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Home My WebLink AboutALL DOCS & CO - 08-00097 - 1045 Arctic Willow - Basement Finish� &exeupc, • • .4 r CITY OF REX 1 N s c1v Buil America's Family Community 9 Permit INSPECTION CARD BUILDING Date ADDroved 1. Mechanical Final Ins No work shall be done on any part of on the premises during construction, 2. Framing NOTICE! 3. Insulation 2) The permit will become null and void in the event of any deviation from the in each successive inspection without 4. Drywall 5. Final approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed ELECTRICAL ISSUED TO: PERMIT #: 0800097 NAME: Pugh Wade FOR THE CONSTRUCTION OF: 1045 Arctic Willow -Pugh JOB ADDRESS: 1045 Arctic Willow Dr GENERAL CONTRACTOR: Duffin, Marty 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 02 / 2 8/2008.. uilding 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 aDDroval. Date Approved 1. Rough -In 2. Final PLUMBING Date Approved 1. Water Service Conne 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 0 � � CITY OF Certificate of Occupancy ' ' O REX 13URG City of Rexburg "°'� De D of Communi Development +' America's Family Community I � •7 p 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 0800097 Applicable Edition of Code: International Residential Code 2006 Site Address: 1045 Arctic Willow Dr Use and Occupancy: Single Family Residential Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Kj Investments Lc 1058 Arctic Willow Dr Rexburg, ID 83440 Contractor: Md Painting & Construction Special Conditions: Finished Basement 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 vtith 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: September 11, C.O Issued by: Y Building Official 1:53PM) 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: ins i O4 �EX8UR G ` 4 f 0 v c SHED C I T Y O F RE"URG __...______ CW .._._._..- -_ - --- America's Family Community V,-noP F. ntir P Atinlir 1: 111 • RESIDENTIAL BUILDING PERMIT APPI 1045 Arctic Willow - BSmt Fi 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 (� PARCEL NUMBER (We will provide this for you) SUBDIVISION: ]�,) gT60 ,' UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) OWNER NAME: CONTACT PHONE # PROPERTY ADDRESS: �Q� ✓L¢ +g �� PHONE #: Home ( S�1 ` - 3O1 6 Work( ) Cell ( ) OWNER MAILING ADDRESS: CITY: , P-A �m STATE: �J ZIP: 8 EMAIL 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 b > 4 yyy e Q CITY: STATE; ZIP PHONE #: Home ( EMAIL FAX Work ( Cell ( CONTRACTOR MAILING ADDRESS: CITY RQ STATE ZIP PHONE #: Home ( ) Work ( ) Cell ( ) 39� EMAIL FAX IDAHO REGISTRATION # & EXP. DATE �5 How many buildings are located on this property? 1 Did you recently purchase this property? No Yes (If yes, list previous owner's name) YJ Is this a lot split ? kig! YES (Please bring copy of new legal description of prc y PROPOSED USE: (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, 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 based. Permit void if not started within 180 days. Permit void if work stops for 180 days. ignature of - owner/Applicant 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 Ianuar 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** ME Build% Safety Department � fRVAB(VJ CITY OF City of Rexburg � o n rvnT mG 1 EX V 1\ 19 E. Main ionellh@rexburg.org Phone: 208.359.3020 Americas Family Community Rexburg, ID 83440 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 3 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: 1 1 Please complete the eltire Ap NAME U /'— PROPERTY ADDRESS logg k U SUBDIVISION Q roDK Dwelling Units: Parcel Acres: SETBACKS FRONT • Permit# SIDE SIDE BACK Remodeling Your Building /Home ( need Estimate $ ��+ t..�? SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Unfinished Basement area 1 1 7� 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!ff PLUMBING Plumbing Contractor's Name. ��/�� /��i Business Name: Address e -3 : 2 T Ci t,��Qr�l Stat Zip Contact Phone:0) �l �[�� Business Phone: Email Fax Zo r FIXTURE COUNT (sncludingroughed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal j Hot Tub /Spa 1 Sinks (Lavatories, kitchens, bar, mop) Plumbing Sprinklers Tub /Showers Toilet /Urinal Water Heater Water Softener ,TI- FAMILY ONLY) /10��153 113 -V / Contractor License Number& Expiration Date Date Please complete the entire Application! NAME PROPERTY ADDRESS SUBDIVISION 0 Permit# Required.!! I Mechanical Contractor's Name Cell Phone Fax( )_ Mechanical Estimate $ FIXTURES & APPLIANCES Furnace Name City Zip Business Phone ( ) Furnace /Air Conditioner MECHANICAL (Commercial /Multi Family Only) UNT (Single Family Dwelling Only) 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 Exhaust or Vent Ducts Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Point of Delivery must be shown on plans. Signature of Licensed Contractor The License number schedule is the same as Date the State of Idaho • 0 Building Safety Department i City of Rexburg 0 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 F REXBURG Americas Family Community OWNER'S NAME �-J a-e-& h PROPERTY ADDRESS 10 Permit# SUBDIVISION Q i w PHASE LOT BLOCK Required ff! ELECTRICAL Electrical Contractor's Name 41 1:1 —J 1� : -(1mo usiness Name Y Address City State Zip Cell Phone (009) Business Phone ( Fax (ZUj� Email 11 1 K �Uy & >+ i Electrical Estimate (cost of wiring & labor) $ 35x10 . 0�'" (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION (New Residential includes everything contained within the residential structure 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 Existing Residential (# of Branch Circuits) Spa, Hot Tub, Swimming Pool rid attached gara-ae at the same t ime) R[F E ECE0VE 0 B 2 6 2008 CITY OF REXBURG nation or a PELIOU flot to U d 1 year) 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 *Includ aximum pf 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Si;atuke of Licensed Contractor License number Date The City of Rexhurg s permit fee schedule is the same as required by the State of Idabo • • SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: Floor Coverings: Plumbing: Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trus Floor /Ceiling Joists: Siding /Exterior Tri Other: i 0 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 Cl 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. Signature Date Print Name