HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00498 - 99 Tamarack Ave - Basement FinishO� gEXB UR
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CITY OF
REX
Americas Family Community
Building
Perm i t
•
ISSUED TO:
PERMIT #: 0700498
NAME: Blumhorst John
FOR THE CONSTRUCTION OF: 99 Tamarack -Drake JOB ADDRESS: 99 Tamarack Ave
GENERAL CONTRACTOR: John Blumhorst 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 Approved
5 7
I ed 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
t
1) A complete set of approved drawings along with the permit must be kept
No work shall be done on any part of
NOTICE!
on the premises during construction.
2) The permit will become null and void in the event of any deviation from the
the building beyond the point indicated
in each successive inspection without
3. Drywall
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.
Y
INSPECTION CARD
BUILDING
Data Annrevad
1. Framing
2. Insulation
3. Drywall
4. Final
PLUMBING
Date Annroved
1. Water Service Conn(
2. Rough -in
3. Final
24, Hour Notice
and Permit Number required
to make inspection appointments
For Inspections Call 359 -3020 option 2
ACERTIFICATE OF OCCUPANCY CANNOT
BE ISSUED PRIOR TO FINAL ELECTRICAL
& PLUMBING INSPECTION
L
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04 �t6XBtJ,rC
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C IT Y OF
REX
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America's Family Community
Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No: 0700498
Applicable Edition of Code: International Residential Code 2003
Site Address: 99 Tamarack Ave
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: Drake Wesley R &
99 Tamarack Ave
Rexburg, ID 83440
Contractor: John Blumhorst Construction
Special Conditions: Finished basement
Occupancy: Residential - less than 2 units, permanent in nature
This Certificate, issued pursuant to the requirements of Section 909 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 vWth the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy wes
classified.
Date C.O. Issued
C.O Issued by:
Building Official
There shall be no further change in the e)asfing 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
Electrical Inspector:
Fire Inspector: VA lG
P &Z Administrator: 0
CITY OF REXB URG
BUILDING PERMIT APPLICATION Please c
0700498
19 E MAIN, REXBURG, ID. 83440 If the questi 99 Tamarack -Drake
208 - 359 -3020 X326
PARCEL NUMBER: E �� � l,� 0 W (We will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
CONTACT PHONE #
PROPERTY ADDRESS: q
PHONE #: Home (,014 J -- 199 Z/ Work ( ) Cell ( )
OWNER MAILING ADDRESS: f9 7~61,(t cj2 CITY: STAT ZIP:
EMAIL F
APPLICANT (If other than owner) - h6d 1 ) 4 $ ),_ lPu___ r_
(Applicant if other than owner, a statement authorizing applicant to a ct as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS ?� , Tom k 2333 1p - CITY:
STATE; ZIP SOXK5 EMAIL 1f1V &jQavVs r FAX _�,� �` d��`'��'
PHONE #: Home (
Work Cell
CONTRACTOR
MAILING ADDRESS: -', 0 ,
CITY
TATEZIP
PHONE #: Home ( ) Work ( ) Cell c �. o
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE J462V�' J
How many buildings are located on this property?
Did you recently purchase this property6o>es (If yes, list previous owner's name)
Is this a lot split? YES (Please bring copy of new legal description of property)
PROPOSED USE: i4 wt (g
(i.e., Single Family Residence, Multi Family, Apartments, kemodel, Garage,
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHO
that I have read this application and state that the information herein is correct and I swear
hearings before the Planning and Zoning Commission or the City Council for the City of R
City regulations and State laws relating to the subject matter of this application and hereby
mentioned property for inspections purposes. NOTE: The building official may revoke a
International Code in cases of any false statement or misrepresentation of fact in the applic,
based. Permit voi44 not started within 180 days. Permit void if work stops for 180 days.
3l- *
hereby certify
information which may here
r
given by me in
hall be trr ?nd ct.
d reantativAs oCity
J n
e
comply with all
upon the above -
approval issued under the p
ovisio
s of the 2003
n the plans on which t
t
or
pproval was
CITY OF RE . R
,
Sigh ur6 of Owner /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 anuar X 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**
BuilcNg Safety Department
City of Rexburg
19 E. Main jonellh @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
�F REXB URC
i CITY OF
7 -
MXBURG
Americas Family Community
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
Signature
Subscribed and sworn to before me the day and year first above written.
20
Notary Public of Idaho
Residing at:
My commission expires:
Please complete the Afire Ap
p pp
NAME f O VIL-
PROPERTY ADDRE S
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
FRONT
9
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 Unfinished Basement area
Second floor /loft area Finished basement area_
Third floor /loft area Garage area
Shed or Barn Carport /Deck (30" above
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Requiredffl
PLUMBING
Plumbing Contractor's Name: Business Name: t1
Address %42 5 ,`jj .P, City ; State
Contact Phone: vd1 E�3 �.�; Business Phone:
Email Fax .,-!?
FIXTURE COUNT (mclu&ngroughed fixtures
Clothes Washing Machine Sprinklers
Dishwasher _� Tub /Showers
Floor Drain _� Toilet /Urinal
P'J Garbage Disposal_ Water Heater
Hot Tub /Spa Water Softener
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
SW ature of Iac nsed Contractor 1ACense Number& Expiration Date Date
The City of Kexburg s permit fee schedule is the same as required by the State of Idaho
Oct 04 2007 2:18PM
D f 4. 2007 10:01AM
Please complete 1
NAME '
PROPERTY ADDRE S -
SUBDIVISION
Dwelling Units:
MRTHEWS #PLUMBING 3573439
0 0 No 5043 P.
he entire Application!
0 Vea 10 1L_
, a Permit#
Parcel Acres:
SETBACKS
FRONT SIDE SJD.F, BACK
Remodeling YourBuildingjHome ( need Estimate S 1� '
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 are Garage area
Shed or Barn Carport/Deck (30" above Prade)Area
Water Meter Quantity:
* * * * * * * * * * ** **Water Meter Size:
P.1
Required!fl
PLUMBING
Plumbing Contractor's Name: �A.1�4g
M l t Business Name:
Address 744— SJ'' 1� City
Contact Phone: <9" Business Phone:
Em ail F ax 1�2� Og�al,
Clothes Washing Machine Sprinklets
1A Dishwasher _� Tub /Showers
_ Floor Drain _�_ Toilet /Urinal
Garbage Disposal_ Water Heater
Hot Tub /Spa Water Softener
Sinks (Lavatories, l+;tchens, bar, mop)
_ / _
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
uuu of L.M d Con.. Ucense Number& R*radoa Date R*radoa Date Date
Tht 0* f Raxb#rg r prrnrit Jn m6vd#k u the mne ar n4ld"d by the SAde
/v- Y'07
John Blumhorst Construction, Inc.
P.O. Box 2333
Idaho Falls, ID 83403
Name / Address
Wes&Nona Drake
Description
E
Permits&Fees Approx
Electrical Finish basement/Smoke Detectors/Bath Fan/Does Not Include Light
Fixtures/Installation Of Fixtures Included
Add Heating Ducts For Bedrooms
Plumbing 2 Piece Fiberglass Tub Shower /Chrome Faucets/White Sink
China/Finish Rough/No Shower Door Included/Vanity &Mirrors By Others
Insulation Repairs
Framing Fir Downs/Wall Divider Basement
Drywall Basement/Rooms
Trim Includes Masonite Doors/Extra Shelving Included/Knobs/Closet
Rods/Shelving In Storage Included
Painting
Carpeting In Three Bedrooms/Vinyl In Bath/ Allowance For Flooring Including
Installation 458 Square Feet x $3.50 Foot.
