HomeMy WebLinkAboutAPPLICATIONS, CO, MULT DOCS - 12-00154 - 565 Pioneer Rd - Rockcreek Townhome #126rcxg!&q
't t; r t r i ut\ l: r r it t i ir' (' tt rltit i i.Lt i i I r
Certificate of Occupancy
City of Rexburg
Department of Gommunity Development
35 N. lst E. / Rexburg, lD. 83440
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 00154
International Building Code 2009
565 Pioneer Rd, #126
Single Family Residential
Type V, non-rated
N/A
No
Rock Creek Hollow Llc
504 N 4000 E
Rigby, lD 83442
Northern States Development IncGontractor:
Special Conditions:
Occupancy:Residential - 2 units or less, permanent in nature
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time of issuance, this building or that portion of the building that was
inspected on the date tisted 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. 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 Building Official has reviewed and
approved said future changes.
Plumbing Inspector:
Building Official
Electrical Inspector:
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COMMERCIAL & MULTI FAMILY BUILDING PERMIT APPLICATION
35 N 1" E. REXBURG.ID 83440
208-372,2326
PARCEL NUMBER: (We will provide this for you)pjrage[
SUBDIVISIoN' lZ^..ie c--n-ec-L Lt i[*.*: UNIT# Bt ock#' { t'"' ror#
is based on the information - must be accurate r .)'t
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OVNERNAME:
PROPE RTY ADDRESS, SLS l>, .r^ p* a P ^*-i,
PHONE #: Home (16- ?5tt-L|}5 I Work €0D - ts,i -T.381 ceri ( ) .]p:r - ;qe* - 3q )t
O!(/NER MAILING ADDRESS: Q/re CITY: ftl(q*vx STATE:Fb ZtP:8cS.t5Lt
(If other than owner)
r, a statement authorizing applicant to act as(Applicant if othe?
APPLICANT INFORMATION :
t accompany this appfication.)
CITY:
#: Home ( )
MATLTNG ADDRESS, AWflen_4*_sTATE:ra_ZIP8_3
PHONE: c.n#@work#.
EMAIr.5"*i'rte aq ,qk:de IDAI{O REGISTRATION # & EXP. DATE-
How many buildings are located on this property? I
Did you recently purchase ttris propertyl@es (If yes,list previous owner's name)
Is this ^ tot sptit?@ YES @lease bring copy of new legal description of properry)
PROPOSED USE: --<-----.
(i.e., Single Family Reside"-\*
_j,
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenartyorperfuryr hercbycertig,thatr
have read this application md state that the infomation herein is conect md I swear that my infomation which may hereafter be given by me in hearings before the
Plming md Zoning Commission or the Ciry Comcil for the City of Rexbug shall be truthful md correct. I agree to comply with all City regulations md State laws relating
to the subject matter of this application md here\ authorized representatives of the City to enter upon the above-mmtioned property for inspections purposes. NOTE:
The official may revoke a pemit on approval issued under the
.< / )Y / i)-
Owner/Applicant DATE
prefer to be contacted by fax, email or phone? Circle One
WARNING - BUII.DING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plm fees te norretuadable od ae paid in frrll at the time of appli cztion bcgjnbrg Ilau+l,-ZIE
City of Rexburg'e Acceptoce of the plm reviw fee does not constiture plu approval**Buildiag Pemit Fees rc due at time of application*t **Building Pemits re void il yow check does not clear*r
Business Applicqtion cl11,oF
I{EXBURG(\,
;\ tti e ri t c'-t l-h n i ly Con n uilt1,
35 Norlh I'r Eqst
Rexburg. lD 83440
Please toke the time to answer all questions so that we can further assht you and your faciliry 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 fung?
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 occupfng 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
No
No
Yes
Yes
Yes
No
No
No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes
Yes
No
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
Buil ing Sofety Deporlmeri ot'
35N lsf E
Rexburg. lD 83440 www.rexburg.org
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Remode/z'ng Tozr'Bzz'/dzng/Eome (need total constructions estimate, excluding fire,
elecrical, plumbing, and Mechanical valuations) $
RIXBURG-(b
rl nre ri ca\ Fitmily { )om n u ni i y
ReszVentza/
Pcr tlnrfpcr tlnrf
SURFACE SQUARE FOOTAGE: (Shall include the exteriorwall measuremenrs of the building)
Fint FloorA.e" | 90b Unfinished Basement area
Second floor/loftarea
Third fToor/loftarea
Shed or Barn
Finished basement area
Garage area tdfu t{9(}
C-aryort/ Deck (30" above grade)Area
^-).tLOmmerczal
C-onstruction Type:OccupancyType:
SURFACE SQUARE FOOTAGE: (Shall include the exreriorwall measurements of the building)
New C-onstruction sq. ft.
