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Home My WebLink AboutALL DOCS & CO - 08-00073 - 856 Parkside Dr - Basement Finish04 g Exs ug A t 7 U p N A �B 1 ��S IIED \0 CITY O F REX America's Family Comm, unity Building • erm ISSUED TO: PERMIT #: 0800073 NAME: Atwood Drake FOR THE CONSTRUCTION OF: 856 Parkdside Dr- Atwood JOB ADDRESS: 856 Parkside 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 by the City Council and explained on the Building Permit Application as approved by the Building Inspector. Date Approved Jw By C�' CL��L�- (� ( W e,� 1�' 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 NOTICE! 2. Insulation 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 approval. INSPECTION CARD BUILDING Date Annroved 1. Framing 2. Insulation 3. Drywall 4. Final ELECTRICAL Date Approved 1. Rough -In 2. Final PLUMBING Date Approved 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 0 U m C1TY OF Certificate of Occupancy R -- C141 — America' Family Community City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone 8) 359 -3024. Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 0800073 International Residential Code 2003 856 Parkside Dr Residential Type V, non -rated Twi nhome No Name and Address of Owner: Atwood Drake 856 W Parkside Dr Rexburg, ID 83440 Contractor: Owner /Lessee Special Conditions: Finished the basement; no roughin inspections were done. 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 vies found to be in compliance Wth the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued 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 Inspect i • Fire Inspector: Electrical Inspector. .' 0 P &Z Administrator: o4 uEXBUR c ♦� 7 y U � Y C I T Y OF • REXBURG America's Family Community 0800073 RESIDENTIAL BUILDING PERMIT APPLI 856 Parkside Dr- Atwood 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 PARCEL NUMBER: f - ( We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) OWNER NAME: 114<611 Tbti fC/) CONTACT PHONE # 2D - 'tc% 1 - 9 _ `t PROPERTY ADDRESS: A c PHONE #: Home ( Work ( cell( OWNER MAILING ADDRESS: CITY: STATE: ZIP: EMAIL i 1 ��l-c (_� 1 t 7`iy �< <' Cti7 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 MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( ) Work ( ) Cell ( ) EMAIL FAX IDAHO REGISTRATION # & EXP. DATE 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 split? NO YdE�S� (Please bring copy of new legal description of property) PROPOSED USE: W - r S ff (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereb certif 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. P mit v d if no .. t started within 180 days. Permit void if work stops for 180 days. ......_� Signatur' of Owner pplicant 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 f anyArx l. 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** F I__ __ _ T ._ Buildig Safety Department AEXHIJ � .� CITY O F City of Rexburg �� y M XBURG OW 19 E. Main jonellh @rexburg.org Phone: 208.359.3020 America's Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 Affidavit of Legal Interest State of Idaho County of Madison I. \ Name Address City State Being first duly sworn upon oath, depo and say: (If Applicant is also Owner of R ord, skip to B) A. That I am the record owner of the prop described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to th roperty. B. I agree to indemnify, defend and hold Rexburg City a its employees harmless from any claim or liability resulting from any dispute as to the stat ents contained herein or as to the ownership of the property which is the subject of the app ation. Dated this day of , 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Please complete the entire Application! NAME �/4� -A� 4nv PROPERTYADDRESS J�HAL DI Z , SUBDIVISION AiLX<1 -Ar Dwelling Units: Parcel Acres: SETBACKS FRONT K RemodeKng Your Building /Home (need Estimate $ Permit# 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 grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Required!!! PL UMBING Plumbing Contractor's Name: �. Business Name. u Address / IV 5 C.J` s City 17 Contact Phone: (.:,iD55 .3S 3 7 Zc Business Phone: Email F FIXTURE COUNT CmcludWgroughed fixtures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa ( Sinks (Lavatories, kitchens, bar, mop) Water Heater Water Softener Plumbing Estimate $ '' (COMMERCIAL /MULTI - FAMILY ONLY) F 1 Signature of License ontractor License Number& Expiration Date g's d `1 Cr - 7 :ZC:: _ Sprinklers Tub /Showers t _ Toilet /Urinal Date The City of Kexburg's permit fee schedule is the same as required by the State of Id 0 • Please complete the entire Application! NAME PROPERTY ADDRESS SUBDIVISION Permit# Requiredffl MECHANICAL Mechanical Contractor's Name Business Name Address City ' Cell Phone ( ) Business Phone ( ) Fax ( ) Email Mechanical Estlate $ (Commercial /Multi Family Only) FIXTURES & APPL)4NCES COUNT (Single Family Dwelling Furnace Furnace /Air Condition Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater Fuel Gas Pipe Outlets including stu Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Signature of Licensed Contractor The or Vent Ducts in or future outlets Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Fireplace Electric Hydronic License number schedule is the same as the State of Idaho Date Building Safety Department City of Rexburg 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 CITY OF REX Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK HOME O W 7VER'S ELECTRIC Home Owner's Name Addres Cell Phone ( ) Fax ( ) TYPES OF INSTALLATION (New Residential includes everything contained within 0' For power supplier requirements visit www.rockyn Number of meters being installed Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Temporary Construction S/anch Existing Residential (# of B City_ Home to Zip structure and attached garage at the same time) 200 amp or less, one location (for a period not to exceed 1 year) Circuits) Permit# 04 RExB �Y �O 9 a PERMIT Spa, Hot Tub, Swimmin000l 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 maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Home Owner The Date schedule is the same as required by the State Building Safety Department pF 0.EXBUR City of Rexburg �; s ,, o 19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 c I T Y o r REXBURG America's Family Community OWNER'S NAME > �/ e 4 rW L PROPERTY ADDRESS E35 G: R V-kX b r / • Permit# SUBDIVISION S PHASE LOT BLOCK Requiredffl ELECTRICAL Electrical Contractor's Name u.�31'��l Business Name Address I t., f 1 14,�f zi'l [ ` , /r Ci tate c' !� Zip Cell Phone ( ) -) / .� 3" 7a Business Phone ( ) _ _! S Fax ( 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* 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 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 Rexburg's permit fee schedule is the same as required by the State of Idaho • • SUBCONTRACTOR LIST Excavation & Earthwork: Y-�� Concrete: Masonry: lq Roofing: Drywall: Lc- Aao1v 6ay Painting: -K� 1-12 I Cad Floor. ,�,�}�� r Coverings: � 1,/C �p /V e f 'tom ;J2, m ,Y ,[ y 4�A ` 1R5 f�A 1 �I i T /V Plumbing: -z f- ■ + ■—� Heating: `" /;I-- Electrical: &Ak &A)c)Lj) `�4PUV O L1h 4E LECT tL )C , i Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joists: Siding /Exterior Other: E 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 0?1' 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 herebVXertify Aiat the above information is true and correct to the best of my knowledge. Signature Date Print Name