HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00446 - 544 Woodbridge St - New SFR04 gEXB URio
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CITY OF
REX
--
America's Family Community
B uilding
Permit
ISSUED TO:
PERMIT #: 0800446
NAME: Hirtle Joshua G
FOR THE CONSTRUCTION OF: 544 Woodbridge St- Hirtle JOB ADDRESS: 544 Woodbridge St
GENERAL CONTRACTOR: Owner /Lessee
This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the
Cityof 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.
INSPECTION CARD
BUILDING
Date Approved
1 Rough In
No work shall be done on any part of
N O
. Mechanical Pressure
on the premises during construction,
2) The permit will become null and void in the event of any deviation from the
the building beyond the point indicated
in
3. Mechanical Final Ins
I C
4. Layout
each successive inspection without
3) No foundation, structural, electrical, nor plumbing work shall be concealed
5. Footing
without approval.
6. Foundation
7. Framing
8. Insulation
9. Drywall
10. Sidewalk
11. Final
ELECTRICAL
Date Anoroved
1. Rough -In
No work shall be done on any part of
N O
2. Final
on the premises during construction,
2) The permit will become null and void in the event of any deviation from the
the building beyond the point indicated
in
3. Electrical Service
I C
4. Final
each successive inspection without
3) No foundation, structural, electrical, nor plumbing work shall be concealed
PLUMBING
Date Approved I ed By
C�
7uilding 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
on the premises during construction,
2) The permit will become null and void in the event of any deviation from the
the building beyond the point indicated
in
I C
E ■ accepted drawings.
each successive inspection without
3) No foundation, structural, electrical, nor plumbing work shall be concealed
approval. No structural framework of
any underground work shall be covered
without approval.
Date Approved
1. Sewer Service Conn
2. Wafer Service Conn(
24 Hour Notice
and Permit Number required
to make inspection appointments
For Inspections Call 359 -3020 option 2
ACERTIFICATE OF OCCUPANCY CANNOT
BE ISSUED PRIOR TO FINAL ELECTRICAL
& PLUMBING INSPECTION
F �F AuR C� ' CITY OF Certificate of Occupancy
° REX I3URG R City of Rexburg
t *.° America's Family Comm Department of Community Development
l iSN FD
19 E. Main St. / Rexburg, ID. 83440
Phone (2081359 -3020 / Fax (2081359 -3024
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
International Residential Code 2006
544 Woodbridge St
Single Family Residential
Type V, non -rated
Residential
No
Name and Address of Owner: Hirtle Joshua G
419 W Main St Apt 308
Rexburg, ID 83440
Contractor: Owner /Lessee
Special Conditions:
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 vuth the requirements of the code
for the group and division of occupancy and the use for vihich the proposed occupancy vies
classified.
Date C.O. Issued: May 15,209_9 (12:09
C.O Issued by:
Building Official
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.
Plumbinz Ins
nnut
Electrical
•7 }
Fire Inspector: 1)
P &ZAdministrator: nom_
c:lt of
Please COtnpl the Entire Application!
r ° �X ��I If the question does not apply fill in Nil for non applicable
RESIDENTIAL BUILDING PERMIT APPLI 0800446
19 E MAIN, REXBURG, ID 83440 544 Woodbridge St- Hirtle
208 - 359 -3020 X326
PARCEL NUMBER: TN ��� (We will provide this for you)
SUBDIVISION: 5-"o n f b6 AA P , UNIT# �J BLOCK# LOT #
(Addressing is based on the information - must be accurate)
Dwelling Units: JnV. Parcel Acres: . a3
CONTACT PHONE # t1- 6�
PROPERTY ADD
PHONE #: Home Pb) '7A'4 b ZVY Work (V� . 61� 3 + � -1 Cell ( )
OWNER MAILING ADDRESS: q q NAJA `)� CITY: 6_ )!— STATE: Q ZIP: T
AX
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 (
A
CONTRACTOR
MAILING ADDRESS:
XWO
4 t I ZIP
PHONE #: Home (
EMAIL F
Work (
IDAHO REGISTRATION # &
How many buildings arc located on this property? worxe.
Did you recently purchase this property? No es (If yes, list previous owner's name) CO� 2_1 J�b6ltkiA
Is this a lot split? YES (Please bring copy of new legal description of property)
PROPOSED USE: - �
(i.e., Single Family Residence, IV lti Family, A
, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CER'T'IFICATION AND AUTHORIZATION: Under penalty of perjury, 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. Permit void if not
started within 180 days. Permit void if wyork X180 days.
