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Home My WebLink AboutAPPLICATION - 08-00103 - Snellgrove Townhomes - Bldg 8, 4 UnitsCITY OF REXB URG PERMIT # BUILDING PERMIT APPLICATION Pleasc ' A_ 19 E MAIN, REXBURG, ID. 83440 If the qu 208-359-3020 X326 08 00103 per( SncllroVc'f()X\nhumcs 131dg#f{-a I (nits PARCEL NUMBER: 1r Y! L7 40 W I st S 9901 - 804 SUBDIVISION: UNI-LTF nl �t n+ avxt (Addressing is based on the information - must be accurate) 0W ArER NAME: CONTACT PHONE # PROPERTY ADDRESS: (. in&5(Ye-D ftE T1c-5 4- L; G , PHONE #: Home Work ( ) Cell (�' 7y7- 00 f r OWNER MAILING ADDRESS: f?- D.. 8O)c YO CITY: i 6 `I STATE:W_ZIP:9i3,V(/ EMAIL FAX 205- J £{Y� Built ..g Safety Department City of Rexburg 19 E. Main janelih@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org fax: 208.359.3024 Affidavit of Legal Interest State of Idaho County of Madison I, Name City Being first duly sworn upon oath, depose and say: A. Address State CITY OF REXBURG CW- AmerW Family Community (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 myV permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this day of 120 Signature Subscribed and sworn to before me the day and year fust above written. Notary Public of Idaho Residing at: My commission expires: Please complete the .;ntire Application! NAME PROPERTYADDRESS SUBDIVISION Dwelling SETBACKS FRONT_ Parcel SIDE SIDE BACK Permit# Remodeling Your Building/Home (need Estimate) $ U141;DWS I:DY 4l/tC`u SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) Piz t -1j, -r First Floor Area �Zi Unfinished Basement area O�� Second floor/loft area Finished basement area D C Third floor/loft area b 6 Garage area OK L� r Shed or Barn A U A(&� Carport/Deck (30" above grade)Area OSSf. f Water Meter Quantity: /�C **************Water Meter Size: G Au/c� Required.�l � PLUMBING Plumbing Contractor's Name: Business Name: �` ` l `el StateZipj Contact Phone: ( ) ,V q 9>� r Business Phone: ( FIXTURE COUNT (includine touLyhed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Fax der winfi Sprinklers Tub/Showers Toilet/Urinal Water Heater Water Softener 1"&t U, "e --- Plumbing Estimate $g!�Lmo (COMMERCIAL/MULTI-FAMILY ONLY) / Signatp e of Licens d Contractor License Number& Expiration Date Date The it the same as required by the State Please complete the entife Application! NAME PROPERTY ADDRESS SUBDIVISION I' ,.I_ .. RequiredW MECHANICAL Mechanical Contractor's Name %` 5 �///G3'l ' kj i BB uussmess Nam Address /7 � �e—c M City 7� State Cell Phone( ) � 1 3 3! J Business Phone 9 Fax( _ ) Email Mechanical Estimate $?CO (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single FamilyDwellirig Only) Furnace I Exhaust or Vent Ducts Furnace/Air Conditioner Combo Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fixed appliance Incinerator System Boiler Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Pool Heater \ Fuel Gas Pipe Outlets including stubbed in or future outlets (% vvv l �) Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas it Coal Fireplace Electri Hydxonic Mechanical Sizing Calculations must be submitted *ith Plans & Application Point of Delivery must be shown on plans. Sigqxrwe of I ensed Contractor The License number schedule is the .came the State d 7 Date Building Safety Department City of Rexburg 19EMain jonellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexbur_q.org Fax: 208.359.3024 OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE BLOCK Permnit# CITY OF aXBURG CVV— America's Family Community HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name Address City State Zip Cell Phone ( ) Home Phone ( ) Fax ( ) Email TYPES OFINSTALLATION (New Residentialigcludes everything contained within the residential structure and attachedgarage at the same time) For power supplier requirements visit www.rockymtnpowet.net Number of meters being installed Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Existing Residential (# of Branch Circuits) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and/or Cooling (when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Tempotary Amusement/Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Home Owner Date The 00 of Rexbutg'rpermitfee schedule is the same as required by the State ofldaho ............................................................•.............................1 SUBCONTRACTOR LIST Excavation & Earthwo r k: 3 /- LO n.L i nt LL. (j o -x Concrete: 7 PJ 0 oyz "J 7 Insulation: r� man: K,J-W Painting: Rru /3AwrA- Floor Coverings: C PE�T �. Electrical: E L,c ga c- Special Construction (Manufacturer or Supplier) Floor/Ceiling Joists: Siding/Exterior Building Safety Department City of Rexburg 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAMEAW(.C� L �C, PROPERTY ADDRESS SUBDIVISION PHASE BLOCK CITY OF REXBURG Americas Family Community 0800103 Snellgrove Townhomes Bldg #8; i4 Units Service Requiredffl -ELECTRICAL ELECTRIC zL Electrical Contractor's Name e -L l (J il"ss Name CellPhone(26�) Business Phone (as) Fax (,?pg) Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY ONLY) TYPES OFINSTALLATION (New Residendalincludes everything contained within the residential structure and attachedgarage at the same time) —� Number of meters being installed C`e-JS _ Up to 200 amp Service* !� 201 to 400 amp Service* Over 400 amp Service* --- >�,— Temporary Construction Service, 200 amp of less, one location (for a period not to exceed 1 year) Existing Residential (# of Branch Circuits) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating an -allot Cooling (when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement/Industry 'Includes a maximum of 3 ilNections. Additional inspections charged at requested inspection rate of $40 per hour. Contractor License number Date The City ofRexburg'.rpermit fee schedule is the same as required by the State February 29, 2008 REQUEST FOR A CONDITIONAL BUILDING PERMIT FOR PARTIAL BUILDING CONSTRUCTION TO: Building Official for the City of Rexburg Pursuant to the provisions of the International Building Code 2000, the undersigned requests that a building permit be issued for: Footings and Foundations only at: 40 W 1 st S #901-904 Rexburg, Acknowledgment is made that the plans for the complex are not complete and that final approval of the building will not be given until the final plans have been approved. We recognize that proceeding with partial construction at this time is entirely at the risk of the Architect/Owner with there being no assurance that the final Certificate of Occupancy for the entire building or structure will be granted. We further absolve the City of Rexburg and officers and employees thereof, of all resposibility for the issuance of a partial permit and further agree that any work performed under this permit will be removed or otherwise corrected to be in accord with the requirements of the final approved plans when a permit for the entire building of structure is finally granted. Dated: Friday February 29 2008 Approved: Friday February 29 2008 e -Mail By � Permit Coordinator / Tech P.0 Box 280 °BURG City of Rexb u rg 19 E. Main St. Rexburg, Idaho 83440 Phone (208) 359-3020 an=r r ryr' ,,,unuy STATE OF IDAHO Fax (206) 359-3022 February 29, 2008 REQUEST FOR A CONDITIONAL BUILDING PERMIT FOR PARTIAL BUILDING CONSTRUCTION TO: Building Official for the City of Rexburg Pursuant to the provisions of the International Building Code 2000, the undersigned requests that a building permit be issued for: Footings and Foundations only at: 40 W 1 st S #901-904 Rexburg, Acknowledgment is made that the plans for the complex are not complete and that final approval of the building will not be given until the final plans have been approved. We recognize that proceeding with partial construction at this time is entirely at the risk of the Architect/Owner with there being no assurance that the final Certificate of Occupancy for the entire building or structure will be granted. We further absolve the City of Rexburg and officers and employees thereof, of all resposibility for the issuance of a partial permit and further agree that any work performed under this permit will be removed or otherwise corrected to be in accord with the requirements of the final approved plans when a permit for the entire building of structure is finally granted. Dated: Friday February 29 2008 Approved: Friday February 29 2008 e -Mail By � Permit Coordinator / Tech