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Home My WebLink AboutAPPLICATIONS & CO - 08-00013 - 821 Griffin - New SFRO� gEXB VA �4 rO v 90 N� 4B`�SHED `88A CITY OF REX America's Family Community Building Permit ISSUED TO: PERMIT #: 080001 . 3 NAME: Adamson Duane FOR THE CONSTRUCTION OF: 821 Griffin- Adamson JOB ADDRESS: 821 Griffin St 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 by the City Council and explained on the Building Permit Application as approved by the Building Inspector. Date Approved 01/09/2008 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. the building beyond the point indicated NOTICE 2) The permit will become null and void in the event of any deviation from the 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. INSPECTION CARD BUILDING Date roved F lCMechanKical 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 ELECTRICAL Date roved 1. Rough -In 2. Final PLUMBING Date Annmvorl 1. Sewer Service Conn 2. Water Service Conn( 3. Rough -In 4. Ground Rough -In 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 Mow o�¢f'X81*? C I T Y OF Certificate of Occupancy �+ RE XBURG City of Rexburg - OW — ....— America' Family Community Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (2081359 -3n2n / Fair /2nR13r%A_Rn '5d Building Permit No: 0800013 Applicable Edition of Code: International Residential Code 2006 Site Address: 821 Griffin St Use and Occup Single Fam ily Residence Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Adamson Duane 4668 Cedar Butte Cir Rexburg, ID 83440 Contractor: Owner /Lessee Special Conditions: Unfinished 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 ws inspected on the date listed vies found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for Mich the proposed occupancy vies classified. Date C.O. Issued: August 13,200 OPM C.O Issued by: dV Building Official 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 Inspector: Electrical Inspector: Fire Inspector: ►'� G` P &Z Administrator: k-- Cl IY OF AEXB UAG BUILDING PERMIT APPLICATION Pleas - `I-- Arinlication! . 19 E MAIN, REXBURG, ID. 83440 If the q ; e 208 - 359 -3020 X326 08000 PARCEL NUMBER & N �CZ� I 821 Griffin St -Ada m son SUBDIVISION: " t1F 3 IJN114+ (Addressing is based on the information - must be accurate) OWNER NAME: DJ A►49 Ail W 5ii0 CONTACT PHONE # UAVI a o 1- gy55 ok UL PROPERTY ADDRESS: -gal CiR_ Iff- sil PHONE #: Home ?kMl - 4 Work O,o%) to ilz - a533 Cell �tb aV1 -- VA OWNER MAILING ADDRESS: *s6% CL t71�1L�� ( At , CITY: IfxBy 9 STATE: Tip ZIP:�� EMAIL 5 �- Y-o�`1 3 �M 5 n1 . CO M FAX APPLICANT (If other than owner) !-- Tm ,_ ' (Applicant if other than owner, a statement authorizing applicant to act as agent for own t & L 4,A APPLICANT INFORMATION: ADDRESS T`Y STATE; ZIP EMAIL U L I FAX PHONE #: Home ( ) Work CONTRACTOR Q J Ni i MAILING ADDRESS: CITY PHONE #: Home ( Work ( Cell ( TE ZIP EMAIL FAX IDAHO REGISTRATION # & EXP. DATE How manv build nre lnrntecl nn this r,rnnvrt`T? ksnaJir — tsrnr%<-i trf' Did you recently purchase this property? No �D (If yes, list previous owner's name) Atu 1AQJ o>J Is this a lot split. 'N� O YES (Please bring copy of new legal description of property) PROPOSED USE: '--WOC) Lf "FAml L 1IY5 r. (i.e., Single Family Residence, Multi 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 b t V ol or staite 180 days. Permit void if work stops for 180 days. d 1 i 6 Signature of Owner pp can DATE Do you prefer to be contacted b fax e o pho ? Circle One WARNING — I PE MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning anuary 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** PERMIT # a Buil Safety Department City of Rexburg 19 E. Main Rexburg, ID 83440 ionellh @rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 OE µEXBUAC U 70 C I T Y OF REXBURG Americo Family Community Affidavit of Legal Interest State of Idaho County of Madison I, D\)ANF, hwA - )yk3 Name -� 15 x 6Q QLC City q \M CC ONZ- '�)-,) fi C C k Address T )A1-A t7 State Being first duly sworn upon oath, depose and say: f is a OWr Y r plicant hat I a the cord owner missio o: Name to submit the accompanying applico I'll 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 3 Signature day of 20 uZ Subscribed and sworn to before me the day and year first above written. JULIA EVANS Notary Pub of Idaho NOTARY PUBLIC STATE OF IDAHO Residing at: My commission expires: of Record, 12/14/2007 09:58 FAX 10001 vv + V& ui v - a�1V - 11J..J 11WVk, . 4V0°470_L G/G 'lease complete the entire Application! NAME Q J,jj;. 1r` 4 Niu f�1 i � PROPH ADDRESS SUBDIVISION ' Dwelling Units: Paxcel Acres: SETBACKS 1 RON -� S1DL __ S1DE �iACt Remodeling Your Bui WaglHome (need Estimate) _, SURIiAC:E SQUARE FOOTAGE: (Shall iacludc the exterior wall measurements of the building) F irst Floor Ares __. I c -� _ 1 � Unfurished Basement azea,�,,,_ � D' s Second floor /loft area _ � , , Finiszhed bamement oxca Third floor /loft area. G =&C a tca . .. Shed or Barn._ _ Carport /Deck W' above 2radc)Are2 Water Metet Quantity: Re qu.Xl'E'C�.1 / PL UA 1, BIXG * * ****** * * ** **Water Meter Size: 1-'l1=bxug Contractor's Naive: ? AAI2 , cJ_ Bwin css Name: Address x City Sate �je`�'/ � y /� p (rt7tlLACt Phone ) d (�� !Gam— uSIRCfis Phone: � ) � S Rtnail Fax z( a ETY COUNTT W r tarxglied Fx[ures) / .—Clothes Washing Machine _• / — Dishwasher -4 Floor Dr-Ain Garbage Disposal I lot 'tub /Spa. Sinks (Lavatories, kitchens, bar, mop) Water Softener Plurnbi lErstimatc $ __ (C:OMMERCYAL /MOLTY -F'AMI Y ONLY) C? iDC� Sipnacurc of Liccnsed Contmetor Lir:enae Nuaabcr& Rxpimtion I>atn rAto 1 Ci<y Sprinklem _ Tub /Showers 'Ioilct/Urinal Water Heater T e r cheduk sr the raga as mgmimd by Ale Stale Please complete the entit P PP NAME 1�,; r� Z`) 7�,4itiiG AL)Am' ,GP► PROPERTY ADDRESS q_d.� SUBDIVISION N�`N1i (Z5y'v E Permit# Required.!! MECHANICAL Mechanical Contractor's Name fA e 0 e n? YY , Business Name i G Yyt U Y Yt �y�C 5 Address � . _d I sco d r- City T- F State _rj - Zip G Cell Phone (�p8) � �� Business Phone (20,, S:2 7 — � 3 Fax (1. ) =�,� C� ?� Email -Cc Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo _1_ Dryer Vents Heat Pump _ Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater �— Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic The Range Hood Vents Cook Stove Vents Bath Fan Vents T, U l License number schedule is the same as the State of Idaho c G Bui Safety Departme City of Rexburg 19 E Main Rexburg, ID 83440 janeilh@rexburg.org Phone: 208.359.3020 x326 www.rexburg.org Fax: 208.359.3024 J� �4 OWNER'S NAME 17, \) AWL ArAM 5, o PROPERTY ADDRESS `t GNZAff SUBDIVISION NC WDI;QSOoJ PHASE 3 LOT I q BLOCK_ CI OF REXBUR -- ci -- Anterica Fandlx Cf)nwtunit Permit #08 00013 821 Griffin St .Requlredlll Electrical Contractor's Name ELECTRICAL r L e_j Name L 2l S A Gn 4 '1 Address Z q.; S e-D Lt-4 A � "1 7' City � �C. � State -: b _ Zi 9 /, Cell Phone (�) �D - / 3 Business Phone ( ) S — 7 7 b Fax( ) 3 5 q U `// Email Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION1 (New Residential includes everything contained within the residential structure and attached garage at the same time) 1 l 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: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a ma34mum of 3 inspection Additional inspections charged at requested inspection rate of $40 per hour. 19_3V /'Y- c57 Z Signature of used Contractor License number Date The City of Rexbwg's pvwtfee schedule u the same as required by the Stat of Idabe 7 SUBCONTRACTOR LIST Excavation & Earthwork: - fl - m VILSY-A �A zm SQV�I t't�B�S Concrete: 1 t M \� 1ZSk -A - V QZSYA A O m c SO w7l;D N 3 Masonry: Roofing: Insula wNCI . BTLI AN 0 Lot is 5 `owtir- Drywall: ► I M v ZSY- A �) vATA o�- Floor Coverings: Do 1ja -, Plumbing: Heating: N, I LAG su MA l E l,E L\ ;Zi c_ Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joists:_ Siding /Exterior Trim: Other: 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), 56 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 'OC 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 her bove information is true and correct to the best of my knowledge. Signature Date DOAO Print Name