HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00287 - 605 Terra Vista Dr - New SFR04 4gXB V ' y
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Americas Family Community
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Permit
FOR THE CONSTRUCTION OF: 605 Terra Vista Dr- Zellers JOB ADDRESS: 605 Terra Vista Dr
GENERAL CONTRACTOR: Tallman Construction
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 Approved
d 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
N O
T
I
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
C
E ■ accepted drawings.
each successive inspection without
3) No foundation, structural, electrical, nor plumbing work shall be concealed
approval. No structural framework of
any underground work shall be covered
without aaaroval.
INSPECTION CARD
BUILDING
Date roved
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
Date roved
1. Rough -In
2. Final
3. Electrical Service
PLUMBING
1. Sewer Service Conn
Date rove
2. Water Service Conn(
3. Rough -In
�
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
0 a
�O�gEXSURCO CITY o F Certificate of Occupancy
v � 'o T EXB City of Rexburg
1{
1� Department of Community Development
19 E Main St. /Rexburg, ID 83440.
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America's Family Community Phone (208) 359- 3020 /Fax (208) 359 -3024
dF FN FO \e
Building Permit No: 0800287
Applicable Edition of Code: International Building Code 2006
Site Address: 605 Terra Vista Dr
Use and Occupancy: Single Family Residence
Type of Construction: Type V, non -rated
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Geoffrey & Andrie Zellers
605 Terra Vista
Rexburg, ID 83440
Contractor: Tallman Construction
Special Conditions: Unfinished basement
Omain sidewa(K -b W 6i nis kpj wk"- -,
vt�1tiki a F-aiSccl 0- be W.clge J� Wn4e
C1 0 h4 1+t ns, 1y _'Uri +. `bq.
Occupancy: Residential — less than 2 units, permanent in nature
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.
f .P
Date C.O. Issued: De r 1 20
° °.' �✓'
C.O. Issued by: �
Building Official
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 f ure changes.
Plumbing Inspector: 're Inspector: N f f�
Electrical Inspector: 0
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CITY O F
REXBURG
America's Family Community
Please COmvleT Entire Application!
0800287
RESIDENTIAL BUILDING PERMIT APPLIC 605 Terra Vista Dr- Zellers
19 E MAIN, REXBURG, ID 83440
208 - 359 -3020 X326
PARCEL NUMBER: i` {{�� - ' (An'yG cc
6:)()M o (We will provide this for you)
SUBDIVISION: ve„ a cW 25Y,4 /p S UNIT# A,il, / BLOCK# LOT#
(Addressing is based on the information - must be accurate)
CONTACT PHONE #
PROPERTY ADDRESS: � Q- U C J a"' Iq 49r U e
PHONE #: Home (
Work ( ) Cell( )
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
EMAIL FAX
APPLICANT (If other than owner) r-4 Gsr s �r K c •-�
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS 3 2 70,e 17 '7�,Zf CITY: Awr.•ro rt
STATE; .To1 ZIP 5e EMAIL 7h-..r1,~ L eA 0 J`,Z.f - 317 `V
PHONE #: Home ( ) Work ( ) sue/ 2- 7 Cell
CONTRACTOR Tge6* --t fo�sf�"Gtc'�in rt
MAILING ADDRESS: ?2704, /7 �2.'t cj CITY ,! s,, go STATE -A�, ZIP , 7?PW
PHONE #: Home ( ) Work ( ) $`112 -7 `1/O Cell ( ) x/03 -5 VS`27
EMAIL FAX 7J- V IDAHO REGISTRATION # & EXP. DATE 7�
How many buildings are located on this property?
Did you recently purchase this property? � Yes (If yes, list previous owner's name)
Is this a lot split ?� YES (Please bring copy of new legal description of property)
PROPOSED USE: Si�t4 /e wer.
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjury, I hereby 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 in the application or on the plans on which the permit or approval was
based. Permit voy if no started>#hin 180 days. Permit void if work stops for 180 days.
Owner /Applicant DATE
prefer to be contacted by fax, email or phone? Circle One
WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non - refundable and are paid in full at the time of application beginning lanuatvl. 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
g Safety Departmen
City of Rexburg
19 E. Main
Rexburg, ID 83440
janellh@rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
ctry or
REXBURG
Cam"
Amoica' FanWY C "mi runny
Affidavit of Legal Interest
State of Idaho
County of Madison
42( 'T�Tlam V(44 ()P-
Name Address
Lel ka 1DM
City J 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: -� ( sl��l+� .1�c: . 270 e, 17 µ Si '%;9
Name Address Awmw. jv &34c7(.
