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Home My WebLink AboutAPPLICATIONS, BP, CO - 08-00253 - 345 S 4th E - Basement Finish04 g�xs U `� r 9 U � s � 'e 0A ��SHED \B CITY O F REX Americas Family Comtpunity Building Permit • ISSUED TO: PERMIT #: 08 00253 NAME: Nielsen Reed Etux FOR THE CONSTRUCTION OF: 345 S 4th E- Nielsen JOB ADDRESS: 345 S 4th E GENERAL CONTRACTOR: Owner /Lessee 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 bythe City Council and explained on the Building Permit Application as approved bythe Building Inspector. -Date Approved Issued By f. 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, N O T I C E 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. approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered without aDDroval. 4. Drywall INSPECTION CARD BUILDING 1. Mechanical Final Ins 2. Framing 3. Insulation 4. Drywall 5. Final ELECTRICAL Date Approved 1.. Rough -In 2. Final PLUMBING r%�*e A- -.— .....d 1. Water Service Conn( 2. Rough -In 3. 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 ��RExeUR�lo CITY of '' Certificate of Occupancy [JIZG City of Rexburg Department `7 of Communi Development Americas Family Community 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 Building Permit No: 0800253 Applicable Edition of Code: International Residential Code 2006 Site Address: 345 S 4th E Use and Occupancy: Single Family Residential Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: - Nielsen Reed Etux 345 S 4th E Rexburg, ID 83440 Contractor: Owner /Lessee Special Conditions: Finished Basement Only 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 vies inspected on the date listed vies found to be in compliance Wth 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: C.O Issued by. January 22, 2009 (01:5 M) 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 or: Inspector: Electrical Inspector: P&ZAdministrator: V.BxBUR cfG Y- CITY O F E, ° REXBURG America's Family Community Please CompleTthe Entire Application! If the question does not apply fill in NA for non applicable RESIDENTIAL BUILDING PERMIT APPLI1 0800253 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 345 S 4th E- Nielsen PARCEL N UMBER: 2 — FeNVM CDi 9 a J 1 Q W SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) OWNER NAME: L= ns,., ►v ► - CONTACT PHONE # - 3 -54- Z,( - 2 _> 4 PROPERTY ADDRESS: � s � `� , t PHONE #: Home (:�CV 7 & Work C?PO �k ,7.. 3t2"r Celle f_' t OWNER MAILING ADDRESS: 3 S t> `f CITY: , = -- 6 ` C STATE:�ZIP. EMAIL 2r ;. r r° ;rte' e _ 1'le ' 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 EMAIL FAX PHONE #: Home ( ) Work ( ) Cell ( ) CONTRACTOR d,?� MAILING ADDRESS: ��' CITY STATE ZIPS_ LZM�A NE #: Home ( ) Work ( ) (AY IL FAX IDAHO REGISTRATION & E How many buildings are located on this property? Did you recently putQhase this property? 0 Yes (If yes, list previous owner's name) ycL�J� Is this a lot split? NO YES (Please bring copy of new legal d scxiption of property) PROPOSED USE: t_L% r- - L ? (i.e., Single Family Residence, Multi Family, Apartments, Remodel, darage, ommercial, Addition, Etc.) APPLICANT'S SIGNATURE, CATION AND AUTHORIZATION: Under penalt of perjury I hereby certify that I have read this applica ' d st that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the PI niiin and $ Commi ssion r the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City re ati s tate laws rela ' g ' to the s . " atter of this application and hereby authorized representatives of the City to enter upon the above- m ned prop ty for inspec ' s urposes NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 1" e? ernatiopal ode in c any fal state ent � misrepresentation of Matt in the application or on the plans on which the permit or approval was sed. Pe' if n t 5 ed wi i ays, Permit void if w .fox 180 days. 12, Signature of ner App cant DATE Do you prefer to be contacted by fax, email r phone? ircle One WARNING — BUILDING T BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning anuarv1, 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** BulAg Safety Department City of Rexburg 