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HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00317 - 664 Mill Stream St - New SFRe R8 %B UR �o r CITY OF 4 T U C• ]L W �./ Z G - ul ing �.B ld� N� a ' Americ4 Family Community ISSUED TO: Permit PERMIT #: 08 00-317 NAME: Mcnair Jake Etux FOR THE CONSTRUCTION OF: 664 Mill Stream St- McNair JOB ADDRESS: 664 Mill Stream St GENERAL CONTRACTOR: Vaughn Price 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 anyVariance to the regulations of City of Rexburg or Zoning Codes unless specifically approved bythe City Council and explained on the Building Permit Application as approved by the Building Inspector. Date Approved 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 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 3. Mechanical Final Ins ■ 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 approval. 5. Footing INSPECTION CARD BUILDING note Ar,..rn. A 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 F 1 Final ELECTRICAL nafn Annr A 1. Rough -In 2. Final 3. Electrical Service PLUMBING nnfo An--A 1. Sewer Service Conn 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 A PLUMBING INSPECTION � Certificate of Occupancy CITY OF o IZEX 13URG A City of Rexburg -� America's Family Community Department of Community Development '., 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 0800317 Applicable Edition of Code: International Residential Code 2006 Site Address: bey M(i S +PxAjA', S_(- 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: Price Vaughn Etux 315 Millhollow Rd Rexburg, ID 83440 Contractor: Vaughn Price Special Conditions: 971 sq ft unfinished basement 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 vWth 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: May 07, 2009 C.O Issued by: Building Official' AM) There shall be no further change in the wdsting 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 ire Inspector: 0�.. Electricallnspecto , P&ZAdministrator: jo� . 4EXB Vt O AM a r CITY O 7a Please ComplN the Entire Application! REXBURG America's Family Community 08 00317 RESIDENTIAL BUILDING PERMIT APP 664 Mill Stream St- McNair 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: S.br� d9p, UNIT# ' Y„1 BLOCK# LOT# (Addressing is based on the information - must be accurate) OWNER NAME: E # 20 — PROPERTY ADDRESS: a8 �, Lo fi d'� M ll {v. a 5 �i 3qo —,7 PHONE #: Home PV (7 7� 6 Work ( ) l >� Cell f _ D 27 y OWNER MAILING ADDRESS: 6 1 7 77)VO JV CITY: i' j ° STATE: A9 ZIP: ? EMAIL J1_'4k FAX APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner m olffa>ctl APPLICANT INFORMATION: ADDRESS D CITY: STATE; ZIP EMAIL M ' AI I PHONE #: Home ( ) Work ( CONTRACTOR V AUW MAILING ADDRESS: ? i S I _ `�l �.01 �J� l� CITY "�STATE 03 L( PHONE #: Home (U _ C? 5 Work ; pct .356 " q`f.3 Cel 3Sl / 7 `f 1 EMAIL Wald &:a4t kS!c ZAX 3S� -t i'y 95AHO REGISTRATION # & EXP. DATE c-P A 03 How many buildings are located on this property? U Did you recently purchase this property? No 6 f yes, list previous owner's name) V AAJ_Qtwf Is this a lot split? 9) YES (Please bring copy of new legal description of property) PROPOSED USE: 51 tC F ., I q (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjur I hereby certify 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. mit void if not started within 80 days. Permit void if work stops for 180 days. W 2q) /-LO-9 W. f o O wn A nt DATE, � / pp lica Do you prefer to be contacted by fa r r honed Circle One WARNING — BUI PE MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning Ianuary 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** 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 VF u� o CITY OF REXBURG America's Family Community Affidavit of Legal Interest State of Idaho County of Madison Name Address City 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 o the ro crty described on the attached a d I rant my permission to: J ��7 I7'� 412 X !