Signature Owner /Applicant DATE
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 fanuaa 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 **
Builc&g Safety Departmen19
City of Rexburg
19 E. Main janellh @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
iTx ( "1
E.X U. G
cw
Affidavit of Legal Interest
State of Idaho
County of Madison
I, _ IDS�t�4� C7(2olT�� 1�lIf11 mot. �Q
2� —[ `"I W .�1 n 1?
Name 1J Address
kg =A o r-a ,
City
Being first duly sworn upon oath, depose and say:
A.
State
(If Applicant is also Owner of Record, skip to B)
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 5e� n6ef day of �Tf , 20 Q�
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
M.
ing Safety Departme
City of Rexburg
19 E. Main
Rexburg, ID 83440
janellh@rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
s F
E X. BURC
NAME 4
PROPERTY ADDRESS o k & Q-. 5 e+ Permit#
SUBDIVISION 54 4e,
PHASE LOT S BLOCK
Remodeling Your Building /Home (need Estimate $
SURFACE SQUARE FO OTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area d Unfinished Basement area
Second floor /loft area Finished basement area
Third floor /loft area Garage area 6 6;L
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
l��►
* * * * * * * * * * * ** *Water Meter Size:
Requiredffl
PLUMBING
Plumbing Contractor's Name: 5 thcl( t. Business Name:
Address 1q
N (_ ark City J� State Lr Zip
Contact Phone: (20 7 4 jy— A d g Business Phone:
Email Fax
FIXTURE COUNT (including roughed fixtures
Clothes Washing Machine
Dishwasher
I Floor Drain
Garbage Disposal
Hot Tub /Spa
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $
Sprinklers
_ Tub /Showers
oZ Toilet /Urinal
Water Heater
Water Softener
(COMMERCIAL /MULTI - FAMILY ONLY)
A
71,1gl
Date
Building Safety Department -'
City of Rexburg
RE
19 E. Main janellh @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
NAME
PROPERTY ADDRES o bL -e. Permit#
SUBDIVISION
PHASE 3 LOT BLOCK
Requlre&Y
MECHANICAL
Mechanical Contractor's Name ,'O lt?_ "' Business Name Alike yF/ �,�]iN y �,►s
Address j3c / ? City 7 State
Cell Phone (,2o�j _2 9,0 - ���� Business Phone ( ) Y'4e* r✓
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
other similar vents & ducts:
Heat (Circle all that apply )0Oil Coal Fireplace Electric Hydronic
ignature of Licensed Contractor License number ate
Exhaust or Vent Ducts (water heater)
Dryer Vents
Range Hood Vents
Cook Stove Vents
O Bath Fan Vents
Buil
F Safety Departmen
City of Rexburg
19 E Main
Rexburg, ID 83440
janellh @rexburg.org Phone: 208.359.3020 x326
www.rexburg.org Fax: 208.359.3024
C I I y O F
REX
3
OWNER'S NAME ki) A Anej Permit #08 00446
PROPERTY ADDRESS �
SUBDIVISION 5 0 44 Woodbrid St
e._ b
PHASE - 3 LOT a BLOCK y
HOME OWNER'S ELECTRICAL PERMIT
Home Owner's Name s ka o,- [ r� k
Address L4 1 q LJ Mme[ n �'- '. 3� City P, > ru State ate Zip '9399 /o
Cell Phone (,2,OV Home Phone ( )
Fax (
�p
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
❑ *Up to 1,500 sq ft - $72
X *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 Circuits) - $40 plus $10 per circuit:
# of circuits
X 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 wiring) - $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 dam' Labor.- $ (Includes the cost of materials installed regardless of the party supplying it).
❑ Pumps (Domestic Water, Irrigation, Sewage): horse power
❑ Requested Inspections (of existing wiring) - $40 /hr (1 hour minimum) 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.
D
Signature of Home Owner E5ate
. SUBCONTRACTOR LIST.
Excavation & Earthwork:
D S��O. f
l i r
2.
Concrete:
ku d.
1 ( l C
Masonry:
i ci
l e
Roofmg:
�4SLo 0�
��C
� eLx) �e—
C o
Insulation:
Pain
l"QIh
Floor --�� i
Coverings: 1� 1 [`Q
Plumbing: 1 o s k tl Q\
Heating: l e� I A3L' A,�
Electrical: :I5yy,
Special Construction
(Manufacturer or Supplier)
Roof Trusses: - 5y myV A ) S S
Floor /Ceiling Joists:
:50
Siding /Exterior Trim: `J 'm alC bU i (CM rA 6
EXEMPI*NS FROM STATE RIWISTRATION
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 aLve information is true and correct to the best of my knowledge.
/ //' / \ f
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