Cnmmercial Remodel se. ft,
Commercial Addition sq. ft.
Utfity, Misc. Private Garage sq. ft,
Storage sq. ft.
tUz/tz:,Famz7/,fzng/estzdezttTozsz'ng
sq. ft. per unit
Nlanager Unit sq. ft.
Buillg Sofety Depodmeil CITY OF
City of Rexburg35 N. 1't E., Rexburg,Id 83440
Phone -(208)359-3020 / Hotline -Qo8)372-2344 / Fax -eo8)3s9-3022
REXBURG
cbt-_*--
Ame r ica\ Family Co mmvn i ty
O\\AIERS NAME
Permi# tL 00C I ?'lPROPERTY
PFIASE ) LOT__ >_ BLOCK_fiorno'^*f Pautw
Reqazred/// ELECh?/C4L
Electrical contracror's Name 44 ^ ,#ffi Business Name //e fl.,,,.- F l-\r.;, " .
Address?, D. K-1. tq >
' av-.fle-*^-"t-State-T-Dr-zipE3!r31
CrllPhone (Jof,)-B?o - 3\ >rr Business Phone OoD D Sf - i:X ?
noQ8)?sq - LrlB\
(COMMERCIAL/INDUSTRIAL) Total cost of electrical system (C.onractedAmo.rnt) $_
(ncludet tbe cost of mateials installcd regardless of the pa@ npplying it. The feu li$ed undcr this intpection [tpe shalt app! n *1 oraothttrrrl*t installations
not rpecifca@ mentioned elsewhere on tltbfonz).
tr Up to $10,000 (total cost of slatem x 0.02) + 60 : $
D Between $10,001 - $100,000 ( (total cost of sFtem - 10.000) x 0.01) + $260 : $! over $100,001 ( (total cost of slatem - lo0.0o0) x 0.005) + $1,160 : $
Small 'S/orts (C-ontracton ONLY): $10 fee for work not exceeding $2OO in cost and not involving a change in
service connections. Does NOT require inspection.
RESIDENTIAL
tVeza:.fing/e Fami/yDrw//zizg, znchdrhg allbuzHngs nztb wh'ng bezbg constructedoz eacbproperty. /"'Basedon /zztzg space,see defzzhbz be/oa/
I Up to 1,500 sq ft - $130
tr 2,501to 3,500 sq ft - $260
! Over 4,500 sq ft $325 plus $65 for each addfuional
1.000 sq. ft. orportion thereo0).
tVeu,:tAz/a:Famll,Doe/lzhg(ContractotsA/y/
n Duplex Apartment $260
A Three.or more muhi-familyunits: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of unir)tr Pdt$q Residence, Modular, Manufactured of Mobile Flomes, and Detached Shop: $eS i.. pl* $10 p*
branch circuit,-up to thernaximum of the corresponding sq. ft. of the building ($65 + ($10 x # branch circuits))
! Cental Heating/C-ooling Systems: $65 \X1hen NOT pan of new reside"tial or UVAC p.r-ii*ittt "" J6o""lrilTiring
Spas, Hot Tubs, and Swimming Pools: $65 fee for eachtrip to inspectParzlos- Wate4 lrngzab4 .ferzwge (eacb nony'
tr $65 up to 25FIP n$95 - 26to200tJ1P- r$130 over20O HP
MISCELLAI\IEOUS
n Tempor:ary Consfirrction Seroices ONLY: 2OO anp or less, one location (for a period not ro exceed 1 par) - $65
! Temporary Amusement $65 fee plus $10 per ride, concession or generator
D Irrigation Machine: $65 for center pivot plus $10 per tov/er of drive motor
n Technical Senice: $65 perhour
tr PlanCheck $65perhour
D Requested Inspection: $65
lli"i"g Spacf.- space within a dyeling unit intended for human habitation which mayreasonablybe utilized for sleeping, eating, cooking,bathing, wg$rg, recreatiotl and sanitation pu{poses. An unfinished basemenr is considered pan of the living space.
<r,1)\3- Ba-t-:
of Licensed Contractor License number &exp. date Date
tr 1,501 to 2,500 sq ft - $195
! 3,501 to 4,500 sq ft - $325
1,000 sq ft. or portion thereof ($325 + ($65 x # of addfuional
vo/lJ/tvtt rJ.uu FAA
l: N. t. E , Rexburg,Id EJ44o
rd 00 r /001
REXBUITG
lr', ttt'r i,,,,:tt | .,r,-,LttIt
SiHEllffi Perrni#
VlcnMctcrQuarrtity:+tttt''rlt+rFl..VaEr Meer Sizc:
C,ty ot Rerburg
Plumb,ing Contractor's N.uc Business Namc
Addrers
GuPhone (zA 8Zl^ lZbS ) Sa",tq
Fox (Email
n Up io $10.000
o Bcmaaen $l0,0Ol - $100,000
o Over $100,001
RESIDENTIAL
//ec 'tuhgk fianlv hellng, hc/udtag a// hzildiagt aazb ndnag bet)ug coartrrclcd on celt pmpny. /agtel oa Otbg ,Fcc,see dc,lfatizon b"b*J
Reqrtud///P/umbtng
tr Up to t,500 sq ft - $t30
o 2,501 to 3,5@ sq fr - $260
D Over 4,500 sq fr $325 phs 565 for each addidonal
(@II'IMERCIATIINDIJSTRIAL) Total cost of plumbing sys6m (cor*'cna ^-"ffi----(aehrta|bJQr|o|,Ea|Cn.,huiol/cdn3tnlhtso1ttltput4.,4Ybiq*;t.?t,,.1h.,|an'fnai,rthi.,i,rpnt;on4p,,t,utt,,p,|)),oi,@
nol tpcilialty nntioacd tbuhtn on ttru.1'otm).
{total cosr of qJaten x 0.02) + 60 - g
( (uoralcosr o{ sl,srcrn - tQ00g) x 0.01) + $260 - $( (roral cosr of systcrn - 100.W!J x O.ObS) + $1,160 - $
0 \^.K trlo{*r {Plo^b,-s*._lfD_zip-?'Effiz
1.000 sq, ft. orgWisl thereo0).
Nc e Aful* fan i! fue/tbg /Co anetuE orrry
Lr 1,501 ro 2,500 sq fi - $195
3,501 ro 4,500 sq ft, $J25[,000 sq ft- or ponion rhertof (Sf:S + ($65 x Lof additional
D Duphx Apanmcnr $260
!." 'ftuccormorcmuhi-Farnilyunir:$130Rcrbuildingplus365Frlpr($tlArf
of buildngS) t$65x# olurr;cs)nExiltirrgR€sidencc,arrdDetrchc{ry.P.%5'fJc.plrs$l0pcrr*6,,
l9-ft,of drc_building(g65 +(Sl0xt of finrs€Do Gcry VaterSlstene: $tt0
E Lanm Spdnkles/Backllow Devics $65
il Modular, Manufacnrnd or Mobilc Horncs: S65 for se*cr and uratcr stub cooncctiqrucl iuuttigulpose Fit3 sprinklerand Domestic vaterSupply Sptcm: $os f.e oii+ persprinkbrhead, srhichcvcr$ grcatcr
SewrrF Valer
D $38 Seunr Linc 4538 vuer Line o$65 Scncr 6c Varcn if inspcctcd ar rhc srmc drnco $65 Scq.crrumnmund undcrhorsc (cturngc from scptic ro cig) ' - -
MISC.ETLANEOUS
o Pbn Cbeck $65 pcrhour
o Technicalservice: $65 pcrhour
n Cas Line; $65
o VrterHearrRcplaccmenb $65
o Rcquesrcd Inspectbn: $55
o Hydooic Hcating: 365 + ($lO x,f of manifolds /zones)
H;:: ttr ;-'T_:P:-d,:S , _t _::fd f?. hrlt habirarion "frryh *{ foonably bc un'tizcd for steeping. eatins, cooking,baduns, nreshiaB, rccrt*ion, and smiradon purposcs. fui unlinishcd brrenrcnr is coniia.*a p"n "i-,UGq tp.aa.
of Liccnscd (bnrr:rctor Pta{- t3€l - tz
Uccrxc nurnbcr 6c Exp. datc
*l-12 3-zq4z
Buincss Phoni (
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o rNsPECrroNTIC
e BHg. tr ptumb. I Elect.O Mcch. tr Firc
Inspection Reguest: Rec'd By Date 8-/*/L
1 fi,rorr orrrffE.
Rec'l Aclnowledged
biftdd - &.rks Cepf
F.iri&.c{*3 Ys#os . Ja& C(\'t Ptn* . lncpoeio$ Copy
Rcq By 6futc (l4,rh an^hhone No.prusro Eoc,-l/- CrJk- "pennit No.
Address
Inspection Type
Day /Time Req.
lrspector's Report E comm.
7l 2
TNSPECTED TTEMS CONFORM ro nppnovro owcs DY trr.r
DFINAL
flN/A
DC.O, (FINAL)I NCIAPPLTCABLE D nro N0TNSPECT
ACTTON REQUTRED:
BUSTNC OCCUPANCY INSPECT T
F Bldg. e pfumb. I Etect. I Mech. e Fire
Inspection Request Rec'd ey -/J ,nnmrla- Oate g -10-lL
Req. By 4t)3_q4(!3
Project I z D,t;Ll
Address
INSPEC]BD I]'EMS CONFORM TO APPROVED DWGS fI Y E N D N/A
Phone No.
Permit No.
Inspection 1tp" Eld4 Fi(\N F&()/Ln(*
Day tTime Req. 6 - i?4z q'"^O L.^.
INSPECTOR'S ACTION
;#nrouro"'14
pECroR's ACiloN frp?h6t\
frrvxovo"'l%DrsAppRO\
{,.r.(F-'NAL) gNoTAPPLT.ABLE
DISAPPROVED fl FrNAL
flprn NoT TNSPECT
ACT'ION ITIJQUIRED:
Rec't Acknowledged
(IIT'Y OF REXtsURG, 12 North Center, Rexburg,Idaho 83440
\l'hite - Office (lopy,Yellow - Job Copy Pink - lnspector's Copy
Inspector's Report
susrNil occupaNcy rNspEcra{ rlcrrr
e Bldg. tr Plumb. m Elect. e Mech. tr Fire
Inspection Request: Rec'd gv 4fUA,4d0- Da.* t-lD - lZ
Req. By Phone No. 4b3 - r7'7tP 3
Project Permit No.t? ut,'{
Address ( b< Pr 6n&t< BJ
Inspector's Report F Res.tr Comm.
INSPECy'OR'S ACTION
P[nppnoveo cDrsAPPRovED
dc.o.GrNAL) ENoTAPPLICABLE
fI FINAL
f DIDNOTINSPECT
ACTION REQUIRED: lble.
Inspector
Rec't Acknowledged
CITY OF'REXBURG.
White - Office Copy
L2 North Center,
Yellow - Job Copy
Rexburg, Idaho 83440
Pink - Inspector's Copy
lnspection Type
Day lTime Req.
I INsPEcTIoN TIcKETO
nrag.$ Plumb.O Ebct'
Inspction lequest' Rec'd.BY
Req. By
Projecl
Address
MyiW
Pennit No. 12 60 t 54
Inspection TYPe
Day /Time Req.
Inspector's RePort p Res O comm.
lNs mMs Coxnonrtl ro APPRovED DwGs
INSPECTOR'S ACTION
DAPPROVED O DISAPPROVED
trY NN NN/A
D RNAL
D DID NOT INSPECT
br.o.(FtNAL) fINoTAPPLIcABLE
\crron REeutRED:
rtfor.JobCogY Pi*-hr.fitf @t
t{hi.. Oltcc CoPt
F.FrR.C0ct
O INsPECTIoN rIcKErl
g t"n A Plumb. O Ebct. F Mech' O Firc
Inspction Rquest Rcc'd BY Dau- Y-) -/7
Phone No. rtt? -ii65t'Req. By
&tL /nc/- liu ' 'i nnrnit No. /r a:'-'
ooorrr, 5 ro , P,br<ot-- Ea( * / :t lr -
F Res.B comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS trv cx flN,A
DFINAL
DDID NOIINSPECT
INSPECTOR'S ACTION .-
IAPPRoVED ;Zotslrrnoveo
nc.o.(FINAL)
ACTTON REQUIRED:
NNOTAPPLICABLE
ruo0 .Job Co?t Pn-hf.crl@t
Inspector's RePort
INSPECTION TICKE'I
tr BHg. n
Inspection Regucst: Rec'd By
Flumb. O Ehct.Mcch. f,l Fire
a lJ,i lr+--7 $i*yO';c
(l n{"&*c'rul-z Date
Req. By Phone No.
Froject
Address
Inspection Type (.),J.i <.( tt*-
Day ffime R.q. -
.'[fig.!*t^t4-* ir ct.rr
Inspeclor's Report q Res I conrm.
INSPECTED ITEMS CONFORM IO APPROVED DWGS try Dx flN/A
I RNAL
DDrD NOTTNSPECT
INSPECTOR'S ACTION
f,enrnoveo
flc.o. (FTNAL)
ACTION REQUTRED:
D DTSAPPROVED
DNOTAPPLTCABLE
h - kspocblcopy
'(, *cltt*u&-S t ;Lp
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F BHg. tr phmb. fl Ehcr. tr Mcch. A Firc
Inspclion Request: Rec'd By 'ttt.-1'1(.fu-r. Date k li'" I.|
Req. By Phone *o. t/o"s -7 20,.5
Pennir No./Mtt'iq1
z , r!- ^. r.1 zAddress
Inspeclion Type
Day /Time Req.
Inspector's Report F Res.tr
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'yr-,;c-t( |INSPECIED ITEMS CONFORM TO A nY trN flN/A
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INSPECTOR'S ACNON
NAPPROVED
DC.O. (FINAL)
ACTTON REQUTRED:
'lfirrorr*ouro
NNOTAPPLICABLE D OIO NOT TNSPECT
Signed
Rec'l Ackiowledged
tAlhit,.qttc Copy
F.FrF.C003
lbtff . JoD Copy PtrC. - ln$.dorlCoOt
Projecl / /;tt 4"t l't,
tu"lopr"nt
^\t Receipt Number:
[1TT |lF RT,TBURE
PrtrIIi FY: 6Rtfi Htl50i{
irnT[: fl4il5l1I Hff /[4:5iCi{TR
Tllit: ti:til;il RIIEIFT i'il]: I5I91t
HFF TtIt' I I1J
i3 FlR[ IitU. IIiFAIT rtt5 6!j"'{]
14 sildtft [At'rTAL lfiNl{tl]Tlil d,??.[ti
i5 tdAT[R [A!'ITAL finili{ti:Tu} e]T.ilil
$d, r'ARli:i IrEu. IHr'AIT FtiS 45r.*5
6? PrlLlrt-Iriu[i-ilFHll'lT Il{liA 55,:*
dti STREIT Il[U. If,iPAtT i:itg 6?1.i$
49 BF FUIL. T,TRfiIT5 UI'IIJTR i,]q.{.T:
?0 !P i,ttiH. rEftnl:T ul'ttrtft t it.0t
?1 BF tlttT. Ftt:HIT .l i HI i5.[i]
T! BF StIiL TiiF FLAHIHEI}iFI 1]4.I,d
?3 SF F,LUilB. FtRtlII UHtrffi ,55.0fi
IHE[ii AH[UilT 4,ifi:;.41
FAYiiti,tT 4,185, 41
[HAl{Gt il.|,fi
PrFti'lIT li 1t 0r,154
THAHii YOU AI{II HAUT A I'IIIT IIliY
.83440
)8) 3s9-3022
iewer
Vater'ee
Fee
Fee
rit Fee
esidential Fixtures
rical
ee
lumbing Permit Fee
$69.43
$697.00
$637.00
$458.85
$s5.26
$691.66
$1,346.55
$65.00
$65.00
$134.66
$65.00
Total:
$69.43
$697.00
$637.00
$458.8s
$55.26
$691.66
$1,346.55
$65.00
$65.00
$134.66
$65.00
$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
ffi
$ 4,285.41
$42&5Jl
APR g E ?an
-QI"I["NF"fiFXBURG
genpmtrreceipts Page 1 of 1