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HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00320 - BYUI Biddulph Hall - Remodel ADA AccessibilitySERB UR ti� f 9 v�� o 1B A ��SHED \0 CITY OF REX Americas Family Community Building Permit ISSUED TO: PERMIT #: 0800320 NAME: Brigham Young University Idaho FOR THE CONSTRUCTION OF: Biddulph Hall Remodel -ADAF JOB ADDRESS: 48 E 2nd S GENERAL CONTRACTOR: Double E 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 bythe Building Inspector. Date Approved 07/29/2008 Issue B 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. the building beyond the point indicated 2) The permit will become null and void in the event of any deviation from the in each successive inspection without NOTICE! 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 aaoroval. INSPECTION CARD BUILDING Date Aonroved ;1. Mechanical Rough In . Mechanical Final Ins 3. Framing 4. Insulation 5. Drywall 6. Sidewalk 7. Final ELECTRICAL Date Approved 1. Rough -In 2. Final OTHER Date roved 1. Fire Department Fine PLUMBING Date Anuroved 1. Sewer Service Conn 2. Water Service Conn( 3. Rough -In 4. Ground 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 �F gEXBUgC �4 �d .� 95 U � C I T Y OF 1 E B4/R America5 FClnd! v Community Certificate of Occupancy City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 0800320 Applicable Edition of Code: International Building Code 2006 Site Address: BYU -Idaho Biddulph Hall Use and Occupancy: Biddulph Hall Remodel -ADA Accessibility Type of Construction: Type V, non -rated Design Occupant Load: Dormitory Housing Sprinkler System Required: No Name and Address of Owner: Brigham Young University Idaho 525 S Centel St Rexburg, ID 83440 Contractor: Double E Construction Special Conditions: Occupancy: Residential - 3 or more units primarily permanent in nature (apts) This Certificate, issued pursuant to the requirements of Section 109 of the International 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 wes found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy wes classified. Date C.O. Issued C.O Issued by: 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 Inspec or: \ Fire Inspecto ok - Electrical Inspector: P &Z Administrator: y pEXBUq ,e' Gr CITY O F dgftk 9G Please Com ate the Entire Annlirarinni � ,A REXBURG 0 �,,, - -- 0800-1 2 America's Family Community COMMERCIAL & MULTI FAMILY BUILDING P] BYUI Biddulph Hall Remodel 19 E MAIN, REXBURG, ID 83440 ADA Accessability 208 - 359 -3020 X326 PARCEL NUMBER: Eff:: Cuy (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# is based on the Intormatlon - must be OWNERNAME: / CONTACT PHONE # 4 — .24 f? PROPERTY ADDRESS: &M yL1 4 11 / 33 A/, ylellylG- yr' eKX-& PHONE #: Home ( ) Work p.atb) 4 Cell PV 2z OWNER MAILING ADDRESS: PL CITY: r�(-)MW k STATE: ZIP: -� EMAIL jeI111 Y8MT . W FAX (,2) :J'��Al — 420 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 MAILING ADDRESS: CITY STATE ZIP PHONE: Cell# Work# Fax# EMAIL IDAHO REGISTRATION # & EXP. DAT `I ' kjQq 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? NO YES (Please bring copy of new legal description of property) PROPOSED USE: PC V0664. Dom'' e �S7 a4r-V7 PW ✓CC I;LM' - wogLC ,AAA ��'X.� Iary (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) — CIRCLE ONE APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalt ofperjur I hereb 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 buil ' fficial may ev ce a pen on approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact the 1 is on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. 0-4:2-/ / 6 ature /App cant DATE D o prefer o be contacted by fax email o phon Circle One WARNING — BUILDIN T MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning lanuaAy 4 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** 2 0 0 Building Safety Department V'V'XH1J , City of Rexburg o s� 19 E. Main janellh@rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 CITY O F REXBURG r 1- America§ Family Community Affidavit of Legal Interest State of Idaho County of Madison I, &RWA.As., ANb*--MPJ 2STcac , �c- 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 of the property described on the attached, and I grant my permission to: Reuu' fr AHt 3N C)Q I L 11 ) r(44 t 1 eAL- PLPJ Name Address Rf5ZT3'w1 & 3L( �3 'ZU�' to submit the accompanying application pertaining to that property. �CB. 