HomeMy WebLinkAboutAPPLICATIONS, CO, MULT DOCS - 12-00153 - 565 Pioneer Rd - Rockcreek Townhome #125Certificate of Oceupancy
City of Rexburg
Department of Community Development
35 N. lst E. / Rexburg, lD. 83440
359-3020 / Fax 359-3022
Building 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 00153
lnternational Building Code 2009
565 Pioneer Rd, #125
Rock Creek Townhome
Type V, non-rated
NIA
No
Rock Creek Hollow Llc
504 N 4000 E
Rigby, aD 83442
Northern States Development lncContractor:
Special Conditions:
Occupancy:Residential - 2 units or less, permanent in nature
This Certificate, issued pursuant to the requirements of Secfion 109 of the lnternational Building
Code, certifies that, at the time of issuance, this building or that portion of the building that was
inspected on the date listed was 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 was
classified.
Date C.O.t4 ij 7'e*
C.O lssued by:
ng Official
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 Building Official has reviewed and
approved said future changes.
Plumbing Inspector;Fire Inspector:
Electrical Inspector:P&Z Administrator
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PARCEL NUMBER: (We wil provide rhis for you)pjra5eESUBDIVISION' 8^@.,* UNIT# BLocK# , ' Lor#
35 N 1" E, REXBURG.
208-372-2326
Addressing is based on the information - must be accurate
Bt
OWNERNAME: ffi+
PROPERTYADDRESS'5L5=}i,r,.p.o p".*rl.
PHONE #: Home Q6 . ?.qq-q)S i lfork 6og - tS{ -tBF? ceri 1 ) .lpA_;q7d * Bq }q
O\IAIER MAILING ADDRESS : Q /L*.cayr.CITY :Aggs__STATE: S't> ZIp: I cS I 31
(If other than owner)
a statement authorizing applicant to act as(Applicant if othe?
APPLICANT INFORMATION :
ust accompany this application.)
MAILING ADDRESS' ctwfies_A-*__sTATE:rdb_Zr
pHoNE: c.l+Jffi:ifd -3VlY worr.#*Dg :j5v * ?FFT Fax# .)SF -gS! _e&5 I
TDAI{O REGISTRATION # & EXP. DATE
Did you recendy purchase this propertyffllyes (If yes,list previous owner's name)
- //-\Is this a lot split{FJ.Q) YES (Please bring copy of new legal description of property.;
PROPOSED USE: _ --.<--
(i.e., Single F"-ilf n.ria.
\*-2
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenartyorperiuryrhercbycenirythatr
:,]ffi3#:.'-11,-5".*::*:.:*:":'y"-'"'.T:'-l:::5!::-:jr:,'::g:1i111;*1r'n'r;J;;;.:,:"r;;;;;;;.ilqd;#ffi;:i3.#J'r"lll,a",i.gH5'T:l:,^H::i:::T1T*:1"-":Tl_n.::!t i:l,"",ed reprerentative,""r,r.. cif ," ."*;;;;; 4;;-;;;;:i;;;;;?,;,il;; ffi::::'lfltr
::3 :^t_*:l-:lfT::"":"?I""1 '::::1 ""*' ,h",pwisions of the 2003 rntemationa c"a. ;" .",o "ifiil;;;.;.'";;;;.',;;;;";';;".,oron*rePlyt'onwhichthepem.itorapprovalwasbased. Permitvoidifnotstartedwithinl80days. pemitvoid;r*".r.r,"priJr^ifi;;;::
Owner/Applicant
( z JF / t5*
DATEprefer to be contacted by fax, email or phone? Circle One
WARNING - BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITETPlm fees re non-refundablc od ile paid in fi,n at the time of applicatiotbegjnbgJZaung_L,@i**u"uo'"*""#?,o.11:*::1".1ffi ::T:i;.,i* j,l*'*;f;_t*:nf :l;l"i:iffi J".**
Business Applicolion ci'iY of
35 North lst Eost
Rexburg. lD 83440
REXBURG
(\U,
t\nierltn's lttffiib (. antrunii.y
Please take the time to answer all questions so that we can further assist you and your facility Thank yoa.
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 frying?
Will you have food disposal on site?
will there be any maintenance or mechanical work in the buildine?
