HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00317 - 664 Mill Stream St - New SFRe R8 %B UR
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' 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