HomeMy WebLinkAboutALL DOCS - 14-00389 - 191 Huckleberry Cir - Basement FinishCITY OF Certificate of Occupancy
City of Rexburg
Department of Community Development
35 N. lst E. / Rexburg, tD. g3440
Phone (208) 359-3020 tFax(2OS) 359-3022
REXBIIRG
America's Family Community
Building Permit No:
Applicable Addition of Code:
Site Address:
Use and Occupancy:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Gontractor:
Special Conditions:
Occupancy:
Mechanical Inspector:
Plumbing Inspector:
Electrical Inspector:
14-00389
rRc 2009
191 Huckleberry Cir
191 Huckleberry Cir - Basement Finish
N/A
No
James C. Gordon
191 Huckleberry Cir
Rexburg, lD 83440
James C. Gordon
Finished basement at a rater date than new construction= 366.00 sq. ft.
This certificafe, rssuedpersuant to the requiremenfs of secfio n 10g of the Internationat Buitdingcode' certifies that, at the time of issuance, this buitding or that portion of the buitding that wasinspected on the date tisted was found to be in compliince with the requirements of the code for thegroup and division of occupancy and the use for which the proposed occupancy was classified.
Date C.O. lssued: 1O t 29 / 14
G'o' fssued or'' G 1 ,'tding tnspector: XZt( frLThere shall be no further change in the existing occupancy crassification of the buirdingiJriffi, oructural changes,modifications or additions be made to the buildlng or any portion thereof until the building official has reviewed andapproved said future changes.
Fire Alarm:
Fire Dept./Sprinkter; N/A I wn
P&ZPubticWorks: N/A | run
t.
ii
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Build Sofely Deportmenl
City of Rexburg
Phone: 208.372.2341
Fox: 208.359.3022
CITY OF
REXBURG
Ame icai Family Comnru nity
www.rexburg.org
Office Hours: Monday-Friday 8:00am-4:00pm
hecklist
Seismic Design Category - D
Ground Snow - 50 lbs. pet sq. ft.
Frost Depth - 36"
Roof Snow Load - 35 lbs. pet sq. ft.
Wind Load - 90 MPH
Thefollowingitens should be conpleted hgfureJou submitlour buildingpermit application.
Completion of a Building Petmit Application: You may pdnt this application from our website
www.rexburg.org or pick up a copy at the City HalI Annex Building (ad&ess above).
Fot Residential Permits,'(the follorving is required to be submitted before the Application can be appror.ed)
tr 2 sets of site plans and 2 sets of building plans (must be dtawn to scale)
-Plans must include foundation plan, floot joist layout, floor plan, toof layout, sectional views, ftont, back,
and side elevations, mechanical layout, stair details arrd ainy details tequired to illustrate special construcdon.
tr Energy Compliance Repott The State of Idaho has adopted the Intetnational Energy Conservation Code
(IECC). A Compliance Review must be completed and submitted (the rescheck software is available online
at www.energycodes.gov).
tr Pase 2 of the Aoolication must include the Idaho Contractor's Resistration Number ot the exemDtion form
must be completed and signed, see Page 10.
! Pase 5 of the Aoolication must be comoleted and sisned bv vour Plumber.
tr Pase 6 of the Aoolication must be comoleted and sisned bv vour lVlechanical Conttactor.O II L
tr Page 8 of the Application must be completed and signed b)' yout Electrician.
! Home ownets: please complete page 6 of the application if you will be doing yorrt own electrical work.
tr Truss details including engineeted floot joists are tequired.
tr Ptoperty Line form needs to be signed by the buildet or owner, see Page 4.
Sabdiuisions If you plan to build in a subdivision please check the Rexbug Development Code for any
requitements such as, property setbacks, architecture board approval, etc. This information is available from the
Planning &ZonngDepattment at the Annex Building located at 19 East Main.
l{ew Residential lIomes,If your building permit is fot a new home, you will need the parcel numbet (a parcel
number is tbe coun$l pmpery identfication whicb recogniq,es a plot of landl and a new physical addtess will be issued. If you
do not know the parcel number and cannot ftnd a record of it, please bring the name of the subdivision, phase, and
the lot and block numbers. The correct location is vital to assute correct addressing.
Remodels. If you are considei^g ^ remodel, a copy of the bid or estimate for the remodel must be submitted with
the Permit Application.
. 2 sets of Plans are required (may need IECC Review).
. Additions are the same requirements as new construction.
CITY OF ^
Please Completdf,re Entke Application!
If the question does not apply fill in NA for non applicableREXBURG
ctL, *.*-**-*-.
