADDRESS: ? 0 1-0y - 1dyC S co3 CITY Z! �i STATE ZIP 23Y`/ 1 ' PHONE #: Home fop &) 32 ' S // % Work ( ) Cell ( ) Gc 7�2 EMAIL FAX IDAHO REGISTRATION # & EXP. DATE to o How many buildings are located on this property? NoNe ! l 11 Did you recently purchase this property? No Yes If yes give owner's name) JA . w-,— Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family Residence, Multi Fax y, A Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjur I hereby 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. 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 id f not starte t t hin 11 80 days. Permit void if work stops for 180 days. S' atu e o O f wne /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 january 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 Safety Department City of Rexburg 19 E. Main Rexburg, ID 83440 ionellh @rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 OF QEXB URC 's U O CITY O F REXB - -- - - ------ - - -.-0& - - Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison 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: (&)17, 4e C ,4AdS C o" s f ?O lkox $�J 3 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 ownershi of the property which is the subject of the application. Dated this day of �i- , 20 Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Au g 28 2007 8:38AM HP ASERJET FAX ,case complete the entire Appaication! NAME ffi fu � Ns'- PROPERTY AD DRESS Permit# SUBVlYlSIoN Dwclliug Vaim; Paxecl Acres: S=ACICS FROM' SIDE SIDE BACK R emodeling Yow HuddinglHOme (need Estimate) p.2 SURFACE SQUARE FOOTAGE: (Sh-A include the exterior wall tnessumments of the building) First Floor Area 1 ;x _ Untuushed basement Second Moor /loft area Finished basement um TYurd floor/ loft area Garage arts Shed or B Carport / Deck (30" above gmde)Arra Water Meter Quantity: ********* *** **Water Mctcr Size: Rcquircdlll PLUMBING Plumbing Cuntr acLuet3 Nawc: _+ ' O do,rr. 1 � i I�usiR�C33 Name 1Nl e + t ti� +�{ J I�G►l M A Address City State ,Lip !1 Contact Phone: ( ) B usincss Phone: (Low )— EuiaA roue EEKT'f W CO,M T (hzder_d b "whed f rtu d Clothes Washing Machine � Dishwasher Floor Drain Gubage Disposal D FIot Tub /Spa Sinks (IAvatorics, kitchens, bas, mop) Sptinklen ( Tub /Showcm 3 Toilet /Utinal Water Heaw Wslte.r . I $ (COMM ER.C.T.AL FAMILY ONLY) Licewe Number& Bxpitatiou Date Date MM" it AF . WWO et n&Md b the Sfah Please complete the entire Application! NAME PROPERTY ADDRESS SUBDIVISION Permit# Required.!! MECHANICAL Mechanical Contractor's Name Business Name Address City Cell Phone ( ) Business Phone ( ) Fax ( ) Email Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Slmgle Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo _� Dryer Vents Heat Pump Range Hood Vents Air Conditioner Cook Stove Vents Evaporative Cooler 2 3 Bath Fan Vents Unit Heater other similar vents & ducts: Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater Fuel Gas Pipe Outlets including stubbed in or future ou Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Mechanical Sizing Calculations must be sul Point of Delivery must be i FirSt Amer ican Title O f Signature of Licensed Contractor The yy� g License number 's permit fee schedule is the sa as Date the State to _Zip L Building Safety Department City of Rexburg 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME �t°G -k �Q \ L n ) G PROPERTY ADDRESS ,;`D i. ✓ `�� SUBDIVISION PHASE LOT BLOCK I o4 p�xeu A � �4 �O 7 U 0 CITY OF REX Americas Family Community Permit 07 00410 251 Polo Dr Required ff! ELECTRICAL Electrical Contractor's Name � �t ller Business Name rLLec- Address � �� S ON City I ?exdpl State - Zip Cell Phone ( GO�i' �y Business Phone ( ) S.�iy� Goy y ff Fax ( ) Email Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) 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. _,Si gnature of Licensed Contractor The License number schedule is the same as the State Date S - /yo7 • 0 SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: 19 Masonry: - e 1% c C.'� S Roofing: �Ad, l.�.f `��•�1 Insulation: AQ <- !:E—Al- ( s4c' Drywall: - 'Tv , . ka 1""'R�e-Z Painting: + Floor Coverings: Cc� s - Plumbing: 2.ne ten; a \.tiw.l��g Heating: RAVt Sy✓l �V,) Electrical: W \k" Special Construction (Manufacturer or Supplier) Roof Trusses: ' f?IA C Floor /Ceiling Joi Siding /Exterior Trim: I e-�w� (-44 0 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. Signature Date Print Name