HomeMy WebLinkAboutAPPLICATION, CO, BP - 07-00628 - 823 Griffin St - New SFROF gEXB UR
AA, r CI TY O F
N�
° REX
Div
"SHED 10
Americas Family Community
Building
Permit
ISSUED TO:
PERMIT #: 07,0062.8
NAME: Shaw Homes And Construction
FOR THE CONSTRUCTION OF: 823 Griffin -Shaw Homes JOB ADDRESS: 823 Griffin St
GENERAL CONTRACTOR: Shaw Homes & 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 I ued By
tiL
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.
NOTICE The permit will become null and void in the event of any deviation from the
the building beyond the point indicated
in
accepted drawings.
each successive inspection without
3) No foundation, structural, electrical, nor plumbing work shall be concealed
approval. No structural framework of
any underground work shall be covered
without aDDroval.
4. Layout
INSPECTION CARD
BUILDING
Date AD Droved
F l�.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 Approved
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
ir
9 0
x
.o �gbXBpg G , �C C IT Y OF Certificate of Occupancy
REX 13URG City of Rexburg
"il
America's Fam Communi ly Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
0700628
International Residential Code 2006
823 Griffin St
Single Family Residence
Type V, non -rated
Residential
No
Shaw Homes And Construction
4546 E 280 N
Rigby, ID 83442
Shaw Homes & Construction
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 with the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy vies
classified.
Date C.O. Issued: June 12, 2008 (0 PM
C.O Issued by: Y
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 Inspector 7 Fire Inspector: -- A-1 OL
Electricallnspector P &Z Administrator: K'��
CITY OF REXB UKG 0
BUILDING PERMIT APPLICATION Please i 0700628
19 E MAIN, REXBURG, ID. 83440 If the quest
208 - 359- 3020X326 823 Griffin -Shaw Homes
PARCEL NUMBER: PP Q� >�Q'' (Wt
SUBDIVISION: Hely lt5ed UNIT# BLOCK# � LOT# 13
(Addressing is based on the information - must be accurate)
PROPERTY ADDRESS
CONTACT PHONE # 705 =� °��f
PHONE #: Home Work ( ) Cell (� _7
OWNER MAILING ADDRESS: ; St y CITY: a STATE�ZIP �//V,
EMAIL SAA4' 1 7-te_� ,es ) 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
STATE; ZIP EMAIL FAX
PHONE #: Home ( ) Work ( ) Cell ( )
CONTRACTOR P He -?" eS 0 4-
MAILING ADDRESS: _`f55 �f� ; Al CITY /�S/ STATE ZIP 5 3F W.
PHONE #: Home ( Work ( ) Cell kVf)
EMAIL FAX _�Df -777Y IDAHO REGISTRATION # & EXP. DATE 9
How many buildings are located on this property?
Did you recently purchase this property? No Yes If yes, list previous owner's name)
Is this a lot s lit? YES lease bring co of new legal descri tlon of prope 7 D — , .;
p� �' g PY g p P p ty
PROPOSED USE:
, P
(i.e mg e amily Residenc Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc. 1 i 11
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: and r p reb ce r _tif
that I have read this application and state that the information herein is correct and I swear that any information *cl ji i� h ea t e e
hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truth o 1
City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the a c
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 starte�th�80 days. Permit void if work stops for 180 days.
of Owner /
CITY:
/.�?_ /6/ 0—;;;,
DATE
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 l anyAly 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**
sixerik
�4 �O
v o
'se 's veo �
Build% Safety Department
City of Rexburg
19 E. Main ionellh @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
Affidavit of Legal Interest
State of Idaho
County of Madison
I, fit-
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 3 20
Signature
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
CITY O F
REXBURG
America's Family Community
My commission expires:
q
Pleage complete the entire A p p lication!
•
P pp
NAME
PROPERTY ADDRESS L , 0 7 - 1 - 3 Oleo S N - Permit#
SUBDIVISION N e N fFr� SD W
Dwelling Units: Parcel Acres:
SETBACKS
FRONT Z SIDE 12- SIDE 1(2 BACK ,�-0 /
Remodeling Your Building /Home (need Estimate $ t $& 16&
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area / 1 3 �r Unfinished Basement area
Second floor /loft area 13 Finished basement area �—
Third floor /loft area --- Garage area 53
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
RequiredLY
PLUMBING
Plumbing Contractor's Name: 141 A Y L I C rY Business Name:
Address l2 — 1{OAt/ city le_�S/ State �d Zip
Contact Phone: (�O$') ?O X6 - G Business Phone: (doh) :yes - ✓�� S`�
Email Fax
FIXTURE COUNT (rnclu rouvhed fixtures
l Clothes Washing Machine Sprinklers
Dishwasher 3 Tub /Showers
Floor Drain 3 Toilet /Urinal
Garbage Disposal 2 Water Heater
Hot Tub /Spa Water Softener
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $ Id (COMMERCIAL /MULTI - FAMILY ONLY)
og id
—1 67
, JA sdnafture of c Contractor License Number& Expir ti�ate Date
The City of Rexburg's permi fee schedule is the same as required by the State of Idaho
12/11/2007 15:16 2036247223 CRAIN PAGE 02/25
P.1
. T�Icase
COfnplete the entire A
NAME -' haw pA� ca tio n!
PnorF�� ADD S
S�BI)IVIS10A U.SS
FA ha
tractor's Name •
2145
I'l,on
Pax ( ) —'� `S~ --J�•� City -
_Pustr� _`l` -a _ C p��,,
Phone ( ) 2 p �qS
Mechar�ca! Esd Email��_ �� 1
� APPZ j � (COauncrcia! /Multi O
C.LcS CO UNr (5��uyDr�l
I'ureace
Y nly)
py
Y)
Furnace /Air
Conditioner Combo
Heat Pi
Exhau st or Vent
Air Conditioner
D ucts
vrYer Ve
Evapor Cooler
��._ IZalipe .0 food Vents
� — Unit Fica ",
Cook Srov
p
ate
Space Heater
- zath P "m VcnN
D ccorativ e gas firrd appliance
o�cr sirrul ant
ar v ents ducts.
Incinerator System
~, Boiler
Pool
L Heater
—�— Fucl
4
Gas P'pe
Ou dots in�u
_Inlet Presevrr dry stu bbed ira or fturc outicts
(�'Icter Supply)
PSI
seat (Circle all drat
appl c" Oil Coal -Mrc place El ectric
•CaI , ,
-
FiYdronic
• nt o ust e
eiive
L tted •
be s
&
Signanu of
C t.O
used CpAttycror
License numbe
J
--�[ 2 -1 I D
J' afI{� �3f
,f � fcbeydt u dbe roa�e
A
�r re
�arrrd rb� , fi„re vl7doho
._ ,
� r
CITY OF
Building Safety Department A. o *?,XBVR�,o
City of Rexburg 'o
19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
REXBURG
Americas Family Community
OWNER'S NAME �yJ AtMC,
PROPERTY ADDRESS
SUBDIVISION
PHASE 0- ) LOT BLOCK
Permit #07 00628
823 Griffin St
RequiredLY
ELECTRICAL
r
Electrical Contractor's Name ay N� Business Name TD ieGl G
Address 16 5 7 City f3 La- C((FOo 7' State d Zip 23,2"
Cell Phone) f Business Phone
Fax ( ) Email
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)
I Number of meters being installed
I Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
_ I 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: $ XOOO
—~ 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.
Signatur o Licensed Contractor License number Date
II The City of Rexburg s permit fee schedule is the same as required by the State of Idabo I
A•
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: � He
Masonry: 5'1 u/ 1 - 74P 5'
Roofing: SM G I'le S "7
c S 7
Drywall: P & a Z-
Painting:
Floor / <
Coverings: S �G�GQ✓`�% f 1V 7 L' 1Q
Heating:
Electrical: rd e d
Special Construction
(Manufacturer or Supplier)
Roof Trusses: BIO G 1-tA& 5 r
Floor /Ceiling Joists: i�- c6m C to �z �
Siding /Exterior Trim: r
SEP -11 -07 14:05 FROM -C 21 Advantaa� 208- 356 -0628 •3 P 002/006 F -107
H4' hrD S"SOM. ADDITION .DIV ISION M
2
LOTS 17-- 21, BLOCK 6 LOTS 1 -16, BLOC' 7 TS • 1-- �
THE NE 114 OF SECTION 25, TOWNSHIP 6 NORTH, RANCE 39 EAST,
l ,mADISON COUNTY, . IDAHO
:ion 73. Township 6
in Inaerument Number
1 Tine of said secllon:
Oivieion Z thence
.,dory MaT031'E
to northern boundary
67"0 foci u the
the trot of land
�e. to be plaftad and
TON OM ON NO. 3.
right— of —voy os
1l,e right to use
Z. drainage of far
.� plat an erigrble
hae••agrgsd in
dobrhated
2006. ' "
w ae+d 'lea► p.rae.s,py
ens.., 0•eele f rrNneoe.
W first oboe vnaR
by
:ptcblo 0s
:h4 per th e 4,
=" due
C'� I LOT
1 T I 'd
A
oars• ao.m n•'.t i Car .er I
•,e. �esn,et ...•.e,. -� .ao•vaz•[ rer+e+e•e � - REXBURG !
• "ES �rS SUBDIVISION
HEALTH DEP R P TMEK CERTIFICATE
Senllary rewbtettoro as required by Idaho Coda, Triil 50, ChWer 13 hoe been saneted bGed
and the conditions en Ore DC•C epprovol of the
deetgn pleru and epecN{oQYene ions .mbased on the develbpar for t
m:rtJnued aefi*rOetien e1 oonifary nnof
Buyer Lo i ao� bat Qt & a of ogn be al hh this a
• sbu d q Dsnnelnking ~ qt or or *ewer /aepSle f.02%: were wn;yyeiseL 8uildtn
i/ drinldn0 Mater or xwer facJTiGee
3,
or if the devdeper is smukonaor�y eons:vc'Sn oro lac hoe since bean cormbvc
dieon oOlsr eondlb'ona of Dq, then son'r� g Ofiea, ff io3a io arnrbuc• `odGGeo or meet the
ry rssWoiiorw cre it jamo .n
ca crop, w er
oceeraenee rRh Seetlan 30 - 1326. bong Cade, and no.
order ronatrucyon of ehy buDding or sholter requiring drinking rater or *ewer/*epLO rccl ;Ue* sholl be allowed,
• i •
DtSRhGT sc,�r is -ft OF HEwx
Date:
in L.,•iranrronml ,4aclti, SpeeiafLst
\
f� 1
• instrurnen *340472
REXBURG, MADISON, IDAHO
2007-09 -21 03:53:00 No. of Pages 2
ALLIANC TITLE & ESCR Recorded for: A LLIANCE TT rLE AND ESCRb
P.O, BOX 732 MARILYN R. RASMUSSEN'
REXBURG, (D 83440 Ex- Officio Recorder Dep y Fee: 6.00
WARRANTY DEED
Order No.:3040717524HB
FOR VALUE RECEIVED
W.R. Henderson and Frances A. Henderson, Husband and Wife
the grantor(s), do(es) hereby grant, bargain, sell and convey unto
Shaw Homes and Construction, Inc.
whose current address is
4546 East 280 North Rigby, ID 83442
the grantee(s), the following described premises, in Madison County, Idaho, TO WIT:
Lot 13 in Block 8 of Henderson Addition Division #3, Madison County, Idaho, as per the plat
recorded October 19, 2006, as Instrument No. 331999.
TO HAVE AND TO HOLD the said premises, with their appurtenances unto the said Grantee, heirs and assigns
forever. And the said Grantor does hereby covenant to and with the said Grantee(s), that (s)he is /are the owner(s) in
fee simple of said premises; that they are free from all encumbrances Except: Current Year Taxes, conditions,
covenants, restrictions, reservations, easements, rights and rights of way, apparent or of record.
And that (s)he will warrant and defend the same from all lawful claims whatsoever.
Dated: 9/19/2007
Henderson Frances A. Hen rson
State of Idaho 1
ss.
County of Madison 1
On this � I day of _September_, in the year 2007_ before me, a Notary Public in and for said state, personally
appeared _W.R. Henderson known or identified to me to be the
person whose name is subscribed to the within instrument and acknowledged to me that he executed the same.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal the day and year first above written.
N o tate of Idaho
W01 'klY tk�`fii Com rssaon Expires:
4u
sid R
e
s W m ij, in tab I daho
c3 ® .., \\ _ Co mission P.,_Y,