Loading...
HomeMy WebLinkAboutAPPLICATIONS - 08-00406 - 191 N 1st W - Shopf CITY O F U� ° REX 0W uilding ,BE E H E D 1 eel Americas Family Community Permit ISSUED TO: PERMIT #: 0800406 NAME: Winkle James A FOR THE CONSTRUCTION OF: 191 N 1st W - Winkle JOB ADDRESS: 191 N 1st W GENERAL CONTRACTOR: Webco 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 Issued 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 C on the premises during construction. 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 ■ accepted drawings. 3) No foundation, structural, electrical, nor plumbing work shall be concealed approval. No structural framework of any underground work shall be covered without aooroval. INSPECTION CARD BUILDING Date Approved 1. Layout 2. Footing 3. Foundation 4. Framing 5. Insulation 6. Drywall 7. Final ELECTRICAL Date roved 1. Rough -In 2. Final 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 00— CITY O F REXBURG Ow America's Family Community RESIDENTIAL BUILDING PE: 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 PIPAAP C, lill'1• the Entire Annhcation! applicable 191 N 1st W- Winkle PARCEL NUMBER: R P R R B 1 0,;2 LJ DO 1 1) ,4 (We will provide this SUBDIVISION: UNIT# (Addressing is based on the information - must be accurate) AN 2 7 2008 you) W 0E BURG UW- Ex NAME: at_ rn c_ s /t - (A ) i n k I e- CONTACT PHONE #K off) 3 5 b 3 a 7 6 PROPERTY ADDRESS: I c7 / Al U n o _rd 6�_ PHONE #: Home Work( ) Cell ( 1 7:� l- 9/ OWNER MAILING ADDRESS: 1'7/ /1/, l'� �: CITY: iqex h S /0 EMAIL t-y� p 1 J rI c> t L� r S , ,;✓1 FAX 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: ADDRES STATE; ZIP PHONE #: Home ( CITY: EMAIL FAX Work ( Cell ( CONTRACTOR MAILING ADDRESS: 17 5- L" Cey o CITY 1'G'l o STATE ZIP. PHONE #: Home (00`0 .2 a1 ' �t�l0 Work Q0 �7 �Q�� Cell ( ) EMAIL F. IDAHO REGISTRATION # & EXP. DATE How many buildings are located on this property? Did you recently purchase this property? ,No 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: U_ Single Family Residence, Multi amily, Apartments, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty 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 the plans on which the permit or approval 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 TanuarE 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** BuilAg 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 o f 0.X B UR � � CITY OF n REXBURG Americas Family Community State of Idaho County of Madison I, Name City Affidavit of Legal Interest 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 herein or as to the ownership of the property which is the subject of the application. Dated this day of , 20 Signature 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 It City of Rexburg 19 E. Main ionellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y OF REXBURG Americas Family Community Remodeling Your Building /Home (need Estimate $ / Z ,000 00 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 0 Shed or Barn Carport /Deck (30" abo e grade)Area Water Meter Quantity: N �f * * * * * * * * * * * ** *Water Meter Size: A//sI Requiredffl N11f PLUMBING Plumbing Contractor's Name: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email Fax FIXTURE COUNT (sncludingtou hed fixtures) Clothes Washing Machine Sprinklers Dishwasher Tub /Showers Floor Drain Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ Signature of Licensed Contractor MA schedule is the same as required by t he State Date (COMMERCIAL /MULTI - FAMILY ONLY) License Number& Expiration Date 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 O� g6XBUQC , 4 �o C1 T Y OF RE."URG Cw America's Family Community NAME PROPERTY ADDRESS SUBDIVISION PHASE _ LOT BLOCK Permit# Required Y N�.- MECHANICAL Mechanical Contractor's Name Business Name Address City State Zip Cell Phone ( ) Business Phone ( ) Fax ( ) Email Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace 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 Exhaust or Vent Ducts 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 Signature of Licensed Contractor The City of Aexburg'r License number s chedule is the same as the State of Idaho Date Building Safety Department- �gBx8 Jul $ ao ♦ CITY ©P City of Rexburg o T ...,� ,� 1� �; VR 19 E Main jane11h @rexburg;prg Rexburg, ID 83440 Phone: 208.359.3020 x326 Fax. 208.359.3024 fA '•, ,,� CW America' Family Community www.rexburg'arg OWNER'S NAME J a r» e PRO PERTY ADDRESS ! Cl / /�/ . ot GO > xh u q. Permit F AUG 0] SUBDIVISION 2 7 2008 PHASE LOT BLOCK I Home Owner's Name A l / Address 19 a t LJ City car b r c, State Zip k:!� ym Cell Phone (605) 9AC1 'Iff/ (P Home Phone (,14) 3 5 (o Fax ( ) Email Yi a. W i n k aq y LLt d r' s n)o t - TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) For power supplier requirements visit www.rockymtnpower.net i *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120 ❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216 ❑ * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total ❑ Existing Residential (# of Branch C uits) - $40 plus $10 per circuit: # of circuits ❑ Temporary Construction Service, 200�amp or less, one location (for a period not to exceed 1 year) - $40 ❑ Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable • Electric Central Systems Heating and /or Cooling (when not part of a new residential construction permit and no additional uriring) - $40 • Modular, Manufactured or Mobile Home - $50 plus $10 per circuit • Other Installations: Wiring not specifically covered by any of the above: Cost of firing & Labor (Includes the cost of materials installed regardless of the party suppyng it). • Pumps (Domestic Water, Irrigation, Sewage): horse power ❑ Requested Inspections (of existing wiring) - $40 /hr (1 hour minim plus $40 /hr thereafter *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. ** Includes a maximum of 4 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Home Owner T Date ammommommonommommmommmommoseememensummommmmmmmmmmommemonsommommmmmmmommmmommenmmmmmmmmmmmmI SUBCONTRACTOR LIST Excavation & Masonry: Roofing: Insulation: Drywall: Painting: Floor Coverings: Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Floor /Ceiling Joi Siding /Exterior