Ameim\ Family Community
RESIDENTIAL BUILDING PERMIT APPLICATION
35 N 1" E,, REXBURG,ID 83440
208-372-2326
PARCEL NUMBE,R:( We will provide this fot you)
SUBDIVISION:UNIT# BLOCK# LOT#
(A,d&essing is based on the infotmation - must be accurate)
Parcel Acres:Dwelling Units:
CONTACT PHONE, # 2{ g b!AKIJ
PROPERTY ADDRESS:
PHONE #: Home (z.or) 3t:t, - $(59 Work @*) rlttu' ?K'i.'t Cell (e.$2nl - 2&3V
OVTNER MAILING ADDRESSl i \ ! u v',.tttlbqrr y {,,CITY: l?<.r:riir4 STATE: lh ZIP:8'3\4C
EMA
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for oumet must accompany this application.)
APPLICANT INFORMATION: ADDRE,SS CITY:
STATE;-ZIP-EMAIT, FAX
PHONE #: Home ( )Wotk ( )Cell (
CONTRACTOR
MAILING ADDRE,SS:STATE-ZIP
PHONE #: Home ( )Work ( )cell ( )
E,MAIL FAX- IDAHO RE,GISTRATION # & E,XP. DATE
How many buildings are located on this ptoperty? /
Did you recently purchase this property?(Q Yes (If yes, l-ist previous owner's name)
,-\Is this a lot split? [NOj' YES (Plea:e bring copy of new legal description of property)
PRoPosED usp, Re iacd{. I
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Gange, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of periury, I hereby cettify 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 2003 International Code in
cases of any {hlse statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Petmit void if not
stafted within 180 days. Permit void if work stops for 180 days.
8 /Lq / ILI
r/Applicant 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 beginningkuuaryJ,Zl05
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
xxBuilding Permit Fees are due at time of application'N'* **Building Permits are void if your check does not clear#
Signatute
Buil Sofely Deporlmenl
Cify of Rexburg
Phone: 208.372.2341
Fox: 208.359.3022
Affidavit of Legal Interest
State of Idaho
County of Madison
www.rexburg.org
CITY OF
REXBURG
Ame ica\ Family Comnunity
t, la, eS ( C,o-Jn,: ,
Namel
Being ftst duly sworlr upon oath, depose and say:
(If Applicant is also Ownet of Recotd, skip to B)
A. That I am the record owner of the property described on the attached, and I grant my
peflnlsslon to:
Name Address
to submit the accompanying application pertaining to that property.
B. I agree to indemni$', defend and hold Rexbutg City and its employees harmless from any
claim or liability resulting ftom any dispute as to the statements contained hetein ot as to the
ownetship of the ptoperty which is the subiect of the application.
L1 ary or Au*gi,,is t ,20 1"1
l4t llucE"l<h<r.,1 ti.
Addtess
TAal,^
Dated this
Srgnature
Subscdbed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
..QoBuilding Sofety Deportmenl CITY OF
www.rexourg.org
City of Rexburg
Phone: 208.372.2341
Fox: 208.359.3022
REXBURG
America\ Family Community
Properfy Lines
Each site plan that is submitted to the City of Rexburg for the Building Petmit process requires that property lines
are shown accurately. It is the Developer's tesponsibility to correctly identiS' on the site plan the location of these
lines in reference to the public dght-of-way, other adjoining property lines, the street, other sffuctutes and all utiJity
lines. The Developer should find property pinr that are still available at the lot in question. If these pins do not
exist or have become untecognizable then a new sufvey should be performed.
Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal
descriptions should be checked. The best way to identifi, property line location is with aland srrvey. The City of
Rexbug has aerial photos and a patcel line layet that can be checked, but they are only a tool and are not
guaranteed for accuracy. If you want to fequest ^ copy of yout lot, see the front countet at the Community
Development Department.
I have read and understand the above requirements.
't{;. ittts ( ':iivrlo,
1
Printed Name
-l'Y lta lttrr:t c ttr I
Date
S Owner or I Builder
Build! Sofety Deporlm:ll O
Phone: 208.372.2341
Fox: 208.359.3022
Remodeling Yout Baildingftfome (need total constructions estimate, excluding fire, electrical, plumbing,
and Mechanical valuations) $
OF
REXBURG
c\, -"-'
Amertcab Family Community35N I'tE
Rexburg, lD 83440 www.rexburg.org
Residential
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
Unfinished Basement area
Second floor/Ioft arca Finished basement
Thfud floor/loftarea Gatase afea
Shed or Ba .Caryot / Deck (30" above gtade)Area-
Commercial
Construction Type:Occupancy Type:
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measutements of the building)
New Construction sq. ft.
Commercial Remodel sq. ft.
Commercial Addition sq. ft.
Utility, Misc. Pdvate Garage sq. ft.
Storage sq. ft.
Muhi-Family/ Single Stu dent Hou sing
sq. tt. Der umt
Manager Unit sq. ft.
Building Sofely DePortm
City of Rexburg
CITY OF
REXBURG
c\, _ -***"".-- *
Ame ri cab Family Community35 N. 1s E., Rexburg, Id 83440
! 1,501 to 2,500 sq ft - $195
n 3,501 to 4,500 sq ft - $325
ft. or portion thereof ($325 + ($65 x # of additional
o\x/NER'S NAME .Jftru,f < 6"n.,t.^
PROPERTYADDRESS lqt v+vc,Vltb(rry (,:ft{4 Permit#
Water Meter Quantity:x<************x\f,/atef Meter SiZe:
Requircd!!!Plumbing
rl
Plumbing Conttactot's Name l-tOytn(OtOll,{"f Business Name
Addr.ss City State-Ztp-
(total cost of system x 0.02) + 60 = $
( (Iotal cost of system - 10.000) x 0.01) + $260 = $
( (total cost of system - 100,000) x 0.005) + $1,160 = $
Cell Phone (Business Phone (
Fax( )
(COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (ConttactedAmount) $-
(Inckdzs the cost of nateials in$alled. regardless of ibe parE nppling it. The feet li$ed under thb inEution rype shal/ appfi to an1 and all planbing instalhtions
not specifcalfi mentioned elsewhere on thhfonz).
! Up to $10,000
r Between $10,001- $100'000
! Over $100'001
RESIDENTIAL
New: Single Family Dwelling, including aII buildings with wiring being consttucted on each propetty. (*Based on liuing space'
see defrnition below)
u Up to 1,500 sq ft - $130
! 2,501 to 3,500 sq ft - $260
tr Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq
1.000 sq. ft. ot portion theteo0).
New: Multi-Family Dwelling (Conttactots OnIy)
tr Duplex Apartment $260
I Three or more multi-family units: $130 pet building plus $65 per unit ($130 x # of buildings) + ($65 x # of units)
! Existing Residence, and Detached Shop: $65 fee plus $10 per fixture up to the maximum of the corresponding
sq. ft. of the building ($65 + ($10 x # of fixtutes))
r Gtay Water Systems: $1i10
n Lawn Sprinklets/Backflow Device: $65
tr Modular, Manufactured or Mobile Flomes: $65 for sewet and water stub connecdons
! Multipurpose Fire Sprinkler and Domestic Water Suppty System: $65 fee ot $4 pet sprinkler head, whichever
is greater
Sewer & Watet
! $38 Sewet Line l$38 Water Line l$65 Sewet & Water- if inspected at the same time
tr $65 Sewer tutnatound under house (change ftom septic to ciry)
MISCELI-ANEOUS
! Plan Check $65 per hour
D Technical Service: $65 per hout
tr Gas Line: $65
tr Watet Heatet Replacement $65
! Requested Inspection: $65
tr Hydronic Heating: $65 + ($10 x# of manifolds/zones)
*Living Space - space within a dwelling unit intended for human habitation which may reasonably be u"l'ized for sleeping, eating, cooking,
bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered pat of the living space.
)4, ]|klu'l
Building Sofely Deporlmenl
City of Rexburg
BLOCK--
CTTY OF
BpxRws_
Ame icab Fom ily Comm unity
35 N. 1.t E., Rexbug Id 83440
PHASE --.- LOT
lr,owNER'sNAN,{E . lftrwt 6r../.nrPROPERTY aooRtrs6 14| *uc4t6( rr1 (,,'nr.le permit#
SUBDIVISION -
Requircd!!!Mechanical
Mechanical Contractor's Name i-ln^.C A N^(tf Business Name
Address City State_Zip
Cell Phone ()- Brrsiness Phone (
Fax (
(c OMMERCIAL/ IND_UST RIAL) T otal cost of plumbing sys tem (conttacted Amount)(Includes the co$ of naterials innlled regardlets of tbe pa@ nppling;t.hlt7u tlrnionder this intpution fiipe shall app/1t to an1 and all mechanicalinstallations not specfica@ mentioned elseahere on thisfonz)
! Up to $10,000 (total cost of system x 0.02) + 60 = $! Between $10,001 - $100,000 ( (total cost of system _ 10.b00) x 0.01) + g260 = g
tr over 9100,001 ( (total cost of system - 100.00b) x 0.0b5) i gt,too = g
RESIDENTIAL
I{ew: Single Family Dwelling, including aII buitdings with wiring being consttucted on each propetqt. (*Based on liuingsee definition below)
tr Up to 1,500 sq ft _ 9130 D 1,501 to 2,500 sq ft - g195
! 2,501 to 3,500 sq ft - 9260 n 3,501 to 4,500 sq ft _ g325! Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof
New: Mutti-FamilyDwening (connactotsffi;.
($65 x l'
! Duplex Apattment 9260
!
!
Thtee or more multi-family units: g130 per building plus g65 per unit:+
fl*itlfl T:to:1.::l Mod.ular,,{anufactured or Mobile Homes and o.t."n.J srro!: g65 ree plus g10 perxxHVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building
MISCELI-ANEOUS
($65 + ($10 x # of frxtures))
! Plan Check 965 per hour
tr Technical Service:965 perhour
tr Gas Line: 965
tr Water Heater Replacement: $65
tr Requested Inspection: 965
n Fireplace/Solid Fuel Buming Appliance: g65 per inspection
Ii:n: t:,::*'ry::-:T:-1-":5^-:,-Ti*d ri. na,i habitation which may reasonably be u 'rized for sleeping, eating, cooking,
i:*:f::9*''",.|.10:1 ,"0 sanitation pu4)oses. An unfinished basement ir .""lia"r.JprrJ"r,rr" lving space.
solar, water heater, etc.*xExamples of HVAC Equipment-fumace
License number & Exp. date
Buil g Sofely Depqrtme0 CITY OF
35 N. 1$ E., Rexburg, 1d,83440 City of Rexburg
Phone - Q08)372-2341l Hotline - e0B)372-2344 / Fax - e0i)35s_3022
REXBURG
Am e rica\ Family Commun i tv
owNER's NArvrE . \f nne s 6"r./0,^
PROPERTY ADDTS petmit#
SUBDIVISION
PHASE LOT_ BLOCK
Requircd!!!ELECTRICAL
Electrical Conffactor's Name usiness Name
Addtess
(COMMERCIAI/IND-USTRIAL) Total cost of electdcal system (contractedAmount)(ac/udutheco$ofmateiahiyta//edresard/eroftbepar4lsupp!lingit.Thefeu/lleduidcrthlt;i,putlo,!lpelha//app/1ltoan1tanda//e
not specifcallt mentioned e/sewhere on this forrz).tr Up to $10,090 (total cost of sysrem x 0.02) + 60 = $D Between $101001 - $100,000 ( (total cost of svstem _ 10.b00) x 0.01) + g260 = g! over 9100,001 ( (total cost of system - 100.00b) x o.obs) i gt,too = g
Small Wotks (Contractots oNL\): $10 fee fot worknot exceeding $200 incost and not involving a change rnsewice connecdons. Does NOT require inspection.
RESIDENTIAL
New: Single Family Dwelling, including all buildings with witing being constucted on each ptopetqr. (*Based on Euing space,see definition below)
Cell Phone ( ) gusiness phone (
Fax( )- Ema
D Up to 1,500 sq ft - 9130
! 2,50'1. to 3,500 sq ft _ 9260
tr Over 4,500 sq ft 9325 plus 965 for each additional
1.000 sq. ft. or portion thereog).
It{ew: Multi-Family Dwelling (Contactots OnIy)
! Duplex Apartment 9260
Licensed Contractor
City_state zjp
! 1,501 to 2,500 sq ft _ 9195
n 3,501 to 4,500 sq ft - 9325
1,000 sq ft. ot portion thereof ($325 + ($65 x # of additional
License number & exp. date
! Three or more multi-family units: $130 per building plus $65 pet unit: ($130 x # of buildings) + ($65 x # of units)! Existing Residence, Modulat, Manuiactured oii4obil. Ao-.", ila o.t""tr"a shoflosE pr,rs g10 perbranch circuiq up to the maximum of th9_c__o_yespolding .q. rt. of a. building ($65 + ($10 x # branch circuits)n central Heating/cooling Systems: $65 when NoT-part of new residentiii or HVAC permit with no additional\Tiring
Spas, Hot Tub^s, and Swimming pools: $65 fee for each trip to inspectPumps-Wate4 fnigation, Sewage (each motit)
xliving Space - space wittrin a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,bathing, washing, recreaion, and sanitation purg2es. An unfinished basement is considered part of the living space.s-/
tr $65 up to 25HP r$95 - 26 to 2O0HP 1g130 over 200 Hp
MISCELI-ANEOUS
tr Temporary Construction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65tr Temporary Arnusement $65 fee plus $10 per ride, concession or generator
! Irrigation Machine: $65 for center pivot plus $10 per tower of drive motor
D Technical Service: $65 perhour
D Plan Check 965 per hout
tr Requested Inspection: 965
Building Sofely Deportment
City of Rexburg
Phone: 208.372.234t
Fox: 208.359.3022
SUBCONTRACTOR LIST
OF
35N l.rE
Rexburg, lD 83440
Excavation & Eathwork:
www.rexburg.org
REXBURG
Ame ri cab Family Comm unity
Concrete:
Masonry:
Roofing:
Insulation:-_
Drvwall:,
Painting:----
Floor
Covedngs:.-
Plumbing:_
Heating:_
Electrical:
Special Construction
(Manufacturer or Supplier)
RoofTrus
Floor/CeilingJoists:
Siding/Exterior Tri
Other:
E,XE,MPTIONS F'ROM STATE, RE,GISTRATION
As ofJanuary 1,2006, the City of Rexburg can no longer sell permits without having a copy of your Statetegisftation numbet or.yor'f exemption ftom the StatJregrstration. Please send a copy of your state tegistration orfill out this fotm showing your exemption and send it *ilh yoor license renewal or your next penilt application.
