Loading...
HomeMy WebLinkAboutAPPLICATIONS - 08-00384 - Magic Suds - Canopy RemodelCITY OF • • RE c U1, . Amerka' ,Vamtly Gommunri Permit • INSPECTION CARD BUILDING Data Annrnvcrl 1. Framing NAME: Landon Randy 2. Insulation FOR THE CONSTRUCTION OF: MMic Suds Canopy Remodel JOB ADDRESS: 44 N 2nd E 3. Drywall 4. Final ELECTRICAL Date Approved 1. Rough -In 2. Final NAME: Landon Randy FOR THE CONSTRUCTION OF: MMic Suds Canopy Remodel JOB ADDRESS: 44 N 2nd E GENERAL CONTRACTOR: V LAMM - This permit is issued subjeGtAo the regulations Contained in.Building Code and Zoning Regulations of theme City of Rexbug. It is specifically understood that this Permit does not allow any:Variance to the regulations of the City f Rexburg or Zoning Codes unless specifically approved b the Cit Council and explained Y 9 9 p Y pp Y on y p the Building Permit Application as approved by the Building Inspector. Date Approved Issued 0$106/2-008 Building Inspector 24 Hour Notice THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE: and Permit Number required THE BUILDING MAY NOT BE OCCUPIED OR - USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY to make inspection appointments 1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of For Inspections Call 359 -3020 option 2 on the premises during construction. the building beyond the point indicated O' E ' 2 ) The permit will become null and void in the event of any deviation from the 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 ACERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL without approval. & PLUMBING INSPECTION • o��eXeVgC v CITY OF Please Com to a ° REXBURG TF.L_ 09 003 94 Americas Family Community model COMMERCIAL & MULTI FAMILY BUILDING PERM] Magic Suds CanOPY R 19 E MAIN, REXBURG, ID 83440 42 N 2nd E 208 - 359 -3020 X326 , PARCEL NUMBER: 0 ?.�� (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# Addressing is based on the information - must be accurate V ME OWNER NAME.- ej: et n Ay A " de.,t CONTACT PHONE # 3 PROPERTY ADDRESS: C / 2 N • 2 ef PHONE #: Home ( ) 10 75, - 7 Work ( ) 35 % -763T Cell( OWNER MAILING ADDRESS: Z ZY 7 0, YZo© T. CITY: STATE:,�ZIP: �-3 YY o EMAIL rS�an�nt °' x �•.,.;1 ,00 3 S "6 PST 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: ADD STATE; ZIP PHONE #: Home ( CITY: EMAIL FAX Work ( ) Cell ( CONTRACTOR .9 a. ,c d1 L n.1,SL,,t. — MAILING ADDRESS: 2.Zi? 7 CJ , Y Z o S _ CITY STATE F ZIP " YKc> PHONE: Cell# `3 S -A Work# 3.l1 T 6 Jf Y Fax# 3 _5 L - TS_Z 7 EMAIL IDAHO REGISTRATION # & EXP. DATE 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: kx a. KA*- (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Etc.) — CIRCLE ONE PPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur 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 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 lans on which the permit or a proval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Signature of owner /Applicant DATE Do you 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 lanuAw Z 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 Building Safety Department City of Rexburg 19 E. Main janellh @rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OF AEXB UFC 1y r CITY OF MXBURG Americas Family Community Affidavit of Legal Interest City Notary Public of Idaho Residing at: My commission expires: State of Idaho County of Madison I, Name 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 herin or as to the ownership of the property which is the sub)ect of the application. Dated this day of , 20 Signature Subscribed and sworn to before me the day and year first above written. K3 Building Safety Department City of Rexburg 19 E Main jonellh@rexburg.org ID 83440 www.rexburg.org Remodeling Your Building /Home ( need Estimate $ 2 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: Phone: 208.359.3020 x326 Fax: 208.359.3024 ;o R axev kl , U � , E9 C I T Y O F REXBURG Americas Family Community Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: Business Name: Address City State Zip, Contact Phone: ( ) Business Phone: ( Email FIXTURE COUNT (including toy ghed fixtures, Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Sprinklers Tub /Showers Toilet /Urinal Water Heater Water Softener Required! Signature of Licensed Contractor License number The City of Rexburg permit fee schedule is the same as the State Date 4 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 O RBXB R C I T Y OF REXBURG .. _--_.__ Cw _ - ___.__._. Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# Requiredf►f MECHANICAL Mechanical Contractor's Name: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email Fax 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 Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents 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 5 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 OF pEXB URC 1y r v� y 0 CITY o F REXBURG _ 1111 _ ____- ny __1__111____11_11111_ Americas Family Community OWNER'S NAME R "y /'11 PROPERTY ADDRESS SUBDIVISION PHASE Requiredffl LOT BLOCK ELECTRICAL Permit# Electrical Contractor's Name A qa 7 1- , r�u� Business Name c4 le-r- . Address City— A 1 State �� , Zip 3 JY Cell Phone ( ) 0 - ?p"� Business Phone ( ) 6 2Y If `/ Fax ( ) Email 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* 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, 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 jecifically covered by any of the above Cost of Wiring & Labor: $ / ® AO Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes aximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. ignature of Licensed Contractor License number Date The City of&xburn's hermit fee schedule is the same as reauired by the State ofldabo 31 Building 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 City CITY OF REXBURG Americas Family Community APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO - APPLICANT INFORMATION: Business Name: Office Address: APPROVED BY: Office Phone Number: ( ) Contractor Performing the Work: Contact Person: - LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: Business Name Where Work Will Be Done: Dates For Work To Be Done: Contact Person: Phone Number: ( 1 Cell # ( ) PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR: ❑ 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 ❑ INDUSTRIAL OVENS ❑ LP -GAS ❑ PRIVATE FIRE HYDRANTS ❑ SPRAYING OR DIPPING ❑ STANDPIPE SYSTEMS ❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES Applicant's Signature Date Cell Phone # ( ) To ` ;o RExBU�p U State Zip 7 • SUBCONTRACTOR LIST Excavation & Concrete: Masonry: V ov_a —, Roofing: Insulation: Drywall: Floor Electrical: C a./` SoUL F— Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Jois Siding /Exterior 8 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 Z • S �t- C r , V,— 10-1 NC�t r • w� 5 1 3 � 1 - Design Standards Review Comp ?nte see condib L �S A an°bAE P nE G< ps E�N,oP�'N A /j S Signature AAIN O -", i ,�D3 • L -2" � 7/i /ic Date Other department approvals may be required Q�(ew4b C�- S \� 08 00384 Magic Suds Canopy Remodel 1 42 N 2nd E l 0