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Home My WebLink AboutALL DOCS & CO - 08-00091 - 259 Mark Ave - Basement FinishOF gEXB UR �� l9 U � N7 a A `SHED 1\ CITY O F REX CW Americas Family Community Building Permit ISSUED TO: PERMIT #: 080 1 0091 NAME: Olsen ChristopherJ Etux FOR THE CONSTRUCTION OF: 259 Mark -Olsen JOB ADDRESS: 259 Mark Dr GENERAL CONTRACTOR: Alan Rasmussen 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 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 INSPECTION CARD BUILDING Date ADoroved 1. Framing 1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of 2. Insulation on the premises during construction. the building beyond the point indicated 3. Drywall N O T I C 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 ADoroved 1. Framing 2. Insulation 3. Drywall 4. Final PLUMBING Date ADDroved 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 �� 4BXBUR� 0 CITY O F REX BURG CW —._1_ Americas Family Community Certificate of Occupancy City of Rexburg 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: 0800091 International Residential Code 2006 259 Mark Dr Finished Basement, Single Family Residence Type V, non -rated Residential No Name and Address of Owner: Olsen Christopher J Etux 259 Mark Ave Rexburg, ID 83440 Contractor: Alan Rasmussen Construction Special Conditions: Occupancy: Residential - less than 2 units, permanent in nature This Certificate, issued pursuant to the requirements of Section 909 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 Wth the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy toes classified. Date C.O. Issued: June 25, 20 3:23PM) C.O Issued by: Building Official There shall be no furtherchange inthe existing occupancy classification of the building norshall anystructural 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 Fire Inspector: �"� Ck' Electrical Inspector:. — 1 PBZAdministrator: ok pExst�p� . CITY OF REXI3URG America's Family Community 'el �t y ED Please Complete ne Entire Application! If the question does not apply fill in NA for non aon!ir -t RESIDENTIAL BUILDING PERMIT APPL. 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 PARCEL NUMBER: _ (W SUBDIVISION: HIPIA.Ar.l «ti 5c AI,`6LC d( UNIT# (Addressing is based on the information - must be accurate) 0900091 259 Mar Dr -Olsen r ��Viue This tot you) BLOCK# LOT #. OWNER NAME C,�A 6 SQ n CONTACT PHONE # PROPERTY ADDRESS: ZS o k M(,WL Dr PHONE #: Home ( ) 35 9 0 y3 Work ( ) pp Cell ( ) OWNER MAILING ADDRESS: Z5� I'` (.-r Ie Q CITY: K STATE ,U ZIP: g N O EMAIL FAX APPLICANT (If other than owner) Ckn1 �Se (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) Z 5 APPLICANT INFORMATION: ADDRESS 9 Ku, o _ f CITY: k, 6 V fi l STATE; �wLu ZIP $ 3 q'�0 EMAIL F. PHONE #: Home ( ) 359 - 9 613 Work ( ) Cell ( CONTRACTOR A I C-4, (Q 1,Al v Jc MAILING ADDRESS: 601 CITY �� G�y . STATE - 1-4 ZIP $ 3 Y LiO PHONE #: Home ( ) Work ( ) Cell(, ) 35/- l 9A/ EMAIL FAX IDAHO REGISTRATION # & EXP. DATE N C Z3 76 S How many buildings are located on this property ?. Did you recently purchase this property? D Yes (If yes, list previous owner's name Is this a lot split? 0) YES (Please bring copy of new legal description of property) PROPOSED USE: e wA dtA (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjury, 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 Cod 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"rniy'e6id if not started within 180 dam. -,Vp snit void if work stops for 180 days. 7 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 lanyard, 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** • ik Build Safety Department • C, T Y o F City of Rexburg n rvnT mG OW _..... 19 E. Main janellh@rexburg.org Phone: 208.359.3020 Americas Family Community R ID 834 40 www.rexburg.org Fax: 208.359.3024 State of Idaho County of Madison I, Name Affidavit of Legal Interest 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 , 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 comp lete the entire A • 4 p Ap NAME CLkf . 6 4 PROPERTY ADDRESS Z.S 9 Y�-.(k Dr Permit# SUBDIVISION sa v, Dwelling Units: Parcel Acres: SETBA FRONT Z SIDE 1 SIDE l BACK UU emodeling Your Building /Home (need Estimate $ 4 16, 600 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 III PLUMBING Plumbing Contractor's Name: ?Q-k(&4 v 6, 4 E� Business Name: �V_V� Address 266 Af City � v State 4e.., Zip '9� tf0 Contact Phone: ( ) Business Phone: ST 10 Email F FIXTURE COUNT (nclu&Qgroughed frxtures� 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 schedule is the same as required by the State of Id aho Please complete the entire Application! NAME C 0 t6e PROPERTY ADDRESS ZS_ 1 &trr SUBDIVISION SIJI J �&L, Permit# Requiredffl MECHANICAL Mechanical Contractor's Name El��j ✓� �l �j'"�` k y Business Name ee- Kby Address yV City I�Kh✓` State IJOL Zip g3WO Cell Phone ( ) Business Phone ( ) 3 S $ 2 Fax ( Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling 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 Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI yU,E,ti, P eC j Heat (Circle all that apply) (0 Oil Coal Fireplace Electric Hydronic 1 1 1 • �_ 1 1 / Exhaust or Vent Ducts Dryer Vents Range Hood Vents Cook Stove Vents I _ Bath Fan Vents ' 7 other similar vents & ducts: 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 Building Safety Department ��o �tiXBUR�,o City of Rexburg 's 0 19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326 s'• <, Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y O F REXBU ---- Ow _,_ America's Family Community OWNER'S NAME CVU S Q is PROPERTY ADDRESS ZS`(- ►--" Permit# SUBDIVISION `� ev, f Su �-- PHASE LOT BLOCK HOME OWNER - S ELECTRICAL PERMIT Home Owner's Name Address Dr City Cell Phone ( ) Home Fax ( ) TYPES OF INSTALLATION (New Residential includes everything contained within the residential 0' For power supplier requirements visit www.rockymtnpower.net Number of meters being installed Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Temporary Construction Service, 200 Existing Residential (# of Branch Ciro Spa, Hot Tub, Swimming Pool f Electric Central Systems Heatin and, and no additional wiring) 7.in 'k 3 garage at the same time) or less, one location (for a period n \t to exceed 1 year) or Cooling (when not part of a new residential construc�on permit Modular, Manufactured or M ile Home Other Installations: Wirin&/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 Date The City of Rexburg's permit fee schedule is the same as required by the State Building Safety Department OXIEV y t CITY OF City of Rexburg 7 -- .._ - -- _.----- -__.._ REXBURG 19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326 '. Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME CV\fl, > d 16'f— PROPERTY ADDRESS 5a,.- EST rvv -. pr Permit #08 00091 SUBDIVISION _ Re-kj-Ko -- PHASE LOT BLOCK 259 M ark Dr -01 sen Required!!! Electrical Contractor's Name ke, - (e-dUL Business Name key: S n Aa,-1 (. /h7V? ( Address �l �Z 5 �. � City Ze e _ State T -l-d Zip $3L'-qk) Cell Phone ( ) 3 qd _. 336 Business Phone 770 Fax ( ) 7'1 " ff! 1 Email Electrical Estimate (cost of wiring & labor) $ 2O (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* 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) ELECTRICAL Temporary Amusement /Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature bf Licensed Contractor License number Date The schedule is the same as the State of Idabo SUBCONTRACTOR LIST Excavation & Earthwork: A Masonry: �� 4 a -c , A 1 *- �) r U W a- L ( - - \,1 &-(-, C.g r is � 313 - 3A3 A � VL w�,6S�- ed , U(,U - Li 3S /- / v y Floor S /,►� Coverings: Plumbing: e Ar r, Pl tl llv- � hG Me e k pv )eo,,� 3 S6- 3 7% Electrical Kk e S � (�� (� C tt VI CL \ C4 U �-i 1 3 �� - � . 3d Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling J< Siding /Exterior Other: -S` rte Y cS i �kf� 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 ❑ 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. 7- 7 S- Signature Date ��Swti. vss ern, Print Name