(rhis list is a summadzatton of Idaho code Title 54 chaptet 5205, forfirll definitions of these exemptions pleasesee the State's website at www.ibol.idaho.govlcont.hun)
tr currently State [censed pursuant to Title 54Idaho code, chapters:
3 Architects,
1 0 Electrical Contractors/Joumeyman,
12 Engineets/Surveyors,
19 Public W"*.t Contractots (exempt from fee oniy registration reqt ited),
26 Plumbing/Plumbers,
45 Public \ilrorks Construcdon Management Licensing Act (exempt from fee only registration required), ot50 Installation of heating, vendration and air conditioning systems'! Employee or volunteer of a licensed contractor or part o? an educational curdculum or nonprofit chafitableacivrq with no wages or salary
tr E'mployee of a US Govemment agency (State, City, County, or other municipaliry)D Public Utiliry doing construction, maintenance, ordevelopment to its own businesstr Involved with gas, oil or mineral operations
tr Supplier doing no installation or fabricating
tr contracting a ptoject ot projects with a total cost less than $2000tr operation of a fatm ot ranch ot construction of agriculture buildings exempt from Idaho Building Codetr Any type of water district operatrons
tr \Work in rural districts for fre prevention pu4)oses
tr owner who performs work ot o-t ptoperty or contracts with a tegistered contractor to do work as long as,Ithe property is not for resale within 12 months
D ownet ot lessee of commetcial propety pedotming maintenance, repair, alteradon or construction on thatpropefty
tr ReaI estate licensee/property managet acting within Idaho code
tr Engaging in the loggrng industry
tr Rentet wotking-on th_e ptoperty where they live with the property owners approvaltr Construction of a building used for industrial chemical processing per Idaho Codetr Construction of a modular building (defined by Idaho iode) to b"e'moved out of state
I hereby ceti$' that the above information is true and correct to the best of my knowledge.
Xpress Bill Pay - Payment Processing
XBP Confirmation Number: 3354i31
Building Permit Deposit
t.IT]f LrF
JTIX-BI]ITG
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i,eltffi;rti{ l*,$+4, {:{1i6r*r$,ii;g
$-100.00
14-00389
14-00389
;;;;;
-- --
14-00389
14;;;;
iBuilding Permit
I
$1a3,69 ,
$6-199r
$65:00 i
$65.00 ,
$1_4:,:? :
s253.06
;Mechanical Permit
Electrical Permit
Plumbing Permit
BP Plan Check Fee
TOTAL:
Billing Information
James C. Gordon
.83440
Transaction taken by: amanda
https ://www.xnressbillpay.com/common/paymentjrocess.phpa
City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359€020
Quantity
* Transaction detail for payment to City of Rexburg.Date: 09/03/2014 - 5:01:37 PM
Transaction Number: 28611930pT
Dis cover - XXXX-XXXX-XXXX-29 I z
Status: Successful
9/3/2014 5:01PM
Xpress Bill Pay - Payment processing
XBP Gonfirmation Number: 3291i51
Billing Information
James C. Gordon
. 83440
https ://wwwxpressbillpay. com/common/paymentjrocess.phpo
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
$100.00
TOTAL: S I AA.00
Transaction taken by: amanda
Transaction detail for payment to City of Rexburg.Date: 081291201 4 - 3:42:28 pM
Transaction Number: 285497S3pT
Discover - XXXX-XXXX-XXXX-791 z
Status: Successful
8/2912014 3:43 PM
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