HomeMy WebLinkAboutALL DOCS - 12-00050 - 34 N 5th W - DuplexCertificate of Occupancy
City of Rexburg
Department of Community Development
35 N. 1st E. / Rexburg, lD. 93440
Building Permit No:
Applicable Edition of Gode:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
12 00050
International Building Code 2009
34NsrhW
Duplex
Type V, non-rated
NA
No
Mph Ent. Llc
34NsthW
Rigby, lD 83442
H & E Construction
Residential - 2 units or less, permanent in nature
This Certificate, issued pursuant to the requiremenfs of Section 109 of the lnternational BuitdingCode, certifies that, at the time of issuance, this building or that portion of the building that wasinspected on the date listed was found to be in comptiance with the requirements of the code forthe group and division 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 untit the auininfomcial has reviewed andapproved said future changes.
Plumbing Inspector:Fire Inspect or= {l f e*.
Electrical Inspector:P&Z Administrator ftle_
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Building Sofety Depqrfr
www.rexourg.org
City of I
Phone:208.-. -.---,
Fox: 208.359.3022
12 00050
34N5thw
Am*irl:| Family Community
Office Hours: Monday-Friday 8:00am-4:00pm
Residential Pre-Co
Seismic Design Category - D
Gtound Snow - 50 lbs. per sq. ft.
Frost Depth - 36'
Roof Snow Load - 35 lbs. per sq. ft.
Wind Load - 90 MPH
Thefollowing itens should be contpleted bg&reJou submitlour buildingperrnit application.
Cmliletion ofeBulldiagPenit-fttliliication: You may print this application ftom our website
www.rexburg.org or pick up a copy at the Ciry Hall Annex Building (address above).
WotResidentiellPemits: (the following is required to be submitted before the Application can be approved)
tr 2 sets of site plans and 2 sets of building plans (must be dtawn to scale)
-Plans must include foundation plan, floor joist layout, floot plan, roof layout, sectional views, front, back,
and side elevations, mechanical layout, stair details and any details required to illusttate special construction.
tr Energy Compliance Report The State of Idaho has adopted the International Energy Conservation Code
(IECC). A Compliance Review must be completed and submitted (the tescheck software is avaiiable online
at www.enerwcodes.sov).
! Page 2 of the Application must include the Idaho Contractor's Regisuation Number or the exemption form
must be completed and signed, see Page 10.
! Pase 5 of the Aoolication must be completed and sisned bv vour Plumber.
! Pase 6 of the Aoolication must be comoleted and sisned bv vour lVlechanical Contractor.
tr Pase 8 of the Aoolicarion must be comoleted and sisned bv vour Electrician.
tr Home owners: please complete page 6 of the application if you will be doing your own electrical work.
n Truss details including engineered floot joists ate required.
tr Property Line form needs to be signed by the builder or owner, see Page 4.
S'ub&visibns: If you plan to build in a subdivision please check the Rexburg Development Code fot any
requirements such as, property setbacks, architecture board approval, etc. This information is available from the
Planning &ZonrngDepartment at the Annex Building located at 19 East Main.
IUewResidcnrtellWmes: If your building permit is for a new home, you will need the parcel numbet (aparcel
nurnber is the counfl's proPe@ identfication which recognirys a plot of landl and a new physical address vzill be issued. If you
do not know the parcel number and cannot find a record of it, please bring the name of the subdivision, phase, and
the lot and block numbers. The correct location is vital to assure correct addressing.
Rem6fl6lfe' If you are considering a 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 Complete the Entire Application!
lf the question does not apply fill in NA for non applicableREXBURG
Am*icab Family Commuaity
RESIDENTIAL BUILDING PERMIT APPLICATI ON
35 N 1" E, REXBURG,ID 83440
208-372-2326
PARCEL NUMBER, (We will prcvide this for you)
SUBDIVISION:UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
Dwelling Units:Parcel Acres:
How many buildings are located on this property?
Did you recendy purchase this property? No Yes (If yes, list previous owner's name)
Is this a lot split? NO YES @lease bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of periury, I hereby certi!' 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 Intemational Code in
cases of any false statement or misreptesentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
started within 180 davs. Permit void if work s 180 days.
2 y a'7 1&etT
DATE
WARNING _ BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITEI
Plan fees are non-refundable and are paid in full at the time of application beginninglrlgiull,n'_I_M
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval#Building Permit Fees are due at time of application# **Building Permits are void if your check does not clear*i
Q
PROPERTYADDRESS ' 3,/ A/ 56
PHONE #: Home ( )_ Work ( )\ 7oQ-a "3 |
OWNERMAILINGADDRESS. 2A, ISOX (L7 CITY:stLrq:l !-trc'83/V
Ex,tm /nSne LL@ g q tr , eon,, p1tx
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS CITY:
STATE: ZIP- E,MAIT. FAX
PHONE #: Home ()- $7otk () Cell( )
MAILINGADDRESS: 128 ru 3?OO E 'rATETO Zw g3lq2
PHONE #: Home ( )work (bf) 3qu - 29 3e i cetr Qcsl 39b - 213 |
Ex4,qr,hod n .o,rr+GDlqffi;(' ca
rDAHo REGTSTRATTON # & EXp. DATE R C Q' )2 25
Signature o f Owner/Applicant
Building Sofely Depqrlmenl
Phone: 208.372.2326
Fox: 208.359.3022
Affidavit of Legal Interest
State ofldaho
County of Madison
Address
City State
Being ftst duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
That I am the record owner of the property described on the attached, and I grant myA.
Peflnlsslon to:
Name Address
to submit the accompanying application pertaining to that properry.
B' I agree to indemnify, defend and hold Rexburg City and its employees harmless from any
claim ot liability resulting from any dispute as to the statements contained herein or as to theownership of the property which is the subject of the application.
Dated this day of
Signature
subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
Building Sofely Depqrtmenl
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Properly Lines
E'ach site plan that is submitted to the City of Rexburg for the Building Permit process requires that properry lines
are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these
lines in reference to the public righrof-way, other adjoining property lines, the street, other structures and all utility
lines' The Developer should find property pins that are still avatlableat the lot in question. If these pins do not
exist or have become unrecognizable then a new sufyey should be performed.
Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal
descriptions should be checked. The best way to identi$' properry line location is vrith alandsurvey. The City of
Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are riot
guaranteed for accuracy. If you $/ant to request a copy of your lot, see the front counter at the Community
Development Department.
I have read and understand the above requirements.
Signature
tr Owner or n Builder
Printed Name
REXBTJRG
Am ei c als FatuilT Comm unity
CITY OF
35N I#E
Rexburg, ID 83440 www.rexburg.org
Building SofefY DePqrtmenl
CitY of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Remaddlingyoaryulldling/Wome (needEstimate) ff 2 k 86oe
CITY OF
FCXBIJRG
Am*ica's FamilY CommunitY35 N I'rE
Rexburg, lD 83440
PHASE --- LOT
www.rexDurg.org
BLOCK-
NAME ln F4 euT t-/.C
PRoPERTYADDRESS VqMT Permit#
SUBDIVISION
SURFACE SQUARE FOOTAGE:(Shall include the exterior wall measurements of the building)
First Floor Area
zqly 3(7UnfinishedBasementarea L / / '
Finished basement urru
-
4 t/
Garage atea
CarpotIDeck (30" above grade)AteaThird floor/lofta
x<******<****xx*\f,/21g1 Metet Size:\$Vater Meter Quantity:
ReqwircM!!
Sprinklers
I Tub/Showers
1 Toilet/Urinal
Water Heater
Water Softener
I
7 Sinks (I-avatories, kitchens, bar, mop)
Plumbing E stimate $- (COMME RCIAL/ MULTI -FAMI LY ONLY)
' (=1" t',,'
of Liiense-d-C<iiitractor License Number& ExPiration Date
r...'F-l&-
ffiffi ,, oise,f t"vtu,t >on eusiness Name: B;5 vz3 ? t ,..,b"'3
^aat.r' f.O ' g"" 3 K? ' ait, &q c&focJ 361,- 7 D zip 8:zz I
Contactphone: (roy) 4S 3-?,9 5 Business Phone: 12oq 4 o3^1 t 7 to
,-"c,1 :!41:l_Fa*
-13 5- OZ6?
I Clothes \Tashing Machine
f Dishwasher
Floor Drain
Garbage DisPosal
Hot Tub/Spa
Building Sofely Deporlmenl
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Permit#
CITY OF
www.rexburg.org
REXBURG
Au ei ca:s Family Co ffi munity
PROPERTY ADDRE,SS
SUBDIVISION
PHASE LOT BLOCK-
NAME
ReEwineil!!!WWffiANYCAL
Mechanical Conffactor's Name Business Name
Address City State_Zip_
Cell Phone ( ) Business phone ( )
trax ( ) E-uil
Mechanical Estimate $- (commercial/Multi Family orly)
Erx?TrREls' & AwLYl[N[ffi CO@NW @tsr" waanrywdfring @yy)
Fulnace
Furnace/Air Conditioner Combo
,t/ Exhaust or Vent Ducts (water heater)
V Dryer Vents
Heat Pump
Air Conditioner Cook Stove Vents
Evaporarive Cooler \/ Bath Fan Venrs
V other similar vents & ducts:Unit Heater
Space Fleater
Decorative gas-fred appliance
Incinerator System
Boilet
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (circle all that apply) Gas oil coal Fireplace Electric Hydronic
Signature of Licensed Contractor License number Date
Building Sofety Depqrlmenl
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
CITY OT
35N I'tE
Rexburg, lD 83440
REXBURG
Ameica s Femily Co m munitywww.rexburg.org
PROPERTY ADDRESS Permit#
SUBDIVISION
PFIASE LOT BLOCK-
OWNER'S NAME,
Home Owner's Name
Address
Cell Phone
Fax( )
Home Phone (
Ty PE.5' @Y T$V5?iAEf,.A?Y@EV
(NwResidlelrfuI includcr cveryfriag ccrian cd ffihin &c rtridlealldil stt,vlarat:- zrrdl atackd gzage atfre sta;e " e)
'b *Up to 1,500 sq ft-972
tr +2,501to 3,500 sq ft - g168
tr x*Over 4,500 sq ft - 9216 plus 9.04/sq ft:
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*Includes a maximum of 3 inspe ctions. Additional inspections charged at requested inspection rate of $40 per hour.** Includes a maximum of 4 inspections. Additional inspections charged at riquested inspection rate of $40 per hour.
Signature of Home Owner Date
W@W@NUER'SWVWMWVCALP-WWW
City State Zip_
tr x1,501 to 2,500 sq ft - $120
tr x3,501 to 4,500 sq ft - 9216
sq ft total
Existing Residential (# of Branch circuits) - g40 plus g10 per circuit:# of circuits
Temporary Consttuction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40
Spa, Hot Tub, Swimming Pool - 940 plus 940 grounding grid where appricable
Electric Central Systems Heating andf ot Cooling (when not part of a new residential construction perTllit
aud no additional wiing) - $40
Modular, Manufactured or Mobile Home - $50 plus $10 per circuit
other Installations: wiring not specifically covered by any of the above:
Cost of lYiing dy I-^abor g (ncludu the cost of nateialr instalbd regardless of the pary stppfiing ir).
Pumps @omestic'Watel, Irrigation, Sewage): horse power
Requested Inspections (of existing wiring) - $40/hr (1 hour minimum) plus g40/hr thereafter
Building Sofely Depqrfmenl
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
CITY OF
www.rexDurg.org
REXBIJRG
Ameri ca\ Family Com m unity35N I'tE
Rexburg, lD 83440
OWNER'S NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
34 North
12 00050
PITASE - LOT.5th West - DuplexBLOCK
Reqwircd!!!WYWC"TWYCt\L
ElectricalConrractor'sName G,^y &r', rrrl, ^rsinessName
Address /stz:ra 1 .<tZtt-S city=furtfulta_f e,t|^ ,rJ State.-rl\ Zip{3alo
Cell Phone (zltl)SloD -).{-crl Business Phone (
Fax ( ) e,mail
Electtical Estimate (cost of wiring & labor) $3i?A__ (COMMERCIAL/MULTI-FAMILy ONL9(ncludu the co$ of materia/s installed regardbss of the pa@ :uppbingit).
TYPE.5'o/FTSVs?l{Ef, ,Af,r@IU
(NcwR.esillcotial iacllalles cvayfring coarrrzincll ffihia fre rresidlrzitizll sfrzrcrul1- zgldl etachd geage * fte saae " c)
RESIDENTIAL ONLY
/ *Vpto 1,500 sq ft - g72
*2,501to 3,500 sq ft - 9168txOver 4,500 sq ft - 9216 plus 9.04/sq ft:sq ft totalE'xisting *"to'"out @ "tu#li[lr''*B];]1tffith # orcircuits
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40
Spa, Hot Tub, swimming Pool - $40 plus g40 grounding grid where applicable
Electric Central Systems Heating andf ot Cooling (when not pafi of a new residential construction petmit
and no additional uiitxg) - $40
Modular, Manufactured or Mobile Home - $50 plus $10 per circuit
other Installations: lTiring not specificaily covered by any of the above:
Cost of lf,/iing dy l-.abor ,fi (nclades the nst of nateriak in$alled regardless of the pa@ suppling b).Pumps (Domestic lTater,Irrigation, Sewage): horse power
Requested Inspections (of existing wiring) - $40/hr (1 hr minimum) plus g40/hr thereafrer
*Includes a maximum of 3- inspectio-ns. Additional inspections charged at requested inspection rate of $40 per hour.** Includes 1maximum of 4 insp4tiony'adaitiond inspections charged at .equested inspection rate of $4b per hour.
I l,', /
tr x1,501 to 2,500 sq ft - 9120
tr x3,501 to 4,500 sq ft - 9216D
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Date
t suBCoNTRACToR Lrsr o
Excavation & Earthwork:
Concrete:
Masonry:
Roofing:
tn rrtut on H * 6 (n tt 6T-
o'y-^n' |lt€ Co6f
Painting:t { (ovlf
Floor
c"."g" C ftYl Ptrf ONtf
"'g N'"q PiL,^.ti",gOr"r.r,rn*, =rO r\*F
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
u,cta.t E Lll CD-&;(Z- t L &c7 {Z / C
Floor/CeiJingJoists:
Siding/Exterior Tri
Other
eoEXE,MPTIONS F'ROM STATE REGTSTRATION
As ofJanuary 1,2006, the City of Rexburg can no longer sell permits without having a copy of your Stateregistration number or your exemption from the State regisuation. Please send u .6y of yo.r, state registration orfill out this form showing your exemption and send it with your license renewal o. yo* next permit apilicatiorr.
(This list is a summarizaaon of Idaho Code Title 54 Chapter 5205, for frrll definitions of these exemptions pleasesee the State's website at www.ibol.idaho.gov/cont.htm)
tr curendy State licensed pursuant to Title 54Idaho code, chapters:
3 Architects ,
1 0 Electdcal Contactors/Joumeyman,
12 Engineers/Surveyors,
19 Public w"t}: contractors (exempt from fee only registation requfued),
26 Plumbing/Plumbers,
45 Public sTorks Construction Management Licensing Act (exempt from fee only registration required), or50 Installation of heating, ventilation and air conditioning systems
Employee or volunteer of a licensed conftactor or part of an educational curriculum or nonprofit charitableactivity with no wages or salary
Employee of a US Govemment agency (State, city, county, or other municipality)
Public Utility doing construction, maintenance, or development to its own b"si"ess
Involved with gas, oil or mineral operations
Supplier doing no installation or fabricating
Contacting a project or projects with a total cost less than $2000
Operation of a farrn or ranch or construction of agriculture buildings exempt from Idaho Building CodeAny type of water district operations
Work in rural districts for fue prevention purposes
Owner who performs work on 9wn proPerty or conftacts with a registered coritractor to do work as long asthe property is not for resale within 12 months
tr Owner ot lessee of commercial property performing maintenance, repair, alteration or construction on that
Propefry
tr Real estate licensee/property manager acting within Idaho code
tr Engagng in the logging industry
tr Renter working-on the property where they live with the property owners approval
tr Construction of a building used for industrial chemical processing per Idaho^Code
tr Construction of a modular building (defined by Idaho Code) to be moved out of state
I hereby certi{t that the above information is true and correct to the best of my knowledge.
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Signature Date
Print Name
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Inspction Request: Rcc'd BY Erl\
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Day ffime Req.
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TNSPECTOR'S ACTION
v/*r*outo IDIsAPPRo'ED DFINAL-{r.o
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AcrloN REQUIRED: NfUg'
Req. By
Prujecrl
Address
Ir.rSFFgO ITEMS CONFORM TO APPROV
Rec'l Acknowlcdged
YYtr|.. Ofiic. Copy
F-FrF.C(xr3
tblor - JoD Cogt Pil'h.g.fi.f @t