Loading...
HomeMy WebLinkAboutAPPLICATIONS, CO - 04-00114 - 637 Palmer Circle - New SFRCITY OF q : REXBUR -G AMERICAS F"H.Y COMMUNM Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: CERTIFICATE OF OCCUPANCY City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-30201 Fax (208) 359 -3022 Name and Address of Owner: 0400114 637 Palmer Cir Palmer Gene Etal 175 Marianne Rexburg, ID 83440 Contractor: Special Conditions: Occupancy: Jemco Construction, Llc 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 vas found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for Mich the proposed occupancy vies Date C.O. Issued: October 04 2 :47PM C.O Issued by: Building Official There shall be no further change in the e)asting 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. Water Department• ' e State of Idaho Electrical Department (208 - 356- 4830): CITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 PERMIT # 04 - 00114 PARCEL NUMBER: SUBDIVISION: 4 110ad 1J WJ , iqV UNIT# BLOCK# LOT #_L3 OWNER: CONTACT PHONE # PROPERTY ADDRESS: (o aj�J �� CO PHONE #: Home (100) S --8 q 73 Work ( ) 7, - 7 Cell ( ) OWNER MAILING ADDRESS: &3 P7 " a (,,g, CITY: STATE: APPLICANT (If other than owner) (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application) MAILING ADDRESS OF APPLICANT �2 e) IT* C CITY: P P K9JA10Q STATE; .W . ZIP 1 q O PHONE b: Home ( ) 356 4 - 7 3 Work ( ) '�� - X65 Cell ( ) CONTRACTOR: PHONE: Home# Work# Cell# MAILING ADDRESS: CITY STATE ZIP How many houses are located on this property? Did you recently purchase this property? (!) Yes (If yes give owner's name) Is this a lot split? 0 YES (Please bring copy of new legal description of property) PROPOSED USE: —�i&O (i.e., Single Family Residence, Multi Family, 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 i the application or on the plans on which the permit or approval was based. Permit void if not started within days. Pe�initP void i f worly apps for 180 days. Owner /. ld /V DATE 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 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 ** NAME C U K PROPERTY ADDRESS Permit# SUBDIVISION u Dwelling Units: Parcel Acres: .31 Front Footage (if applicable) 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 Carport/Deck (30" above grade)Area Remodel (Need Estimate) $ PLUMBING PLUMBERS NAME CITY FIXTURE COUNT STATE ZIP ADDRESS PHONE ( CLOTHES WASHING MACHINE © SPRINKLERS DISHWASHER 0 TUB /SHOWERS Y) 0N'E FLOOR DRAIN OOAF TOILET/URINAL —I)OelE GARBAGE DISPOSAL 0 WATER HEATER 120c HOT TUB /SPA _ 0 WATER SOFTENER _ 04 SINKS (Lavatories, kitchens, bar, mop) WATER METER COUNT WATER METER SIZE HEAT (Circle all that apply) as Oil Coal Fireplace Electric Commercial Buildings & Apartments with 3 or more units Only BUILDING ESTIMATE $ PLUMBING ESTIMATE $ STORM WATER LENGTH FRONT FOOTAGE STRUCTURES DESCRIPTION USE BEDROOMS UNITS NON CENSUS OCCUPANCY IOAD EXITS SETBACKS FRONT SIDE SIDE CONSTRUCTION ROOF SANITATIONMETHOD HEAT FLOOD ZONE FENCE TYPE OCCUPANCY BACK 2 APPLICATION FOR BUILDING PERMIT CITY OF REXBURG, IDAHO Date of Application 5 - Ita 64 Permit No. o y 6 o l l q OWNER Name Site Mail City /State /Zip Teleuhone/Fx CONTRACTOR Name � EY y--p L L G �6LC UO►.►�,Gt� Mailing Address 4' 44L City /State /Zip Telephone/Fa obile 39D f 3� PROJECT INFORMATION DEPARTMENT APPROVAL Property Zone: Is existing use compatible with zoning, (screening parking, etc When was this building last occupied Architect/ Engineer Firm - 14UC,&J j { {g �,�. &lan Name JA t& ir. CIL Subdivision 14 r i &UA2Y Lot /3 _ Block Circle One esidentia Commercial Educational Government Remodel Other Circle One ew House Addition/Remodel to House New Commercial Commercial Remodel Circle One Basement: None/ Finished / nfinish Other: None/ Patio/ Carport Awning N/A Lot Square Footage 13 W, Lot Width f �� Square Feet Bq!?)_ Garage Square Feet Number of Stories 4, Height of Building L b3 What will structure be used for: Hom Home Business Apartment Commercial Other Will there be an apartment? Ili U If so, how', / many units Total Estimated Cos « 1 5 1 D . 4' 53 Are you in a flood plain X/O Signature of Applicant Code Zone Building Type Signature of Issued by Building Permit Fees Z , B-= �1,i,Y OF 111) v Plan Check Fees / 3,;L. 3 4 Plumbing Permit Fees Zg::2. 0° MAR Digging Permit Fees $ — — Water & Sewer Fees o PAIDDAK OHE Front Footage Fee q U 7 1 (Parks, Fire, and Police) Impact Fees 9 7 TOTAL $ S 37 9 ? Issued by SUBCONTRACTOR LIST Excavation & Earthwork. Concrete: Masonry: ��F � � ���f� /� - .✓�� ELF �?�h Rooting: Insulation: M ooc>y Drywall: Painting: G✓ � �� ,r u Puce a ers on Floor Coverings: �l ear �� �,`� P - Heating: p i i'c..� IF,Ti ►,-1L� - � - ;` Electrical F izi � E � S SPECIAL CONSTRUCTION (Manufacturer or Supplier) Roof Trusses: — 13 rV�C (,� — TjtgS Floor f Ceiling Joists: Cabinets: Siding /Exterior Trim: Oth,er.