HomeMy WebLinkAboutAPPLICATIONS, CO - 04-00185 - 610 Autumn Dr - New SFR�e CITY OF
RFXBURG
AMERICAS FAMILY COMMUNITY
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 -3020 / Fax (208) 359 -3022
0400185
[
610 Autumn Dr
- P& V, anpo E- 11 �d
ViLs + - Cu' 0,0-0
Nio .
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
B l a yl cz W ► M c s
►�'exh W-9 10 � 300
Blake Willis
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
wes inspected on the date listed vies found to be in compliance Wth the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy wes
classified.
Date C.O. Issued: November 22, 2005 (.0-4:22PM)
C.O Issued by:
Building Official
There shall be no further change in the eAsting 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
State of Idaho Electrical Department (208- 356 - 4830):
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Applica6on /S /O �
QWWNER
Permit No.
Name 3 Ol K IC
Site Address (e
Mailing Address Z & $ S, 3 �` W
City /State/Zip �� yc �wrg T Q S 3 - `/0
Telephone&ax/Mobiie 35 9' —
CONTRACTOR
Name gi a Kc ( %r
Mailing Address
City /State/Zip
Telephone/Fax/Mobile
PROJECT INFORMATION
DEPARTMENT APPROVAL
Property Zone: R A- Is existing use compatible with zoning, (screening parking, etc) N GS
When was this building last occupied JCl eW C,9,,_4 -At
Architect/ Engineer Firm b* t U, -f c /. Plan Name
Subdivision
Commercial Educational Government
Z
Circle One use New Commercial Commercial Remodel
Circle One i �5� one/ Finish shed Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage D, 7 / ¢ L Lot Width -- _ 13 Z
Main Level Square Feet ( q P Upstairs Square Feet _( 2U 0 Basement Square Feet I fDO f 5401 ►+r- 9 w► -91 0- (
Garage Square Fee Number of Stories 1 Y2— Height of Building __ Z 4 !
What will structure be used for: Home Home Business Apartment Commercial Other_
Will there be an apartment? /) -0 If so, how many units
Total Estimated Building Value .2 25 80 Q Are you in a flood
Signature of Applicant ---J*
Code
Zone
Building Type
Commercial Building Plumbing bid
Commercial Building HVAC bid
Commercial Building Square footage
Building Permit
Plan Check Fees
(Parks, Fire, and Police) Impact Fees
TOTAL $
Signature of Inspector
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
Block
Remodel Other
Issued by
SUBCONTRACTOR LIST
Excavation &
Earthwork: S p
Concrete L A w 4 `:3S
Masonry-
Roofing: % 4 F, y t,1 RL ! e - z - S
rc
insulation: I L F / C h 4 1
Drywall: S L c c= -k
Painting: 15 C L r
Floor Coverings:
Plumbing:
Heating �� 6K
Electrical -
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
Roof Trusses: Q A1 C—
Floor /Ceiling Joists: ( / a C
Cabinets:
Siding /Exterior Trim: ��,`b r
Other:
May 18, 2004
REQUEST FOR A CONDITIONAL BUILDING PERMIT
FOR PARTIAL BUILDING CONSTRUCTION
TO: Building Official for the City of Rexburg
Pursuant to the provisions of the International Building Code 2000, the undersigned requests that
a building permit be issued for:
Footings and Foundations only at:
&D6,&30'Autumn Dr
Rexburg, 83440
Acknowledgment is made that the plans for the complex are not complete and that final approval
of the building will not be given until the final plans have been approved. We recognize that
proceeding with partial construction at this time is entirely at the risk of the Architect/Owner
with there being no assurance that the final Certificate of Occupancy for the entire building or
structure will be granted.
We further absolve the City of Rexburg and officers and employees thereof, of all resposibility
for the issuance of a partial permit and further agree that any work performed under this permit
will be removed or otherwise corrected to be in accord with the requirements of the final
approved plans when a permit for the entire building of structure is finally granted.
Dated: Tuesday May 18 2004
Approved: Tuesday May 18 2004
CITY OF REXBURG
By
Blake Willis,
By
Cathy Winters
Permit Tech / Receptiontist
P.O Box 280
w CITY OF
R.EXBUR
City
o Rexb u rg
19 E. Main St.
Rexburg, Idaho 83440
AWRIc,,srnnwxCOMMUNIFY
Phone (208) 359 -3020
STATE OF IDAHO
Fax (208) 359 -3022
e -Mail
May 18, 2004
REQUEST FOR A CONDITIONAL BUILDING PERMIT
FOR PARTIAL BUILDING CONSTRUCTION
TO: Building Official for the City of Rexburg
Pursuant to the provisions of the International Building Code 2000, the undersigned requests that
a building permit be issued for:
Footings and Foundations only at:
&D6,&30'Autumn Dr
Rexburg, 83440
Acknowledgment is made that the plans for the complex are not complete and that final approval
of the building will not be given until the final plans have been approved. We recognize that
proceeding with partial construction at this time is entirely at the risk of the Architect/Owner
with there being no assurance that the final Certificate of Occupancy for the entire building or
structure will be granted.
We further absolve the City of Rexburg and officers and employees thereof, of all resposibility
for the issuance of a partial permit and further agree that any work performed under this permit
will be removed or otherwise corrected to be in accord with the requirements of the final
approved plans when a permit for the entire building of structure is finally granted.
Dated: Tuesday May 18 2004
Approved: Tuesday May 18 2004
CITY OF REXBURG
By
Blake Willis,
By
Cathy Winters
Permit Tech / Receptiontist