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HomeMy WebLinkAboutCO & DOCS - 04-00369 - 332 Salem Ave - New SFRCITY OF a REXBURG AMERICA'S FAMILY CONIMUNrrY 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: Jacobson Scott Etux 4330 W 3800 S Contractor: Special Conditions: Chang Window abovc :s znir5 io fem pe r2.d g/ Occupancy: 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 sties inspected on the date listed vies found to be in compliance vtith the requirements of the code for the group and division of occupancy and the use for Mich the proposed occupancy v►es classified. 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 Rexburg, ID 83440 0400369 332 Salem Ave Burgener, Bill Date C.O. Issued: June 27 10 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: I OLi6i:�'`i I I °� l Fire D State of Idaho Electrical Department APPLICATION FOR BUILDING PERMIT CITY OF REXBURG, IDAHO Date of Application_ ! 3 OWNER Name Site A. Mailing Address y33 o w i s "0 S City /State /Zip Telephone/Fa) CONTRACTC Name firms .i e Cr9.b Sct Mailing Address S&A e, 4" S 0.b We City /State /Zip Telephone/Fax/Mobile Sa-yA e- a a,60 ue PROJECT INFORMATION DEPARTMENT APPROVAL Property Zone: Is existing use compatible with zoning, (screening parking, etc) ye- S When was this building last occupied &"/ 1' Architect/ Engineer Firm B 831 �a e r Plan Name 5 ; 4- Mf O b 50 0 Subdivision n r i a i Aa I Q P- hLl ra 'ne 9,n S i3O Lot Block oZ 9 Circle One Commercial Educational Government Remodel Other Circle One f New House ) Addition/Remodel to House New Commercial Commercial Remodel Circle One Base men None/ Finished / Unfmished Other: None/ Patio/ Carport/ Awning N/A Lot Square Footage 7 y 93, p7s Lot Width 7 y r S Square Feet 13 (p Garage Square Feet Number of Stories / Height of Building __ L7 7 What will structure be used for: <: Some> Home Business Apartment Commercial Other Will there be an apartment? oVy If so, how many units Total Estimated Cost 9t D Are you in a flood plain O V - 0 A Signature of Applicant Code Zone Building Type Permit No. Building Permit Fees Plan Check Fees Plumbing Permit Fees Digging Permit Fees_ Water & Sewer Fees Front Footage Fee (Parks, Fire, and Police) Impact Fees TOTAL $ Signature of Inspector Issued by • • • BUILDING PERMIT APPLICATION REXBURG, ID DATE 9 i3 0 NO. THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER p JOB ADDRESS S / 0 <9ONE 3 BUILDER 5L rj ARCHITECT R STRUCTURE: IC(NEW n nrunnci n FOOTINGS NCRETI ❑ MASONRY ❑ OTHER ROOF HEAT INSULATED REMARKS: DEPARTMENT OF BUILDING & ZONING VALUE FEE PAID I] CASH APPLICANT CHECK BUILDING DATE ADDRESS INSPECTOR WHITE -Owners Copy CANARY - Building Department's Copy PINK - Assessors Copy GOLDENROD- Inspector This permit is issued subject to the regulations contained in the Uniform Building Code and Zoning Regulations of Rexburg, and it is hereby agreed that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations pertaining and appli th ereto: The issuance of the per mit does not waive restrictive covenants. CITY OF REXBURG APPLICATION FOR PLUMBING PERMIT _OW_ NER OW) l' � kVNA. > FEES Name Sco tt — , J &%.Cc9 b Sr7 /1 Address Tel. ,3 ?d ._y 2 3 O Lot Blk. 02 Add. le In S7l PLUMBER Name N&A-417 f Address KI"A b l/ Tel. 7YS - C7 3 ©(p NATURE OF INSTALLATION Use New Rough Plumbing V Septic Tank Fixtures V Water Piping Complete %/ Sewer / DESCRIPTION OF WORK Bath Tubs A r jl Urinal Showers ° Sink Trap Laundry Trays + Water Heater / Wash Basin Other Toilet 6 Slop Sinks Kitchen Sinks 4 Floor Drain Drinking Fountains Lawn Sprinklers Water Softeners Dish Washing Mach. / I Clothes Washer / Plumbing Permit • • • • . • .............. $ Sewer Inspection .................... $ Inspection of Pipe ................... $ Inspection of Fixtures ................ $ $ TOTAL $ Received: Date By— INSPECTOR'S RECORD N W E S INSP. NAME Rough Plumbing Sewer Other Finish Plumbing SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Z�mcrefP Masonry: Roofing: a !� S Insulation: Drywall: r— ,) ? Painting: �J a �, 5sa�► e S Floor Coverings: L,_, e Y Plumbing: iii` Heating: -Fe Electrical: Q SPECIAL CONSTRUCTION (Manufacturer or Supplier) Roof Trusses: / (,� S Floor / Ceiling Joists: Cabinets: - bsch e S Siding /Exterior Trim: j So n Am S Other: Z- (0 M1826 WARRANTY DEED First American litte C an P .� om . For value Received Parcel 1: Albert Jay Nelson, Personal Representative of the Estate of Saville O. Nelson, deceased, a 9M 8 interest (50 9 /6); Mary Christine Stinchcomb, Albert Jay Nelson, Richard Lee Nelson, Wilbur Thayne Nelson, Martha Jeannene Sett, Laura Gwen Bellegante, Doyle William Nelson, Lila Pauline Hemphill, each to a 1118 interest (119 of 50 Parcel 2: Albert Jay Nelson, Personal Representative of the Estate of Saville O. Nelson, deceased Hereinafter called the Grantm hereby grants, bargains, sells and conveys unto Martha J. Scott, an unmarried woman whose address is: 37 N. 3rd W., Rexburg, ID 83440 Hererofter called the Grantee, the following desaibed prefruses situated in Madison Cour ty, Idaho, to-wtt Parcel 1: Commencing at a point 214 feet North of the SE comer of Lot 4, Block 29 of the Original Rexburg Townsite, Madison County, Idaho, as shown on the recorded plat thereof, and running thence North 115 feet, thence West 268 feet, thence South 137 fleet, thence East 123 feet, thence North 21% feet, thence East 145 feet to the Point of Beginning Parcel 2: Commencing at the SE comer of Lot 1, Block 29 of the Original Rexburg Townsite, Madison County, Idaho, as shown on the recorded plat thereof, and running thence North Zoo feet; thence West 247.50 Beet; thence South 2.00 feet; thence East 247.50 feet to the Point of Beginning. SUBJECT TO al easements, right of ways, awenants, restrictions, reservations, applicable budding and Zoning ordinances and use regulations and restrictions of record, and payment of aocruing present year taxes and assessments as agreed to by parties above. TO HAVE AND TO HOLD the said premses, with Rs appurtenances unto the said Grantee and to the Grantees heirs and assgns forever. And the said Grantor does hereby oolve or t band with the said Grantee, that the Grantor is the avner in fee simple of said premises, that said premises are free from all enaurrbranoes except aurent years taxes, levies, and assessments, and except U. S. Patent reservations, restrictions, easements of record, and easements vislile upon the premises, and that Grantor M warrant and defend the same from all claims whatsoever. Dated: August 2003 Albert J. Nelson, Personal Rep. Saville O. Nelson BY: Instrument # 306405 REXBURG, MADISON, IDAHO 20034W29 03:90 00 No. W Pao :3 Recorded for: FIRST AIOERICAN Tt E MARILYN R. RASMUS N ee: 8.0 Ex-O flclo Reeorder WilburThayne Nelson Martha Jeannene Scott Laura Gwen Bellegante Doyle William Nelson Lila Pauline Hemphill STATEOF Co)orod o COUNTY OF On thi&s) gu the undersigned, personally appeared kno r identified to to me�oath off, to be the e names) is sCibsaibed to the within instruto ment, and to me th ecuted the same. �g SORq�� Notary icof Residing at q�OTAq�s��o Commission E)pirw: s••A :o �F ' •.....• Q ,P OR Rn�O Martha Jeannene Scott Laura Gwen Belegante Doyle WMakBqelson Lla Pauline Hernphil STATE OF COUNTY OF- On thfsa_i. � ust 2003, before me the undersigned, personaly appeared A/ kno m or identified to me (or proved to me on the oath ct), to be the sv_ft name(s) is subsobed to the within instrument and adlTaNledged b me that h e executed the same, Notary Public of ResidiV a t tarial seal Debra P. OII."f 'otary Public On Con riss MU ire f w, :Monroe(��y ' IYIy commms" . ., a Jan. 25, 2009 Wmbw, Pennwia - ua Awc atlon of Nof ft