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HomeMy WebLinkAboutCO & APPLICATION - 04-00402 - 664 Harvest Dr - New SFRU��gEXBijRCt� CITY of CERTIFICATE OF OCCUPANCY s MX BSMfD `8. Americas Family CommunRy Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / 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: 1S U1 10 1 International Building Code 2003 664 Harvest Dr Single Family Residence Type V -N, Unprotected Residential In Name and Address of Owner: Jensen Brett Etal P O Box 847 Rexburg, ID 83440 Contractor: Owner Special Conditions: 70 IG 0' Occupancy: Residential, single family dwellings, lodging houses 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 with 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. Issuec 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 Departmentr � " 1 .IZN ''r Fire De State of Idaho Electrical Department CI'T'Y OF REXB URG PERMIT # BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 Please complete the entire Application! 208 - 359 -3020 X326 If the question does not apply fill in NA for non applicable PARCEL NUMBER: kw �\oID&Q��o t2 SUBDIVISION: 5 ���,�j S UNIT# BLOCK# LOT# OWNER: CONTACT PHONE # PROPERTY ADDRESS: PHONE #: Home ( 3S% 9Sd3 Work Cell ( ) 313-6 736 OWNER MAILING ADDRESS: rZ, k ��/� CITY: STATE: 0 ZIP: J3%' ' 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.) ,141LING ADDRESS OF APPLICANT tzP 7 CITY: STATE; ,Z ZIP `r/w PHONE #: Home ( ) j 3 Work ( Cell ( ) .313-C 73-e CONTRACTOR: %Ile �1` .��r��, PHONE: Home# Z5J:P�V__1_ Cell# 313 MAILING ADDRESS: CITY J k� STATE ZIP F?el 'w How many houses are located on this property ? c;I Did you recently purchase this property? No Ye If yes give owner's name) Is this a lot splitlNO YES (Please bring copy of new legal description of property) PROPOSED USE: S/, (i.e., Single Family Resid 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 startedLyithin 18 a s„ Pergxjt void if work stops for 180 days. 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 1�� J� PROPERTY ADDRESS SUBDIVISION Dwelling Units: Front Footage (if applicable) Permit# SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 000 Second floor /loft area Third floor /loft area Shed or Barn Unfinished Basement area ` �CJ(D Finished basement area Pmgm 11 (0a Carport/Deck (30" above grade)Area Remodel (Need Estimate) $ 4# PLUMBING PLUMBERS NAME 1-4e � �oDr� ADDRESS CITY STATE ZIP PHONE 7;V FIXTURE COUNT CLOTHES WASHING MACHINE DISHWASHER FLOOR DRAIN GARBAGE DISPOSAL HOT TUB /SPA SINKS S (Lavatories, kitchens, bar, mop) WATER METER COUNT SPRINKLERS I / `l TUB /SHOWERS 3 D� TOILET/URINAL WATER HEATER WATER SOFTENER WATER METER SIZE 3 HEAT (Circle all that apply) Gas Oil Coal Fireplace Electric Commercial Buildings & Apartments with 3 or more units Only BUILDING ESTIMATE $ -)00 Dom'' f ' PLUMBING ESTIMATE $ - 45CO STORM WATER LENGTH FRONT FOOTAGE STRUCTURES DESCRIPTION USE BEDROOMS UNITS NON CENSUS OCCUPANCY LOAD EXITS SETBACKS FRONT CONSTRUCTION ROOF SANITATIONMETHOD HEAT FLOOD ZONE FENCE TYPE OCCUPANCY SIDE SIDE BACK Parcel Acres: P