Contractors Overhead
Phone# L CFa - OF IREXBUR
208 - 529 -0511
Total
Estimate
Date
Estimate #
9/21/2007
604
Project
Total
210.00
1,230.00
350.00
2,645.00
60.00
946.00
2,466.00
2,365.00
1,124.00
1,603.00
1,200.00
$14,199.00
FROM :DIAMOND HEATING FAX NO. :1 -208- 522 -7933
O:t. 4 2', ;SAM Is
Pleaae complete the entire Applicationt
NAME Dell
PROPERTY ADDRESS -
SUBDMSION +
�ct. 08 2007 12:16PM P2/2
P=1it b
Requuledlll MECHANICAL
Mechanical Contractor's Name VI _ 8vsinces Name 1/� Q- 4 ��
Address
- - City .l��'��
Cell Phone ( ) Business Phonco) Y3
Fax ( )
Mechanical Es%j=tg (CommeraiaJ/Muld Family Onl
PI.Y7UM & APPLIANCES COUNT (SIV -le Femfly Dwelling only)
Furnace
Furnace /Aix Conditioner Cmnbo
Heat Pump
Air Conditioner
Evaporadve Cooler
_ Unit Heater
— Space Heater
. Decorative ps -fired appliance
Incineratoz System
Boiltr
Pool Neater
_Exhaust or Vent Ducts
Dryer Vents
Range Hood Vents
Cook Sxove Vents
Bath Fin Vente
other similar vents & ducts:
Furl Gas Pipe Outlets including stub -bed in or future outlets
Inlet Pressure New Supply) PSI
Heat (Cizole all that apply) ( Oa9 Oil Coal Fireplaec Fsleetdc Hydronic
kt... �_:.t • t
177-y- Mrin-
............
License cumber
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Daze
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rdt,* z ie6 h is tb, saw as mWamd by r& s&,*
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Building Safety Department �o*tX8V
City of Rexburg
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
CITY OF
REXBURG
Americas Family Community
OWNER'S NAME n On n 04 7 O n p
PROPERTY ADD 9 � � V
SUBDIVISION
PHASE
LOT BLOCK
99 Tamarack -Drake
RequlredLY
ELECTRICAL
Electrical Contractor's Name �� 9 r
P - 201, Business Name &`�l /7' C
Addres t CD City State zipL
Cell Phone 06 0 l )� 31;, �jt6 �j Business Phone ( )
Fax ( ) 1�l W Email
ev—
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*
(fJ Over 400 amp Service*
r
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, Sw immin g 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 specifi�olly covered by any of the above
Cost of Wiring & Labor: $ 0�;�
P? (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.
I I 1� A, . &/�-- Qck 0 la a7
ignature of Licen d Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
0 0
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: L,r4
Masonry:
Roo
Insulation: '/ Y 1A
Drywall: l� a � P��U 9 N-A c Ai W 11 6 —�
Painting:
Floor (�
Coverings: Yl e CX
Plumbing: 'Y\A all e -,A S � 1 �o�02
Heating: i G- Vy A6 IQ
Electrical: 1 D,4-rM r-4
Special Construction
(Manufacturer or Supplier)
Roof
Floor /Ceiling Joists:
Siding /Exterior
Please complete the entire A p p lication!
P Pp
NAME �l1 lk-
PROPERTY ADDRESS
SUBDIVISION
Permit#
Requiredffl
MECHANICAL
Mechanical Contractor's Name V l tk Y tk- ,t. /J/ C/ I t _ Business Name D CL J l
Address ty ^A I p
S Ci � � �lf �� State Zi 93�
Cell Phone ( ) Business Phone)
Fax ( ) 2- "l�� 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
Pool Heater
Exhaust or Vent Ducts
Dryer Vents
_ Range Hood Vents
Cook Stove Vents
_ Bath Fan Vents
_ other similar vents & ducts:
- Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
ature of License Contractor
The
A� gjq
License number
`fee schedule is the same as
0
I ),,-t , 57
Date
the State of Idaho
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.
-- z. r d
mgrfature Date
- :3 - 0 t- 10
Print Name