HomeMy WebLinkAboutCO & APPLICATION - 02-00084 - 474 W 5th S - 4-Plex Addition (2)CERTIFICATE OF OCCUPANCY
City of Rexburg
Department of Building Inspection
Building Permit No: R-oi-ii-io
Applicable edition of code: ❑ International Building Code 2000
❑ International Residential Code 2000
❑ Uniform Building Code 1997
Site address: 452 West 5th South #4
Use and occupancy: Residential (Manufactured Home)
Type of construction: Wood Frame
Design occupant load: Residential Family
Sprinkler System required: ❑ Yes ❑ No
Name and address of owner: Linda J. Eames /EWLLC
so Sunset Circle
Rexburg, Idaho 8344o
Contractor: E R Homes (Guerdon Village)
Special conditions: k N�
Occupancy: 12• Full ❑ Partial ❑ Temporary
This Certificate, issued pursuant to tbe requirements of Section 10 of tbe International
Building Coble, certifies that, at the time of issuance, this building or that portion of the
bui(aing that was inspected on the date [istea was f ouna to be in compliance with the
requirements of tbe code for the group and division of occupancN and the use for which the
proposed occupancy was cfassi f iea.
Date: November 21, 2003 (12:3_ M
C.O. Issued by:
Build' Official
There shall be no futu " change in the ; xis ' ' g occupancy classification of the building nor shall
any structural changes, modifications or a+ ditions be made to the building or any portion thereof
until the Building ffiial has re 'ewed and approved said future changes.
Water Department ..- 7 De artment
p
State of Idaho Electrical Department - (208 -356 -4830) ❑ Merlin Webster
DEPARTMENT OF BUILDING & ZONING
VALUE
BUILDING
INSPECTOR
WHITE - Owners Copy CANARY - Building Department's Copy PINK -As
BUILDING PERMIT APPLICATION REXBURG, ID DATE /
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
S i ' t :4 *' I , t,L ., JOB ADDRESS
BUILDER ■ # ;`z ARCHITECT 4
STRUCTURE: 11, NEW O REMODEL ' 0 ADDITION
` 0 COMM. 0 EDUCATIONAL O GOVT O RELIGIOUS 0 FENCE 0 PATIO O CARPORT 0 GARAGE O AWNING
OWNER
FOOTINGS
O MASONRY
0 OTHER
REMARKS:
FOUNDATION
RET
0 OTHER
BASEMENT
O PARTIAL
o FULL
AM)
FLOORS
WOOD
O CONCRETE
0 OTHER
EXT. WALLS
wooD
MASONRY
0 CONCRETE
0 VENEER
O METAL
O STUCCO
INT. WALLS
O WOOD
O MASONRY
0 CONCRETE
Q DRYWALL
O PLASTER
O TILE
O REPAIR
CEILING
O WOOD
DRYWALL
0 PLASTER
❑ TILE
O ACOUSTIC
O OPEN
4 PHONE
DESIGNER
0 RENEWAL
ROOF
0 BUILT UP,
WOOD SH.
P. SH.
TILE
Q ETA ROOF
AL
HEAT
0 FIRE DAMAGE
ZI. GAS WALLS
O'OIL ICING
O COAL 'OORS
O FIREPLACE 0 PERIMETER
0 ELECTRIC
This permit is issued subject to the regulations contained in the Uniform Building Code and Zoning Regul ons of Rexburg, and it is hereby
that the work to be done as shown in the plans and specifications will be completed in accordance withlhiregulationt
pertaining and applicable thereto: The issuance of the Permit does not waive restrictive covenants. AI
INSULATED
reed
Date of Applicatio �� 41-,/i' /
Job Address:
Lot No.
OWNER 9
Name: / /!�l(.YC . ( 49./Mt C ,c .1[.
Street Address:
Mailing Address:
City, State:
Zip: igt194
INSTALLER
Name:
Address:
City, State: O (fS
Zip:
Id. Lic. No.
PLUMBING CONTRACTOR
Name:
Address:
LEGAL DESCRIPTION (ATTACH COPY IF NECESSARY)
Block: Subdivision /Mobile Home Park:
DEALER /BROKER � �
Name: (l /J
/7 1/`x/9_,
Tel: ;W "/2.305
/b t4
City, State:
Zip: (3y9 Te .
PROJECT INFORMATION
Residence: n Other:
STRUCTURE: New: Relocated:
Foundation: Garage:
SQUARE FOOTAGE: House: A2g0
Well Permit (County Only):
Building Permit Fees:
Plumbing Permit Fees:
Water & Sewer Hookup Fees:
Signature of Applicant:
Signature of Building Inspector:
Issued By:
CITY OF REXBURG / MADISON COUNTY
MANUFACTURED HOUSING / MOBILE HOME
APPLICATION FOR BUILDING PERMIT
Mfg. Name:
Remodel:
Carport:
Garage:
EST. COST: House: / / ¢}ep/j Garage:
U.B.C. USE CLASSIFICATION:
TAX CODE:
Permit No.:
Address:' E4® 11/Q
City, State:
Digging P�Permi
Otag wsss :
i9 . /)
Zip: gg£`51°2. Tel.
Ida. Lic. No. .9
BUILDING / CONCRETE CONTRACTOR
Name:
Address:
City, State:
Z ip: 03 /9 Tel :
ELECTRICAL CONTRACTOR
Name: PJPC'Y
Address: �. ,967{ �� -�-��
City, State :_- X 0 4/) / ./1.,1
Zip Tel: 3:23 9
Addition:
Awning:
Other:
il-
Year Mfg'd:
Repair:
Other:
Foundation: ,527/90 Other:
NOV 2 0 2001
NG CLASSIFICATION:
TYPE:
Tank Permit (County Only):
eck Fees
Fees:
Rough Plumbing
Septic Tank
INSP. NAME
Fixtures
V' '
Water Piping
Complete
,.<
Sewer
Bath Tubs
Urinal
INSP. NAME
Showers
V' '
Sink Trap
Laundry Trays
r.
>:,,
Wafer. Heater
Wash Basin
purer
Toilet,.
Slop Sinks
�: o
Kitchen Sinles
Floor Drain
Drinking Fountains
Lawn Sprinklers
Water Softeners
Dish Washing Mach.
Clothes Washer
Add.
Name
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
Address
Use
NATURE OF INSTALLATION
OWNER
ti
PLUMBER
DESCRIPTION OF WORK
FEES
Plumbing Permit $
Sewer Inspection $
Inspection of Pipe $
Inspection of Fixtures $
$
Received: Date
By
W
TOTAL $
INSPECTOR'S RECORD
N
INSP. NAME
Rough Plumbing
V' '
Sewer
r.
>:,,
Other
Finish Plumbing
�: o
Add.
Name
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
Address
Use
NATURE OF INSTALLATION
OWNER
ti
PLUMBER
DESCRIPTION OF WORK
FEES
Plumbing Permit $
Sewer Inspection $
Inspection of Pipe $
Inspection of Fixtures $
$
Received: Date
By
W
TOTAL $
INSPECTOR'S RECORD
N
Excavation Q 1l3fLact lctLC
Earthwork:
Concrete: ECL4-1-0
Masonry: 114 pc
Roofing:
Insulation:
Drywall:
Painting: '
Floor Coverings:
Plumbing:
Roof Trusses:
Floor / Ceiling Joists:
Cabinets:
Siding/Exterior Tri.u:
Other:
1,1 tido V HP
tligr
everaon I(
1
It
SUBCONTRACTOR LIST
1,13oacQ
SPECIAL CONSTRUCTION
(MANUFACTURER OR SUPPLIER)
' a
____ hOt-t9 4 Vh.eS