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Home My WebLink AboutCO & APPLICATION - 04-00379 - 266 Ricks Ave - SFR to Duplex Remodel# wn-Oft — , CITY OF REXBURG 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 0400379 266 Ricks Ave Name and Address of Owner: Contractor: Special Conditions: Occupancy: Owner 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 vuth the requirements of the code for the group and division of occupancy and the use for Mich the proposed occupancy ties classified. Date C.O. Issued: November 14, 200 1:59AM) C.O Issued by: Building Official There shall be no further change in the wdsting 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 De i Dougherty Troy Etux 268 Ricks Ave Rexburg, ID 83440 State of Idaho Electrical Department # iW O - 4 % CITY OF REXBURG 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 0400379 266 Ricks Ave Name and Address of Owner: Contractor: Special Conditions: Occupancy: Owner 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 v►es found to be in compliance v►ith the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: November 14, 200 1:59AM) 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 Dougherty Troy Etux 268 Ricks Ave Rexburg, ID 83440 State of Idaho Electrical Department CITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 PARCEL NUMBER: SUBDIVISION: OWNER: PROPERTY 0400379 llougherty Bsmt. reniodel �f OCT 1 5 2009 C BURG PHONE #: Home (Zd) X60 3 o(Iq Work (2D ) to l 9 55 Cell 46 g 7o S 8x15 OWNER MAILING ADDRESS: CITY: )? ? Xbvq STATE: Tb ZIP: ?3V 6 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 _ Z& P (c Avc CITY: IRCX btk STATE; 1 D PHONE #: Home (2pg) l o , 5(o %q Work ( ) Cell( ) CONTRACTOR: k C Could PHONE: Home# 356 %q0 Work# Cell# MAILING ADDRESS: (p 2� LI IaC CITY I IkrA STATE__�ZIP �5 How many houses are located on this property? ' Did you recently purchase this property? (J Yes (If yes give owner's name) v Is this a lot split? O YES (Please bring copy of new legal description of property) PROPOSED USE: / 7 a / i FQmd � (i.e., Single Family Residenc ulti Famil , A p art ments, 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. JL � ' i (� 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 I, 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" N 1 0-Oq V0 FR-T PROPERTY ADDRESS 144A P1W Avc- 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 Second floor /loft area Third floor /loft area Shed or Barn Remodel (Need Estimate) $ Unfinished Basement area Finished basement area Z Garage area Carport/Deck (30" above grade)Area PLUMBING PLUMBERS NAME ADDRESS CITY STATE ZIP PHONE ( ) FIXTURE COUNT CLOTHES WASHING MACHINE DISHWASHER SPRINKLERS \ TUB /SHOWERS FLOOR DRAIN ? alr t'k%sfs f TOILET/,URINAL ` 4 GARBAGE DISPOSAL �_ WATER HEATER HOT TUB /SPA WATER SOFTENER SINKS (Lavatories, kitchens, bar, mop) WATER METER COUNT WATER METER SIZE HEAT (Circle all that apply) "Gas ' Oil Coal Fireplace Electric Commercial Buildings & Apartments wit 3 or more units Only BUILDING ESTIMATE $ PLUMBING ESTIMATE $ STORM WATER LENGTH FRONT FOOTAGE STRUCTURES DESCRIPTION USE BEDROOMS UNITS NON CENSUS OCCUPANCY LOAD EXITS SETBACKS FRONT SIDE CONSTRUCTION ROOF SIDE SANITATIONMETHOD_ HEAT FLOOD ZONE FENCE TYPE OCCUPANCY / BACK N