HomeMy WebLinkAboutAPPLICATION, CO - 04-00165 - 369 Oaktrail Dr - New SFR//)•ZZ� 8
R
C I TY OF CERTIFICATE OF
kWISVP EXBURG OC C U PAN C Y
anrtat►cn FMAII.Y EMWuNM City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3022
Building Permit No: 0400165
Applicable Edition of Code:
Site Address: 369 Oaktrail Dr
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner: Oakbrook Meadows Inc
P O Box 748
Rexburg, ID 83440
Contractor: Kartchner Homes
Special Conditions:
Occupancy:
This Certificate, issued pursuant to the requirements of Section 709 of the lntemational Building
Code, certifies that, at the time time of issuance, this building orthat portion ofthe building that
ores inspected on the date listed ones found to be in compliance v►ith the requirements of the code
for the group and division of occupancy and the use for Inhich the proposed occupancy rtes
classified.
Date C.O. Issued: September 244 (08:36AM)
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:
Fire Dep e
State of Idaho Electrical Department (208 - 356 - 4830): - ���
APPLICATION FOR BUILDING PERMIT
CITY OF RE"URG, IDAHO
Date of Application / / G L./ Permit No.
OWNER t
Name ,�/� _ 1 ► ( CA.+'I'
Site Address 86 C t 0 a1 K+.d ; I 0'r—
Mailing Address So2Q
City /State/Zip
Telephone/Fax/Mobile -7 b q 0
CONTRACTOR
Name-- i &'r4 A
t', /'� Q✓ �WI GS
Mailing Address ��
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied
Architect/ Engineer Firm Plan Name
Sul Sion
�jrp p
Lot
Block
Circle One
sidenti Commercial Educational Government Remodel
Other
Circle One
New Ho
Addition/Remodel to House New Commercial Commercial Remodel
Circle One Basement: None/ Finished / nfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage 17, 0 3 �j Lot Width IS
Main Level Square Feet l q Upstairs Square � Feet Basement Square Feet 7 y0
Garage Square Feet Number of Stories teyd Height ofBuilding l
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment? If so, how many units - -_
Total Estimated Building Value IT, ()C Are you in a flood plain___ 0
Signature of
Code Building Permit Fees
Zone
Building Type
Commercial Building Plumbing bid
Commercial Building HVAC bid
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Commercial Building Square footage Front Footage Fee,
(Parks, Fire, and Police) Impact Fees
Signature of Inspector
TOTAL $
Issued by
PROJECT INFORMATION DEPARTMENT APPROVAL
CITY OF REXB URG PERMIT #
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208 - 359 -3020 X326
PARCEL NUMBER:
SUBDIVISION: 60, bvi k UNIT# BLOCK# LOT#
OWNER: Hwww CONTACT PHONE # 3O Od 5
PROPERTY ADDRESS: - 3 61 O a k - f M, I D r
PHONE #: Home (dot) 301-0alS"T' Work Vora) SSA - &Ja.5 Cell(
OWNER MAILING ADDRESS: 5 to S V CITY: )e STATE:S_ZIP: X6 yy b
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
a0 W fit'` S # CITY: {� STATE; � 17 ZIP 3y `/O
PHONE #: Home ( ) Work ( ) Cell( )
CONTRACTOR: Ile,A nVAVr PHONE: Home# -0a% Work # (75? ",1 Cell#
MAILING ADDRESS:
How many houses are located on this property?
CITY
STATE ZIP
Did you recently purchase this property? No es If yes give owner's name)
Is this a lot split? a YES (Please bring copy of new legal description of property)
PROPOSED USE: s o,, kk,
(i.e., Single Family Residen e, Multi Farr.
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 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 i If days. PerAnit void if work stops for 180 days.
of Owner /Applicant
di °
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 qAW
PROPERTY ADDRESS (P a � -�, , �r
SUBDIVISION &'Vbw o "
Dwelling Units:
Front Footage (if applicable)
Parcel Acres:
Permit#
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
PLUMBING .n
PLUM RS NAME �f1t kAl1 ADDRES
CITY STATE — ZIP 3 - ygQ PHONE �-
FIXTURE COUNT
CLOTHES WASHING MACHINE SPRINKLERS
DISHWASHER TUB /SHOWERS
FLOOR DRAIN TOILET/URINAL
GARBAGE DISPOSAL WATER HEATER
HOT TUB /SPA WATER SOFTENER d
SINKS
(Lavatories, kitchens, bar, mop)
WATER METER COUNT WATER METER SIZE
HEAT (Circle all that apply) Gas Oil Coal Fireplace Electric
Commercial Buildin ,-s & Apartments wit 3 or more units Only
BUILDING ESTIMATE $
PL UMBING ESTIMATE $
STORM WATER LENGTH
FRONT FOOTAGE
STRUCTURES
DESCRIPTION
USE
BEDROOMS
UNITS
NON CENSUS
OCCUPANCY ZOAD
EXITS
SETBACKS
FRONT SIDE
CONSTRUCTION
ROOF
SIDE
SANITATIONMETHOD
HEAT
FLOOD ZONE
FENCE TYPE
OCCUPANCY l
BACK
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