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Home My WebLink AboutCO & APPLICATION - 04-00410 - 260 Mark Ave - New SFRCITY OF REXBURG q � N 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 0400410 260 Mark Dr 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 sties 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 vihich the proposed occupancy vies classified. Date C.O. Issued: August 01, 20 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. Harris David T Etux 382 E 3000 N Rexburg, ID 83440 Water De artmen p r State of Idaho Electrical Department (208 - 356 - 4830): CITY OFREXBURG 04 00410 BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 Please co 208 - 359 -3020 X326 If the qua Harris - 260 Mark Dr PARCEL NUMBER: R P9�, 1A Nl 5 OWk Q 1 to SUBDIVISION: ke dersa, UNIT# BLOCK# 4t LOT# OWNER: DAl1 o H/q- -,Lrc1 r CONTACT PHONE # 357 - Zg� PROPERTY ADDRESS: I PHONE #: Home (ar) ,fib - Dt& Work (j,�j ��- ZS�3 Cell OWNER MAILING ADDRESS: ?J 'Z E. Jq o W. CITY: STATE: IP: 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 S�•M- E' *.x CITY:_ PHONE #: Home ( ) Work CONTRACTOR: SEZ PHONE: Home# MAILING ADDRESS: CITY STATE; ZIP Cell ( ) Work# Cell# STATE ZIP How many houses are located on this property? Did you recently purchase this property? No (91f yes give owner's name) SfZ F Is this a lot split? (0 YES (Please bring copy of new legal description of property) (i.eQj ngle 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 /Applicant / / / eg/ 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 PROPERTY ADDRESS L�K SUBDIVISION Dwelling Units: Front Footage (if applicable) Parcel Acres: Permit# f 4 4 4 ( D SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area I q qo Unfinished Basement area IWA Second floor /loft area /V P( Finished basement area IVIA Third floor /loft area /V'A. Garage area �T? Shed or Barn N'A Carport/Deck (30" above grade)Area N[A Remodel (Need Estimate) $ PLUMBING PLUMBERS NAME ADDRESS 2Z z z .5Vkzz- SX CITY Sol. 4 CZ11f STATE �aW ZIP 8 d PHONE V6,r) f o > - f of r g FIXTURE COUNT CLOTHES WASHING MACHINE DISHWASHER FLOOR DRAIN GARBAGE DISPOSAL HOT TUB /SPA SINKS (Lavatories, kitchens, bar, mop) WATER METER COUNT I SPRINKLERS NA I TUB /SHOWERS Z N 4 TOILET/URINAL Z 1 WATER HEATER / NA WATER SOFTENER NA 3 WATER METER SIZE - YX HEAT (Circle all that apply )(Gas Oil Coal Fireplace Electric Commercial Buildings & Apartments with 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 CONSTRUCTION ROOF SANITATIONMETHOD HEAT FLOOD ZONE FENCE TYPE OCCUPANCY l SIDE SIDE BACK 2