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HomeMy WebLinkAboutAPPLICATION & BP - 08-00453 - 138 N 3rd E - Window Replacement04 BU v f� CITY OF ° REX N A `� e e Americas Family Community Building Permit ISSUED TO: PERMIT #: 0800453 NAME: Smith Kade Etux FOR THE CONSTRUCTION OF: 138 N 3rd E- Window Replace JOB ADDRESS: 138 N 3rd 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 09/24/2008 ed 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, N O T I C 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 3. Drywall ■ 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 aDDroval. INSPECTION CARD BUILDING nnfa Onnrnvarl 1. Framing 2. Insulation 3. Drywall 4. 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 Olt VLt,x sc,pc yx . CITY 0F� REl BURG 0800453 CW AmericaiFainilyCornmunity 138 N 3rd E- Window Replacement ••EJ RESIDENTIAL BUILDING PERMIT AP 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 PARCEL NUMBER: g to wQ 3b S I (We will provide this for you) SUBDIVISION: Z61 0111t 1 WN S 1 TE UNIT# BLOCK# LOT# S (Addressing is based on the information - must be accurate) Dwelling Units: I Parcel Acres: 1 N 3 cd1 CONTACT PHONE # PROPERTY ADDRESS: I 'W /J 7:1` E PHONE #: Home ( ) - L5Q - (�q 3 5 Work ( ) X 30 7 Cell ( OWNER MAILING ADDRESS: (V N 3 E CITY: V x $ U e�4 STATE: IQ ZIP: r31J14 EMAIL F 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. PHONE #: Home ( EMAIL F Work ( Cell ( CONTRACTOR C) LJ lu E � MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( Work ( Cell ( EMAIL FAX IDAHO REGISTRATION # & EXP. DA How many buildings are located on this property? 2 Did you recently purchase this property? No Yes (If yes, list previous owner's name) 1 4 r l" qry Is this a lot split ?(N YES (Please bring copy of new legal description of property) PROPOSED USE �;" (i.e., Single Family Residence, Mul Family, Apartments, R model, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTfIORIZATION: 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 work stops for 180 days. Signature o w er Appli ant DATE � / W ING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning J anyaiX 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** Building Safety Departmeffi City of Rexburg 19 E. Main jonellh @rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 oe V , XB U C Fn C IT Y OF 1111 V R _ .... 0W . Americas 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 Date ❑ Owner or ❑ Builder Printed Name Building Safety Department City of Rexburg 79 E. Main jonellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 04 *V,xaL',pC M y� v �l CITY OF MXB R America's Family Community NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# Remodeling Your Building /Home (need Estimate $ c;�y 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 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email Fax 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 T,XB���.,� City of Rexburg 19 E. Main joneiih @rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y OF REXBURG _Ow Americas Family Community NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# Require&Y 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 o 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 IT Y OF 11. XBURG America' Family Community OWNER'S NAME PROPERTY ADDRESS Permit# SUBDIVISION PHASE LOT BLOCK HOME 0 W7VER'S ELECTRICAL PERMIT Home Owner's Name Address Cell Phone ( ) Fax ( ) City State Zip Home Phone ( ) 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 ❑ *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 (mben not part of a new residential construction permit and no additional ndring) - $ 40 • Modular, Manufactured or Mobile Home - $50 plus $10 per circuit • Other Installations: Wiring not specifically covered by any of the above: Cost of IYliring & 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. Signature of Home Owner Date Bull 19 E Main Rexburg, 1D 83440 g Safety Department City of Rexburg jonellh@rexburg.org Phone: 208.359.3020 x326 www.rexburg.org Fax: 208.359.3024 04 V.Execac U 7� 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 ( ) Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) (Includes the cost of materials installed re of the party 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 lYliring d9' Labor. (Includes the cost of materials installed regardless of the party supping 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 9 SUBCONTRACTOR LIST 46 Excavation & Earth Masonry: Insulation: Floor Plumbing: Special Construction (Manufacturer or Supplier) Roof Trus Floor /Ceiling Joists: Siding /Exterior Trim: EXEMPTI06 FROM STATE RE*STRATION 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 - vvww.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. /' Date &n ,-X F Print Name