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 herin or as to the ownership of the property which is the subject of the application. Dated this i S day of -J (J'-' , 20 Q Si gnature Subscribed and sworn to before me the day and year first above written. ,SO�� \\ I l t l 11 1 11111 '�,o ?AR} w AtJ800 ti.. p' Y" 0 �R�Itt Fttlp e� Public of Idaho Residing at: {' 6 CW I ( TO My commission expires: 12 -.a- - 7 — ?-d 1 F 3 9 0 Building Safety Department City of Rexburg 19 E Main ionellh@rexburg.org ID 83440 www.rexburg.org Phone: 208.359.3020 x326 Fax: 208.359.3024 OF AY, XB URC a �O c I T Y O E 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 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: Required.!f! PLUMBING Plumbing Contractor's Name: AA W% Ui ( Business Name: E VO L n M & 5 Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email F FIXTURE COUNT (includOgroughed fixtures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa ,2 - Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Required! Signature of Licensed Contractor Th City of Be Sprinklers 2 Tub /Showers 2— - Toilet /Urinal Water Heater Water Softener C. , A201 �11_h M I 1p License number Date grit fee schedule is the same as required by the State of Idabo 4 low REXBI/pc Building Safety Department City of Rexburg ° 19 E Main janellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y OF MXB Americas Family Community OWNER'S NAME k1 YU / 6 4/f62 PROPERTY ADDRESS 33 AA VJk li✓G Q t?� 1 1/� , /� � �2 G P ermit# SUBDIVISION A y 1/ 14 &&z7 PHASE LOT BLOCK Requlredffl MECHANICAL Mechanical Contractor's Name: �& Business Name: Address Contact Phone: ( City State Zip Business Phone: ( ) Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling 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 other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Required! 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 Dryer Vents Range Hood Vents Cook Stove Vents s, Bath Fan Vents 5 Building Safety Department �o AkxBUA�,a C I T Y O City of Rexburg ' O REXBURG 79 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME 6 Y 0 — ( 64 PROPERTY ADDRESS -32 Al. VAVI /✓G 46 i VC, 1 2,!W O G Permit# SUBDIVISION 13 y U— 1 4 / ja 01q PHASE LOT BLOCK Requiredffl ELECTRICAL Electrical Contractor's Name 8 ( f rt CJ Business Name �Ma Q Address :57,E 7 ,^tna S City State - 7-L Zip '92)( O Cell Phone 3`10 oC67_5 Business Phone (2n) IS G ,S- V7 Fax (.ZaS " ") ;3S Email Electrical Estimate (cost of wiring & labor) $ Y� (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* 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, 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. 04 Signature of Licensed Contractor License number Date The City of Rexburg'spermit fee schedule is the same as required by the State of Idaho n Building Safety Department City of Rexburg 'o 19 E. Main janellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y O F REXBURG . --- America's Family Community APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO APPROVED BY: - APPLICANT INFORMATION: Business Name: 8 Office Address: #ez83 Pd'Z7 Q viz-4 IV /<�G�X8w .24 5_ q4 o - glzeS City State Zip Office Phone Number: ( __,.2�o ) 4 F6 - ,,7 - 4 L 9 Contractor Performing the Work: Contact Person: Cell Phone # ( ) - LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: 33 N • O klj/ ✓G 4 2 WC Business Name Where Work Will Be Done: & a- 1446 o Dates For Work To Be Done: 2t To 11iliE• -29, jugz25 Contact Person: C-7-7- `1 © /�s"d�✓ Phone Number: ( ) 4F& - a4 & e Cell # ( sza ) ),r:'- 2 9,K PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ooPSO AUTOMATIC FIRE- EXTINGUISHING SYSTEMS ❑ COMPRESSED GASES )' FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ❑ FIRE PUMPS AND RELATED EQUIPMENT ❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ❑ HAZARDOUS MATERIALS ❑ LP -GAS ❑ PRIVATE FIRE HYDRANTS ❑ SPRAYING OR DIPPING ❑ STANDPIPE SYSTEMS ❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES Applicant's Signature Date 7 • • SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Insulation: Floor Coverings: Plumbing: Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joi Siding /Exterior Other: 0 a 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 Print Name Date E