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ALL DOCS & CO - 08-00017 - Fireplace by Design - Remodel
F R4XB UA CITY OF • • ° REX 1 C,. 'e< xNxo Americas Family Community 9 ' ` Permit ISSUED TO: PERMIT #: 0800017 NAME: Clay Kevin FOR THE CONSTRUCTION OF: Fireplace by Design Remode JOB ADDRESS: 167 W Main St GENERAL CONTRACTOR: Idaho Custom Homes 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 ed By 01/30/2008 Bull in 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 O E' 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 ADDroved 1. Framing 2. Insulation 3. Drywall 4. Mechanical 5. Sidewalk 6. Final ELECTRICAL Date Approved 1. Rough -In 2. Final OTHER Date roved 1. Fire Department Fina PLUMBING Date Approved 1. Rough -In 2. 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 0 a otRtiXB�R� CITY O F Certificate of Occupancy .y � _ �.'► REX City of Rexburg America's Fami Communi Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 0800017 Applicable Edition of Code: International Building Code 2003 Site Address: 167 W Main St Use and Occupancy: Fireplace by Design, Merchantile Type of Construction: Type V, non -rated Design Occupant Load: Commercial Sprinkler System Required: No Name and Address of Owner: Fireplace By Design Po Box 858 Rexburg, ID 83440 Contractor: Idaho Custom Homes Special Conditions: Occupancy: Mercantile, display and sale of merchandise This Certificate, issued pursuant to the requirements of Section 109 of the Intemational 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: March 12, 2008 :49P C.O Issued by: 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 P&ZAdministrator: 0 TEMPO5kRY Certificate of Occupancy O� gEXBpRC . r CITY OF RE City of Rexburg `W America's Family Community p De artment of Community Development ' zNfo 19 E. Main St. I Rexburg, ID. 83440 Phone 208 359 -3020 / Fax 208 359 -3024 Building Permit No: 0800017 Applicable Edition of Code: International Building Code 2003 Site Address: 167 W Main St Use and Occupancy: Fireplace by Design, Merchantile Type of Construction: Type V, non -rated Design Occupant Load: Commercial Sprinkler System Required: No ,Name and Address of Owner: Contractor: Special Conditions: Occupancy: Fireplace By Design Po -BOX 858 Rexburg, ID 83440 Idaho Custom Homes Sr,c, a+tEiclrn.J Mercantile, display and sale of merchandise 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 v►es inspected on the date listed vies found to be in compliance 4th 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: March 12, 2008 :49P C-0 Issued by: Building Official There shall be no further change in the ebsting 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• P &Z Administrator: 0 0 Q }iEX8t1A C .a r o CITY OF v REX a clv Americas Family Communify March 11, 2008 To File: 08 00017 Planning and Zoning, final site visit for the Fireplace by Design building at 167 W. Main On March 7, 2008, Planning and Zoning performed a final inspection for issues regarding the approved site plan. The following items are those that are outstanding and should be addressed in order to consider the project completed: 1) Remove concrete and decking in the right -of -way per the request of city council. 2) Area to be restored per the city engineer's requirements. 3) Parking lot, if restriped, must be reviewed by the planning department. The Planning and Zoning Department would request that a temporary certificate of occupancy be issued that is valid until June 1, 2008 in order for the development to resolve the above stated issues. Gary Leikness Planning and Zoning Administrator 19 E. Main Rexburg ID 83440 P. O. Box 280 Phone (208) 339.3020 ext.314 Fax (208) 339.3024 garyl@rexburgorg wum rexburgorg • CITY OF KEXBUG BUILDING PERMIT APPLICATION Please 19 E MAIN, REXBURG, ID. 83440 Fireplace by Design Remodel 208 - 359 - 3020 X326 167 W Main St PARCEL NUMBE IMX,VC0 +1p1 nn �� v�0 (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# Addressing is based on the information - must be accurate OWNER N"E.• j6F Ji J L`/o/ jr"d 4'( J U s CONTACT PHONE # 3/7 y/ 70 �K 7c� ? & T 3 PROPERTY ADDRESS: / �-�� � z �f g 1� 3 �Z PHONE #: Home (ZL 3S ( "31, ? `L. Work ( d 5 1 6 Cell 31? <//7 OWNER MAILING ADDRESS: f L O S S ' CITY: � , '` STATE: -E ZIP: EMAIL Yd� S�� FAX Z Z 08 35"1, 9 1800017 APPLICANT (If other than owne. (Applicant if other than owner, a statement applicant to act as agent for is ,acco npany this 4pphcatioii. .CITY: APPLICANT INFORMATION: AD STATE; ZIP PHONE #: Home ( Work ( ) CONTRACTOR f� i C h..a r e Ll- l Olevl. MAILING ADDRESS: O BOAC 9 0 CITY STATE 1 ZIP 9 3 Y�O PHONE: Cell# �� �� �S ��Q Work# Sa�% Nt � Fax# 2,08 .3S y 1 8 E MAI L L IDAHO REGISTRATION # & EXP. DATE R17 - 2 0-5 7 v How many buildings are located on this property? 7 t-J Did you recently purchase this property? No es If yes, list previous owner's name) S11.2--) Co Z L :" - J Is this a lot split? YES (Please bring copy of new legal description of property) PROPOSED USE: 1 0 Al oil P1aet o Tom, L_'. j2 E d. 5 0 (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Gara ommercial, dition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereb certif that 1 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 matt of pplicatio y au tho PPd representatives of the City to enter upon the above - mentioned property for inspections purposes. NOTE: The building offi ' y revoke.alse n roval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the a pp lication or xhe" lans on ch a effg" a ro ased. Permit void if not started within 180 days. Permit void if work stops for 180 days. V Signature of Owner / A6plicant Do you prefer to be contacted by fax, email or phone? Circle One Eed if WARNING — BUILDING PERMIT MUST' BE POSTED ON SITE! Plan fees are non - refundable and are paid in full at the time of applic g aagar�1. 2005. City of Rexburg's Acceptance of the plan review fee does not �ppirov�al 2 W8 **Building Permit Fees are due at time of application** **Building Permit r check does not c l ar** CITY O REXBUR 2 Building Safety Department City of Rexburg 19 E. Main janellh@rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 `;p4 REXB URC'7 a C I T Y OF REXBURG Arnerica' Family Community Affidavit of Legal Interest State of Idaho County of Madison Name Address "2 c dQ k A r c City State Being first duly sworn upon oath, depose and say: n (If Applicant is also Owner of Record, skip to B) 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 F�v i T" 1 day of D f tf' - ,20 Subscribed and sworn to before me the day and year first above written. DAN FLO, L 3 Residing at: My commission expires: ��3 2 Please complete the eNtire Application! l � If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Dwelling Units: SETBACKS FRONT Parcel Acres: 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 all area Second floor /loft area Finished basement area Third floor /loft area Garage area Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: Water Meter Size: Requiredffl PLUMBING Plumbing Contractor's Name: �1�17�(�''�� I/�/_�I Business Name: Address City 6 State '1- Zip f2Y' Y O Contact Phone: ( ) Business Phone: ( ) 2 2� S2 O yyo d Email F FIXTURE COUNT (i ncludinw rou -ahed fixtures Clothes Washing Machine Z Dishwasher Floor Drain / Garbage Disposal Hot Tub /Spa � Sinks (Lavatories, kitchens, bar, mop) /4 // Sprinklers bcs Plumbing Estimate $ (Commercial Only) 61J 11 RegMxdl Signature of Licensed Contractor License number The City of Rexburg'r permit fee schedule is the same as requi) Tub /Showers Toilet /Urinal Water Heater Water Softener i - z.. - o7 Date the State of Idaho 4 Please complete the ent* Application! If the question doesot apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Required f!l MECHANICAL Mechanical Contractor's Name: S (i. M £ & 17 f Ii-$ usiness Name: Address �'� o �! 5 `' City � by Gi State 27D Zip J3 1'1' Contact Phone: ( ) 31? V1 70 Business Phone: sy Email Fax & tV g C9 Mechanical Estimate $� (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater 1— Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: +S 0,0 1 Heat (Circle all that apply) "( Oil Coal irepla Electric Hydronic Point of Delivery must be shown on platu. Requiredl Signature of Licensed Contractor License number The schedule is the same as Z_ -c/-a7 Date by the State of Idaho Building Safety Department City of Rexburg 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 Of AE %B UR y 9 U � CITY O F REXBURG __111 __.... Ow - 1111 ___ _. Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE Required.!►! ELECTRICAL Permit# --Ala r, =2 Electrical Contractor's Name A ;k — & Business Name Address / � 0 t /jet a- 7 City &Q _,._ t State -�� Zip ? S y3 Cell Phone cg) 5?o " , � 6 Business Phone Fax ( b ) - y Gi�rc�� / CQJlilr Electrical Estimate (cost of wiring & labor) (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION (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* Over 400 amp Service* Existing Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) 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 a y of the above Cost of Wiring & Labor: $ 2. o 'O' c ' Pumps (Domestic Water, Irrigation, ewage) _ 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 Licensed Contractor License number Date The City of Bexburg's permit fee schedule is the same as required by the State of Idaho LOT BLOCK R Building Safety Department City of Rexburg 19 E. Main janellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 F Rvi_ XB �RC� 7 v o CITY OF _. REXBURG _C_ I _ Americas Family Community APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: APPROVED BY: YES /NO Business Name: �F ( 26 -2e E v I); 5 , c; - _j Office Address: / (s ? W . vv- --- lzFl> 13 City State Zip Office Phone Number: ( ?2 ) 7 L11. <,Z - ?09 & 5 Ar Contractor Performing the Work: Contact Person: 6 f"i (_?&V ©r � Cell Phone # ( ) 3 / ? �//?c+ - 7 o � 6S A — LVliA11V1V Vl' W "IVX%. 1 V Di_. 1JV1l11 ; Street Address Where Work Will Be Done: 4 910 f Business Name Where Work Will Be Done: Dates For Work To Be Done: 4 - 5 ,4? To Contact Person: U (( R t h S Phone Number: ( ) / 7 Cell # ( ) '7 PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR: ❑ AUTOMATIC FIRE- EXTINGUISHING SYSTEMS ❑ COMPRESSED GASES ❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ❑ FIRE PUMPS AND RELATED EQUIPMENT ❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ❑ HAZARDOUS MATERIALS ❑ INDUSTRIAL OVENS X LP-GAS, ❑ PRIVATE FIRE HYDRANTS ❑ SPRAYING OR DIPPING ❑ STANDPIPE SYSTEMS ❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES �— . Applicant's Signature Date ............................................................ ............................... 7 Excavation & Masonry: CJ SUBCONTRACTOR LIST �i Floor Heating: i7 Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joists: Siding /Exterior P 8 ' EXEMPTIAS FROM STATE REATRATION 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 r'" 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 certi [aithe above information is true and correct to the best of my knowledge. L Print Name 7- - 07 Date E Building Safety Department City of Rexburg ;; o 19 E. Main janellh@rexburg.org Phone: 208.359.3020 �, H Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y O F REXBURG Cy ,..__.___ ......._ Americo Family Communiq Business Application Questionaire (for the purpose of wastewater permitting) 1. Type of business or establishment? OD 2. Will this business be doing any type of food preparation or cooking? 3. What type of food preparation or cooking will be done? 4. Will there be any deep fat frying? Yes No 5. Will the facility have food disposal systems? All 6. Are you a business planning to occupy an existing building? or, are you designing a new facility? A C 7. Will your business have chemical storage? Yes No 8. Will this facility operate year round? Yes /' No 9. Will there be any grease traps or sumps at the facility? Yes No ?� 10. Will there be any types of chemicals used at this facility, other than household cleaning solutions? Yes No 11. Is there any manufacturing of products at this facility? Yes No K z -o7 Date Building Safety Department City of Rexburg 19 E. Main janellh @rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 �i �RERB VRC I� 's v a CITY O F REXBURG --.1- ._... Americas Family Communig Site Plan Checklist Permit Number: Application Information 701 (P o Applicant: �aC� j �/ �� 5 '4 -,J Phone: 3 17 V 70 FAX: 55 78 ( o Applicant's Address: m X 85 - 9 City:' " ST: Zip: V 3; f/ Project Address: Z& '7 1,0- i q trl T-,/ ?dq �sj4 Recorded Owner: , A CbK e k 11 Phone: -3/ 7 el 7c FAX: '35 72S 6 Recorded Owner Address: _ o ,off% SSg City: 90 /:9 ST: ,C� Zip: Development Information 0 _ ❑ 1. Site plan must be drawn to scale, be legible and also be submitted electronically if possible. ❑ 2. Adjoining streets labeled. ❑ 3. Right -of -way location and width, curb to curb widths and sidewalk location. ❑ 4. Building location, sq footage and dimensions, with distance to property lines and distances between buildings. ❑ 5. Show existing and proposed easements. ❑ 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains). ❑ 7. Proposed utilities including tie in location to existing services and new easements. ❑ 8. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). ❑ 9. Storm drainage plan for parking lot and roof areas, with calculations. ❑ 10. Fire hydrants and fire suppression lines (including tie to City lines). ❑ Sprinkled ❑ Not Sprinkled ❑ 11. Indicate Fire apparatus access. ❑ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers). ❑ 13. Landscaping (type and total area, including dimensions). ❑ 14. Trash facilities. ❑ 15. North Arrow ❑ 16. Drawing to Scale, including a graphic scale (11 '/2x 17" paper if possible). ❑ 17. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ❑ 18. Legal description of proposed building site included. ❑ 19. Percent of lot covered by building or paving calculated. ❑ 20. Show 10% snow storage area. ❑ 21. Distance of entrances from street corner indicated. ❑ 22. Current Vicinity Map. (81/2 x 11 ") at 1" = 300' scale, showing location of the property. ❑ 23. Lighting Plan NOTE: SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. °'E'