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 1 )+�'k day of - :S - UAA - e .20 0
Subscribed and sworn to before me the day and year first above written.
ST(j
. �� otary Publi of Id o
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- �� = esiding alt:
A U130 :'
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aj. '•• �p My commission expires: I
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Building Safety Department
City of Rexburg
19 E. Main jonellh@rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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C I T Y OF
RE . XBURG
____. C14W
Americas Family Community
Remodeling Your Building /Home ( need Estimate $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area /6cy Unfinished Basement area &Z Y
Second floor /loft area 1S Dy Finished basement area 45a
Third floor /loft area Garage area ` !?
Shed or Barn --C+- - Carport/Deck (30" above grade)Area t�P
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
RequiredLY
PL UMBING /
Plumbing Contractor's Name: j� - Welro-i Business Name:
Address P0?J )r 3 _ -, City _ _ _ State Zip
Contact Phone: ( ) 'Z Business Phone: ( )
Email .4 e Ao l2_ _ P /icnt 6i 0 halime, , / • C e?4yt Fax
FIXTURE COUNT (including roughed fixtures
Clothes Washing Machine Sprinklers 6ep9>
Dishwasher 1� - Tub /Showers
/ Floor Drain
T Garbage Disposal
_ Hot Tub /Spa
7 Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $.
_ Toilet /Urinal
Water Heater Cdh o►�..ta.�.��
Water Softener
(COMMERCIAL /MULTI - FAMILY ONLY)
Signature of Licensed Contractor
The
10 7 - 16
License Number& Expiration Date
schedule is the same as required by the State
Date
Building Safety Department yoF$� °RCr� C1r of
City of Rexburg �o Tj T V BT m G
19 E. Main ionellh@rexburg.org Phone: 208.359.3020 Americo Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
NAME t!�POf T-ry oL � p ?P /�✓'S
PROPERTY ADD SS re fa VeiAir Dries e Permit#
SUBDIVISION CGnvon 64i & w ASA l e 1° S
PHASE / LOT 7 BLOCK '2.
Required f
MECHANICAL
Mechanical Contractor's Name &Orn l d B n5fp n Business Name Am rww"ee ,iii+
Address �� ^a ). C a�.NP.y, 4 . Cit NLMO AJ State SZ> Zip a3l 91
Cell Phone (90t) '75 - 7- 0:5 5 - / Business Phone ( )
Fax (20%) 5 0 Email K Cop-
Mechanical Estimate $ (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
Pool Heater
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts- 4 0ef4l ^�
1 Fuel Gas Pipe Outlets including stubbed in or future outlets
o S Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
.2�254 — (0 / 11 LO
License number Date
The
schedule is the same as required by the State of Idabo
s
Building Safety Department �0 VV, XRLI't C l .r Y o F
City of Rexburg � 'o REVnT m
XBlJ1G G
Ow
19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326 America's Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME
PROPERTY ADDRESS rr ^- v a Permit # 08 00287
SUBDIVISION t' oV 0 605 Terra Vista
PHASE / OT 7 BLOCK 9
Requiredffl ELECTRICAL
Electrical Contractor's Name- tre h Ott �t 9e.° Business Name r y��e,! 1-
Address 2/ q� fi e f►son 4an r/oW &, City i�yIa O C State J/, Zip 9_:?,? t
Cell Phone /Tf7gh Business Phone ( )
Fax ( ) < /,? 5 fD� y Email trl. yB� C?t"lgp- CZD /,Ca.' 1
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 a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
3 Y,33 O
Signa of Lic ed Contractor License number
The
schedule is the same as
Date
by the State of Idabo
SUBCONTRACTOR LIST
Excavation & Earthwork: 1
Concrete:
Masonry: / �`r► ,b�°r' // �1 �° / lGt , C �";
Floor
Coverings:
H
Heating: ��/^ /"h'►Q �?C' C /`
Electrical: lee l e , C�
Special Construction
(Manufacturer or Supplier)
Roof Trusses: &/i G �' &SS
Floor /Ceiling Joists:
JN
Siding /Exterior Trim: 41 / - SM 50✓1 C orr 52i^uC>`'/ � ,011
Other: