HomeMy WebLinkAboutCO & APPLICATION - 04-00307 - 744 Centennial Loop - New SFR•
o � gEXBUgc r
9
CITY OF Certificate of Occupancy
REX
Amcric4 Family Community
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3024
0400307
International Residential Code 2003
744 Centennial Loop
Single Family Residence
Type V, non -rated
Residential
No
Name and Address of Owner: Madison School Dist #321
290N 1st E
Rexburg, ID 83440
Contractor: Madison School Dist
Special Conditions: - Sidewalk and Insulation were not inspected.
-630 sf unfinished in basement.
Occupancy: Residential - less than 2 units, 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
vies inspected on the date listed vwes found to be in compliance vtith the requirements of the code
for the group and division of occupancy and the use for VLhich the proposed occupancy vies
classified.
Date C.O. Issued
- C.O Issued by:
There shall be no further change in the e)asfing 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• \ spector: n 1 Ck
Electrical Inspector: P &ZAdministrator: 0"
CITY OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440 0
208 - 359 -3020 X326
744 Centennial Loop Madison High Project )
PARCEL NUMBER: (� Q F R E �� �
SUBDIVISION: t UNIT# LOCK# LOT#
OWNER: 6 S.LA C)C>L Di !S C CONTACT PHONE #
rl r _S2_l
PROPERTY ADDRESS:
PHONE #: Home ( )
„ §9 - '3 3 6 Jork
Cell (
OWNER MAILING ADDRESS: 24 t V 5 7 I_c: CITY: egTATE: I O ZIP:_�?j
APPLICANT (If other than owner) 'S F-o
(If applicant if other than owner, a statement authorizinj applicant to act as agent for owner must accompany this application.)
MAILING ADDRESS OF APPLICANT
6fy g e: CITY:
PHONE #: Home ( ) 356 5 o - 7 4- Work (
Lan
•
STATE; ZIP
�s 3 3OS Ce11 0 ° 6"8"7x{°
CONTRACTOR: T !4 1 ° _PHONE: Home# 9 -5,0 0 rk# " } Cell# 3 e lo 5 8 2
MAILING ADDRESS:
CITY
STATE ZIP
How many houses are located on this property? c. s Jam, LL
,
Did you recently purchase this property? No es (If yes give owner's name)
Is this a lot split? /1V0/ YES (Please bring copy of new legal description of property)
PROPOSED USE: I Y'1 C� L r/ 4 0- 7 ) L
(i.e., Single Family Residence, Multi Family, Apartments, l
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 wj;hin 180 days. Permit void if work stops for 180 days.
of Owner /Applicant
I / /B / �
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 I � �f
PROPERTY ADDRESS CEFF
SUBDIVISION V j o D g -
Dwelling Units:
Front Footage (if applicable
Parcel Acres: e. 3 0
/,2 D
Permit#
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area (?,I'S
Second floor /loft area 4-qu
Third floor /loft area
Shed or Barn --
Remodel (Need Estimate) $
Unfinished Basement area 18 IS
Finished basement area -
Garage area I nd,p t
Carport/Deck (30" above grade)Area
PLUMBING
PLUMBERS NAME "b gt. ADDRESS
CITY STATE s ZIP PHONE (
FIXTURE COUNT
CLOTHES WASHING MACHINE
I
SPRINKLERS
O i
DISHWASHER
TUB /SHOWERS
1
FLOOR DRAIN
✓ I
TOILET/URINAL
112-
GARBAGE DISPOSAL
WATER HEATER
/
HOT TUB /SPA
WATER SOFTENER
0
SINKS
(Lavatories, kitchens, bar, mop)
WATER METER COUNT WATER METER SIZE
HEAT (Circle all that apply) Gas 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 -6 r r7 L:z L& pia ✓--t i
BEDROOMS
UNITS
NON CENSUS
OCCUPANCY LOAD
EXITS
SETBACKS
FRONT SIXE �nlrj SIDE_
14
CONSTRUCTION
ROOF
SANITATIONMETHOD
HEAT
FLOOD ZONE
FENCE TYPE
OCCUPANCY
3� BACK_
2
AUG 1 3 2004 �J
SUBCONTRACTOR LIST
C17Y OF REXBURG
Excavation &
Earthwork: r
Concrete:
Masonry:
Roofing
Insulation:
Drywall:
Painting:
Floor Coverings:
Plumbing:
Heating: �1
Electrical:
Roof Trusses:
Floor / Ceiling Joists:
Cabinets:
Siding /Exterior Trim:
Other:
U
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
J