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
Yes
Yes
No
No
No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes
Yes
No
No
Yes No
Applicants Signature Phone Dater certify that The information that I have provided above is to the be$ of my knowledge accurate and true.
ng Sofety Deporlme
www.rexburg.org
CIIlY {)l-Cify of Rexburg
Phone: 2a8372.2326
Fox: 208.359,3022
Re m o de/zng Ito zr'BzzUzng/tTo m e (need total constructions estimate, excluding fire,
electrical, plumbing, and Mechanical valuations) $
REXBURG
fut
;\nte r ica\ FLnnil',' (.)o n nt u n it v
ReszVentza/
SURFACE SQUARE
Fint FloorArea
Third floor/loft area
Shed orBam
P.tFOOTAGE:
tlnrf
(Shall include the exreriorwall measurements of the building)
Unfinished Basement area
Finished basement area
Garage "r." *cfu .t,l
.C-aryord Deck (30" above grade)Area
,.a- . ,LOmmerclal
Construction Type:OccupancyType:
SURFACE SQUARE FOOTAGE: (Shall include the exteriorwall measuremenrs of the building)
New Construction sq. ft.
Commercial Remodel sq. ft.
Commercial Addition sq. ft.
Utfiry Misc. Privare Garage sq. ft.
Storage sq. ft,
Mz /a: Fam zTl/,fzzg /e .ftz de n t Eo zs mg
sq. ft. per unit
I\{a.nager Unit sq: ft.
35 N. 1" E., Rexburg,Id 83440
Phone -(208)359-3020 / Hotline
OV4\]ERS NAME
PROPEMYADD
Bui)ng Sofety Deportmefl
City of Rexburg
-Q08)372-2344 / Fax -QO8)3se4A22
SUBDIVISION ?,^-.Lc * *;t: i.L*\\.-..\ i.L<=
-
PFIASE ,>Pun^o'-^L €cwe'"'
ctl'\.ctj
I{EXSTIRG
r\/
. \ nt t ricc\ !:q nrly {lo t il t?rttti I ),
Permi# i 7 (lL'C, | 5 3
Reqzzred///EIECM,/C4[,
Electrical contracror's - - '4 ll C- o* t
or*.,,?. n r.,)*', T.1^**' .,
crllPhoneFaB -l?c - ="t>\ gusiness phone 0og Dsrrt::r.i
F*Af) ?Sr -. q>ti Email
(COMMERCIAL/IND{I. STRIAL) Total cost of electrical system (connacted Amount) $(nchdu the nst of natenals installed rsardlea 0f tl)epartJ srppfkgit. Thefeu listed L;der thir intpution lpe shall appjti )r;a at,t rr*anol Eecifca/! nentioned elrcahere on thisfom).
! Up to $10,000 (total cost of sFtem x 0.02) + 60 : $! Between $10,001- $100,000 ( (total cost of iystem _ 10.b00) x 0.01) + $260 : $! over 9100,001 , ( (tgtalfost of slstem - 100o0-o) x o.obs) + $1,160 : $SmallVor*s(ContractorsoNLY):$10.feefo'@$2O0irr.cosi",,d,'oiinvolvingachangein
service connections. Does NOT require inspection.
RESIDENTIAL
tvean"9rzg:/e FamzfuDzd/tzg, zvzc/zdzhg a//buz/dmg,s rtzTb uznhg beirzg cozsttzzctedoz eacbpropertv. /xBzsedoz /z.rzbg,s?ace,see defzzb;oz be/orz)
c Up to 1,500 sq ft -- $130 tr 1,501 to 2,500 sq ft _ $195tr 2,50lto 3,500sqft-$290 tr 3,501to4,500sq ft_$325! over4,500sqft $325p.1*$6lforeachadditionall,0o0sqft.orportionthereof (slzs ilsosx# of additional1.000 sq. ft. orponion thereo0)./Ueu'/U///t/:Famzh.Dzce//z'zg(OztnctoiOz/y)
l Duplex Apartment $260
X' Three-or more multi-familyunits:.$130 per building plq L65frtmiu ($1J0 x # qf buildincs) + ($55 x # of unirs)D Existing Residence, Modular, Manufactured oii4obile frorrr.r, "branch circuit, up to the maximum of the_c_o_rresp_onding sq. ft. of ttt. u"tH"g isei i iiio'. * Lr"".! .i*"irrllDCentalHeating/C-oolingSystems:$65\W4renNoT;;ofnewreside"tii@noadditional
Mring
spas, Hot f"bj, and s-wimming pools: $55 fee foreach trip to inspect?zm1os- IYatea ,lmganb4 .feuzge (eacb motoy'
D $65 up to 25HP n$95 - 26 to 2oow r$130 over 200 FIp
MISCELLAJ\EOUS
! Tempolary Constnrction Services ONLY: 200 amp or less, one location (for a period nor ro exceed I par) - $65n Temporary Amusement $65 fee plus $10 per ride, concession or geneft11or
D Irrigation Machine: $65 for centerpivot plus $10 pertower of drive mororD Technical Service: $55 per hour
n PlanCheck $65perhour
r Requested Inspection: $65*Living Space - space within a dwelling unit intended for human habitation vfiich may reasonably be utilized for sleeping eating, cookingbathing y*g, recreation, and sanitition pu{poses. An unfinished basemenr it .o#u.ieJori"r the living rp"..
'--' '
_391.>r)
of Licensed Contractor License number &date
3* Be*, )
vJ/ zd/ tv tt t\,
l5 N. l* E.. Rcxbrrr6 Id 8J440
PROI'ERTY ADDESS
VacrMctcrQuarrtity:
Bu Sofety Deportmenl
C,ty ot Perburg
Pernirl
+trttr.+.+....Va8 r Mecr Sizc :
REXBURG
rd 00 r /00l
O!(A.IERS NAT4E
Reqatud///P/umbtng
Plumbing Qontnctor's N.rnr Bwiness Narne th^brAddrersCiryziP-Z3fLlzcerf Phone QA %21^ lZ8 Business Phoni (
Fox (Email
l*fff'Y,$;jj,j.1l.?"TTyAll rorat cost o{ptumbins sysem (corrrcted ^,_ffi
nol tpcciJi<ally nntioaed c&uyhtn os rltuJbm).
n Up to $10,000UP io Jl0,0g0 (lclnl ccr of sJ,srer,, x 0.02) + 60 - g
Bctrreen $l0,00l - $t00,@O 1'(r**1.**ii*.* - 10.000) x 0^01D Owr $t00,001
RESIDENTIAL
lromlccr of qcrcm - reO@) x 0.01) + $260 - S({roml car of sysrcm - 10ffi-g) x o.o6s) iii,rgo - s
ilear'frhgkfio*lv&elhhg'hchdtaga//hadtilirgsenibwizegbeugconstncrcdonanrpmpnln
1/ngtedonottbgrp{€..see dq?nizbn fub*J
o Up to t,500 sq ft - $130
o 2,501 to 3,5@ sg ft - $260
D Over 4,500 sq fr $325 phs $65 for e:rch addidonal
l_Wt0 sg ft. oremier ihe'Rofl).ile t Mrl*fott tij, fue&hg 7A *w;; arg)
D Dupbx Apanmcnt $260
Lr 1,501 ro 2,500 sq ft - $195
3,501 to 4,500 sg ft - Sl25[,000 sq fc orponion drercof (SfZS + ($65 x Lof addnional
!."
n
Thrcc or arorc muhi-hmilyunis: $ll0 pcr building plus 565 pcr y. X;Existing Residencc, ard hr;rchcd shop, sei,r.. pr* $ro pcr firau; up ,oil*ffiill?ir,c corrcsponclingilftfis'lddine@Gcry Vrter Syrtcml: $130n Laum lprinftlers/Backllow Device: $65
il Modular' Manufacarrtd orMobilc Florncs: $65 forseucr and urarcrstub conrrctiorua iuultigutpose Fin sprinkler and Domestic v"ter s"pply spem, $;; f..; t p., sprinkhr head, srhichvcrts gtEAIcr
.fewrt7 Valer
o $38 Seutr Linc c$38 varer Linc o$65 Sctrar & vaten if inspcctcd ar rhc sraa drncD $65 Scnrr rumamund undcr housc (ctr.rngc from scptic ,o .ig)MISC,EILA}IEOUs
o PhnChech $55 pcrhour
o Tecbnical Scnice: $65 perhow
n Css tine: $65
o VetcrHerterRcplaccmen! !65
o Rcqr.restcd Inspection: 565
u Hydroaic Hcating: 365 + ($lO x # of aranifolls /znncs)
fffi tffi"-.:n:*"'"1T"r-"*.,T'^T*: t::YL:-!!rl1'olwhich rna4pasqnabtxf untizca ror srecping. earin' cootcins,bilIung, wtshinl,rccr:uion, and saniricion putpor.r, An unlinishcd il;;;i;:;;rd;;;ffff:tiffirt:;;
of (bnurcor 3l-V_ 3-zq-lz
Darc
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Inspcction Requesr: Rcc'd By tS*u*Dr$ lo l- | t-
*eq. Fy irle-Fhone No. q03"7 V 6-3
Prr:jecl l-tg:flq Pennir No. lZ oo 1{}
Address
Inspecti*n Typ
D*y ffim* Req.
InrpeclCIr's Reporl m Res n comm.
INSp[CT€0 tl€MS rONFO*il{ TS ATpASVE$ $WffS NY DX [IN/A
il RI{AL
ilsrs r{0rF{sFgcT
|NSPECTOR'S ACT|0N ./ilRPrRovun ,ffotsnrrnovrn
NC.O, {F'NAU
AfTtCIN t$Qt"it*Fs;
nNgrApPt-tcASLf
Sigmd
Rce 'l Aclrur*lrdgcd
Hlril| . Sirc Cop!
r.Flfl.6S3 lhlo? . J,tb CriV Ftf . *r*.*Ncoff
OCCUPAI\CY INSP
tr Bldg- O Plumb'
Inspection Request Rec'd BY
TICKET
tr Mech. n Fire
out" q lzt hz
Req.By Ci,^^l 'sf ;rkl PhoneNo'
i1 i r."k /#//od PermitProject KccK \r
Address
InspectionTYPe
Day lTime Req'
Inspector's RePort
InsPector
Rec't Acknowledged
crry oF REXBSRG 12 North center, Rexbury, rdaho 83440
;*^;;;*
yeuow-robcopv pink-rnspecror'sc'opv
Nol
ffioRMToAPPROVEDDWGS
O BHg. O
lnspction Rquest: Rec'd By
O rNspncTroN rrcKErO
Plumb. EJ Elcq.Mch. O
Inspecrion rype .. 4l no.l- 1,fuu,/-w ct/-
Day /Time n q 'd.a-l* ql .ul
f,u-;,t--
Req. By UaA phone No.
*uj..t nnir No. I a o.'f t3-
Address bbbP,\.^oo,,- ---
Inspector's Report
rNspEcrED tTEMs coNFoRM ro nppnovCo owcs !y
INSPECTOR'S ACTION
NAPPROVED dptseppRoveo DHr.rAL
!c.o. (FINAL) ,- nT9APPLICABL-E Doro NorNspgcr
ACTTON REQUTRED.
Rec'l Actnowledged
lYtrll - Officc Copy
F.ftR.cqn lllil . Job Cogt h-nOrOotCof
1 laf lrc rz-
c[oZ-7 1b3
BUSINT OCCUPANCY INSP TICKET/
tr Bldg. E P/umb' q Elect' $ Mech' tr Fire
lnspection Request: Rec'd Yy AhNilCl& Date
*.0 u, Sbue u','l 'f f'+\ Phone No' VIQ -41^c5O
yrq""t (&E C rcell1| wn lst'nts.Permit No' I ? oo I I 3
^d:rd,"", flbs Fi6rv'x(4 t b I'Lg
tut!<,rr_r^r rc***r (ffi2
lnspectionType I J@Ot'utv '|"q'- - \v'r=f -' '
Da.v i Time Req-
Inspector's RePort n Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS DY fIN CN/A
INSPECTOR'S ACTION
fin *orto c DISAPPR.'ED
trc.o.(FNAL) fINOTAPPLICABLE
ACTION REQUIRED:
Inspector
Rec't Acknowledged
CITY OF REXBURG, 12 North Center' Rexburg' Idaho 83440
C FINAL
E DID NOT INSPECT
Yellow - Job CoPY Pink - Inspector's CoPY
White - Office CoPY
ITNSPBCTION TICKET
Inspction Request: Rec'd By fur"tt*; urc b I i4[t>
Req. By ChrL Phone No.
Pruject RcraL C4dL*t 2-{ perrnir No.la.oo /53
Address 7bS (to'YtJ-2"-
Day ffime Req.lO(].m
Inspector's Report fi *,,
?- balraavm-=
TNSPECTED ITEMS CONFORM TO APPROVED DWGS'HT:H:#ii"+"#"APPRovED!Y Dx flN/A
DFINAL
D DID NOT|NSPECTDC.O.(FTNAL)NNgTAPPLICABLE
ACTION *
lblor-Job Co,'Pn - r|D.ct lcott
,/t IInspection Typ '{yta+t{a-n'v'v--'
€xh
O rNspncrroN rrcKEO
Inspction \': t\Reguest: Rec'd By L-(a-t3t*J-" P^r"b f r,1 l,^^-"
Req. By Phone No.
'7 (q*ybs-<r
Address
Inspaction Type
Day /Time Req.
"4')Ut.lt."1 r a-i t.a. va--t
'4 iC ct"l
Inspeclor's Reporl S comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS try Drnr flN/A
DFINAL
D DID NOT INSPECT
INSPECTOR'S ACTION
finmnovro
tr C O, (FINAL)
ACTTON REQUTRED:
f] DISAPPROVED
DNOTAPPLICABLE
PHl . lrEp.ch!! C@t
OnspncrroN rrcKar O
W BHg. f,t phmb. I eur. n Mcch. O Firc
Inspclion Request: Rec'd By '-r1L,.4.((i^(. Date (l " lt- I.j
Req. By Phone 11s. tft"z'7 //1.5
- tltt Perm,r No. lMt{191
nr'1rAddress 6 {ll> t'i r. n et,t' //r/
Inspection Type
Day /Time Req.
Inspector's Report F Res.trcl
e..#lIt L5
n!
-
-:
'r&-rl 'e.ao"p[
,le-r vLSS fuarn
rF a# Joi ts R^ltl
"24,t ut u:A.t( 7
INSPECTED ITEMS CONFORM TO nY Dx flN/A
INSPECTOR'S ACTION
IAPPROVED
DC.O, (FINAL)
ACTTON REQUTRED:
't6,rorr*o,r,
D NOTAPPLTCABLE
D FINAL
D DtD NOr TNSPECT
Signed
Rec't Ackiowldged
W?*t1 . Oflhc Copy
F.nf;.c003
lblm . &0 Copy Fir{r - frEp|ch|!copt
Prolect T,t,t n h,i.lo.-a' #-lLi - tlv
fu"topr"nt O ReceiptNumber: ffi
D. 83440
i08) 359-3022
[lTY BT ET,{SUIiF
PAilr fiY: fiFltff NEi--qilH
IIATt: 04/!5ltl
TIltEr 16rlt;11
H{i /[4:51ll',lTF
Hf[tIFT i{0: tii9tl
REF N0:11'1t
5t Ff 'f'lt[H. Fttil-tlT UlltrEF: :
iI FF Et-t'[T' r't1l'liT ': 3 l'1]'
:4 r,P EUtl- trEF I'LAt{tH[iHFr'
55 FF tLulilr. rr-fii'lIT Llt{IltF
il r-tnt titu. IIiFAIT rttt
il $tt{tft IAFITtlL ['il]l]qi[I]tl
is 'lntrp: rr,rti*L tni{NtilT:fi
;, rfiF:ti.c trtu. lilPAi;T ttts
h F'iLItt-trE\itLsFi'iENT I''{PA
;t sTftr*ET ltu' li'lFArT rtts
h? lP BilIL. FtRt'ltTs l"llttrHi{
[Htcti Af{[u't'lT
Pnil'lEliT
IHAl'lfrE
Fr-RfiIT *t? il[15]
rsidential Fixtures
ical
e
rmbing Permit Fee
twer
rter
$4,285.41
ii ,0rl
65.[i]
1.34 " i6
t'r.ilil
fi? .41
6??.0fl
i:t'i " fiCI
15s . fi5
33. ls
i?1 , &n
t,-i4,i,15
4 r'iE: .41
4 ,:Bl1 .41
il, litl
$65.00
$65.00
$134.66
$65.00
$69.43
$697.00
$637.00
$458.85
$55.26
$691.66
$1,346.55
Total:
$65.00
$65.00
$134.66
$65.00
$69.43
$697.00
$637.00
$4s8.85
$s5.26
$691.66
$1,346.55
$0.00
$0,00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$4,285.41
6
'ee
6A
Fee
ffi
$ 4,285.41
THAt{}i TIU AHir HAUE o ii1lE ItfiT
Total:
genpmtrreceipts Page 1 of 1