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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00498 - 99 Tamarack Ave - Basement FinishO� gEXB UR 44 17 o A E �SHED �� 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 J 04 �t6XBtJ,rC r R �~ o C IT Y OF REX 0 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 l Daze - 12.o rdt,* z ie6 h is tb, saw as mWamd by r& s&,* U n U 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