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Home My WebLink AboutAPPLICATIONS, CO, BP - 07-00454 - 817 Yost St - New SFRY` 0 4 VVXB U RC, ' o 'B��SNED ,so' CITY OF REX 0& Americas Family Community Building Permit ISSUED TO: PERMIT #: 0700454 NAME: Heart B Company FOR THE CONSTRUCTION OF: 817 Yost -Heart B JOB ADDRESS: 817 Yost St GENERAL CONTRACTOR: Heart B Company 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 bythe Building Inspector. Date Approved 09/20/2007 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 NOTICE i 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 aooroval_ INSPECTION CARD BUILDING Date roved PLUMBING Date roved 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 1. Sewer Service Conn 2. Water Service Conn( 1. Mechanical Rough In 3. Rough -In 4. Ground Rough -In 5. Final 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 o � R Exa� k � 1� �9 U 6 CITY OF RE XBURG ...._ — .......... Americas Family Community 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: 0700454 International Residential Coder 2003 817 Yost St Single Family Residential Type V, non -rated Residential No Heart B Company Po Box 308 Rexburg, ID 83440 Heart B Company Unfinished Basement - 988 Sq Ft 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 thhich the proposed occupancy ties classified. Date C.O. Issued: June 23�� (03APM) C.O Issued by: Building Official 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 Inspecto ire Inspector: �- Electrical Inspecto . P&ZAdministrator: C4,— CITY OF AEXB URG BUILDING PERMIT APPLICATION Plea; 19 E MAIN, REXBURG, ID. 83440 If the c 208 - 359 -3020 X326 PARCEL NUMB ER AVV - D CS V A- PERMIT # 0 1! 0700454 PIC 817 Yost -Heart B SUBDIVISION: f I _ � k`N� UNIT# BLOCK# LOT # (Addressing is based on the information - must be accurate) OWNER NAME. c � CONTACT PHONE # PROPERTY ADDRESS: y \, 4 CE�A PHONE #: Home ( ) 3 Pq =170 1 Work ( ) t�'6 " f I - Cell( ) 7o l - l q 6 � OWNER MAILING ADDRESS: POt (&OX '30e CITY: AX 6u V5a,_ STATE: -T6 -ZIP: Vj Q qr.A EMAIL FAX & 3 3 J-3 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 STATE; ZIP PHONE #: Home ( Work ( EMAIL F Work ( Cell ( CITY: CONTRACTOR MAILING ADDRESS: PHONE #: Home ( ) EMAIL F TATE ZIP Cell ( IDAHO REGISTRATION # & EXP. DATE aA D "�- ")41 How many buildings are located on this property?, Did you recently purchase this property? No l/ 'e (If yes give owner's name) Is this a lot spht? YES (Please bring PROPOSED USE: 5U h (i.e., Single Family Residence, Mul ' Family, Apartmen of new legal description Remodel, Garage, Commercial, A o, Etc ) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZAT ON: I Under penalt of perjur I h rem c ti that I have read this application and state that the information herein is correct and I swear that any i forma eafter be n by e in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg sh 1 bx r f ply 'th all City regulations and State laws relating to the subject matter of this application and hereby authorized f th U i th above - mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions o 003 International Code in c of a false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if of tar within 180 d Permit void if work stops for 180 days. Signature of Owner/ ph nt DATE Do you prefer to c tact y fax, email or phone? Circle One CITY ARNI — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning Tar^uary 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** .. Builaft Safety Department ; f jO CITY o F City of Rexburg 7y ° REX BURG 19 E. Main ionellh@rexburg.org Phone: 208.359.3020 America's Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 Affidavit of Legal Interest State of Idaho County of Madison I, 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: 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 efire Ap NAME J�V'-( W PROPERTY ADDRESS S SUBDIVISION 14C -r) VY-)h Dwelling Units: I Parcel Acres: ► cr SETBACKS 7 - FRONT 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 � 4 3 �b Unfinished Basement area -tW b8 Second floor /loft area Finished basement area 1 4 5'0 Third floor /loft area Garage area 5'76 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: _ * * * * * * * * * * * ** *Water Meter Size: A ►! Required!1 PLUMBING Plumbing Contractor's Name: UVS._ PI("V4 i VA Business Name: P "4 6, PCLA !!n bj Address city " Uk State -T— D Zip 03 Q q Contact Phone: ( ) Business Phone: ( ) '3 � - a7 a Email Fax FIXTURE COUNT ('including toughed fixtures) Clothes Washing Machine Sprinklers Dishwasher _ Tub /Showers Floor Drain it .r Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa i Water Softener _ Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) Signature of Licensed Contractor The Date schedule is the same as required by the State of Idaho C- l oo C' 5 License Number& Expiration Date Please complete the enti•A lication! P pP NAME PROPERTY ADDRESS SUBDIVISION 0 Permit# RequiredLY MECHANICAL Mechanical Contractor's Name J lOO� Business Name w 0000 , � Li �� - Address 5 d� City JS f 1 - State Zip o � Ll 0 5 Cell Phone ( Business Phone ( ) CD 2 Lj ) q � I Fax ( ) lo 2 D2� 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 Exhaust or Vent Ducts Dryer Vents Range Hood Vents Cook Stove Vents � Bath Fan Vents other similar vents & ducts: Pool Heater _ Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) 6 Oil Coal Fireplace Electric Hydronic iii MIT-VIT57 PIVIT11 Signature of Licensed Contractor License number Date The City of Aexburg's permit fee schedule is the same as required by the State of Idaho Building Safety Department T o �4tiXepRC `y f CITY O F City of Rexburg � y nrVnT mG � 0 1\.G 1�1.� lJ 1\ 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME .S� PROPERTY ADD 6 5 Permit# SUBDIVISION uh PHASE R 3 LOT a1 BLOCK HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name ^ Address City State Zip Cell Phone Fax ( ) _ TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) 0' 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) Home Phone ( Temporary Amusement /Industry *Includes a maximum of 3 inspections. Ad�tional inspections charged at requested inspection rate of $40 per hour. U Date The of f1bine Owner schedule is the same as the State :7 Ej 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 5 a, V PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK O� REXBURC U 90 CITY O F REXBURG America's Family Community Permit #07 00454 817 Yost Required!!! ELECTRICAL Electrical Contractor's Name �� 1 ^ �l�eQ -I�y` Business Name 6 L LI Addr ST 5at,�h Ll-yh City� State Zi Cell Phone (,�t; f 0_3 ' 14 Business Phone OC4 Fax ( 69 Email Electrical Estimate ( cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (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 um of 3 inspec s. Additional inspections charged at requested inspection rate of $40 per hour. Signature of e Contractor License num er t Date The schedule is the s ame as required by the State • . SUBCONTRACTOR LIST Excavation & Concrete: d C- co v\,C Masonry: mi U �,V �10 Insula Floor`s C" e L Coverings: Plumbing: Y-5 Heating: V Cb Electrical: A. Lr axf y C Special Construction (Manufacturer or Supplier) Roof Trusses: u, \ +V Floor /Ceiling Joists Siding /Exterior ptU\* Ll t \ C— w Ck Other: 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.¢ov /cont. -- % ❑ 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 Cl 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