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HomeMy WebLinkAboutAPPLICATIONS, BP - 07-00487 - 245 W 3rd N - Shedo�gaxsugq • • .� f I CITY O F ° REX ",$NED \• .� America's Family Community Permit • ISSUED TO: PERMIT #: 0700487 NAME: Mason Dusty FOR THE CONSTRUCTION OF: 245 W 3rd N -Shed JOB ADDRESS: 245 W 3rd N GENERAL CONTRACTOR: Dusty Mason 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 10/12/2007 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. 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 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. 4. Framing INSPECTION CARD BUILDING Date Anoroved 1. Layout 2. Footing 3. Foundation 4. Framing 5. Insulation 6. Drywall 7. Final ELECTRICAL Date Approved 1. Rough -In 2. 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 CITY OF KEXB UKG i 0 BUILDING PERMIT APPLICATION Pleas( 07 0048 7 19 E MAIN, REXBURG, ID. 83440 If the qu 245 W 3rd N -Shed 208 - 359 -3020 X326 �y PARCEL NUMBER: lJl. ( W wiu pluvruc uu� rui yvey SUBDIVISION: UNIT# BLOCK# LOT #. (Addressing is based on the information - must be accurate) OWNER NAME CONTACT PHONE # ,5' PROPERTY ADDRESS: c— K S e,,-' PHONE #: Home ( ) 31 Work ( ) Cell ( ) OWNER MAILING ADDRESS: Z! S' tt- • 3 = j � ITY: : ' TATE: ZIP:U' EMAIL F APPLICANT (If other than owner) VVl4 .-�,; u� (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS 1 '3 9 , �U. /94 CITY: 1,0r_- X �u STATE; )!�'d< ZIP 6 ;qW EMAIL FAX PHONE #: Home ( ) 362 , 0 7 2 - Work ( ) _ Cell ( CONTRACTOR: MAILING ADDRESS: / `3 � Al. l ` 00 CITY 4 -,r te STATE - ZIP PHONE #: Home ?,-97 Work Cell EMAIL FAX IDAHO REGISTRATION # & EXP. DATE How many buildings are located on this property? - 2- Did you recently purchase this property? No es (If yes, list previous owner's name Is this a lot split? 1 YES (Please bring copy of new legal description ort PROPOSED USE: 11 ' (i.e., Single Family Residence, Multi Fa y, Apartments, Remodel, Garage, Commercial, A MIMI Etck _ 1 2007 APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of pe 'u I reby c rtif that I have read this application and state that the information herein is correct and I swear that any ' or ma y e y e in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg sh b {__] '8r th all City regulations and State laws relating to the subject matter of this application and hereby authorized e t 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 void i t started within 180 days. Permit void if work stops for 180 days. _ J- i ©� Signature of Ow pplicant 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 januarX 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 of �EXB .� 9 o C IT Y OF REXBURG Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison Isf am - e 3 It Being first duly sworn upon oath, depose and say: Address State (If Applicant is also Owner of Record, skip to B) A. That I am the re rd 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 Ul��_� , 20 7 Subscribed and sworn to before me the day and year first above written. ; ?Y!!k!gF��ir ' r •' • •�� �!fy Notary Public of aho flTARY `} Residing at: �•• � My commission expires: O , �\ srq� Of �...0 \4 complete the • Please com ire A p p lic a tion! p NAME d5 hate_ ate_ Mt_ {4 , A PROPERTY ADDRESS Z y : , C. A � SUBDIVISION Dwelling Units: SETBACKS FRONT Parcel Acres: SIDE SIDE BACK Remodeling Your Building /Home (need Estimate) $ Permit# 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 7 - 40 Carport /Deck (30" above grade)Area Water Meter Quantity: State Zip RequiredLY PLUMBING Plumbing Contractor's Name: Address City Contact Phone: ( ) Business Phone: Email Fax FIXTURE COUNT (including roughed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $. Sprinklers Tub /Showers Toilet /Urinal Water Heater Water Softener (COMMERCIAL /MULTI - FAMILY ONLY) * * * * * * * * * * * ** *Water Meter Size: Signature of Licensed Contractor The License Number& Expiration Date Date permit fee schedule is the same as required by the State of Idaho Business Name: