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HomeMy WebLinkAboutCO & APP - 04-00323 - 54 Valley View Dr - New SFRR ��J OF R AMERICA'S 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 Name and Address of Owner: Contractor: Special Conditions: Occupancy: ,�LI<iI119PAI 51A vaxk v i cw D Ir. 5A va` tj t Cdr. V—C*A(5F a 1 Kay, Jared This Certificate, issued pursuant to the requirements of SE Code, certifies that, at the time time of issuance, this buila vies inspected on the date listed vies found to be in comply for the group and division of occupancy and the use for W classified. Date C.O. Issued C.O Issued by: Building Official Scu��cl 0 W - r V\9..t C13 h 4— 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 Departmen State of Idaho Electrical Department CITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 PARCEL NUMBER: PERMIT # RIP P% t SUBDIVISION: UNIT# BLOCK# LOT# OWNER: CONTACT P ONE # ° PROPERTY ADDRESS: �� � �5�1 ti PHONE #: Home ( OWNER MAILING ADDRESS: Work ( ) Cell ( CITY: STATE: ZIP: 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 CITY: 'R! , X 3' 1 i?--6 STATE; ZIP PHONE #: Home ( ) 3S lql ;Z Work( 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? No Yes (If yes give owner's name) 8AR ���J F.Al _,S Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: (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 misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Signature of Owner /Applicant 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 Dwelling Units: Front Footage (if applicable) Parcel Acres: Permit# SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ;2' ! Second floor /loft area Third floor /loft area Shed or Barn Unfinished Basement are Finished basement area Garage area Carport/Deck (30" above grade)Area Remodel (Need Estimate) $ PLUMBING PLUMBERS NAME CITY STATE ZIP FIXTURE COUNT CLOTHES WASHING MACHINE DISHWASHER FLOOR DRAIN GARBAGE DISPOSAL HOT TUB /SPA 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 $ PL UMBING ESTIMATE $ STORM WATER LENGTH FRONT FOOTAGE STRUCTURES DESCRIPTION USE BEDROOMS UNITS NON CENSUS OCCUPANCY LOAD EXITS SETBACKS FRONT SIDE SIDE ADDRESS PHONE( SPRINKLERS TUB /SHOWERS TOILETIURINAL WATER HEATER WATER SOFTENER CONSTRUCTION ROOF SANITATION METHOD HEAT FLOOD ZONE FENCE TYPE OCCUPANCY BACK 2 SUBCONTRACTOR LIST Excavation & Earthwork.- V u tz. G v d b7- rz Concrete: _ ©e E u EL_M YES Masonry j i� r _ 1a oCp<_ Roofing: jsH4_ T Insulation: / DVAg ,1 c.64=, t d314 I nom Drywall: r->AvL- k4 Painting: tjar,(<_ W1, �e E Floor Coverings: IZ Plumbing : Heating: - c( Electrical- _IYA_L r s_,4 s, -:ibj SPECIAL CONSTRUCTION (Manufacturer or Supplier) Roof Trusses: ISM 4_ Floor/ Ceiling Joists: `JTy Cabinets: i tJT1✓ ��� EAST L t t,.1 r Siding /Exterior Trim: tg U k 9Ll l LbC c Other. CITY OF REXBURG APPLICATION FOR PLUMBING PERMIT OWNER Name lsC- -'t`r" j oti .S Address }VTI-_VE- )(Oc./!ZL-1 Tel. 6 - 135 0 Lot -1L- Blk. Add. �A�LiEY w��J Esr PLUMBER Name Address IW—)(SUZ& Tel. NATURE OF INSTALLATION Use Rough Plumbing Septic Tank Fixtures Water Piping Complete Sewer DESCRIPTION OF WORK Bath Tubs Urinal Showers Sink Trap Laundry Trays Water Heater Wash Basin Other Toilet Slop Sinks Kitchen Sinks Floor Drain Drinking Fountains Lawn Sprinklers Water Softeners Dish Washing Mach. Clothes Washer FEES Plumbing Permit .................. • • $ Sewer Inspection .................... $ Inspection of Pipe • .. • ........ • • • • • • . $ Inspection of Fixtures ...... • • • • • • . • • • $ $ TOTAL $ Received: Date By INSPECTOR'S RECORD N W S INSP. NAME Rough Plumbing Sewer Other Finish Plumbing L