HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00575 - 374 Oaktrail Dr - Basement FinishQ gexB Q
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Permit
ISSUED TO: PERMIT . 070057
NAME': Scott Etux
FOR THE CONSTRUCTION OF: 374 Oaktrail Dr- Basement Fir JOB ADDRESS: 374 Oaktrail Dr
GENERAL CONTRACTOR: Owner /Lessee
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 bythe. City Council and explained on
the Building Permit Application as approved by the Building Inspector.
Date Approved
11/26/2007
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.
N OTICE! 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 aooroval.
INSPECTION CARD
BUILDING
nft♦e ee,... .-A
1. Framing
2. Insulation
3. Drywall
4. Final
PLUMBING
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 CAN NOT
BE ISSUED PRIOR TO FINAL ELECTRICAL
& PLUMBING INSPECTION
OF gE %BL'RC
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C I T Y OF
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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: 0700575
Applicable Edition of Code: International Residential Code 2003
Site Address: 374 Oaktrail Dr
Use and Occupancy: Residential
Type of Construction: Type V, non -rated
Design Occupant Load: Single Family Residence
Sprinkler System Required: No
Name and Address of Owner: Tavares Scott Etux
374 Oaktrail Dr
Rexburg, ID 83440
Contractor: Owner /Lessee
Special Conditions: Finished Basement.
(Z,L)5k - M4c.ha►%1c.0-1 not' i 'ASPcc -f'rd.
Occupancy: 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 ms found to be in compliance vtiith the requirements of the code
for the group and division of occupancy and the use for vthich the proposed occupancy ms
classified.
Date C.O. Issued: May 16, 2008 (1
C.O Issued by:
Building Official
N14
There shall be no further change in the e)asting 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 • A, Fire Inspector:
Electricallnspector: P &Z Administrator: ill MSC
CITY OF REXBURG
MECHANICAL PERMIT APPLICATION
•
0700575
3 74 Qaktrail Basement Finish t
19 E MAIN, REXBURG, ID. 83440
208 - 359 -3020 X326
PARCEL NUMBER: W Kf26- l (J JC'[ D (We will provide this for you)
SUBDIVISION: &4 U NIT # BLOCK# LOT#
(Addressing is based on the information - must be accurate)
OWNER - c 8- �- TUydY CONTACT PHONE # C7-08) X105 -503 Z
PROPERTY ADDRESS: 5 - 4 ^ (0 4 \ - 6A omy
PHONE #: Home 03Z-
Work ( ) Cell
OWNER MAILING ADDRESS: 3 o t l `V4 CITY: STATE: M 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 CITY:
STATE; ZIP EMAIL FAX
PHONE #: Home ( ) Work ( ) Cell ( ).
CONTRACTOR `�V�+(CS
MAILING ADDRESS: CITY STATE ZIP
PHONE: Home# Work# Cell#
EMAIL FAX
How many buildings are located on this property? 0 Vy -
Did you recently purchase this property? No 6 (If yes give owner's name) hCA M(k k"( ,
Is this a lot split? ® YES (Please bring copy of new legal description of property)
PROPOSED USE: - Z� \
(i.e., Single Family Residence, ]
Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalt of perjur I hereby certify that I have
read this application and state that the information herein is correct and I swear that any information which may hereafter be given 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 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 if not started within 180 days. Permit void if work stops for 180 days.
1 Z , 6�
Signature of Owner /Applicant DATE
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 January 1. 2005.
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
Building Safety Department C T of
City of Rexburg
REXBURG
19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326 CW -I
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 America's Family Community
OWNER'S NAME '2 �)Cb4 --v'q y t - s
PROPERTY ADDRESS q , Permit#
SUBDIVISION
PHASE LOT BLOCK
HOME O W IVER - S ELECTRICAL PERMIT
Home Owner's Name SC04 , ' lAyak -1-
Address YfA 0( JJ d1k DdVt? City State Zip
Cell Phone 3 0 Home Phone ( 7,16 j
Fax ( ) Email
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.rockyrntnpower.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: $ _15 Of
Pumps (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.
Signature of Home Owner
The
schedule is the same as
10+
Date
the State of Idaho
Please complete the entire Application!
NAME , � �6V Y
PROPERTY ADDRESS Jfi�1 Q4V (VL Permit#
SUBDIVISION Aabb fC.C1
RequiredLY
MECHANICAL
Mechanical Contractor's Name Business Name
Address City State Zip
Cell Phone ( ) Business Phone ( )
Fax ( )
Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single FamrlyDwelling 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
fl' 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
Signature of Licensed Contractor License number Date
The City of Rexburg''s permit fee schedule is the same as required by the State of Idaho
Please complete the entire Application!
NAME c�,tl,
PROPERTY ADDRE S Permit#
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
FRONT SIDE SIDE BACK
Remodeling Your Building /Home ( need Estimate $ 4$, 000 . 1 o
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 C /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Requiredffl
PLUMBING ! 1
Plumb in c g Contractor's Name: e c�f� � VU f (S Business Name:
Address
City State Zip
Contact Phone: ( ) Business Phone:
Email Fax
FIXTURE COUNT (includingroughed fixtures)
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
_ Sinks (Lavatories, kitchens, bar, mop)
Sprinklers
Tub /Showers
Toilet /Urinal
Water Heater
Water Softener
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
Signature of Licensed Contractor License Number& Expiration Date Date
The City of Rexburg's permit fee schedule is the same as required by the State of I daho
Buildi g Safety Department
City of Rexburg
19 E. Main ionellh@rexburg.org Phone: 208.359.3020 ext 326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
REXBV
U O
C I T Y OF
REXBURG
_. ...__._.__, C)W ___. ._.. _.
Arnericds Family Community
Affidavit of Legal Interest
City
State of Idaho
County of Madison
I,
Name
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 herin or as to the
ownership of the property which is the subject of the application.
Dated this day of , 2Q
Signature
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
3
11
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
Cl 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
. : f c� �� :���
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