HomeMy WebLinkAboutALL DOCS & CO - 08-00121 - 357 E 1st N - PolebarnAA, 04 gEXB Uk
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C I T Y OF
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America's Family Community
Building
Permit
ISSUED TO:
PERMIT #: 0800121
NAME: Jeppesen Kyle E lmo Etux
FOR THE CONSTRUCTION OF: 357 E 1st N- Polebarn JOB ADDRESS: 357 E 1st N
GENERAL CONTRACTOR. Farm & Home Custom Buildings Llc
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 bythe Building Inspector.
.4
Date Approved
Jskued 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
1) A complete set of approved drawings along with the permit must be kept
No work shall be done on any part of
NOTICE!
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
accepted drawings.
3) No foundation, structural, electrical, nor plumbing work shall be concealed
approval. No structural framework of
any underground work shall be covered
without aooroval.
INSPECTION CARD
BUILDING
Date Onnrnvarl
1. Layout
2. Footing
3. Foundation
4. Framing
5. Insulation
6. Drywall
7. 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
L _1
1o4xsuRGr� CITY OF Certificate of Occupancy
v 90 T EXB R G City of Rexburg
1{
�, U1{ Department of Community Development
cav 19 E Main St: /Rexburg, ID 83440
America's Family Community Phone (208) 359 - 3020 /Fax (208) 359 -3024
S HED
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
0800121
International Residential Code 2006
357 E 1s N
Polebarn
Type V, Unprotected
Residential
No
Kyle Jeppesen
357 E 1s N
Rexburg, ID 83440
Farm & Home Custom Buildings LLC ,
General Utility
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time of issuance, this building or that portion of the building that was
inspected on the date listed was 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 was
classified.
Date C.O. Issuec
C.O. Issued by:
There shall be no future change in the existing 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: K-10" Fire Inspector: e 0"__
Electrical Inspector: 0"
Feb, 26. 2008 1:17PM •
gR7e8Ug
CITY OF
7
REX BURG
cis --- �--- --
�' AmMcal family Community
No. 5895 P. 2
Ple „ - _ - 1
Jf t
0800121
RESIDENTUIL BUILDING PERMIT"Pmo 357 E I st N- Jeppesen
19 E MAIN, REXI3URG, ID 83440
208 - 359 -3020 X326
PARCEL NUMBER: 222?4 ?A UXL;LL Q� (We will provide this for you)
SUBDIVISION: UNIT# B LOCK# LOT#
(Addressing is based on the information - must be accurate)
0TA1ER NAME k y 1 �S c Q� c S �t� CONTACT PHONE # 35 `T `a ay
PROPERTY ADDRESS: 3 5 - 7 to 1 n!
PHONE #: Horne ( ) 3 S b - `t `b ;Ly Work ( ) Cell ( )
OWNER MAILING ADDRESS: 5 CITY: STATE: GIP:
FAu- FAX
APPLICANT (If other than owner) f"%Q r,M f' Ho-%c LLC
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application)
APPLICANT INFORMATION: ADDRESS 3 `t'-t -I �- CITY: ra a 1{ P��
STATE rt) A v�v ZIP '6 94 - EMAIL FAX 5 5 - 'I - T � y
PHONE #:.Home ( ) Work ( ) 35 - 7- 1 - 711 Cell ( ) 5 -2 1 o -1 0`f
1V7RAC7'OR SA &L y � h sv c
MAILING ADDRESS: CITY STATE
PHONE #: Horne ( ) Work (
Cell ( )
EMAIL FAX IDAHO REGISTRATION # & ENT. DATE 0 eT -
now many uuucangs are l ocatca on this property2 I t• 1,5e- ✓ „ti _
Did you recently purchase this property? No Yes (If yes, list previous owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE: to 44-11 a
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORI%AITON: Under penalt of perjur I hereby certify
that I have read this application and state that the information herein is correct and I swru 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 Rcxburg shall be truthful and correct I agree to comply with all
City tegulatloes sad State laws relating to the subject matter of this application ad hereby authorized rcptcscatatives of the City to enter upon the above -
mentioned property for inspections purposes. NOTE: Ilse building official may revoke a peanit on approval issued under the pn,visions of the 2003
International Code in cases of any fnlae statement or misrepresentation of fact in the application of on the plans on which the permit or approval wad
b PCtrmit void if not stayed vRth 180 days. Permit void if work stops for 180 days.
w C'
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 SITEI
Plan feea are nnn.reArndable and are naid in full at the time of anntication bcvinnitw lanuary L 2W5
Feb. 26. 2008 1:18PM
No. 5895 P. 4
Building Safety Department �,e�� %DpR�b C I T Y 0 P
City of Rexburg � o RMURG
ti
19 E. Moin joneth @rexburg.org Phone: 208.359.3020 Amer(cdiFomgyCommugiry
Rexburg, ID 83440 www.texbtog.org Fax: 208.359.3024 °
Affidavit of Legal Interest
State of Idaho
County of Madison
I , K y / f - F- S ic 3 Ir 7 E i sm
Name Address
2 - c - -A b — r -� 'ZO � F-4 O
city State
Being fist duty sworn upon oath, depose and say:
(I(Apphcant 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: Sc k ti l,
RQv --&c cw ► +,.w gw 3!1 k 2 -1 A Topaz. '� uS, mop rh..
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 0
Signs
Subscribed and sworn to before me the day and year first
a
HEATHER SUNDSERG Notary
NOTARY PUBLIC
STATE OF IDAHO
Residing at
My commission expires:
Feb. 26. 2008 1:18PM • • No. 5895 P. 5
'lease ,complete the entire Application!
NAME P0, ? kav-, T, u_._J. f"4s L�
PROPERTY ADDRESS 3.r7 Q , 1 -,4 tj Permit#
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
FRONT SIDE SIDE B ACK
Remodeling Your BuildinglWome (need Estimate) $
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 Gaza a ea 765
Shed or Barn Carport eck (30" above grade)Atea 3 M
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
RequiredlY
PLUMBING
Plumbing Contractor's Name: Business Name:
Address City State Zap
Contact Phone: ( ) Business Phone: ( )
Em _ Fax
.FXXT M COUNT 4aC .roughed
Clothes Washing Machine
& amW
Sprinklers
Dishwasher
Tub /Showers
Floor Drain
Toilet /Urinal
Garbage Disposal
Water Heater
Hot Tub /Spa
Water Softener
Sinks (Lavatories, kitchens, bar, map)
Plumbing Estimate $
(COMMERCIAL /MULTI- FAMILY ONLY)
Signature of Licensed Contractor
License Number& Expiration Date Date
The City of Rexburg pemni!fir fchedW/e tr A# .rave ve wt nqAaW by ibr Stop of Idaho
- Feb, 26. 2008 1:18PM No, 5895 P. 9
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SUBCONTRACTOR LIST
Excavation & Earthwork: 914 r M 140 AX e _ w ,,Zs� -r*,�
Concrete: t< <-/N > <"o� Cr,
Masonry:
Roofing. F �A G
Insulation:
Drywall:
Painting:
Floor
Coverings:
Plumbing:
Heating:
Electrical;
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor /Ceiling Joists
Siding /Exterior Trm:
Other: