HomeMy WebLinkAboutCO & APP - 04-00288 - 365 Eagle Ct - New SFRCM OF
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AMERICAS FRMQ.Y COMitUNRY
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
03 �� ::
365 Eagle Ct
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
R Hill Const
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 vies found to be in compliance Mh the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy 14as
classified.
Date C.O. Issued: March 24, 20 2:
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 Departments Fire D
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
PARCEL NUMBER: R ,�,�, C) QQ 6,11 1 D
SUBDIVISION: Z t� le, L, a 0 c- s UNIT#
PERMIT #
BLOCK# .2
LOT# Z
OWNER ,n ^ / 4
l �' �'�G�o�c.PG a "S/n CONTACT PHONE #
PROPERTY ADDRESS:
PHONE #: Home ( ) Work (
OWNER MAILING ADDRESS:
1_q_ ck
CITY:
STATE: ZIP:
APPLICANT (If other than owner) k4 Cf Its f Y mac- 4
(If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
MAILING ADDRESS OF APPLICANT
6 S'7 9 r: / (3 N CITY: / P STATE; �p ZIP (F 3 Y&(
PHONE #: Home qD g 52-3-009s Work ( ) Cell( )
CONTRACTOR: /� l�c PHONE: Home# Work# Cell#
MAILING ADDRESS: CITY STATE ZIP
How many houses are located on this property?
Did you recently purchase this property? No Ye (If yes give owner's name)
uS all�c
Is this a lot split? � YES (Please bring copy of new legal description of property)
PROPOSED USE: 'S ' F )C--
(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 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 misre entation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
started within 1 da . Permit void if wok stops for 180 days.
Owner /Applicant
Cell (
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
PROPERTY ADDRESS
SUBDIVISION I - S S
Dwelling Units:
Front Footage (if applicable
Permit#
SURFACE SQUARE FOOTAGE: (Shall incl e exterior wall measurements of the building)
2 S(� � 2��0 �
First Floor Area 1 100 finished Basement area
Second floor /loft area Finished basement area ! (D b l L® Z? -!s�
Third floor /loft area Garage area 6? /2—
Shed or Barn
Carport/Deck (30" above grade)Area
PLUMBING 'An
PLUMBER t
NA E I ADDRESS
CITY STATE B PHONE ( ) .3 5 - Y 3
FIXTURE COUNT
CLOTHES WASHING MACHINE
DISHWASHER Z
FLOOR DRAIN
GARBAGE DISPOSAL
HOT TUB /SPA
SINKS
(Lavatories, kitchens, bar, mop)
WATER METER COUNT
SPRINKLERS
TUB /SHOWERS
y
TOILET/URINAL
S
WATER HEATER
2
WATER SOFTENER _ I
WATER METER SIZE 3 /5
HEAT (Circle all that apply Oil Coal Fireplace Electric
Commercial Buildings & Apartments with 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 SIDE
Parcel Acres:
CONSTRUCTION
ROOF
SANITATIONMETHOD
HEAT
FLOOD ZONE
FENCE TYPE
OCCUPANCY
BACK
2
SUBCONTRACTOR LIST
Excavation &
Earthwork: �a r V M CF ca V
Concrete: k- 14 U C' �
Masonry: /V,Q
P
Roofing:
Insulation: I,C
Drywall: l Cs f�yt-► .� n + ww�/
Painting:
Floor Coverings:
Plumbing:
Heating:
Electrical.
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
Roof Trusses:
Floor / Ceiling Joists: T -T 44A
Cabinets:
/Exterior Trim: � 1i( GC D L `
Other: J � 5
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER
Name c—- G��IL�r`t
Address Tel.
Lot o Blk. Z Add.
,,^
PLUMBER
Name /
`" i�4^��S f"'�^'wbiKf
Address T �� "" ✓f-�1�
NATURE OF INSTALLATION
Use me-W '
Rough Plumbing
$
Septic Tank
$
Fixtures
$
Water Piping
$
Complete
$
Sewer
FEES
Plumbing Permit ....................
$
Sewer Inspection .................. • •
$
Inspection of Pipe .................. •
$
Inspection of Fixtures • • . • ....... • • • • •
$
Laundry Trays
$
Water Heater
Wash Basin
8
TOTAL
$
Received: Date
By—
INSPECTOR'S RECORD
N
DESCRIPTION OF WORK
Bath Tubs
Ll
Urinal
Showers
Sink Trap
Laundry Trays
(
Water Heater
Wash Basin
8
Other
Toilet
Slop Sinks
Kitchen Sinks
Floor Drain
Drinking Fountains
Lawn Sprinklers
Water Softeners
Dish Washing Mach.
Clot Washer
l a
i
R
S
INSP. NAME
Rough Plumbing
Sewer
Other
Finish Plumbing