HomeMy WebLinkAboutAPPLICATIONS, CO, MULT DOCS - 12-00150 - 565 Pioneer Rd - Rockcreek Townhome #122Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
12 00150
International Building Code 2009
565 Pioneer Rd" #122
Rock Creek Townhome
Type V, non-rated
N/A
No
Rock Creek Hollow Llc
504 N 4000 E
Rigby, lD 83442
Northern States Development lncContractor:
Special Conditions:
Occupancy:Residential - 2 units or less, permanent in nature
This Certificate, issued pursuant to the requiremenfs of Sectian 109 of the lnternationat BuildingCode, certifies that, at the time of issuance, this buitding or that portion of the building that wasinspected on the date listed was found to be in compliance with the requirements of the code forthe group and divisian of occupancy and the use for which the proposed occupancy wasclassified.
Date C.O. lssued:
C.O lssued by:
There shall be no further change in the existing occupancy classification of the building nor shall any structural changes,modifications or additions be made to the building or any portion thereof until the Build'ing Official has reviewed andapproved said future changes.
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rD 83440
Piease Complete the Entire Application!
If the question does not apply fill in NA for non applicable
35 N 1" E, REXBURG,
208-372-2326
OWNERNAME:
PROPERTY ADDRESS:
PHONE #: Home 46, ?qq-q)F l pb$' t.5t -1.3F? cell ( );Da-.BZd - 3q ){i
OWNER MAILING ADDRESS:q1|e.cowrCITY:.81€4.,+"\ STATE:Fb Z1P:8<SHSL{
(}'t
5t
Qf other than owner)
, a statement autlorizing applicant to act as(Applicant if othdi
APPLICANT INFORMATI ON :
ust accompany this application.)
CITY:
#: Home ( )Work ( )
MAILING ADDRE,SS, ATYfrE^4-/\-STATF&b-ZIP8-E
PHONE: Cell#Fax#JO8-959-Q&5r
EMAIT.S*FIe ecq ALerc IDAI{O REGISTRATION # & Exp. DATE
63-77Q
How many buildings are located on rhis property?
Did you recendy purchase this properry(fig-yes (If yes, lisr previous owner,s name)
-t -\
Is this a lot split?(Np) YES (Please bring copy of new legal description of property)
PROPOSED USE: . -z-s--.---.--.
(.e., Single Family n.ria.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: underpenartyorperiuryrherebycertilrthatr
have rcad this application md state that the infomation herein is corect md I swear that my infomation which may herafter be given by me in hadngs before thePlming and Zoning Commission or the city coucil for the city of Rexburg shall be t rthiul md conect. I "gr.. io .o-fty *th all city regulations md state taws relating
of{icial may revoke a pemit on apprcval issued under the provisions of the 2003 Intemati""a cJ. - ."r* ;|;;;JJ.;;;J";", ;Jr;;;;;;; ;;r.,otonthePfiFonwhichthepemitorapprovalwasbased. PemitvoidifnotstartedwithinlS0days. pemitvoidifworkstopsforlgodays.
Owner/Applicant "l u JF / l,
DATE
prefer to be contac*{!: lll g4 g:_phone? Circle One
WARNING - BUII.DING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!Plo fees re non-refirndable and are paid ia frrll at rhe time of application be giffi;n7lggglei.City of Rexburg,e Accepruce of the plm rois fee does not conetituic ptari.pp-"i**Building Pemir Feee ate due at time of application** i+Building Pemie re void if you check does nol cleapr
Business Applicolion Ctl'Y OF
35 North lst Eost
I?exburg, ID 83440
REXBT]llG
e\,
itn eri rc's F,t t it i ly (.cm n u :!i ij,
Please take lhe time to answer all questions so that we can further assist you and your facility Thank you.
What type of business will be performed
Will the business have food preparations?
Will there be any cooking of foods?
Will there be any deep fat furing?
Will you have food disposal on site?
will there be any maintenance or mechanical work in the building?
Will there be sumps or floor drains in the facility?
Will the business require more parking?
Will the business have any chemicals on site ?
Is this business occupying an existing building?
Will the business be doing any structural/or remodeling changes to the building?
Any changes to the electrical?
Any changes to the plumbing?
Is this business planned to be the same with different ownership?
Will there be a change of occupancy?
Yes No
Yes
Yes
No
No
Yes
Yes
No
No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes
Yes
No
No
Yes No
I Certify that The information that I have provided above is to the best of my knowledge accurate and true.
Applicants Signature Phone Date
Bu
35N lsrE
Rexburg, lD 83440 www.rexburg.org
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
RTX3LIRG
Remode/z'ng Fozr'BztzTdzng/tTome (need total constructions esrimare, excluding fire,
electrical, plumbing, and Mechanical valuations) g
ReszVentzb/
''RFACE seuARE uoofi&,tlnrf
(Shall include the exreriorwall measuremenrs of the building)
Unfrnished Basement area
Finished basemenr area
Garage "r." ,+dft. .t
C-aryordDeck (30" above grade)Area
Third floor/loftarea
Shed or Barn
Commercza/
C.onstruction Type:OccupancyType:
SURFACE SQUARE FOOTAGE: (Shall include the exteriorwall measuremenrs of the building)
New Constnrction sq. ft.
Commercial Remodel sq. ft.
Commercial Addition sq. ft.
Utiliry, Misc. Private Garage sq. ft.
Storage sq. ft.
tTz/n:,Fan zQr/,fzng /e Sta de n t Ho zs z'zg
sq. ft. per unit
I\{a.nager Unir sq. ft.
Buifng Sofety Deporfmee
City of Rexburg
Pwrno^at Pnn'er
clf ),{)f---1TEXBIIRG(\,
,l ttt r i ctj Fqrtt !t, tlo nt n*n i ly
35 N. 1" E., Rexburg,Id 83440
Phone -(208)3s9302a,/ Hotline -eo8)372-2344 / Fax -eol)3s9_3022
OWNER'S NAME
PROPERTYADDRE Permi# lL AL'Cl5Q
Requzred///Ef,ECMrC4T
Electrical Contractor': '/7 A
oo*.*2 n o-,)*" lLl^**' 1Gllphone(Jo9 3qo -=.t>\ gusinessphone0og DSr*l::r.i
F*QF) ?3r - qr:i Email
(COMMERCIAL/IND{J. STRIAL) Total cost of electrical system (conracred Amount)(nclude: tbe mst of materials in$alled regardler 0f the partJ vppling it Thefeet li:ted aidcr tb;s l)rpunn lpe sball applt ro or,-)rdii-rbrtirolnot specifca@ mentioned elseabere on tb*fom).
! Up to $10,000 (total cost of slstem x 0.02) + 60 : $! Between $10,001- $100,000 ( (toral cost of iptem - 10.b00) x 0.01) + $250 : $D over $100,001 ( (tgtalfost of slstem - 100.00b) x o.obs) + $1,160 : $Small Vor{<s (C-ontracton ONLY): $10 fee fot*orkroi.o..dittg'$200 incost
"nd rrot involving a change inservice connections. Does NOT require inspection.
RESIDENTIAL
tVeu'Szng/e FamtfuDae//z:zg\ zzc/udizg a//buldzzgs az|rl uznhg beng constrzctedoz eaclproperty. ("Baredan /zzubg s?ace,see defzzZtbz be/oo,)
! Up to 1,500 sq ft -- $130 r 1,501 to 2,500 sq ft _ $195tr 2,5A1to 3,500 sq ft - $260 ! 3,501 to +,SOO sq ft _ $325! over 4,500 sq ft $325 p.l* $6^q for each additional 1,000 sq ft. or portion rhereof ($rzs * ($65 x # of addfuional
1!Q0 sq. ft. or portion thereoO).
tVerortUz/ti-Famz/y,Oaz//zhg(AzwctoiOz/y)
11 Duplex Apanment $250
A Three-ormorypuhi-familyunits:.$130perburl{inqnlulL65,pjtunie($1.30x# of brrildings) +($65x# of unia)D Fdr$q Residence, Modular, Manufactunsd oTil,Iobile Ao-.r,branch circuit,-up to the maximum of the_c-o-rresp_"l1|3g sq. ft. of *. U"ilai"g ($65 + ($10 x # branch circuits))D Crntal Heating/C-ooling Systems: $65 \iVhen NoT;; of new reside"rii "i rrvac p."tit *im no additionalS0iring
_ " __,spas, Frot f"b:' and svimming pools: $55 fee for each trip to inspectPzmps- IWate4 .tmgaab4 .feuwge (eacb motir)
! $65 up to 25HP n$95 - 26 to 2OOW n$130 over 200 Hp
MISCELLANIEOUS
D Temporary C-onsbrrction Services ONLY: 200 amp or less, one location (for a period nor ro exceed 1 par) - $65n Tempomry Amusement $65 fee phrs $10 per ride, concession or generirror
D Irtigation Machine: $65 for center pivot plus $10 per tov/er of drive motor
n Technical Service: $55 perhour
n PlanCheck $65perhour
o Requested Inspection: $55
lltyyg SPac:.- space within a dye\rr yff intended for human habimtion whigh malr5asonablybe udlized for sleeping eating cookingbathing y{ye, recreatioq and sanitition pu{poses. An unfinished basement ir .r;id;;J;;;;. lid;io;;;"'"^"'
'
3at">f)3- Bc-r-)Licensed Contractor License number &Date
v,J/zJ/lVtl tJ.uu rAI td 001/001
ifl E-, Rexbur& Id 8J440
ng SofeV Deporlmenf REXBUITG
SisElLffi Permi#
VacnMetcrQuarrtity:++lrr''"'+'..aVaE r Mer r Sizc :
Re,grfud///P/umbtng
Plumbing Contra6e;'5 \ls6 Busins5s f{ilnc
Addrrs
GrlPhone QA %2|- lZbB
Fo(Ernail
(CoI'IMERCIAI/IND-IJSTRTAL) Tocal cost of plumbing sysrcm tc'ro".o.o a-oilr[(latltda tl* nlt ol' maltnil.r nrblltd nynlfus ai ihe pa4 .rn1g/Si4q it, ?fh,
lh., brnioaL, n; inmatinn hyrt tttJt ,nsA, ta .uut(latltda tl* nlt ol martntb nrblhd nynlfus aiihe pa4 .rnpplSiry it, ifhr.1h.,nrpa'tion Dpr:lll qpl, tn aay unl dlpluntii ieto/bticnrnot :priJial! ncntioaql tkalxn os tlttlbtm).
n Up to $10,000
c Bctveen $t0,0gl - $IOO,OO0
o Ovcr $t00,001
RESIDENTIAL
{tord cmr of q}ater" x 0.02) + 60 - g
( (rornl cm o! grrcm - tQ0@) x 0.01) + $260 - 5( {roral casr of system - I00.QQQ) x O.OOS) + $1,160 - $
Nea': 'fusqk fiznt/.v'hellag, hc/adtag a//huitdti,rgs wa dfig bci,tg cot slryttcdon cttcrrpmpny. (Igteloo liwbg ,Fwcc,see dqfai:mn fub*/
B Up to 1,500 sq ft - $130 Lr 1,501 ro 2,500 sq fi - $t95o
D
2_,501 to 3,500 sq [t - $260 a 3,501 ro 4,500 sg ft - $J25
ffi :fT :1t:::: t51f, tu. e:ah additionar t,ooo 'q f.. '.6;-io"'iffi;id;d';isss * ,_or "aa;.rooul),ile e t/x/* fan il he/tng /Co nafrron Ot $)a Duphx Apanmcnt $250
f" 'fhrcc or morc muhi-Family unis: $l3O pcr building plrrs 565 pcr unic (1130 " f of buildiqn) t($65 x f of-rur;cs)n Existing Re sidencc, and De trchcg shf ' $65.fi"phs sio'p.. fi,";E;ffi;.,-um of rhc corrcsponctingsq. ft. of thc building ($65 + ($la x I of fbrqm) '
o Gmy VaterSptcmr: $LlO
n Laum Sprinklers/Eackflow Device: $55
il Moduhr' Manufacnrrcd or Mobilc Homcs: $65 for sewrr and watcr stub cooocctiorua $ultigutpose Firc sprinklerand Domestic varersupply sptenr' $65i;;r $4;sprinkkrhed whichcvcrrs glEa[cr
.fewrr,? Waler
o $38 Seunr Lirn ns38 warer Linc o$65 Scnar & Vatcn if inspcccd ar rhe srm rimcD $65 Sec€r rufiLlrotrnd rurdcr housc (clurngc from scpic ro ciq)MISC,EILANEOUS
n Plen Check 565 pcr hour
o Tecbnical Ssricer $65 perhow
n Cas Line: $65
o VttcrHearerRcphcement $65
B Requcsrcd Inspection: S55
u Hydouic Hcating: 365 + ($10 x I of manifoldi/zoncs)
ffffi tffi,;.'ff-:*":1:5.'t'^::*l r::hYT f.lirar;on whi.ch mlpcsgmblr! uo:lizcd ror steeping. earing cooking,h"ttu"c' rrohing, rccrt*ion, and smfuicion purpo$es, fur unfinishcd bos"mcniir.o*id.rrd ilJ416Gng $psrc.
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tesidential Fixtures
irical
ee
lumbing Permit Fee
ewer
later
:e
Fee
:gg
it Fee
65.fiCI
65.ilfl
114 " bn
,5? " 43
s9'i 'ilil
a.i'l " [0
'1St " 15
3:i ' ir,
6?1 "ii
1 r 34.1.55
&3, [']
4 ,;:i5 " 41
+ ,381 . 4l
n hfi
$6s.00
$6s.00
$134.66
$6s.00
$69.43
$697.00
$637.00
$458.85
$55.26
$691.66
$1,346.55
Total:
$6s.00
$65.00
$134.66
$65.00
$69.43
$697.00
$637.00
$4s8.85
$55.26
$691.66
$1,346.55
$0.00
$0.00
$0.00
$0.00
$0.00
$o.oo
$0.00
$0.00
$0.00
$o.oo
$0.00
$4,285.41
THAt'lli 'r'Lltl ANIr HAtlt A i'lltE trAY
Total:$4,285.4'l
PAID
APR 2 5 ZAn
CITY OF REXBL'RG
$ 4,285.41
genpmtrreceipts Page 1 of 1