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Home My WebLink AboutAPPLICATIONS, CO, BP - 07-00455 - 783 Park St - New SFRAA, y- oQ g axB uR� " r U �s e' ��SNED �6 CITY OF REX BURG America's Family Community Bullding Permit ISSUED TO: 0 7 0045. 5 PERMIT #: NAME: Heart B Company FOR THE CONSTRUCTION OF: 783 Park St -Heart B JOB ADDRESS: 783 Park 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 by the 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 approval. INSPECTION CARD BUILDING Date Annr^ —A 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 Annr^x —A 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 `o�4axeuR�,�� CITY o F Certificate of Occupancy U,'► R.E XBURG City of Rexburg "" — eve Department artment of Communi Development America's Family Community p 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (2081359 -3024 Building Permit No: 0700455 Applicable Edition of Code: International Residential Code . 20'03' Site Address: 783 Park St Use and Occupancy: Single Family Residential Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Heart B Company Po Box 308 Rexburg, ID 83440 Contractor: Heart B Company Special Conditions: Unfinished Basement Occupancy: k 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 idth the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy ties classified. Date C.O. Issued: C.O Issued by: June 23 08 (03 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 Inspect a Inspector: �l f^— Electrical Inspector: P &Z Administrator: lam./ 6 V. CITY OF AEXB UKG i 0 BUILDING PERMIT APPLICATION Please 1�� 00455 19 E MAIN, REXBURG, ID. 83440 If the que Q 7 Z 1 ; , 208 - 359 -3020 X326 �� St -Heart B PARCEL NUMBER: Plp) bA S 09c (We w1ll provide trans for you) SUBDIVISION: Ue`n& l r joy) UNIT# BLOCK #, _LOT# (Addressing is based on the information - must be accurate) PROPERTY ADD Applicant PHONE #: Home (;_0 3 5 �f Z� ( Work ( ) 0 Cell( ) 700 � l Y6 2 OWNER MAILING ADDRESS: C� ' !/�5e "X 3�� CITY: U STATE:' ZIP: 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: ADDRESS U VV J CITY: STATE; ZIP EMAIL F2 PHONE #: Home ( ) Work ( ) Cell ( CONTRACTOR MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( Work ( ACT PHONE # Cell ( EMAIL FAX IDAHO REGISTRATION # & EXP. DA How many buildings are located on this nrnnerty? Did you recently purchase this property? No �(If yes give owner's name) Is this a lot split? a YES (Plea e b rie copy of nevi legal description of pro] PROPOSED USE: 51 ' w, I ° S , AV co � (i.e., Single Family Residence, MiAti Family, Apartmen s, Remodel, Garage, Commercial, Addition, , E a �� a a /7 / b, APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Un er I e' }TWyf IQ ry, e given i I that I have read this application and state that the information herein is correct and I swear that any information a er 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 Internati a onal cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. P t voiif no ar d within 180 days. Permit void if work stops for 180 days. Do you DA -fer t be conn kted by fax, email or phone? Circle One W NG — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees a non - refundable and are paid in full at the time of application beginning farnrary 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** Buil g Safety Department Fi f�EXBU CITY OF City of Rexburg n rvnT mG 1LC.1\ lJ It 19 E. Main ionellh@rexburg.org Phone: 208.359.3020 �' Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 America's 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: Pleas •' � Please complete the entire Application. NAME PROPERTY ADDRESS Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS k FRONT SIDE l SIDE BACK Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 13 � Unfinished Basement area 3 � Second floor /loft area Finished basement area Third floor /loft area Garage area L40 Shed or Barn Ca rport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Required 1 1! PLUMBING Plumbing Contractor's Name: ')Z-U1V' I''" Business Name: Address aa City State Zip Contact Phone: ( ) �S� U77 6 Business Phone: ( ) Email Fax FIXTURE COUNT Clnclu&g hed fixtures Clothes Washing Machine Sprinklers Dishwasher Tub /Showers Floor Drain_ Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa f Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) Signature o i censed Contractor License Number& Expiration Date Date The 00 of Rexburg's permit fee schedule is the tame as required by the State of Idaho Please complete the entire Application! NAME PROPERTY ADDRESS SUBDIVISION Permit# Requiredffl MECHANICAL Mechanical Contractor's Name anyiA A OAA Business Name , J i.O(o Address 2 1A dz� N - City i'f_ 1�7 State Cell Phone ( ) a 2_ Business Phone ( ) _]� - Fax ( ) D U — 7 2_1 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 other similar vents & ducts: r� L_J Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) as Oil Coal Fireplace Electric Hydronic F l Mechanical Suing Calculations must be submitted with Plans & Applicarion Point of Delivery must be shown on plans. Signature of Licensed Contractor License number The City of Kexbur,Q't permit fee schedule is the same as `� -& - Date the State of Idaho Exhaust or Vent Ducts I — Dryer Vents Range Hood Vents Cook Stove Vents Z Bath Fan Vents # 11 U' Building Safety Department City of Rexburg y 19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax. 208.359 3me "E ° OWNER'S NAME S" 'N &ei hq/Q PROPERTY ADDRE S SUBDIVISION _ Ikvq*v PHASE 3 LOT-4 BLOCK 9 CITY O F REX America's Family Community Permit 907 00455 -� Tb�JQ� RequiredN ELECTRICAL Electrical Contractor's Name tevvv UGJeI 1 Business Name 6 f Vd I Address 5 - 1 So-44, 4P) city' State Zip Cell Phone (&9F) _ 4 ,03 :-j& & Business Phone (kj ?) Fax (a;13 ) Ile � ~ 0 Email P ��. � � �� '�`� • � ��- Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION (New Residential includes everything contained within the residential structure and attachedgarage 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 *Include aximum of 3 ins )ections. Additional inspections charged at requested inspection rate of $40 per hour. `? ? ) Lt Signature f Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the s ame as required by the State 9 EJ 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 SUBCONTRACTOR LIST Excavation & Concrete: w cov�&yT a Masonry: Roofing: Insulation: /"UV- 1 kS I Floor ° Coverings: SA" W Cuy 'VL ` nT w( . Plumbing: xbq. Sr 01 �u1 Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: s U w\ Vy\ �' +NS A Floor /Ceiling Joists: V VV L Siding /Exterior Trim: 11t1 T - T" WvV`6