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Home My WebLink AboutAPPLICATIONS, CO, BP - 06-00436 - 634 Eaglewood Dr - Basement FinishINSPECTION CARD gBXB L? CITY OF N; REX ctv America's Family Community Building BUILDING Permit ISSUED TO: PERMIT #: 0600436 NAME: Nyborg Evan FOR THE CONSTRUCTION OF: 634 Eaglewood Dr- Basement JOB ADDRESS: 634 Eaglewood Dr GENERAL CONTRACTOR 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 09/08/2006 City of Fiex1:)0ur0 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 accepted drawings. in each successive inspection without approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered without approval. Date Annroved 1. Framing 2. Insulation 3. Drywall 4. Final PLUMBING Date Annroved 1. Water Service ConnE 2. Rough -In 3. 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 0 0 Certificate of Occupancy ¢tXBL!k CITY O F REX13URG City of Rexburg Aniericas Family Comnnnifv Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 0600436 Applicable Edition of Code: International Residential Code 2006 Site Address: i)r �.� Use and Occupancy: Basement Finish Type of Construction: Type V, non -rated Design Occupant Load: Single Family Residential Sprinkler System Required: No Name and Address of Owner: Nyborg Evan 634 Eaglewood Rexburg, ID 83440 Contractor: Blue Collar Builders Special Conditions: Basement Only Occupancy: Residential - 2 units or less, 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 ►ties inspected on the date listed vies found to be in compliance with 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: September 2009 01 -1 6AM) 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. . \, ,,,R,,- V r\ Plumbing Insp tor: J y "�� -""` °byre Inspector: Electrical Inspector: P&ZAdministrator: MI CITY OF AEXBUKG • 9 0600436 BUILDING PERMIT APPLICATION Please 634 Eaglewood - Nyborg 19 E MAIN, REXBURG, ID. 83440 If the qu 208 - 359 -3020 X326 Basement Finish PARCEL NUMBER: (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) OWNER NAME: - CONTACT PHONE 6 # PROPERTY ADDRESS: - PHONE #: Home ( ) Work ( ) Cell ST ATE: `'t ��j�� -f �� CITY: � _'S- [ ZII OWNER MAILING ADDRESS: z 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 MAILING ADDRESS CITY Lr7,�l,G STATE 2- -� PHONE #: Home ( ) Work ( ) Cell ( ) IPA _ 41k.6' 1k.6 EMAIL FAX IDAHO REGISTRATION # & EXP. DATE Lf /01z How many buildings are located on this property? 0 Did you recently purchase this property? No Ye '(If yes give owner's name) cA �_ .e Is this a lot split? N YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjury, 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 st within 180 days. Permit void if work stops for 180 days. Signature of Owne App ' nt 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 fanuar1. 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** 4 Bull 19 E. Main Rexburg, ID 83440 Safety Department City of Rexburg ionellh @rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 O� REXB UR CITY OF REX � ,.' America's Family Community �� Affidavit of Legal Interest State of Idaho County of Madison 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: 3 Please complete the e tire Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building /Home (need Estimate) $ 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: Regzured.!!f 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 Only) Signature of Licensed Contractor The City of License Number& Expiration Date s permit fee schedule is the same as required by the Sta Idaho Date 4