HomeMy WebLinkAboutAPPLICATION & DOCS - 93-00005 - Super 8 Motel - New BuildingN
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Date of Application,
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APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Permit NO*
OWNER CONTRACTOR
Name 1901h
Name- 0
Street Addres.s
street Address
Mailing Address Mailing Address
'04)
state
.
C a.
/W
Yr
zip Telephone_
ineeLring Firm,
;�rchitect Or En91
b 6 07—e�—D
Ss
z #3. 4 f�'�r1%
e phone
P
Ida. Lice Na-
LEGAL DESCRIPTION (ATTACH COPY IF NECESSARY
SubdivisiOn
Lot NOa Block -
job Address—
Project information (To be completed by applicant)
Gov't Religioug
Residence COMM -P Educational
Carport Garage .......Awning
Fence Patio
Remodel Additi".0n Repair Fenewal
Structure: N e w h mp�
Total Floor Area Number of Stories Height., of Building—
Finished Basemept
Unfinished Basement
Sq. footage*
for (include name of business
What will structure be used
applicable) ?
units
multIP e f amilY (apartments) how many
if use
Estimated cost
11R) 'I
41
Use Clasigjt-2.cationFr
U 94� Zone
onstruction
Type C
Group
4pp
Plan Check Fees
it Fees
Building Perm
Digging Permit Fee S
plumbing Permit Fees I
rx
Water & Sewer Hookup fees other Fe es
Signature of Applicant
Signature of Building 1'hOpectO;
Issued by
Zc/r
BF -67
1191
lDAWt3 RESIDENTIAL ENERGY STANDARDS
BUILDER CERTIFICATION AND ENERGIZING PERMIT
IDAHO DEPARTMENT OF LABOR AND INDUSTRIAL SERVICES
BUILDING DIVISION
STATEHOUSE MAIL
BOISE, IDAHO 83720-60%00
Be forer , l ting t ' fora., ,refer instructions available from the office provi f dinq this form..140
FOR S ONLY
Jurisdictio
. •1
Date Filed.
Accepted By��-_...
Cert. No.
Permit Pio®
Payment Amount
� r
General Contractor: � � �I�.� -. Phone: ��i.,'► ���
0Mailing Address: � � a � ,�,' t ,.��,u
Owner dor Lender if Spec. Home):
Site Address:
PROJECT DESCRIPTION: P"O'New E Single -Family ❑ Nov. of Stores � Q Conditioned
ElAddition Q Multi -Family El No. Units S.F.
Cl Unit(s) Designation(s)
2�
MAIN SPACE HEAT: Electric Resistance ❑ Naturae Gas 0 Oi!
El Meat Pump 1:1 Propane ❑ Wood ❑ Other
COMPONENT VALUES
COMPONENT PROPOSED PRESCRIPTIVE
(r R E)
Flour —or —R R R-1
— Crawl Space Wall R R-1
Slab on Grade R, -1
Wall -Below Grade R Nominal
3 Wall -Above rd I-
1 9
Celling-Attic R
Ceiling -Vaulted R R-30
Doors a Tested
or
Glazing Def au It U
Glazing % of Conditioned
Floor Area �� %
BUILDER CERTIFICATION
I Certify that the residential building to be constructed or sited at the
above address or property will be built to the standards above wh'lch
meet or exceed the requirements of Title 44, Chapter 23, Idaho Code:
The facts .anted in thli certification are true to, the hest of m
knowledge. I acknowledge that
ill"ful misrepresentation of a materi-
5
(D
J fact may be puntshabie under the laws of the State of Idaho.
C
13U1LU1-,N UH LILNLHAL CONTRA -
i e 'be_eej_L - 0i
( rIr t Name and mice ff oat
,0,/r
(Dade)
rgnat r
e�
for Corporation)
COMPLIANCE PATHS
Choose a Compliance Path and check one of the boxes
below.
ESSCRIPTIVE — All Component R -Values meet
r exceed i RES 11 -Values and Door or Glazing
U -Values do not exceed IBES U -Values.,
❑ ALTERNATE PRESCRIPTIVE
Percent Glazing from U -Value Trade-off Graph for
Glazing U -Value listed in box 3.
0/o
OVERALL THERMAL
TRANSMITTAUCE
1.� L
Project U
IREIRESL Reference UA
FOR OFFICFx/bldtL
NY
t
PERMIT •' e
This recognizes t h -4 habove'
rrtto+d General
Contractor has meth ,rtif ti ft%r.,equirement of
1.
4-2303 Idaho Code f6r, the r;rii building
w•
located t the site addresrt"above, Permission
for the electric service provider is herebyranted t
connect permanent el'ectric cervi i ;cordon
with IDAPA 4 regulations.
Issued
Date:
IVt3TE.• THIS FORM MUST BE PRESENTED TQ THE LOCAL UTILITY 1N ORDER TO GAIN ELECTRIFICATION OF THE BUfLDkING,
COPY DISTRIBUTION: MITE -Jurisdiction YELLOW -Public Utilities Commission PI
IilJtwlitGOLD-Builder
CITY OF R..rL.XBU'RG
BUILDING PERMIT CHECK LIST
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CTTY OF REXBURG
BUILDING PERMIT CHECK LIST
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