HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00009 - 250 Seagull Dr - New SFRZ -I ~ O Z - s° a ~rzy
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'" Certificate of occupancy
~,yo ~~ CITY OF
°~~ - ~~jJR,~ City of Rexburg
`- `y' Department of Community Development
'•,, . America's Family C:omsnunily
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Building Permit No: 06 00009
Applicable Edition of Code: International Residential Code 2003
Site Address: 250 Seagull Dr
Use and Occupancy: Single Family Residence
Type of Construction: Type V-N, Unprotected
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Matheson, Todd
2203 West Central Ave
Coolidge, AZ 85228
Contractor: Owner
Special Conditions: Approx. 780 sf of unfinished basement.
_,
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time time ofissuance, this building or that portion of the building that
vies inspected on the date listed vies found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for vihich the proposed occupancy vies
classified.
Date C.O. Issued: March 23 2 (12:15P
C.O Issued by:
Building Official
There shall be no further change in the e~asting 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.
Water Departmen '-'~ Fire
State of Idaho Electrical Department
~ ~
CITY OF REXB URG o6 00009
BUILDINGPERMITAPPLICATION ,DSO Sea ul~ Dr
I9 E MAIN, REXBURG, ID. 83440 , . ,g
208-359-3020 X322 r~
PARCEL NUMBER: ~'~'~~~~~ ~1~~`~ (We will provide this for you)
SUBDIVISION: ~fi~/J~,t~~~ ~ UNIT# BLOCK# G LOT#~
(Addressing is based on the information -must be accurate)
CONTACT PHONE # Z~ - 351- ~~ I
PROPERTY ADDRESS:
PHONE #: Home (~g)~5'/ /rso / Work ( ) Sa-u,o Cell ( ) s~
OWNER MAILING ADDRESS: / CITY: STATE:~ZIP:~~~d
EMAIL~Lyd ~,Z/,®G,o~~~~.~FAX
APPLICANT (If oth than owner)
(Applicant if other than own , a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMA N: ADDRESS CITY:
STATE; ZI EMAIL FAX
PHONE #: Home ( ) Work ( ) Cell ( )
CONTRACTOR. '~
,~
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MAILING ADDRESS: CITY STATE ZIP
i
PHONE: Home# Work# Cell# i!
EMAIL FAX !f
How many buildings are located on this property? (1yG2
Did you recently purchase this property? No es f yes give owner's name) ~~ / ~ l-P r
Is this a lot split? ~ YES (Please bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family Residence, ulti Family,
Remodel, Garage, Commercial, Addrtton, >/tc.)
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 2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the
permit or approvalvas based. Permit void if not started within 180 days. Permit void if work stops for 180 days.
Signature of Owner/Applicant
I)o you. prefer to be; contacted. by faa, email c>r ph~:~ne`? {`irclc; (}ne
WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUC
Plan fees are non-refundable and are paid in full at the time of application beginning
City of Rexburg's Acceptance of the plan review fee does not constitute plan ;
**Building Permit Fees are due at time of application** **Building Permits are void if you
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~ Cy
~~~~~,
2 ~°
0 4 2006 '`
not clear** ,
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NAME rt
PROPERTY ADDRESS ~/ Permit#
SUBDIVISION ~Pti~ ~„
Dwelling Units: ~ Parcel Acres: . 2
SETBACKS i , ~, ~ ~~ /
FRONT 3D SIDE Z SIDE ZZ _BACK ~L/
Remodeling Your Building/Home (need Estimate) $
_._
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area ~ ~ ~Q ~ Unfinished Basement area ~3 ~ Q
Second floor/loft area Finished basement area °-
Third floor/loft area -. Garage area ___ ~"~~
Shed or Barn Carport/Deck (30" above grade)Area
Water Meter Quantity:
Water Meter Size: ~
6~~~~~
PLUMBING
Plumbing Contractor's Name: i , Business Name: ~ ~
Addresslal9^f~{,~ . ~.~~ , City State Zip~~~~
Contact Phone: ~p~ 3v~ - ~~/>~ Business Phone: (,? )_ rl/ ~ - ~UB Z
Email~i ~"T SP,~yyl~' Fax ~o~ r ~Slp -~?sdg
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine
~ Dishwasher
~ Floor Drain
~ Garbage Disposal
Hot Tub/Spa
Sinks
(Lavatories, kitchens, bar, mop)
J Sprinklers
Tub/Showers
~_ Toilet/Urinal
T Water Heater
Water Softener
Plumbing Estimate $ (Commercial Only)
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Signature of ice sed Contractor License number to
The City ofRexbur~'s permit fee schedule is the same as reauired by the State ofldaho
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Please complete the entire Application! If the question does not apply fill in NA for non
app9icable
NAME ` ~EX~(~1 ~~1 "~/ ~-~c7~
PROPERTY ADDRESS - .E ' (~~.'~ Permit#
SUBDIVISION / ' .~ ~,,~ cv~
Required!!!
MECHANICAL
Mechanical Contractor's Name: l~~ r~D 2 G~ ~c~ It~~Sc.•~ Business Name: J'c N,~~~
Address !~' y(. r,;; , !':a..~ hru. ~ ~ ~ ~c lr. City ~ ~j,,~r ~"~~ State :~~ ~ t-}~,
Contact Phone: (2.:~ j ~ ~ -~~ ~ 2 ~,'" Business Phone: (z.~ ~) ~`%~ ~JS_z
Email ~~~~~~ ~ ~e~Ti ..,~;~5~~' ;~~nl .C~:~-~ Fax
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) i ~
~ Furnace ~ ~ ~? Z. ~ Exhaust or Vent Ducts s _>~.~~ ti 1,~ ~~~ n.~
Furnace/Air Conditioner Combo ~ Dryer Vents 5
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
,2
Similar fixtures or Appliances
`i Fuel Gas Pipe Outlets including stubbed in or future outlets ~~~
~o
~ Lh Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas it Coal Fireplace Electric
~~
S~
~~
I
Mechanical Sizing Calculations must be submitted with Plans & Application
`? ~~ Point of Delivery must be shown on plans.
_. ~-
Signature of Licensed Contractor
~.
The City ofRexburQ's
3~7
License number
schedule is the same as
Zip R>`/`~c
Range Hood Vents
Cook Stove Vents
Z Bath Fan Vents ~ ~~
other similar vents & ducts:
L
ate
the State ofldaho
1-~~"~-r i ~~ 6 LL c:.
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SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete:
Masonry:
Roofing:
~/
Insulation: f ~Cy ~~ Gj~
Drywall:,
,.
Painting: ~,) ~~~~~~.
Floor
Coverings:~~~y, ~G~,~
Plumbing: ~~~, l~rnc~ ~~
Heating:~~ ~1~~
Electrical:
Special Construction
Roof Trusses:
Floor/Ceiling
Siding/Exterior Trim:
Other:
(Manufacturer or Supplier)
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
~1 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 cert~ that the above information is true and correct to the best of my knowledge.
_ ~' ~ _
Date
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