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HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00119 - 290 Jill Dr - New SFRaQ V.QXH (I 4 r CITY OF • • a REX N c1v — B l d � 's�, ..' Americas Family Community u ing Pertn HfD • ISSUED TO: PERMIT M 08 00 119 NAME: Milner Mathew FOR THE CONSTRUCTION OF: 290 Jill Dr- Milner JOB ADDRESS: 290 Jill Dr GENERAL CONTRACTOR: Rustic Builders 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 Budding 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 aaoroval. INSPECTION CARD BUILDING rlafa Annrnunrl I. Mechanical 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 nafa Annrnunrl 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 , `y E�EXB(„tG I7 CITY OF Certificate of Occupancy 1 WX13UtJ - cw - - -- America's Family Community 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: 0800119 International Residential Code 2006 290 Jill Dr Single Family Residential Type V, non -rated Residential No Name and Address of Owner: Milner Mathew 490 Pioneer Rd 2102 Rexburg, ID 83440 Contractor: Owner /Lessee Special Conditions: Unfinished basement -1727 sq ft 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 v►ith the requirements of the code for the group and division of occupancy and the use for v►hich 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 Inspector* re Inspector: � Electrical lnspector:�, P8,ZAdministrator: �� Q g£X B (R .o r GITY O F REXBURG Ow America's Family Community RESIDENTIAL BUILDING PERMIT APPLICATION VtXr l \-� ( YJ [ 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 n PARCEL NUMBER: (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT #. (Addressing is based on the information - must be accurate) CONTACT PHONE # PROPERTY ADDRESS: Z10 ft J 1 GI; 0 6 PHONE #: Home ( ) Work ( Cell ( OWNER MAILING ADDRESS: CITY: STATE: ZIP: 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 STATE; ZIP. PHONE #: Home ( Please Complet e Entire Application! If the question does not apply fill in NA for non applicable CITY: EMAIL FAX CONTRACTOR �J MAILING ADDRESS: O W/V �" ,, f- CITY PHONE #: Home ( Work ( ) Work ( EMAIL FAX IDAHO REGISTRATION # & How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes, list previous owner's Cell ( ) [ F4 ,S,G E DATE 3 ?` C)8 Is this a lot split? NO YES (Please bring copy of new legal description of property) 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 prope nspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 Inter ationaI C de in cas - of an false st tement misrepresentation of fact in the application or on the plans on which the permit or approval was base Per oid if not s e thin 1 0 days. ennit void if work stops for 180 days. Signature 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 knuarE 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** CITY OF REXBURG 0 BUILDING PERMIT APPLICATION Please 19 E MAIN, REXBURG, ID. 83440 If the que 208- 359 - 3020 X326 PARCEL NUMBER: Q' � r l��I t " co (N PERMIT # • 0800119 290 Jill Dr- Milner SUBDIVISION: n�W SID n/ D1VhQ04 '4 UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) CONTACT PHONE # PROPERTY ADDRESS: 2,'I O J I L L fl n . PHONE #: Home ( ) N > work( ) N4 Cell (og) 5(o9 ' /-? OWNER MAILING ADDRESS: ` P/r,N 2 OP . I#Z10 2CITY: fZG S (4e( STATE: ID 63y g 0 EMAIL M i Inex'_klme (� N4 w ar t - Co w► FAX APPLICANT Of other than owner) 111_ (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application) APPLICANT INFORMATION: ADDRESS N1C CITY: STATE �`>� ZIP _ EMAIL Nk FAX PHONE #: Home ( ) N Work N& Cell ( ) _�► CONTRACTOR Q L01-; - 0 IL(A$7 MAILING ADDRESS: 377 r4. 4 E CITY 2iC1B`I STATE LD ZIP j5 Z PHONE #: Home ( ) Work ( ) Cell V$ 5Z I - (0I EMAIL FAX IDAHO REGISTRATION # & EXP. DATE 2CE-075Z / - 0 1 How many buildings are located on this property ?, Did you recently purchase this property? No Yes (If yes give owner's name Is this a lot split? NO YES (Please bring copy of new legal description of ■ha i "MO PROPOSED USE: 51 C - 1L E5 ( OVC. E (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addi n, X 0 F R EXB U R G 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 - menft, ed property ections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 anstitementor misrepresentation of fact in the application or on the plans on which the permit or approval was ermit 'oi 1IPO days. )Perm it void if work stops for 180 days. /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 [a 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** 2 Bui 19 E. Main Rexburg, ID 83440 Safety Department City of Rexburg ionellh @rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 �aF Bti X `RC f 0 's U � .r CITY of 1 WXB V 1 <V ClW Americas Family Community Affi davit of Legal Interest State of Idaho County of Madison I, Name 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 sub)ect 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: ki 0 i Please complete the entire Application! NAME AfrtfEVV /V 11(.NCZ PROPERTY ADDRESS ZRa j II J,L Da. Permit# SUBDIVISION WF:,:t4QIILSC) Al D 1 V I -6 l0 nl #Z Dwelling Units: ! Parcel Acres: Z4 SETBACKS FRONT 2 5 SIDE CO SIDE CO BACK 26 Remodeling Your Building /Home ( need Estimate $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area - 17 1 Unfinished Basement area 17 Z 7 Second floor /loft area N4 Finished basement area Third floor /loft area Garage area (-D3 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Required f PLUMBING ii Plumbing Contractor's Name: �r L e � � Ct �/G�'�{ Business Name: � � �• [-. ��r�,.�._�rr +z�� Address x 2%5'9 � r � s�_�_ iDT City � r State , , Zip Contact Phone: (X V) '31S• y"' Business Phone: V09 Email Fax FIXTURE COUNT (including roughed fixtures,! I Clothes Washing Machine I Dishwasher Floor Drain —I Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Sprinklers Tub /Showers L`- 3 Toilet /Urinal Water Heater Water Softener Plumbing Estimate $ " (COMMERCIAL /MULTI- FAMILY ONLY) 1223S �1_16 c� Signature of Licensed Contractor. License I`Tiunber& Expiration Date Date The City of Aexhum s permit fee schedule is the same as required by the State of Idaho 0 0 Please complete the entire Application! NAME M&nf M t t r-(e PROPERTY ADDRESS 296 J i VL Q12 SUBDIVISION Dl U 1 ,i91r)jD 4* 2 0 Permit# RequrredlY MECHANICAL Mechanical Contractor's Name Business Name T 3 -5-' - � �%�� l�G Address (0 t.o► l6 brc-' k- e - ZC 1 E- City g �- State . +- Zip ' Cell Phone (Z v 11 Business Phone ( ) Fax (L �5� _ C' S Z-S Email J z �, ; ,� e�r� N`� M-S 1 _% . cX 4.., 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 W_ Inlet Pressure (Meter Supply) PSI other similar vents & ducts: Heat (Circle all that apply) Gas it Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. of Licensed Contractor The Exhaust or Vent Ducts Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents 13Z7 License number fee schedule i r the .came as 3_6_0,5 Date the State of Idaho 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 or REXBURG CW America's Fancily Community OWNER'S NAME / " l ,41 IN 1 LI�II PROPERTY ADD SS Z9Q y 1 t,.1j Permit 408 001 19 SUBDIVISION �nlQF,2san1 L�!?/! � lOnl Z PHASE LOT BLOCK - 7 290 Jill Dr HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name Address 4 1 90 Pj6n4C 9 2 102 Cit �1r�,CIQLL12Ej State �b Zip Cell Phone (,708) 5( 1 570 Home Phone ( ) N F 4 Fax ( ) NA' Email-- l r ► (3 4 - mq com TYPES OF INSTALLATION (New Residential includes everything contained within the residendal structure and attached garage at the same time) 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 (w hen 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 inspectio ,. ditional inspection charged at requested inspection rate of $40 per hour. 3 e 0v Signature of Home Owner 6ate The schedule is the .came 6u required by the State R Building Safety Department `tu @%8LR�:7O C I T Y O F City of Rexburg �. — -- -- - -- -- - - - -- ' REXBURG M Ow 19 E Main janellh @rexburg.org Phone: 208.359.3020 x326 America's Fancily Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME = MAT11f,16) 10144" PROPERTY ADDRESS 0 J I L t, 1) Permit# SUBDIVISION kNDPa5ON QM510k. '#2 PHASE LOT LD BLOCK 7 RequrredLY ELECTRICAL Electrical Contractor's Name Business Name Address City State Zip Cell Phone ( ) Business Phone ( Fax ( ) Email 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) 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 permitfee schedule is the same cu required by the State VA SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: . 5r4 ITT 1 hfl Afza d v V Masonry: dw&I ffv Roofing: © w N rj"'z Insulation: W N Floor Coverings: 0'w N I / " Plumbing: A+ fz L- Heating: ANvA cJ o 4mso N Electrical: ow n 11EI L Special Construction (Manufacturer or Supplier) Roof Trusses: S kAVVI M I T 7'1U 5 S Floor /Ceiling Joists: 5TV Gy+ Siding /Exterior Trim: f<.- Other: ! a 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 terebl cIrrify tha`t inforx#ation is true and correct to the Signature I- mlim Print Name of my knowledge. a)ob D I s AF' R — g 2008 CITY OF REX"""