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