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Home My WebLink AboutAPPLICATIONS, CO, MULT DOCS - 08-00451 - 1565 N 2nd E - Detached GarageINSPECTION CARD ��^�REXBURC f9 U � � 98 ( S HED C IT Y OF REX C1v — America's Family Community Building Permit I ISSUED TO: PERMIT #: 0800451 NAME: Madsen Ralph G Family Trust FOR THE CONSTRUCTION OF: 1565 N 2nd E- Detached Gara JOB ADDRESS: 1565 N 2nd E GENERAL CONTRACTOR: Owner /Lessee 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 ued 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. the building beyond the point indicated NOTICE! 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 without approval. BUILDING Date Approved 1. Layout 2. Footing 3. Foundation 4. Framing 5. Insulation 6. Drywall 7. Final ELECTRICAL Date Approved 1. Final 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 Q gaxea RC, '" Certificate of Occupancy 1 CITY OF " REX City of Rexburg " America's Fam y Community Department of Community Development l 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: Name and Address of Owner: Contractor: Special Conditions: Occupancy: 0800451 International Residential Code 2006 1565 N 2nd E Detached Garage Type V, non -rated Residential No Madsen Ralph G Family Trust 1565 N 2nd E Rexburg, ID 83440 Owner /Lessee General Utility 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: February ? 11 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 Inspector: -r\-T & Electrical Inspec �� Fire Inspector: P&ZAdministrator: )I` j CITY OF ° REXBURG Ow Americas Family Community Please Comple the Entire Application! If the question does not apply fill in NA for non applicable RESIDENTIAL BUILDING PERMIT APT 0800451 19 E MAIN, REXBURG, ID 83440 1565 N 2nd E- Madsen Detached Garage 208 - 359 -3020 X326 PARCEL NUMBER We will provtcte tuts tot you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) Dwelling Units: Parcel Acres: OWNER NAME: , e h G CONTACT PHONE # `3.4 3 PROPERTY ADDRESS: a G � )t C �D � PHONE #: Home ( ) Slv G3 -i% Work ( ) !e 2G 7 '6-11 Cell ( ) OWNER MAILING ADDRESS: ��lGs` P I CITY: - 1 i n t STATE: l ZIP: k? " 0 EMAIL 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: ADDRESS CITY: STATE; ZIP EMAIL FAX PHONE #: Home ( ) Work ( Cell ( ) CONTRACTOR 1 51 f MAILING ADDRESS: CITY STA PHONE #: Home ( ) Work ( ) Cell ( )_ EMAIL FAX IDAHO REGISTRATION # & EXP. I 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 PROPOSED USE: <AQ 7L— t1-1,4 (i.e., Single Family Residence, Multi Family, Apartments, ri SEP 2 2 OF R Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION 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 �ls. Permit void if work stops for 180 days. l Signature of 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 january L 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** State of Idaho County of Madison Bull 19 E. Main Rexburg, ID 83440 g Safety Department City of Rexburg jonellh@rexburg.org Phone: 208.359.3020 www.rexburg.org Fox. 208.359.3024 i�F aEx e uq�,o �5 v 6 C I T Y OF REXBURG Americas Family Community Affidavit of Legal Interest I, , Name City 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: 11. pf.X B Up r0 Bu din Safety De artmel 9 Y p City of Rexburg U » 19 E. Main jonellh @rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y OF REXBURG C> America's Family Community Property lines Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these lines in reference to the public right -of -way, other adjoining property lines, the street, other structures and all utility lines. The Developer should find property pins that are still available at the lot in question. If these pins do not exist or have become unrecognizable then a new survey should be performed. Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal descriptions should be checked. The best way to identify property line location is with a land survey. The City of Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community Development Department. I have read and understand the above requirements. Signature `� JS- Date g Owner or ❑ Builder Printed Name Building Safety Department City of Rexburg 19 E. Main ioneiih@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 04 �iEX B u'�C f 0 n 9 V 0 C I T Y OF REXBURG _�___ Ow _ - _. Americas Family Community NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT. Permit# BLOCK Remodeling Your Building /Home ( need Estimate) $ I ? C)O, 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 Bam Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Required Y PLUMBING Plumbing Contractor's Name: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email F FIXTURE COUNT ('including roughed 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 $ (COMMERCIAL /MULTI - FAMILY ONLY) Signature of Licensed Contractor License Number& Expiration Date Date Building Safety Department City of Rexburg 19 E. Main ionellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 O� g'EXBUAG U Ya C1 T Y O F REXBURG OW America4 Family Community NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# RequiredLY 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 (water heater) 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 License number Date Building Safety Department City of Rexburg 19 E Main joneiih@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 Permit# C I T Y OF REXBURG .. ___._.__ t ,,, _ ___ _ __ America's Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name nj f'' Address City State Zip S fl/1/ Cell Phone ( ) Home Phone ( ) 3 Fax ( ) Email TYPES OF INSTALLATION / f ov, f__1 (New Residential includes everything contained within the residential structure and attached garage at the same time) For power supplier requirements visit www.rockymtnpower.net r4 *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 Circuits) - $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 wirin,g) - $40 ❑ Modular, Manufactured or Mobile Home - $50 plus $10 per circuit ❑ Other Installations: Wiring not specifically covered by any of the above: Cost of Wiring & Labor: $ (Includes the cost of materials installed regardless of the part' supplying 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 o � p£XBUR �y '7 C.+ G Date Bull g Safety Departme City of Rexburg 19 E Main Rexburg, ID 83440 ionellh@rexburg.org Phone: 208.359.3020 x326 www.rexburg.org Fax: 208.359.3024 i v o CITY O F REXBURG Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# Required f ELECTRICAL Electrical Contractor's Name Business Name Address City State Zip Cell Phone ( ) Business Phone Fax ( ) Email Electrical Estimate (cost of wiring & labor) $ ( COMMERCIAL /MULTI - FAMILY ONLY) (Includes the cost of materials installed regardless of the part' supplying it). TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) RESIDENTIAL ONLY ❑ *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 Circuits) - $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 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 1Vining & Labor. $ ( Includes the cost of materials installed re gardless of the part' supplying it). • Pumps (Domestic Water, Irrigation, Sewage): horse power • Requested Inspections (of existing wiring) - $40 /hr (1 hr 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 Licensed Contractor License number Date 0 SUBCONTRACTOR LIST • Excavation & Earthwork: Masonry: Roofing: Insulation: Floor Plumbing: Special Construction (Manufacturer or Supplier) Roof Trus Floor /Ceiling J Siding /Exterior T Other: EXEMPTI&S FROM STATE REASTRATION 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