HomeMy WebLinkAboutALL DOCS - 08-00185 & 08-00186 - Broulims - Shed Additione RgxatrR� • •
CITY OF
° REX
Buil
America's Family Community
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9
Permit
ISSUED TO:
PERMIT #: 0800186
NAME: Bateman -Hall ✓ Inc
FOR THE CONSTRUCTION OF: Broulims Shed Addition JOB ADDRESS: 124 W Main St
GENERAL CONTRACTOR: Bateman & Hall
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.
Date Approved Issued B
04
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
on the premises during construction.
2) The permit will become null and void in the event of any deviation from the
NOTICE!
the building beyond the point indicated
in each successive inspection without
3. Drywall
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 aDoroval.
INSPECTION CARD
BUILDING
Date ADDroved
1. Framing
2. Insulation
3. Drywall
4. Final
OTHER
Date Approved
1. Fire Department Fine 11 1
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
Apr, 2. 2008 8:49PMDM BROULIMS
o vb�r CITY OF
° REXBURG
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' ^ .Amr itw�tbmtl Cbmmunfty
COMMERCULL & MULTI FAMILY 8>jITLDIN
19 E MAIN, RMURG, ID 83440
20W59 -3020 X-326
NNo.6060 p P 2
Please Complete the Bn*e Apphcatiorn
0800186
Broulims Shed Addition
P ARCEL. NUMBER ��LEA22 �.�� 1 1 rL��_I_ _ (v'le wut provide this foi you)
SUBDIVISION: UNTI# B LO(X# _ _ LOT#
(Addres is based on the information - must be accurate
CONTACT PHONE # - W
PROPERTY ADDRESS: 12q 93
PHONE #: Ho= ( ) M — 4 771 work ( ) - e CCU( ) 7 dU- 7 77!
OWNER MAILING ADDRESS 4?,Z, A2 2A CYTY: RIZ 8 ,sTATE,.J—;P zm , Y
EMAI I*AK 6P GtdaL145.05AX 2A - -- Z W
APEF rr -T ( f other than owner)
(Applicant if other than owner, a atatemrm authorizing applicant to act as agent for owner must accompmy this application.)
APPLICANT INFORMATION: ADDRESS CJTY:
STATE ZIP EMA ;F
PHONE #: Hams ( ) Wwk ( ) Cell ( )
MAILING ADDRESS; 140-5 jk re CTI X `I� i t s STATE D ZIP z
PHONE: Cell# 20-- F> „2 z C -737 j�- Work# Farr# ZcX 5 e - 6�-
EMAIL z DAHO REGIS'TRAT'ION # & EXP. DATE- 5 r Z/i -5�
:, :..n —✓ An e i '.
tin i, �_. ,—�
How many buildings are located on this praperty? (P .V L-
Did you tecently purchase this property? 69 Yes (If yes, list previous owner's name)
Is this it lot Split? 0 YES (Pleat copy of new legal destsi0ou of property)
C.
PROPOSED USE: AVWA4{
Sin& Funnily Residence, Multi Family, Apartments, Remodel, Gat'age, Commercial, Addition, Etc.) — CIRCLE ONE
AP'PLICANT'S SIGNATURE, CERTIFICATION AND t1UTHORIZA` ON: Under pemlty cf ptujucy, I bvsby catify that I
bare Bead this appRmdan and 'tau that the infomx6on harts t it most and I aevcat that any ip fonnarioa wHit}t may hereafter be given by me in hearltV be&rc the
attd Zoning Comminion or she City Cowvdl for the Cay of dtcxbuz chadl be outhfW and cornet I agxe to Bono with 4111 Chy resuktims wed %te Isar relai`h,+g
to the au*rt rtmtttrr oftbir apptioa*n and htmeby suthoc>sed rtptrreaW000 of the City to to= vpm the sbove- mmdoncd property for impections purpaeea. NOTE:
The builRirg oMeld rosy rzvoke a permit on approval hsced under the provisiom of the X W lm onadonal Code in maw ref ark Ms statement of miasrptatntAdm of 1
in the amdcatkn or owgw t which the or approval was based- Pcfrnit void if not stained within 160 Jaya f4srrrit van d if w t a 1 "�
53 nfttua 4f Oumer�ipplicmt t
Do you prefer to be contacted by fax, eo=4 or one? Carole One
W ING- d9d:UUMM 1'INCT RM 0 P09= ON CONaTAVCIE
Plan Am an a" -ftfi eldle wed uo paid to M at dw time of 4X*e*tfon bcgmatng
Olry of RoxWr Aceeytaaca of the plan redo+ Im dace not comgttw plan i
"84dlna Nto* Fees are daa at lima of ryplic■oaar'+ * foam is on WW try=
s
na
t d a sae _- ----°-
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5
A r• 2. 2008)( 3:49.PMPM BROULIMS . 00.6060 P P.
Bullding Safety Department C t r Y OF
Clly of Rexburg'
RMURG
79 E. Mc2h JMWh*ftbur9.0l9 PhWe. 20.35 ex }926
RoxburaID8WO www.txburg.org F=208.359.3024 '•pie ► Anuraoa'aFamgyCaaxr►ainisy
Affidavit of Legal Interest
State of Idaho
Count o ofM aa &on & /
Name Address
ataar
Being Ent duly sworn upon oath, depose and say:.
(If Applicant is also Owner of Rcco4 skip to B)
A That I M the record as f the descu "bed an the attxcbed,,pad I
permisaion to: 1AM /(1 �,
Name Add=
to submit the aeeompm*g application penlfi ag to that property.
B. I agree to indemnify, defend and hold Rexburg City and its employees harn�m from any
c]aim or Bob* rw2hiag from any dispute as to the im ernents contained herin or w to the
ownership of the property which is the subject of the application.
D
Dated this /�'� day of AOWY 20
I I
Fa Wa.14 3- MONEs ,
Subeerlbed and swot tt to before me she day and year Ent above written.
+�✓✓ ..• r
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Nabky p4c of ida}w
Resift ftt: - JR ` 4 0 - J 1 a
A
Ui3LIG i*
% ;• . ,,�' My commission expires: /4 - .Z z -•
Mar, 24, 2008 3:23PM
0
0
No. 6048 P. 5
City of R *xburg
NAME ''S i�Q0 LA KA S Please Complete the Entire Application)
PROPERTY ADDRESS I a4 W Ad Aj 1J if the gaetfm does not spply ® in NA for non applicable
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
FRONT oo SIDE 35 SIDE_ }5 BACK Q
1 C _
Remode&g Your Budding /Horne ( need Estimate)
SURFACE SQUARE FOOTAGE. • (Shall include the exterior wall measurements of the building
First Floor Area Unfinished Basement area
Second floox /loft area Finished basement area
Third floor /loft area Gmage area
Shed or Barn Carport/Deck (30" above grade)A
Water Meter Quantity: "x:<"':`" ": ";' ' : " Water Meter Size: _ )A
Requ&ed Y
,PLUMBING
Phunbing Conttactor's Name: .� Business Name:
Address City State Zip
Contact Phone: ( ) Business Phone: ( )
E, mall Fax
E E 3 = M COUNT_ (m cluditrg ro w. ed A T& = s
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
Sinless
(Lavatories, kitchens, bat, mop)
Plumbing Estimate $ (Commercial Only)
Of Lkens ContnAl"
Sprinklers
Tub /Showers
Toilet /Urinal
Water Heater
_ Water Softener
Lkwse number
Date
4
Mar, 24. 2008 3: 23PM
A The 011 Of &xbw's tlelt!!lt fee t is the .cam as reamind by the SAite Or Idaho I
Please Complete the Entire Applicationl
If the question does not apply fail in NA for non applicable
NAME ��aC� Ll /W. S
PROPERTY ADDRESS f ?- W A44,1
SUBDIVISION Pemut#
Requiredifl MECHANICAL
Mechanical Contractor's Name: Business Name:
Address City State Zip
Contact Phone: { ) B usiness Phone: ( )
Email Fax
Mechanical Estimate (Commercial /Multi Family Only)
.F,I =RES & AY,PLIAIVCES COUArT (Single Fami1y17"ZUng Only)
Furnace 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
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
No, 6048 P. 6
Dryer Vents
Range Hood Vents
Cools Stove Vents
Bath Fan Vents
other similar vents & ducts:
TF
Uceuae n mnbez
The
'rehedek it the rav as
Dow
the State
Req uircA Sipatm of Lt mzd Contractor
5
Mar, 24, 2008 3:23PM
C�
Building Safety Department
City of Rexburg
19 E Main janetih @rexburg.org Phone: 206.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fox: 208.359.3024
No. 6048 P. 7
i
CITY Of
�
REX
OW
.1 11 0 1' Ametica� Family Community
�NSO
OWNEWS NAME E &0 L, l AAS
PROPERTY ADDRESS L 2,�± 1 U AJ 1 AJ Permit#
SUBDIVISION
PHASE LOT BLOC
Requiredlll ELECTRICAL
Electrical Contractor's Name Business Name
Address City State Zip
Cell Phone ( ) Business Phone (
Fax ( ) — Emat1
Electrical Estimate (cost of w iring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF IMTALLATXON
(NewReeddendd includes evetyWhg c oardined within the maideadW eeructutr and attachedg=ge at the some dme)
Number of meters being installed
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 crostruction permit
and no additional wiriat
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 witino
Temporary Amusement /Industry
*Inclades a maximum of 3 inspections. Additional inspections cbargcd at requestcd inspection rate of .,440 per hour.
v
Mar, 24. 2008 3:23PM
No. 6048 P. 8
Signatute of I. ceased Contractor License number Date
The City of Bexbrng's petrnit fte schedule it the same ar ngvirsd by the State of Tdaka
04 paxa V,p�
n
CITY OF
Building Safety Department
City of Rexburg
19 E. Main iane11h @rexburrj.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax; 208.359.302
1 W.
Amedwd Faml[ Community
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT #:
PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO
/M_ji� +i
Business Name:
Cc de
Office Address: Z fir - *= Kai e v Zn B3 41.- z
d, smte zip
Office Phone Number: 745 -YZC
Contractor Performin it the Work: B k XIA-t> - &&U �-TAJC
Contact Person: 7)10 Lj t 7 a-" Cell Phone # ( 2, ) 2ZJ X 13 z
- OCA'TION OF WORK TO BE DONE:
Street Address Where Work Will Be Done: &CIACY I l u
Business Name Where Work Will Be Done: S 4n y u ,,let ;
Dates For Work To Be Done: 1 I o To � / 3n /o s
Contact Person: D � I�.,Vt H
Phone Number: (2) 5 7.E -zCF 1 Cell # LS} faWZzi
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
❑ AUTOMA'T'IC FIRE - EXTINGUISHING SYSTEMS
❑ COMPRESSED GASES
❑ FIRE .ALARM AND DE'T'ECTION SYSTEMS AND RELATER? EQUIPMENT
❑ FIRE PUMPS AND RELATED EQUIPMENT
❑ FLAMMABLE AND COMIVIBUSTIBLE LIQUIDS
❑ HAZARD MATERIALS
❑ INDUSTRIAL OVENS
❑ LP -GAS
❑ PRIVATE FIRE HYDRANTS
❑ SPRAYING OR DIPPING
❑ STANDPIPE SYSTEMS
❑ TEMP MEMBRANE STRUCTURES, TENTS, AND CANOPIES
Applicant's Signature hate
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7
Mar. 24. 2008 3: 24PM No. 6048 P. 9
ie
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete: AJ-
Roofing: , � T�1 �n F ►.�C7
Insulation: _ A
Drywall:
Painting, � �{-•
Floor
Coverings:
Plumbing: f-
,Heatin nJ /-
Electrical A ZL
Special Construction
(Manufacturer or Supplier)
Floor /Ceiling Joists:
Siding /Exterior Trim:
0 ther
Mar, 24. 2008 3:24PM No. 6048 P. 10
EX.EMMONS FROM STATE REG7STRATIC)N
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 neat permit application.
(Phis list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please
seethe State's website at .ibo ' o v c .h
❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters:
I Architects,
ID Electrical Conttactors /Journeyman,
12 Engineers /Sutveyors,
19 Public Works Contractors (exempt from fee only registration requited),
26 Plumbing/Plumbets,
, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or
50 Installation of heating, ventilation and air conditioning systems
n Employee ox 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
n Contracting a project or projects with a total cost less than $2000
d 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 fox fire prevention purposes
11 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 mouths
11 Owner or lessee of commercial property perfot ing nxaintenance, repast, alteration or construction on that
property
❑ Real estate licensee /property manager acting within Idaho Code
❑ Engaging in the logging industry
1:1 Renter working on the property where they live with the property owners approval
C 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
i V Cs 5 L-1
9
9
•
Bureau of Occupational Licenses
Department of Self Governing Agencies
The person named has met the requirements for licensure and is entitled
under the laws and rules of the State of Idaho to operate as a(n)
CONTRACTING BUSINESS
BATEMAN -HALL INC
KIM HALL. ET AL
1405 FOOTE DRIVE
IDAHO FALLS ID 83402
Tana Cory RCE -1195 12/1412008
Chief, B.O.L. Number Expires