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Home My WebLink AboutCO & APPLICATION - 05-00457 - 594 Gemini Dr - Basement Finish(:! T'l' op Certificate of Occupancy REXBURG City of Rexburg ,1 nrcr is <rS' trrrnily Cormnunily Department of Community Development 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: 0500457 International Building Code 2006 594 Gemini Dr Residential Type V, non -rated Basement Finish No Name and Address of Owner: Glenn Jerry L & Julie Trste 594 Gemini Dr Rexburg, ID 83440 Contractor: Owner /Lessee Special Conditions: Basement Finish 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: February 04, 2 D,10 (08:00AM 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: / �� Fire Inspector: Electrical Inspector: /V Z P&Z Administrator CITY OF REXB URG BUILDING PERMIT APPLICATION Please c 19 E MAIN, REXBURG, ID. 83440 If the ques 208 - 359 -3020 X322 0100457 594 Gemini Dr -Bsmt Finish PARCEL NUMBER:_ Zp(aST�� 001 b e �O ; will provide this for you) SUBDIVISION: UNIT# (Addressing is based on the information - must be accurate) CONT. PROPERTY ADDRESS: C� %/ Cry c n , ,•,; 1,), PHONE #: Home Work( ) l� 'T LOT #_ �Up i 4 } Cell OWNER MAILING ADDRESS: ft �; ,,,�. CITY: c ,, STATE: ZIP: fi�yy EMAIL AX - -- APPLICANT (If other than owner) �,,,.,� �'t.vtc�v t (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS ��y <��,,,�, —, CITY: STATE; 1 �� FAX -- PHONE #: Home Work Cell ( ) = How many buildings are located on this property? ,� e Did you recently purchase this property? v 44 Yes (If yes give owner's name) Ale Is this a lot split? J_R' YES (Please bring copy of new legal description of property) PROPOSED USE: 1#1161e 1 erg, hH ReSlievrlu•.I (i.e., Single Family Residence, Family, Ap #hments, 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 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 2000 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 /Applicant DATE Do you prefer to be contacted by fax, i or phone? Circle One WARNING — BUILD RMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non- refundable and are paid in full at the time of application beginning January 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 you check does not clear" t i COMMUNI °Y D WAN '! INC .• W4 DEP ERICA'S FAMILY COMMUNFFY 19 E. Main (PO Box 280) Phone: 208 - 359 -3020 x326 Rexburg, Idaho 83440 Fax: 208 - 359 -3024 www.rexburg.oro comdev(d)rexbura.ora Affidavit of Legal Interest State of Idaho County of Madison 'T I, .-cf-frcA Lui1 Cr if ✓i J Name Address City 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: �;:"e.S L , c ra CJ f D I�K� ✓a � 1 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 9 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 Are Application! If the question does not apply fill in NA for non applicable NAME L a PROPERTY ADMR1sSS S`iLr (:,,,; 'ar_ i�� l �,�_ Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $ f ; << SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Second floor /loft area Third floor /loft area_ Shed or Barn Unfinished Basement area Finished basement area_ Garage area (30" above Water Meter Quantity: * * * * * * * * * * * * ** Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: ti/�� . Address Contact Phone: ( ) Email Business Name: City Business Phone: Fax FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ State Zip Sprinklers Tub /Showers Toilet/Urinal Water Heater Water Softener (Commercial Only) Signature of Licensed Contractor The City of Rexbu License number e schedule is the same as Date the State of Idaho • Please complete the entiffi Application! If the question does t apply fill in NA for non applicable NAME - tr G,, om G ►c," PROPERTY A RESS sly C;�•, , � L r , ,t . X0 Permit# SUBDIVISION Required!!! MECHANICAL Mechanical Contractor's Name: & , Business Name: Address City State Contact Phone: ( ) Business Phone: ( ) Email Fax Zip Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL4NCES 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 Similar fixtures or Appliances 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 Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor The City of Rexbur License number schedule is the same as Date by the State ofldaho ............................................................ ............................... SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: , u i Masonry: Roofing: A , i A Insulation: A, � Drywall: Painting: Floor Coverings: lu Plumbing: bA Heating: Electrical: PA Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joists: N Siding/Exterior Trim: &.,I/ Other: