Loading...
HomeMy WebLinkAboutALL DOCS & CO - 08-00140 & 08-00141 - Henry's Fork Plaza - Lot 25C� �xsU CITY OP Certificate of Occupancy REX OW America's Family Community City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 0800141 Applicable Edition of Code: International Building Code 2006 Site Address: 859 S Yellowstone #2502 Use and Occupancy: Henrys Fork Plaza Suite #2502 Type of Construction: Type V, non -rated Design Occupant Load: Business Sprinkler System Required: No Name and Address of Owner: Redbarn Holdings Llc 7103 S 45th W Idaho Falls, ID 83402 Contractor: Rocky Mountain Contractors Special Conditions: Tenant in #2502 must have access to their electrical panel which is located in #2503. Occupancy: Business - office, professional or service transactions This Certificate, issued pursuant to the requirements of Section 909 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 14th the requirements of the code for the group and division of occupancy and the use for Mich the proposed occupancy vies classified. Date C.O. Issued: December 10, 2008 (03:17PM) C.O Issued by: � 10 C" 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 Insp ector: Fire Inspector Electrical Inspector: P &ZAdministrator: o�4ExHUR� CITY O F Certificate of Occupancy F i . REX City of Rexburg CV America's Family Communit Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 Building Permit No: 0800141 Applicable Edition of Code: International Building Code 2006 Site Address: 859 S Yellowstone #2503 Use and Occupancy: Scheiss & Associates Type of Construction: Type V, non -rated Design Occupant Load: Business Sprinkler System Required: No Name and Address of Owner: Redbarn Holdings Llc 7103 S 45th W Idaho Falls, ID 83402 Contractor: Rocky Mountain Contractors Special Conditions: Tenant in #2502 must have access to their electrical panel which is - _ - - - - located - in - #2503. Occupancy: Business - office, professional or service transactions This Certificate, issued pursuant to the requirements of Section 909 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 vWth the requirements of the code for the group and division of occupancy and the use for vtihich the proposed occupancy vies classified. Date C.O. Issued: Dece C.O Issued by: Building 08: (03:25P 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 Inspec r: Fire Inspector: Electrical Inspec tor: P &ZAdministrator: • CITY OF IEXB UKG BUILDING PERMIT APPLICATION 0 Please 08 00140 & 08 00141 19 E MAIN, REXBURG, ID. 83440 Henry's Fork Plaza -Lot #25 208 - 359 -3020 X326 PARCEL NUMBER: 6 (We will provide this for you) SUBDIVISION: U NIT# BLOCK# LOT# Is based on the �r formation - must be CONTACT PHONE # PROPERTY ADDRESS `•r, PHONE #: Home ( ) Work �c ,`Sc�Cr_ j `II Cell ( ) OWNER MAILING ADDRESS: STATE. � k ZIP: E�Is' cf gZ) EMAIL FAX- J , i �'; - APPLICANT (If other than owner) 16 JA M C (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: S . i OUx. n, ' CITY 1I�� ZIP S c' ST ATF PHONE: Cell# Work# 2`E J i cl i Fax# '7 - 2 EMAIL IDAHO REGISTRATION # & EXP. DA How many buildings are located on this property? Did you recently purchase this property Yes (If yes give owner's name) Is this a lot split? NOj 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 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 i n ation 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. St re of Owner /Applicant _ DATE Do you prefer to be c ed'�y f email hone? Circle One WARNING — BUII:ISING P MITWST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning l anqgcK 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 ** 2 • • Building Safety Department City of Rexburg 4 19 E. Main jonellh @rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y O F REX.BURG _lrrzer:�ss �uuilp' C;� ^�r;ir:�;r:itti Affidavit of Legal Interest State of Idaho County of Madison Name City ?lS - 7 Address [- 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 recor caner of the property described on the attached, and I grant my permission to: 6 S's 5 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 herin or as to the ownership of the property which is the subject of the application. Dated this Za day of , 20 Of / - 1 Signa re Subscribed and sworn to before me the day and year first above written. Notary Pu he of Idaho Residing at: �., I C '� = e btale of idah6; Residing in Fremont Count My commission expires: COIlln118�iet €�EHiftA -{rz 2 011 • • Please complete the entire Application! NAME t 2 If the question does not apply fill in NA for non applicable `"� PROPERTY ADDRESS ~ 'c `� t C i ct 4 - > t Permit# SUBDIVISION j\ L Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE. • (Shall include the exterior wall measurements of the building) First Floor Area Unfinished Basement are: Second floor /loft area Finished basement area Third floor /loft area Garage area Shed or Barn Carport /D eck (30" above Water Meter Quantity: Water Meter Size: RequiredM PLUMBING Plumbing Contractor's Name: Business Name: �y v+ �i R C Address l c� �� E1 c� � �� City :12� 4 41 State Zip Contact Phone: ( ) ? �j . I Business Phone: ( ) C3 1 Email Fax c�c� (; 7 FIXTURE COUNT (inc ludine rouehed fixtures Clothes Washing Machine Sprinklers Dishwasher Tub /Showers Floor Drain �_ Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa Water Softener -.� Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) - 't L I) �� , /� v�J Required! `Signax ire of Lice d Contractor License number Date The City of Re xburg r permit fee schedule is the .came as required by the State of Idaho .© LJ • Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME 2..c-, PROPERTY ADDRESS Permit# SUBDIVISION RequiredMf MECHANICAL Mechanical Contractor's Name � � i �� IGyCt Business Name: iG l F1 �C:��� 1 �� Address q7p lk- ki,rc� 0Y- City State zip Contact Phone: ( b& .S 2 2 — �G 3 J Business Phone: 'G&,) C Ema 3 CW6 )1,� ' c� �� AC:. :T—Y1 ' jZY ,Yn Fax 7— OCR Mechanical Estimate $f (Commercial/ Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts _ Furnace /Air Conditioner Combo Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Pool Heater L Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application <_ 70111L 01 AJ must De S Re uire q Signature of Licensed Contractor License number [�_ The City of R s perm fee s is th e sam as r by the State of Idaho 0 0 Building Safety Dr -- - - -- - - -1 Permit #08 00141 G 19EMain janelih @rexburg.org Ph( 859 S + Yellowstone 42501 -250 ar:in' Rexburg, ID 83440 www.rexburg.org OWNER'S NAME _ Lug W\ ('c j PROPERTY ADDRESS �' . Permit# SUBDIVISION y\ iu '' fi Y-- GtiZ� PHASE LOT Z--� BLOCK RequiredMf ELECTRICAL Electrical Contractor's Name _�_ ec / e JSC , - Business Name I L ISO 'L e c _ Address p L x 1 �'► �- City- - I - , 1 r v� State �,� Cell Phone L:X '1, - ;3L(c) L/ Business Phone ( Fax Ot; i1 2 "'s 4 - 1 - 9 �) 5 l Email— - r Electrical Estimate ( cost of wiring & labor $ CCU (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (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* Existing Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) 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. Signa re of Licensed Contractor License number Date The City of Rexburg .r permit fee schedule is the same as required by the State of I daho I� Building Safety Department �����aF <��� .� C z 'r Y OF City of Rexburg = -�- -�--� - - - - - -- N 1'ti.1::11�.1�URG 19 E. Main ionellh @rexburg.org Phone: 208.359.3020 Ar:;rric..'. Fan,it; cc Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO APPROVED BY: Business Name: Office Address: City Stare' Zip Office Phone Number: - � Contractor Performing the Work: ('� Contact Person: ` C°�LZc Cell Phone hone # ( ) - LOCATION OF WORK TO BE DONE . Street Address Where Work Will Be Done: k c� �' ��l�d , { �.� Low- 2 Business Name Where Work Will Be Done: Dates For Work To Be Done: To Contact Person: Phone Number: Cell # PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR: ❑ AUTOMATIC FIRE- EXTINGUISHING SYSTEMS ❑ COMPRESSED GASES ❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ❑ FIRE PUMPS AND RELATED EQUIPMENT ❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ❑ HAZARDOUS MATERIALS ❑ INDUSTRIAL OVENS ❑ LP -GAS ❑ PRIVATE FIRE HYDRANTS ❑ SPRAYING OR DIPPING ❑ STANDPIPE SYSTEMS ❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES licant's Signatur Date ............... .... ..... ......................... ............................... • 0 SUBCONTRACTOR LIST Excavation & Earthwork: - (i4 Concrete: ( 4�1 Masonry: Roofing: l�v� l� Insulation: r - Painting: Floor Coverings: Plumbing: W -, t l 8 A 4 Heating: Electrical: ! i (��c ��'S �Y 1 C Roof Trusses Floor /Ceiling t Siding /Exterior Trim: Ef Special Construction (Manufacturer or Supplier) 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 ww /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. Signature Print Name Date 0 0 0 Red Barn Holdings, the Owner of Building 25 located at 859 S Yellowstone Hwy, agrees to provide the renters of Suite 2502 a key to Suite 2503 for the sole purpose of access to the breaker box located in Suite 2503. /0 /,3/0� Da e Red Barn Holdings