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Home My WebLink AboutAPPLICATIONS, CO, BP - 06-00475 - 495 Woodbridge St - New SFRCITY of Certificate of tyecupancy REX13URG CW Americas Family Community Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 / Fax (208) 359-3024 0600475 International Residential Code 2003 495 Woodbridge St Single Family Residence Type V-N, Unprotected Residential No Name and Address of Owner: Jensen Nick & Marci 2869 S 5500 W Rexburg, ID 83440 Contractor: Bros Concrete Llc Special Conditions: 568 sq ft unfinished basement Occupancy: Residential, single family dwellings, lodging houses This Certificate, issued pursuant to the requirements of Section 109 of the Intemational Building Code, certifies that, at the time time of issuance, this building or that portion of the building that vties inspected on the date listed wes found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for Mich the proposed occupancy vies classified. Date C.O. Issued: - Septemb 71201 C.O Issued by: �& Building Official There shall be no further change in the eAsting 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: Electrical Inspector: Fire Inspector: Y1 I a P&Z Administrator:-� CITY O F REXBURG CW America's Family Community ISSUED TO: Building Permit PERMIT #: 06 NAME: Jensen Nick & Marci 1 1 � FOR THE CONSTRUCTION OF:495 Woodbridge St -Jensen JOB ADDRESS: 495 Woodbridge St GENERAL CONTRACTOR: Bros Concrete Llc This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on the Building Permit Application as approved by the Building Inspector. Date Approved Issued By Building Inspector THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTiFICATE OF OCCUPANCY 1) A completer set of approved drawings along with the permit must be kept No work shall be done on any part of on the premises during construction. the building beyond the point indicated NOTICE! 2) The permit will become null and void in the event of any deviation from the in each successive inspection without accepted drawings. approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered without approval. INSPECTION CARD BUILDING 1. Mechanical Rough In 2. Mechanical Pressure 3. Mechanical Final Ins 4. Layout 5. Footing 6. Foundation 7. Framing 8. Insulation 9. Drywall 10. Sidewalk 11. Final PLUMBING no+o en.,..,....A 1. Sewer Service Conn 2.. Water Service Connc 3. Rough -In 4. Ground Rough -In FS. Final 24 Hour Notice and Permit Number required to make inspection appointments For Inspections Call 359-3020 option 2 ACERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL & PLUMBING INSPECTION P. 1 Me'Very TX Result Report ( Oct. 1. 20* 8:34AM ) 2) Date/Time: Oct. 1. 2007 8:33AM File Page No. Mode Destination Pg(s) Result Not Sent ---------------------------------------------------------------------------------------------------- 4995 Memory TX 3567344 P. 2 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang up or 1 i ne fa i 1 E. 2) Busy E. 3) No answer E. 4) No facs imi 1 e connection E. 5) Exceeded max. E—ma i 1 size 021T or r1NsAc�ar,8o3�m meux�pm MUM Fax &C." • CJ UVW a ft ItvFw,► G maw cc=r*d D rbcso ftW O Plasm ftcycb J _ °` CA •1ro� �t5 YY brim - P. 1 Memory TX Result Report ( Sep.27. 2007 11:03AM) 2) Date/Time: Sep.27. 2007 11:02AM File Page No. Mode Destination Pg(s) Result Not Sent ---------------------------------------------------------------------------------------------------- 4962 Memory TX 3567344 P. 2 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size e.rR oI /��v/ trN■rs Ar.■Raatltxxw REXBURG CnY OF KEXB URG � PFRMLT� BUILDING PERMIT APPLICATION Please 19 E MAIN, REXBURG, ID. 83440 If the ques 0600475 PARCELNU BER:��tN'615 O0?;(_) (V 495 Woodbridge St -Jensen SUBDIVISION: S7Z*4t 13RTD r v- UNIT# BLOCK# Z LOT#-Za-- (Addressing is based on the information - must be accurate) PHONE # PROPERTY PHONE #: Home (lob) (PSl- -0n5-3 Work (zoe) 35-6,- 9413 q Cell (?,,e) 33,7 OWNER MAILING ADDRESS: 2810 So. _5.560 CITY: eA60c., STATE:-Zb ZIP: 839YO EMAIL ;eNseruly or) Ne fa e_no , Ne_1_ FAX Af 14' 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 EMAIL FAX PHONE #: Home ( Work ( Cell ( CONTRACTOR: Ross m e rr l I C BPOs '(�nGc/2 vTrs G L.0 ) MAILING ADDRESS: PO %3b X /D CITYP�rvCr:� STATE X�D ZIP f1D 9 PHONE #: Home (2o6) (o 24/ `309! Work ( ) 71/ /14 Cell (?45) 35/- /OZ ri EMAIL 1/ /A -FAX- - IDAHO REGISTRATION # & EXP. DATER( C -9807 ' c-xa •z—.-s-b1-l1)-dr How many buildings are located on this property? Did you recently purchase this property? No 'e (If yes give owner's name) Kee 3 eNN F'/ e Id Is this a lot split? 0 YES (Please bring copy of new legal description of PROPOSED USE: Sin Fai�tmrni!� rzeSide�,ce (i.e., Single Family Residence, Multi Family, Aparents, Remodel, Garage, Commercial, APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATI that I have read this application and state that the information herein is correct and I swear that any in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg sha City regulations and State laws relating to the subject matter of this application and hereby authorized mentioned property for inspections purposes. NOTE: The budding official may revoke a permit on a International Code in cases of any false statement or misrepresentation of fact in the application or on based. Permit void if not started within 180 days. Permit void if work stops for 180 days. which may hereafter be give¢ by m4 in ffuland orrrelct. I agree to cofiply w th all Na.kakdxdi=r di Jti4ib�t 20 3 Ve on which the permit or approval was — 2i as a d DATE Do you prefer to be contacted by fax, email or 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 ranuary 1. 2009, 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** Build: rg Safety Department 01aer°��, �{ City of Rexburg m 19 E. Main janellhQrexburg.org Phone: 208.359.3020 Rexburg, ID83440 www.rexburg.org Fax:208.359.3024 Affidavit of Legal Interest State of Idaho County of Madison I1 N1L-b-tL4-e G Ail 4c`e 2$69 S 6s0n L..J Name Address 0eXbke n, City State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) CITY OF REXBURG CW- Ameruak Family Community 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 ;Z2: day of C� 1?i&=m \na r 120 D (� Subscribed and sworn to before me the day and year first above written. =NTARO RILL BLIC AHO My commission expires: y- /V/- 40nj�? Building Safety Department o�pe%a�R� y CITY OF City of Rexburg '= REXBT R ° 0 1�P.1LL7 V 1� 0- 19EMain jonellh@rexburg.org Phone: 206.359.3020 x326 America's Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME /MILK -n j tV j y-e 1 Se1U5CW PROPERTY ADDRESS "5 %Iax1yx7 L u Permit #06 00475 SUBDIVISION S'7V1V1 AA)b&U 495 Woodbridge St PHASE, LOT # /9 BLOCK & Z g 7Required!!! ELECTRICAL 1 Electrical Contractor's Name TlLt)/3 /ia,1 r Business Name 1-1-" 3 1i44,zl Y� �- Cell Phone (.208) 3/3 17621 Business Phone (�)Ogf ,3/3 ^Or))3'/ Fax (2Ogj 22%—Dt7'Z/ Email -Lo-yl3-'7e KK /G(�� • /Lti� Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY ONLY) TYPES OFINSTALLATION(RESIDENTIAL) (New Residential includes everything contained within the residential structure and attachedgarage at the same time) 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 $40 per hour. Signature of Licensed Contractor License number Date The City of Rexburg i permit fee schedule is the .came u nquired by the State - P. 1 Memory TX Result Report ( Sep.26. 2006w'11:51AM) 2) Date/Time: Sep.26. 2006 11:49AM File Page No. Mode Destination Pg(s) Result Not Sent ---------------------------------------------------------------------------------------------------- 2110 Memory TX 12082270421 P. 1 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang up or 1 i ne fa i 1 E. 2) Busy E. 3) No answer E. 4) No fats imi 1 e connection E. 5) Exceeded max. E—ma i 1 size Fax PWZVO" 0 TO: Travis Vassar Frogs JaNld Fiormen Fax ZD&WAW ftm 1 Wmec Dada Sopfomber26.?D06 Re: oG o t o FOIts is," o co®m.mt G Rome ft* o Flaase ftwfi ecarrmwift OW records Indloote your slob dcense hm expired. Flame t= a copy (f wd a bacil of yourrenevred mecdKMkl d and et$CtX: l [oevues Forour @es. shank You, JOW 1 Please complete the entire Application! ` w If the question does not apply fill in NA for non applicable NAME ill/Ci< and marco TchSzN PROPERTY ADDRESS Permit# SUBDIVISION 57oNG/3R/�Cr� Dwelling Parcel SETBACKS FRONT ? 2 Ff- SIDE zS Ff SIDE 20 Ft 8" BACK 2S �t Remodeling Your Building/Home (need Estimate) SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area /S08 _ f Q Fi- Unfinished Basement area y' 3 1 s a Pt Second floor/loft area At A- Finished basement area SSi S Q /-- Third floor/loft area Al44 Garage area S6 8 s ¢ 7 '- Shed or Barn N14 Carport/Deck (30" above grade)Area /V/A Water Meter Quantity: ************** 5411 Water Meter Size: Requitedffl PLUMBING , ✓/ Plumbing Contractor's Name: Business Name: X !! 1X1m b%rl Address 2, 3V / 7 'I9/'oyG 1+,d R City 914e Age State TZip Z3 Contact Phone: Business Phone: ( )2,r.2 `0&t/0 Email Fax FIXTURE COUNT ('including toughed &xtures� / Clothes Washing Machine Sprinklers I Dishwasher Tub/Showers Floor Drain 3 Toilet/Urinal Garbage Disposal r2 Water Heater Hot Tub/Spa f Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) 9-zD-off Signature of Licensed Contractor License Number& Expiration Date Date The City ofRexburn'r berntit fee schedule is the same as mauimd by the State ofldabo 9 Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME /V/CK rrnJ (Nast° J -n_se-At PROPERTY ADDRESS permir# SUBDIVISION St-DNi -8RIOGL RequiredW MECHANICAL Mechanical Contractor's Name: �1- 1-5 9"es— Business Name: W%_a-Ut3' K&Icel- 5f,, i - Address _ l q S/1/ City 2 t�G46 �- State e� ✓ Zip S3 �/yZ Contact Phone: (2Q6) 3/.1 •- 00 $l Business Phone: (209) 3 /3 - U d 9/ Email %/a-o lS -K e_ 0 _ d Ck_ , rt e- Fax Mechanical Estimate $ (Commercial/Multi Family Only) WS & APPLIANCES COUNT Furnace 35 Fumace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater / LDecorative gas -fired appliance (5 Incinerator System Boiler (Single FamilyDwetHmg Only) Exhaust or Vent Ducts, 1 s Dryer Vents 5- Pool Heater SFuel Gas Pipe Outlets including stubbed in or future outlets 2-0 Inlet Pressure (Meter Supply) PSI Range Hood Vents Cook Stove Vents Bath Fan Vents 10 other similar vents & ducts: Heat (Circle all that apply) (!GD Oil Coal Fireplace Electric Hydronic � (0S Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature f Licensed Contractor License number bate The City of Rexburg i permit fee schedule is the same as required by the State Building Safety Department 01�EX$�R�,o City of Rexburg 'y O 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, /D 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME /VI C K & n cL M a r c, o .J i n s cAl PROPERTY ADDRESS Permit# SUBDIVISION .572NG- rB-P tDC &-- PHASE LOT # Z63 BLOCK W Z-- C I T Y OF REXBURG America's Family Community HOME OWNER S ELECTRICAL PERMIT Home Owner's Name Address Cell Phone ( ) Fax ( ) Email City State Zip Home Phone ( ) TYPES OF INSTALLATION (RESIDENTIAL) (New Residential includes everything contained within the residential structure and attached garage at the same time) 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 nexv 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 schedule is the came as requi, the State of Idabo 0 STATE IDAHO THE IDAHO CONTRACTORS BOARD Certifies That BROS CONCRETE LLC Registration No: RCE-9807 Subject to Annual Renewal I-L9 Is u W )I I S E P 2 2 2006 ILO I CITY OF REXBU-Rr. having fulfilled all the requirements of the Laws of Idaho and possessing the prescribed qualifications, is hereby authorized to practice as a :- CONTRACTING BUSINESS within the State of Idaho STATE OF IDAHO CONTRACTORS BOARD Bureau of Occupational Licenses Department of Self Governing Agencies The person named has met the requirements for registration antl is entitled under the laws and rules of the State of Idaho to operate a(nl ! CONTRACTING BUSINESS BROS CONCRETE LLC ! ! ROSS & LYNDA MERRILL. ET AL 246 NORTH SPRUCE PARKER ID 83438 I j Rayola Jacobsen RCE-9807 01/17/2007 Chief, B.O.L. Number Expires IN TESTIMONY WHEREOF, I have here unto put my hand and affixed the Official Seal of the Bureau of Occupational Licenses at Boise, Idaho, this / 7th day of Januan% A.D. 2006 F, UR U OF OCC N LICENSES SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: 13 ;?o S Co/vc 12 L= Tom= L L C- Masonry: M /- kcc -S o M rh ,-,r Roofing: 13 CoNIC2 t �r Insulation: a 4C[ t1 CAne 4wi Sy! C*SI0 i1 Drywall: l> c.., ew N7`,-r C Painting: f3 �-, 6bn/74'rit ` 0l" Floor Coverings: �'✓�t7� Plumbing: Heating: J�A-Ll Electrical: %—&3kAuC,,e-- Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Siding/Exterior Trim: Other: ,� � EXEMPTIONS FROM STATE REGISTRATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at www.ibol.idaho.,gov/cont.htm) ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors/Journeyman, 12 Engineers/Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing/Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ❑ Employee of a US Government agency (State, City, County, or other municipality) ❑ Public Utility doing construction, maintenance, or development to its own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a project or projects with a total cost less than $2000 ❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ Work in rural districts for fire prevention purposes ❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months ❑ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ❑ Real estate licensee/property manager acting within Idaho Code ❑ Engaging in the logging industry ❑ Renter working on the property where they live with the property owners approval ❑ Construction of a building used for industrial chemical processing per Idaho Code ❑ Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify that the above information is true and correct to the best of my knowledge. Signature Print Name Date 0