The URL can be used to link to this page

Home My WebLink AboutALL DOCS & CO - 08-00168 - 450 Terra Vista Dr - Additionz -n s a O = v s n -I Z o m 0 Cl) ( n su m S Z X C D C. `� N m -i 171 (j) m - x �D W CD O o J 07 M m � m m to ;a too o a n p m v 0 CD CD N 0 NOT CL 3 x �_► c -4 2) o S j a 3 •� cc (A o ' n C (D Z o ° o� Z 3m p m'� n -�.nt c n �0d :.may IM 03_' o O x m o 0 y co CD m m dcc ° * m X hf o �. v 0 T�� 01 O C O CD v m 10 o C ~ V m ( r m 0 < O N N (o CD —� CD = m < c � CD m .-. a p o o O S'u CD CL 0 O Z Q. o. C CD v o j N d H N to C rt N O1 m CO) S a '0 EFF o m --I CD CD s �•�� o CD 0 CD 3 CD p' C y'a p W O CD o • n 3 X D lC W CD < N C, C- CD C In '� 7 aC C. O 3 O 7 O N o m -a - 1 cr W • CD 3 W 000 g %No CD m Z> O m N(D z 0 X CD �v = E a = n I N p n m m C pj 3 < s 3 O 3 Cn N rn °- - • - I C1 n LQ CD - • co s i7 C 0 1 0 , _ Cp f 0 v �? C7 a1 "' CD CD CL w o r C..+ C • 0 a m v K •°* orq N N N CD O Z E N O U) N d n ' 0 0 . _ 3 C y 0 - O' N j :3 .'< 0 v' 0 rt -h 0 o ad C —I 0 0? o°o m 'U) ° C 0 m n - Z co A W N CO 00 v d) V> m o N vi - n M o CD � °' c o� R , m- m 0) a °� Co m 0 m o n r p D T ::r CO (n 2. � o E22 m � O :. Z. 'O R � Z 00 0 0 n m '* z A " m z, ° CD m W C1 o 00 w o o C C r ca ° ° Z v O z z L7 �mg m d o m Z 1 D o. Q M Z 3 Z N O CD N CL CL • • ik.YUUP I T Y 0 F Certificate of Occupancy REX13URG City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 Building Permit No: 0800168 Applicable Edition of Code: International Building Code 2006 Site Address: 450 Terra Vista Dr Use and Occupancy: Addition Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Dewey Daniel W Etux 450 Terra Vista Dr Rexburg, ID 83440 Contractor: Owner /Lessee Special Conditions: 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 was inspected on the date listed was 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 was classified. Date C.O. Issued: January 22, X10 (03:42PM) 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 Electrical Inspector: Fire Inspector: N P &Z Administrator O� �EXB URC CITY O F ° REXBUR America's Family Community n d�rj NFO Please Complete ffe Entire Application! If the question does not apply fill in NA for non applicable RESIDENTIAL BUILDING PERMIT APPI 0 19 E MAIN, REXBURG, ID 83440 208 - 359- 3020 X326 450 Terra Vista Dr -Dewey PARCEL NUMBER: (p L�,I 6yJ6rAa (' SUBDIVISION: Rr) Ivin lids E C[ UNIT# BLOCK# 5 LOT# y (Addressing is based onrrnation - must be accurate) CONTACT PHONE # PROPERTY AD PHONE #: Home (acg) S!51-3 Work , gos) " I4 e r D I Cell Oo$ '3 1 3 — a 1 32 OWNER MAILING ADDRESS: 9 5O Itrra V IS6 DY. CITY: V r STATE: MZIP: EMAIL J VJ A e V t?4 0_ ► 0t VYIa k � . < n tM FAX APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner APPLICANT INFORMATION: ADD STATE; ZIP PHONE #: Home ( ) CONTRACTOR MAILING ADDRESS: PHONE #: Home ( ) EMAIL F CITY: Work ( M0 CITY 04 -1 2008 TE ZIP Work ( ) Cell ( IDAHO REGISTRATION # & EXP. DA' How many buildings are located on this property? 1 Did you recently purchase this property? @ Yes (If yes, list previous owner's name) Is this a lot split? N YES (Please bring copy of new legal description of property) PROPOSED USE: 11 � l o y) (i.e., Single Family Residence, Multi Family, Apartments, Remodel, 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 authorize4 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 of Owner/, licant DATE Do you prefer to be contacted by fax, email or one? Circle One WARNING — BUILDING PE UST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning Tarnuarel. 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** BuildiR Safety Department i ;a �txa o C I T Y o F City of Rexburg 7y MX OL 19 E. Main janellh@rexburg.org Phone: 208.359.3020 Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 State of Idaho County of Madison I, Name City Affidavit of Legal Interest 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: Please complete the entre Ap 1' pp NAME L w p D e e PROPERTY ADDRE S - a r a vts C1 0 fi SUBDIVISION R i 1kS - t S Dwelling Units: Parcel Acres: 0 Permit# SETBACKS FRONT RONT 3 1 . SIDE / SIDE a / BACK j �k � �W jG1G� i }t o 17 > Remodeling Your Building /Home (need Estimate $ 115 , 0 d0 SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area — 141-79 a j Unfinished Basement area N/A Second floor /loft area NIA Finished basement area l :Z 2 Third floor /loft area N/A Garage area r Shed or Barn 44e8' Carport /Deck (30" above grade)Area Water Meter Quantity: NIA * * * * * * * * * * * ** *Water Meter Size: - N 1 1A Regi redffl PLUMBING Plumbing Contractor's Name: Business Name: Address g3 City e cn State Zip g3�� Contact Phone: ( ) Business Phone: Email Fax FIXTURE COUNT (including roughed fixtures Clothes Washing Machine Sprinklers Dishwasher Tub /Showers T Floor Drain Toilet /Urinal T Garbage Disposal Water Heater Hot Tub /Spa Water Softener 7i Sinks (Lavatories,.kitchens, bar, mop) Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) A te. - e 120of 3 -z 7- 09 Signature of Licensed Contractor License Number& Expiration Date Date The City of Rexburg's permit fee schedu is the same as required by the State of Idaho Jun, 17. 2008 1:19PM E s No. 6521 P. 1 p uVI (A �Vvl� Building Safety Department City of Rexburg 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 �{ E pPXBUR C,s o CITY of RFMURG Americas Family Community NAME PROPERTY ADDRESS _ SUBDIVISION Permit# Pifi?. C.(--I- �, oP P, �-H 6-OD 09 0 Requiredlll MECHANIC L Mechanical Contractor's Name: _�,�;� UAL; business Name: Address City ��. .,��, State Zip �>� �� Cell Phone: _ j13 - Business Phone: "r;) ( tx. .(� ) A Fax G'�j � 2- t :7 Email �,''��\,3 Mechanical Estimate $ (Commercial/MuIti Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts X Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas - fired appliance Incinerator System Boller Pool Heater Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents _ other similar vents & ducts: I' xl j Fuel Gas Pipe Outlets including stubbed in or future outlets Heat (Circle all that apply) i Gad Oil Coal. Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted „with „Plans & Aoolication Point of Delivery must be shown on Deans. Signature of License Contractor The License number scheAle is the same as the Sta te of Idaho Date Apr. 4. 2008` 3:19PMW'"' First Call Jewel Binding Safety Department City of Rexburg 19 E Maln janellh®roxburO.org ohonpt 209,359,3020 x326 Rexburg, l0 9 3440 . www.rexbura.ora Fax. 208,359.3024 "'No. 0027 " P. 2 cIr oe RE)MURG ' �'r, r•rr ,.i� An +�rsertyi5uhilyCommwd►y Req uired!!! ELECT'RI'CAL Permit #08 00168 450 Terra Vista Electrical Contra Name Address /L� Clip State 71v- Call Phone ( ) usinees Phone ( ) -.T 7 7 Fax Eleatdcol E1thuate (nbot otwidng & labor % - ; (COMMERCIAL /MULTI- FAMILY ONLy) MPM O.MSTALLATION (N OW,Be dddaadad Iaehrdee engthAugr ea Mined WWII ih,I dde -add nteuctum sad attnchrdgmVe at the same drma) ....... Up to 200 atn Service* ^� 201 to 400 amp Service"' Over 400 atnp SeMoe* Temporary Construction Service, 200 amp or lase, one location (for a pariod not to exceed 1 year) l/ Exisdng Residential (# of Btanch Circults) ud, Spa, Hot Tub, Swimming Pool Alectric Central Systems Nearing and /or Cooling (a,han. not pert of anew realdendal conauuction penTdr and no Addldonal whiae Modular, Manufactured or Mobile Home Othee Inemllations: Wiring not epecificsJly covered by any of the above Coat of Wiring & Labor: $ Pumps (Domeedo Water Irdgadon, Sewage) - Requested Inspecdons (of exletingwiring) Tempority Amusement /Induetry "Includes a mu mum of 3 iimpecdons. AddWonal inapdadona charged 4t requested impoctiO4 ate of $40 per hone, n o' , - - �U�-6-p i otueo *iU n d Co ntacto r 11cenee number .^ D46 Tht CJd of &XhA* MWIIId s nbedmk h the rare at n wbvd by Ar Swi Please complete the entir•A lication! • P Pp NAIME A btt '`� PROPERTY ADDRE S ti 5 O t r A V t br Permit# SUBDIVISION kcillyiq 14 i S E� 44 S Requiredffl MECHANICAL Mechanical Contractor's Name C b 0 rQ 0 Business Name Address �. �•. City ,� � State l� Zip d 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 Exhaust or Vent Ducts Dryer Vents - ,- Range Hood Vents Cook Stove Vents ( Bath Fan Vents � others at vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets. Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature o nsed Contractor License number The fee schedule is the same as Date the State of Idaho Building Safety Department City of Rexburg 19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME L L� -P-c,tre PROPERTY ADDRESS T V r SUBDIVISION R01 h Yt a M i I (S ES s PHASE LO BLOCK 0 O� gEX E URC, � i CITY OF ° RE XBU R G '•, : N E a AmericO Family Community Permit# ��tV�¢(� t�oCu�G1 1 V✓i '�'(I Required!fl ELECTRICAL �j ✓CA Gll C l i 1 rte' Vv o n /7 D , K. Yom' L j/ �u �► fo �d�i � Electrical Contractor's Name � S\ cc ( Business Name 1 Address City T jC LV Ek ! S State Zip Cell Phone ( ) Business Phone ( ) Fax ( ) Email Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) Number of meters being installed Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Existing Residential (# of Branch Circuits) Spa, Hot Tub, Sw immin g 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. Signature of Licensed Contractor The License number schedule is the same as Date the State of Idabo • • SUBCONTRACTOR LIST Excavation & Earthwork: Ka ye Y Concrete: E061 >maU e r 4 so Yl , SY1 C,, Masonry: Roofing: Insulation: Aj �a huj I Y�SU LaT " O Y3 Drywall: ' T Painting: So r Floor Coverings: q 0wCC� , 6 - TVI 4Y\OYS , ( /f11l woo _ `l Plumbing: _&CJ A irc � t 6 I r Electrical: F rST Ca ( I c 1`E. We I v Special Construction (Manufacturer or Supplier) Roof Trusses: �I� YY) 1 1 T r()S� Floor /Ceiling Joists: RM r, Vy e-c, Siding/ Exterior Trim: _ -I V T E)Lk Y) d YS 0 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.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 Cl 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 X 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 V Date L ► YA Asa\ j H, 1) t vvr\./ Print Name