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HomeMy WebLinkAboutAPPLICATION, CO - 06-00414 - 301 Oaktrail Dr - Basement Finishc , Y �, Certificate of Occupancy REXBURG City of Rexburg Americejs hamillv Community Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 0600414 International Building Code 2006 301 Oaktrail Dr Basement Finish Type V, non -rated Residential No Name and Address of Owner: Redd Kevin J Etux 301 Oaktrail Dr Rexburg, ID 83440 Contractor: Owner /Lessee Special Conditions: 700 sf of basement finished Occupancy: Residential - 2 units or less, permanent in nature This Certificate, issued pursuant to the requirements of Section 109 of the International 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 which the proposed occupancy vies classified. Date C.O. Issued: August 18, 2009 (11:11AM) C.O Issued by: ' - Building Official There shall be no further change in the existing 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: Uk Fire Inspector Electrical Inspector: _ —_ P&ZAdministrator: _ __ s CITY OF REXB URG PERMIT # 0 BUILDING PERMIT APPLICATION Please comj 19 E MAIN, REXBURG, ID. 83440 If the question do 0600414 208 - 359 -3020 X326 PARCEL NUMBER: (We will p 301 Oaktrail Dr- Basement SUBDIVISION: UNIT# BLOCK# LOT #. (Addressing is based on the information - must be accurate) CONTACT PHONE #. PROPERTY ADDRESS: W( ® —k4 m v l .04 PHONE #: Home ( ) Wcl - 336 3 Work D S Cell ( ) OWNER MAILING ADDRESS: 30 ( 496JA md _ STATE: ZIP: `d 3Y`f0 EMAIL aJ R Y tAX • Q.P� FAX APPLICANT (If other than owner) , , to J-- (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS STA CITY: IP EMAIL FAX PHONE #: Home ( ) Work ( ) Cell ( CONTRACTOR MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( ) Work ( ) Cell ( ) EMAIL FAX IDAHO REGISTRATION # & EXP. DATE How many buildings are located on this property? ( Did you recently purchase this property? No �e 'If yes give owner's Is this a lot split? df� YES (Please bring copy of new legal de cription of property PROPOSED USE: v. i S .a, �.•� ` �► (i.e., Single Family Residence, Multi Famil , artments, Remodel, Garage, ommercial, ddition, Etc.) S APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur 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 ca s of fal atement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void 'f s to i ' 80 days. Permit void if work stops for 180 days. f ii gtonntiire ., Annlirant 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 h inggiX 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 ** o� RVXB UIp • • r CITY OF c s BUILDING SAFETY DEPARTMENT N REX 19 E. Main (PO Box 280) Phone: 208 - 359 -3020 x326 C1W Rexburg, Idaho 83440 Fax: 208-359-3024 America's Family Community www.rexburg.ore ianellh d rexbur o _e.ore sNeo ` Affidavit of Legal Interest State of Idaho County of Mai I, Name City Being first duly sworn upon oath, epc (If Applicant is also Owne c A. That I am the record owner of permission to: Name to submit the accompanying application Address fining to that property. B. I agree to indemnify, defend and hold R )sxburg City and its employees harmless from any claim or liability resulting from any disput as to the statements contained herein or as to the ownership of the property which is the subs ct of the application. Dated this day of 1 20 Signature Subscribed and sworn to before me the day and year first above Notary Public of Idaho Residing at: My commission expires: Address State and say: Record, skip to B) ie property described on the attached, and I grant my 3 9. • Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Dwelling Units: Parcel Permit# SETBACKS FRONT SIDE SIDE BACK 4 ,�—Remode,Ung Your Building /Home (need Estimate $ 3C66 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!lf PLUMBING Plumbing Contractor's Name: Business Phone: ( ) Address City State Zip Contact Phone: ( ) FIXTURE COUNT (including roughed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $. Signature of Licensed Contractor The City o� s Name: Sprinklers Tub /Showers Toilet /Urinal Water Heater Water Softener License Number& Expiration Date Date t fee schedule is the same as required by the State of Idaho (Commercial Only) Fax 4 Please complete the entire Application! If the question does not apply 6n in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Permit# Required!!! MECHANICAL Mechanical Contractor's Name: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) 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 Signature of Licensed Contractor The License number schedule is the same as Date the State of Idaho 5 Please complete the enti&Application! If the question does apply fill in NA for non applicable NAME _f'!.1 0 PROPERTY ADDRESS 30 0600414 SUBDIVISION v 301 Oaktrall -Kevin Redd Required!fl ELECTRICAL Electrical Contractor's Name 1"'p— iL h v - Business Name Address City State Zip Cell Phone ( ) Business Phone ( Fax ( ) Email Electrical Estimate (cost of wiring & labor) $ ( Commercial /Multi Family Only) TYPES OF INSTALLATION-RESIDENTIAL (New Residential includes everything contained within the residential structure and attached garage at the same time) 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 specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. I c Signature of Licensed Contractor The City License number schedule is the same as Date the State of Idaho n SUBCONTRACTOR LIST Excavation & Masonry: Roofing: Painting: Floor Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joi Siding /Exterior F L-1 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.iboLidaho,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 cergfy Oil tIMbove information is true and correct to the best of my knowledge. ZS-2,?-' DE Signature �ol'111 -Pe ff Print Name Date h