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Home My WebLink AboutAPPLICATION - 08-00104 - Snellgrove Townhomes - Bldg 9, 4 UnitsCITY OF REXB UKG PERMIT # 13UILDINGPERMIT APPLICATION Please � A 10 � - 19 E MAIN, REXBURG, ID. 83440 If the que 208-359-3020 X326 08 00 104 SnellgftlVe'lbwnhttnles 131dg 99-4 Units PARCEL NUMBER:�� ( (� 40 W Is( S 4901 - 904 SUBDIVISION: UNIT# BLUCK3tFF LVIiF (Addressing is based on the information - must be accurate) 0WAWR NAME: CONTACT PHONE # PROPERTY ADDRESS: LJ -),n .5(Ye 1&)P 77 5 L --LC , PHONE #: Home (l %— fv 25 ? Work ( ) Cell OWNER MAILING ADDRESS: PD, 633 YQ CITY: STATE:M—ZIP&KYR EMAIL FAX Z05- APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accpmpany this application.) APPLICANT INFORMATION: ADDRESS CITY STATE; ZIP EMAIL FAX PHONE #: Home ( CONTRACTOR: r MAILING ADDRESS: 3? ir Work ( Cell ( PHONE #: Home � s t Woxk ( ) Cell 7 4 g EMAIL FAX IDAHO REGISTRATION # & EXP. DATE RnE�- Z I c(D How many buildings are located on this pr exty? -;If Zmr-% (u) Did you recently purchase this propertyNo Yes (If yes give owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: n U)A( f-f/_�� e-� (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify 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 false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit v 'd if n Q t started wi 180 days. Pevnikvoid if work stops for 180 days. Signature of Owner/Applicant ev"50 ""e i D'A'TE Do you prefer to be contacted fax, a of phone Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning lanuM-,1 2005. 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 � ,:—,. i ',, ..a f � �� i � Builc...,g Safety Department City of Rexburg 19 E. Main janellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 State of Idaho County of Madison I, — Name Affidavit of Legal Interest Address City State Being first duly sworn upon oath, depose and say: CITY OF REXBURG by AmericA Family Community (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my� 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 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: C�. Q Please complete the cntire Application! NAME PROPERTYADDRESS SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Permit# Remodeling Your Budding/Home (need Estimate) $ as t't)LQS Ot"V� &' It SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) Pt7Z alit T First Floor Area tou Unfinished Basement area ( Second floor/loft area Finished basement area 6- Third floor/loft area b d t,` Garage area a C. - Shed or Barn M2 4(a Carport/Deck (30" above grade)Area 6?02- &C(W l� Water Meter Quantity: /� **************Water Meter Size: f3u/c/j Requiredffl PLUMBING %Y1xi" �Business Name:Plumbin Contractor's Name: (f XS O Address 2 J e /�S4�— City c14 State Contact Phone: ( ) So? 19 /A'�/rBusiness Phone: ( ) S2/ 3: -WS+ FIXTURE COUNT (includinearouehed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) -Pty- wNifi Sprinklers Tub/Showers Toilet/Urinal Water Heater Water Softener Plumbing Estimate $ (COMMERCIAL/MULTI-FAMILY ONLY) * / Signa a of ACeaS d Contractor License Number& Expiration Date Date The reheduk is the same as required by the State of Idaho 9 Please complete the entire Application! NAME PROPERTY ADDRESS SUBDIVISION Permit# Required.!! MECHANICAL Mechanical Contractor's Name ®° 5////LTBusiness Nam t Address �� ;2 F,- . A/i e. City State Zipyo0 Cell Phone ( >� 3 3� Business Phone Fax( _ )— Mechanical _ Mechanical Estimate $.?CO 6 (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace _�E chaust or Vent Ducts Furnace/Aix Conditioner Combo --/— Dryer Vents . Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired 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 (2 Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas it Coal Fireplace Electri Hydxonic Mechanical Sizing Calculations must be submitted With Plans & Application Point of Delivery must be shown on plans. /6Oo SigrVKue of 11 rased Contractor License number The .schedule it the same as /'-e� - (1 7 — Date the State Building Safety Department City of Rexburg 19EMain janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# CITY OF REXBURG Americak Family Community HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name Address City State Zip Cell Phone ( ) Home Phone'( ) Fax ( ) Email TYPES OFINSTALLATION (New Residential includes everything contained urithin the residendalstructure and attachedgatage at the same trine) For power supplier requirements visit www.rockymtapowevnet 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) Temporary Amusement/Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Home Owner Date The City ofi3exburg'tpermitfee scheduk it the same ar required by the State of Idaho ........................................................................................... SUBCONTRACTOR LIST Excavation & Earthwork: 3 k ( L07ZG �7 G� �j jj% L W Insulation: �' -f T`�d (6L: Drvwall: Painting: Rlu I-3wwr 4 - Floor Coverings:— t- - it Electrical: L /L! GA V Acid J D I C E Special Construction (Manufacturer or Supplier) Floor/Ceiling Joists: Siding/Exterior Trim: AL Building Safety Department City of Rexburg 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME&V/{,(`, bi L LCA PROPERTY ADDRESS _ SUBDIVISION PHASE BLOCK CITY OF REY.BURG CW Ameriw' Family Community OX 00104 Snellgrove Townllorues 131cig 49-4 Units 40 W Ist S 4901 - 904 RequlTedffl ELECTRICAL Cell Phone (2A 2S/ -hoz( Business Phone (z6$b) ',,5!-6,0Z..4 Fax (20�) 6sz Email1!��o /7g; c CQ rYJ_SftJ ° L' c9m Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY ONLY) TYPES OF INSTALLATION (New Residendalincludes everything contained within the residential structure and attachedgarage at the same time) _ Number of meters being installed Up to 200 amp Service* T 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, Smirru ing Pool -- --- - - _ Electric Central Systems Heating and/ox Cooking (whenot part of a new residential construction permi n t 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 ipggections. Additional inspections charged at requested inspection rate of $40 per hour. ice_ C- 49 - 2-2-/-07 Contractor License number Date The Gty of Rexburg'rpermitfee schedule is the same as required by the State t ,. 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 1st S #801 - 804 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 By Approved: Friday February 29 2008 CITY OF REXBURG BRa�� Nell Hansen Permit Coordinator / Tech P.O Box 280 City Rexburg 19 E. Main St. REXBURG of Rexburg, Idaho 83440 Phone (208) 359-3020 STATE OF IDAHO Fax (208) 359-3022 e -Mail 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 1st S #801 - 804 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 By Approved: Friday February 29 2008 CITY OF REXBURG BRa�� Nell Hansen Permit Coordinator / Tech