HomeMy WebLinkAboutCO & APP - 04-00338 - 614 Cook St - New SFRCITY OF
R.EXBURG
AMERICA'S FAMILY COMMUNITY
CERTIFICATE OF OCCUPANCY
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -30201 Fax (208) 359 -3022
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
0400338
614 Cook Ave
9 V, M VrD
its
NO
Henderson W R
P O Box 190
Rexburg, ID 83440
Trent Harris Const.
This Certificate, issued pursuant to the requirements of Section 909 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 Wth the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy vies
classified.
Date C.O. Issued: February 18, 2 (12:50PM)
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 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:
SUBDIVISION: H Ur) UNIT#
PERMIT #
BLOCK# I LOT# S
OWNER: TP.C.yT J4 tf CONTACT PHONE # 3Sl - 7 8S'>
PROPERTY ADDRESS:
PHONE #: Home Work (74 30- 7&r7 Cell(
OWNER MAILING ADDRESS: 3.SWly, 2 s - yE. CITY: %KRUC6 STATE
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
MEW A2. Z S`o E. CITY: t 6 STATE; ,.Zb ZIP . yya
PHONE #: Home ( ) Work ( ) Cell ( )
CONTRACTOR: 7 2Lr/'f - h494 tie /f PHONE: Home# Work# Cell#
MAILING ADDRESS: 3 -��/l/. Z,svE', CITY ?�h90 STATE Z-b ZIP �'�
How many houses are located on this property ?_
Did you recently purchase this property? No (91f yes give owner's name) T T e"'g- h4vr or
Is this a lot split ?(00 YES (Please bring copy of new legal description of property)
PROPOSED USE: A_r / .ZXye
(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/
/ 2 / _ vy
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 AMR— P I-r
PROPERTY ADDRESS
SUBDIVISION E;9fgry
Dwelling Units:
Front Footage (if applicable)
Permit#
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area /6 2 o
Second floor /loft area
Third floor /loft area
Shed or Barn
Remodel (Need Estimate) $
PLUMBING F ,. D, Ox ( PLUMBERS NAME Gil ;>L✓v tRrAr(, ADDRESS
CITY S7, A✓ y STATE ._D ZIP /S — PHONE (2oy
CLOTHES WASHING MACHINE
x
SPRINKLERS
DISHWASHER
X
TUB /SHOWERS z_
FLOOR DRAIN
ac
TOILET/URINAL Z
GARBAGE DISPOSAL
WATER HEATER
HOT TUB /SPA
WATER SOFTENER
SINKS
(Lavatories, kitchens, bar, mop)
WATER METER COUNT
WATER METER SIZE 3 /'y
HEAT (Circle all that apply) as Oil Coal Fireplace Electric
Commercial Buildings & Apartments with 3 or more units Only
BUILDING ESTIMATE $
PLUMBING ESTIMATE $
STORM WATER LENGTH
FRONT FOOTAGE
STRUCTURES
DESCRIPTION y Oar
USE
BEDROOMS
UNITS
NON CENSUS
OCCUPANCY ZOAD
EXITS
SETBACKS
FRONT SIDE SIDE
Unfinished Basement area
Finished basement area_
Garage area G 7S'
Carport/Deck (30" above grade)Area
Parcel Acres:
CONSTRUCTION
ROOF
SANITATION METHOD
F111X A
FLOOD ZONE
FENCE TYPE
OCCUPANCY
BACK
IG•2'c/
2
SUBCONTRACTOR LIST
Excavation &
Earthwork: CU A!
Concrete.
Masonry:
Roofing: ) [ ?�l Afr
Insulation: /nL 3 7--
Drywall: ,S 1
Painting:
Floor Coverings:
Plumbing: Urn l�
Heating:
Electrical: U! C 7tie— I C
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
Roof Trusses:
Floor/ Ceiling Joists: �L
Cabinets: _A y0 ,itJ C -Q W7-
Siding /Exterior Trim l..l�jd D f- �! C0A J'S7W VC,Ti y Aj
Other: