Loading...
HomeMy WebLinkAboutALL DOCS & CO - 08-00158 - 538 Henderson - New SFRINSPECTION CARD y � �,StBXBUR o s`I A 1 B ��SH 40 �6eA CITY OF REX Americas Family Community Building Permit BUILDING Date Annroved 1. 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 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 roved An Issued B App n � _ _ Y z 7 i / �_ U Building Inspector Date prove d 1. Rough -In 2. Final PLUMBING Rata Annmuod 1. Sewer Service Conn 2. Water Service Conn( 3. Rough -In 4. Ground Rough -In 24 Hour Notice 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 z) The permit will become null and void in the event of any deviation from the in each successive inspection without NOTICE! 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 aooroval. and Permit Number required to make inspection appointments For Inspections Call 359 -3020 option 2 ACERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRI6R TO FINAL ELECTRICAL & PLUMBING INSPECTION 4EXeUk CITY OF �►ertinc yr vccupanc °jjjZG City of Rexburg ` it Department of Commun D evelopment America's Fam De p ty 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 - 3020 / Fax (208) 359 - 3024 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 0800158 International Residential Code 2006 538 Henderson St Single Family Residential Type V, non -rated Residential No Name and Address of Owner: Mounts Thomas & 175 N 1st E Rexburg, ID 83440 Contractor: Owner /Lessee Special Conditions: unfinished basement 333 sq ft Occupancy: Residential - less than 2 units, permanent in nature This Certificate, issued pursuant to the requirements of Section 109 of the Intemational Building Code, certifies that, at the time time of issuance, this building or that portion of the building that "as inspected on the date listed vees found to be in compliance vuth 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: January 12, 2009 (02: M) C.O Issued by: G 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 Inspect ire Inspector: Electrical Inspector: P &Z Administrator: �\ Please complete the entire A lication! P PP NAME Th aM 4S ( :.k O M PROPERTY ADDRESS , 's`3 s H en d er�j ' rf VC. SUBDIVISION �J evtd 4eS a Permit# Requiredffl MECHANICAL Mechanical Contractor's Name - �'1G'� JLtG A Business Name Addres ' I C J � � City 1 State 1 ZiD Cell Phone ( ) 2— l� Business Phone ( ) I C-2, -C I f ( I Fax ( ) l_Q OA - 1 Q Email 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 Exhaust or Vent Ducts _,Z Dryer Vents I— Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: 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 & Ughc ation Point of Delivery must be shown on SHIans, I LA - I - I - CRv Signatur v� Contractor License number Date The City of Rexburg s permit fee schedule is the same as required by the State Building Safety Department City of Rexburg 'a 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y O F MXIBURG Americas Family Community NAME 1.e H ^ PROPERTY ADDRESS 3 Permit# SUBDIVISION Required!!! MECHANICAL ����.. Mechanical Contractor's Name: , � � Business Name: Address City State Zip Cell Phone: ( ) Fax: ( ) Business Phone: ( ) Email Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace I Exhaust or Vent Ducts Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets Heat (Circle all that apply) Gas Oil Coal Fireplace Electric dronic — 1 7 Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. t 3(� (I V- 3o-- ©g of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as r equired by the State of Idaho 0 Building Safety Department City of Rexburg 19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org 1 - -- — — — o � a$x6lJg �y �O ti 9� v c �Eo CITY OF REXB _ C%. _ America's Family Community OWNER'S NAME : �T'h cm -, s C de -� /J/�p fl Permit #08 0015 8 PROPERTY ADDRESS >�nd 2fS SUBDIVISION ers 538 Henderson St PHASE C LOT BLOCK Required.!! EL CTRICAL Electrical Contractor's Name � f Zk tf �" I PLG 1 t i Business Name VR-Gr/,j L Address + " - 1 City 1� VyL4G State Cell Phone ( / I ! C Business Phone ( 3 77 3 Fax ( ) Email Electrical Estimate ( cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (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) Temporary Amusement /Industry *Includes ximum of ons. Additional inspectio charged at requested inspection rate of $40 per hour. 3 inspe ature License Contractor License number Date The schedule is the same as required by the State of Idaho o4 gEXBIV 7 rMfD � C I T Y O F RE — 0 America's Family Community Iddik Please Complete the Entire Application! If the question does not apply fill in NA for non applicable RESIDENTIAL BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 PARCEL NUMBER: P:V VA�W M Q) Q ) (We will provide this for you) SUBDIVISION: lkm eni2 / UNIT# l BLOCK# _ LOT #� (Addressing is based on the in ormation - must be accurate) OWNER NAME t CONTACT PHONE # 3!JJ) — S/ S 9 PROPERTY ADDRESS: PHONE #: Home (7 ; � & a Work ( ) Cell ve 3 g - 151 OWNER MAILING ADDRESS: D y Z 7 CITY: ll d STATE: ZIP: 9� EMAIL o(5 kyi(�) rnQ j Imo, (C 1 Z ,� - ,� 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 CITY: STATE; ZIP PHONE #: Home ( EMAIL F Work ( Cell ( ) CONTRACTOR MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( ) Work ( ) Cell ( EMAIL FAX IDAHO REGISTRATION # & EXP. DATE How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes, list previous owner's name) L " Is this a lot split? NO` YES (Please bring copy of new legal description FVC PROPOSED USE: k I (i.e., Single Family Residence, Multifamily, Apartments,�Aemodel, Garage, Commercial, A ' Etc.0 AR 3 1 � UV APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATI N: nder penalty of e 'u eb ceLy that I have read this application and state that the information herein is correct and I swear that any in rmati c y in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg sh be fN I an rr 1 ' y ith all City regulations and State laws relating to the subject matter of this application and hereby authorized r e ' 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 o i any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permi oid if not st 180 d Per ' void if work stops for 180 days. � Signature of Owner /Applicant v DATE Do you prefer to be contacted by fax, email o hone? Circle One WARNING – BUILDING PE ST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning ranuar 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 ** Bull Safety Department City of Rexburg 19 E. Main Rexburg, ID 83440 janeilh@rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 0 aEXB � o 'a< C IT Y OF REXBURG Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison 1 , 121 ®" , 175 Name Address City Being first duly sworn upon oath, depose and say: A. 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 2 - 7 day of �`� .[,}� .20 Subscribed and sworn to before me the day and year first above written. ```\`��. 5 HEN p �0 %�i Notary Pu he of Idaho r49� _ <Z = Residing at: V X b �a � o � C " 0 / My commission expires: �'/ !OA �� gs\� State (If Applicant is also Owner of Record, skip to B) That I am the record owner of the property described on the attached, and I grant my permission to: Please complete the Aire Ap NAME e-Orl M0 u.nA' PROPERTY ADDRESS Permit# SUBDNISION H f6q AEG✓ ; ga Dwelling Units: / Parcel Acres: p ? j' X loo 7cl SETBACKS FRONT ZQ SIDE Z SIDE 1 t j r BACK O Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Z 0 6 S, 3 Unfinished Basement area 3 3 Second floor /loft are 77 Finished basement area LZ.?_S Third floor /loft area Garage area c� _� t Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: �4 1 Requlredffl PLUMBING Plumbing Contractor's Name: rr , Business Name: _,d,.. , x 6 Address !yZ A/ � l/�� City r State Zip Contact Phone: Business Phone: Email Fax FIXTURE COUNT (including roughed fixtures, Clothes Washing Machine Sprinklers Dishwasher Tub /Showers Floor Drain Toilet /Urinal Z Garbage Disposal Water Heater n Hot Tub /Spa �. Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) ALW "I Signature of Licensed Contractor License Number& Expiration Date Date The City of Rexburg's permit fee schedule is the same as required by the State V,XeU Building Safety Department o�4, City of Rexburg ; a 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 ' "`° C I T Y O F REXBURG America's Family Community OWNER'S NAME ::�a 5 CQlP,nLg lo aawbs PROPERTY ADDRESS � 4 - ►vim Permit# SUBDIVISION 9p0de4e:SM PHASE LOT 12 BLOCK 1 HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name Address City State Zip Cell Phone ( ) Home Phone ( ) Fax ( ) Email TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) 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 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 Home Owner Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho • • SUBCONTRACTOR LIST Excavation & Masonry: S -tv Jv Floor Coverings: Special Construction (Manufacturer or Supplier) Roof Trus Floor /Ceiling Joi Siding /Exterior 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.ibo1.idaho.Vv/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) Cl 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 ise and correct to the best of my knowledge. 1( (v Signature Date t - fhory)AS 1Z l r) nA 6u n fS Print Name 04/09/2008 13:48 2086247223 Apr. 9. 2008 11:08AM Please complete the entire Application! NAME S 61 erin 8QKU PROPERTY ADDRESS Lnd r3't, SUSDIVMSION k endge S ft CRAIN PAGE 01/01 .0 Na. 6164 N. 1 08 00158 538 Henderson Dr- Mounts Requiredffl AI.ECILlNI T" - - Meehaalcal Ccmtmcct&s Name 'DA f r/` J LV S usiaess Name Address 2 '�> IrE� . Ll b) N Qt SL - '� State_ ._ � N L I 5 Cell, Phone (07— 90 Business Phone( Fax ( ) 1p -13 Email Meebanical Estimate $ (Commercial /Mulei ]Family only) FIXTURUS & APPLIANCES CDU1V7 (&Wo Family Dwdgvg oj*) -- Furnace �_ Exhaust or Vcut Ducte . Fwtmce /Aiur Conditioner Cmbo 7 Dryer Vents Heat Pump _- Range Hood Vents Air Couditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerate= system Boiler Pool Beater Cook Stove `7enta Bath Fan Vents other sitaila vents & ducts: — Fuel Gas Pipe Outlets including stubbed i a or future outlets Inlet Pressure (Metes Supply) PSI Meat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydsoaue p IE GE0V [_APR l 0 2 008 CITY OF REXBURG Poin Sianatare of Uccn -ed Conti License number Date Tbs Cd�@�Itexd►�'tp fee scbsdrr/k u the re�ros air �e�lied by t6�r Stare of ldabo