/ U Vv z3 ame 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 ?J day of , 11/A e, , 20 Oe) Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Building Safety Department City of Rexburg 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 pE uR O� C t� fa v o CITY OF REXB ________ Americas Family Community OWNER'S NAME J 6 Kt e. &r' PROPERTY ADDRESS C o F SUBDIVISION � < VA, &,� 6, tl P PHASE LOT BLOCK 0800317 664 Mill Stream St- McNair HOME OWNER - S ELECTRICAL PERMIT Home Owner's Name k %V- Address f City -�, &�j State Zip Cell Phone ( Home Phone - ,n 0 — 2.1 (0 Fax ( TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) 0' 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, Sw immin 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. c 9 *" (111�' � ignature o Home Owner The schedule is the came as Q� , I * ate the State of Idaho Bun ing Safety Department City of Rexburg 19 E. Main janellh@rexburg.org Rexburg, ID 83440 www.rexburg.org Phone: 208.359.3020 Fax: 208.359.3024 O� pEXeG'gC o C I T Y OF REXBURG Americas Family Community Remodeling Your Building /Home ( need Estimate $, SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 113 Unfinished Basement area 9'7 Second floor /loft area 1 30Y Finished basement area 0 Third floor /loft area Garage area 59 3 Shed or Ba Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: s-3 Required Y PLUMBING 1 Plumbing Contractor's Name: T �c /```` tau ness Name: Address T' �i 2 ' OD City 7� �- State Zip :�� Contact Phone: Z 9 A Ig Business Phone: ( ) Fax FIXTURE COUNT (including roughed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa l0 Sinks (Lavatories, kitchens, bar, mop) Sprinklers Tub /Showers _ Toilet /Urinal Water Heater Water Softener Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) Signature of Licengedtontractor License Number& Expiration Date Date The City of Rexburg s permit fee schedule is the same as required by the State of Idaho Building Safety Department City of Rexburg 19 E Main jonellh@rexburg.org ID 83440 www.rexburg.org Phone: 208.359.3020 x326 Fax: 208.359.3024 0F 0.8X8 rjpjC a ro � 9 9 U O C IT Y OF REXBURG Americas Family Community Remodeling Your Building /Home (need Estimate) $ DS C) E 3 I 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 grade)Area Water Meter Quantity: Water Meter Size: RequiredN PL UMBING Plumbing Contractor's Name: L4 12-- lJ 1 Business Name: �� �� - Address � .1 L 1.. �� ([ City (Z L il�j ,1c State Contact Phone: (7a,r� :>) _'i Business Phone: (�) ?,n 9 - U 6 Email Fax FIXTURE COUNT (including roughed Fixtures r Clothes Washing Machine 1 Dishwasher Floor Drain Garbage Disposal �O Hot Tub /Spa 5- Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $. (Commercial Only) Requlredl Wature of Licensed Contractor The City of Bexbu Sprinklers Tu To I Wa r�> Wa o License number schedule is the same as to C!" O. Dat the State of Idaho 4 Building Safety Department ���aSXe °AG CITY OF City of Rexburg �o T�EXBT G m lam. lJ 1� 19 E. Main janellh@rexburg.org Phone: 208.359.3020 America's Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 NAME _Ja1q. a i, y PROPERTY ADDRESS Permit# SUBDIVISION ,6we PHASE LOT BLOCK Required Y MECHANICAL Mechanical Contractor's Name JA Business Name �(�� Address 2 �� City .f T State Zip_i3 ` Cell Phone ( ) Business Phone Z4) l n 3 big u Fax ( ) Email 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 — Range Hood Vents 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 other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic 4 A�� � Z Signature of License tractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Cook Stove Vents Bath Fan Vents i • ............................................................ ............................... SUBCONTRACTOR LIST Excavation & Earthwork: I— rA r w/ V DSS ( nu S rP C- 1`t ZJ� Concrete: K f C. Cc v 4 Masonry: I M d� Roofing: ' ( Z. , W.e S+ Insulation: S Drywall: yjCd 1 Painting: Floor Plumbing: C S r h6 It 1 Heating: Electrical: /'4 yQ 0 ._. Special Construction (Manufacturer or Supplier) Roof Trusses: _ �� w.%AA Floor /Ceiling Joists: '(� P Siding /Exterior Trim: T al 16 �S S 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 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 Date Print Name