19 E. Main janellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 04 �LEXB (J CITY OF ° REXB Americds Family Community Affidavit of Legal Interest State of Idaho County of Madison I, Name City 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 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 subject 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: Please complete the Witire App lication! NAME Qt-4 I A6; f,, M , PROPERTY ADDRESS 5 4 �5 - 1�> ' j / Permit# SUBDIVISION Cr Dwelling Units: U tJ (E�f_ Parcel Acres: SETBACKS iZ��Aa 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 area Second floor /loft area Finished basement area_ Third floor /loft area Garage area Shed or Barn Carport /Deck (30" above Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Required Y PLUMBING ;� f Plumbing Contractor's Name: Business Name: iZ:X aL.4 a, pk.� Mt3 i i , City State Zip Contact Phone: ( ) Business Phone: Email Fax FIXTURE COUNT finclu&n-a rou_hed fixtures f f Clothes Washing Machine Dishwasher Floor Drain k_ Garbage Disposal " - 'Hot - 'Hot Tub /Spa I Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ Sprinklers Tub /Showers X Toilet /Urinal f Water Heater - -' Water Softener (COMMER /MULTI - FAMIL ONLY Signature of Licensed Contractor The 1 �0 q �- M4_ 09 License Number& Expiration Date Date wit fee schedule is the same as required by the State of Idaho Please complete the, en± A p p lication! • P r � Pp NAME PROPERTY ADDRESS Permit# SUBDIVISION Required!!! MECHANICAL Mechanical Contractor's Name & a, R46� Business Name Address City State Zip Cell Phone ( ) Business Phone ( Fax ( Email r Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Furnace /Air Conditioner Combo - Heat Pump "' - - 'Air Conditioner -- ----- :Evaporative Cooler _ Exhaust or Vent Ducts Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents - _._.. _Unit Heater other similar vents & ducts: Space Heater � rL, l 3' T 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 Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & A 12pication Point of Delivery must be shown on plans. Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Building Safety Department � 11 City of Rexburg 0 19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C IT Y OF MXBURG Ow AmeriaA Family Community OWNER'S NAME i``t $' n► Wtii r t- Z- `-'`�' PROPERTY ADDRESS `� Permit# SUBDIVISION PHASE LOT BLOCK HOME OWNER - S ELECTRICAL PERMIT Home Owner's Name _ 30 Address > ^' �� City -� State �' Zip Cell Phone Home Phone Fax ( 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,,_Sew.�) Requested Inspe ons (of ting wiring) Temporary. casement /I stry *Includes a maxim of 3 ins ctions. Ad nal ins ections c g at requested inspection rate of $40 per hour. Fl 7 , Ignature o ome Z7wner Date The City of Kexburg's permit fee schedule is the same as required by the State of Idabo Bull g Safety Departmen City of Rexburg 19 E Main Rexburg, ID 83440 jonellh@rexburg.org Phone: 208.359.3020 x326 www.rexburg.org Fax: 208.359.3024 OF µ£XB4R�' y U O 'e< CITY O F REXBURG America's Family Community OWNER'S NAME ( C t= � U - L � � 11L` PROPERTY ADDRESS -- Permit# SUBDIVISION PHASE LOT BLOCK Requiredffl ELECTRICAL Electrical Contractor's Name 1-61: 1 , [ :_ Business Name t�=� L ► ��- =� �L Address 4 Z, . City - '3u v f, State Zip Cell Phone ( ) Business Phone Fax ( 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, S wimmin g 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 f Licensed Contractor License number Date The City of Bexbur permit fee schedule is the same as required by the State of Idabo A, • r L SUBCONTRACTOR LIST Roof T Floor /Ceiling Joi Special Construction (Manufacturer or Supplier) Siding /Exterior Tri 0 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 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 6ri r =uselpdustrial e they live with the property owners approval 1:1 Construction of a chemical processing per Idaho Code ❑ Corl�ction of a it dular building "(defined by Idaho Code) to be moved out of state is true and correct to the best of my knowledge. ignature Print Name �e 6�e