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Home My WebLink AboutAPPLICATIONS, CO, BP - 06-00014 - 648 Centennial Loop - New SFRZ ~ ~ _ v ;o~-~ _ rt S~ N ~ m ~ ~ 'C3 - ~ `~ ~ 3 ^~ z '~ ~D ~ d ~ y 3 a ~* c _' 47 ~ O '~ C ~!. ~ b fl f o ~ s? D n ~ ~ C . . ~ y ~ O'a c v ~ m 3 ~ Z Y' ~ = ~ ~ ~. `V. m nn~~ -p ~ C1 ~~;fD ~ °2 n -• ~ ~ -1 ~ O ~. Cwt •- °' ~_'~ ° m m ~~~ o co cu n n N Q ~ Nl (') _ o ~•~ ~ _~ n n 70 ~ d O a a°-, ;, ~~~ c ~ ~ -aN~~ rt m E . ~ n ~ ~' m G ~ O C C 0 01 ~ 3 c i a Z p ao Q' <~ F. • O y N ~ n ~ y C ~ K y~ v s o m ~ fD ID '~ O 3 ~ ~ S~S r ~ W~ m o ~ o 5 -i _ v CI C. n ~ ~ ~ ~ ~ ~ ~ ~ C _A ' v, W N _. ~ ~ .r ~ ~ ~ ~ ~ ~ a. <D y '~ ~ ~ ~ Q ~D ~ n > ~ 3 ~ ~ -~ O "'~ m ~ H `< o Q. rt~ ~ `~ w a oo v 'a n ~ ~_ c7 "" O O a m ~ Z D O <D ~~ Z ~ ~ n ~ d O --) ~ `~ a ~a = sz .<~~~o ~~ n ~ m m < o,. S' ~ o ~ m ~ ° ~ ~ c d w - N O O -1 ~ C1. 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Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359 3022 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: Name and Address of Owner: Contractor: Special Conditions: Occupancy: 06 00014 International Building Code 2003 648 Centennial Loop Residential Type V-N, Unprotected Single Family Residence No Walker, Celeste 2128 Malibu Dr Idaho Falls, ID 83404 U Build It 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 of issuance, this building or that portion of the building that was inspected on the date listed was found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. Date C.O. Issued: May 09, 200 8:20AM . C~i!.~C _-----......._ C.O Issued by. ~ ` Building Official There shall be no further change in the existing 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 • ` ~ , ~ ~^~-~~2 State of Idaho Electrical Department (208-356-4830):- Fire r .~ O4 REXB ~,k ~. i~ F ~~ o ci1~r or 1 t1../~ V 1\l3 __- ~ -- - America$ Farnity Carnrnunifv Certificate ®f cc~pancy City of Rexburg vepartment of Community Development 19 E. Main St. / Rexburg, ID. 83440 c~~208) 359-3020 /Fax Building i,~ermit No: 06 00014 Applicable Edition of Code: International Building Code 2003 Site Address: 648 Centennial Loop Use and Occupancy: Residential Type of Co67struction: Type V-N, Unprotecfied Design Occupant Load: Single Family Resi~tence Sprinkler System Required: No Name and Address of Ownc:r: Walker, Celoste 2128 Malibu Dr Idaho Falls, ID 83404 Con~:~-actor: U Build It Sp, .:cial Conditions: Driveway to be completed when weather permits. Occupancy: Residential, single familydwelli~~gs, lodging houses This Certificate, issued pursuant to the requirements of Section 109 of the International Building Code, certifies that, at the time time of isscr.~nce, this building or that portion of the building that wes inspected on the date listed vies found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. Date C.O. Issued: January 05, 2007 (09:04AM) C.O Issued by: q%, Building Official There shall be no further change in the existing 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. Vliater Department: Fire _ State of Idaho. Electrical Department (208-356-4830~:.~ CITY OF REXB UR G ~ PER* ~Tm BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 Please comb If the question d~ 06 00014 648 Centennial Loop PARCEL NUMBER: ~.Q~.~~ ~ ~~~(~~' ~ ~ (We will SUBDIVISION: ~-{ ~ V ~ UNTT~ 8 BLOCK#~LOT#_~ (Addressing is based on the information - t ust be accurate) CONTACT PHONE # 522 -7 D$ S PROPERTY ADDRESS:- ;Z 1 a.~ ~ ~, ~~ ~ ^~,~ `~~~ ~~~~c~,pcl PHONE #: Home (~ S 22- 7 p 85 Work ( ) Cell ~ a01- 4q ~ ~ OWNER MAILING ADDRESS: al as mc~,hbu Dr CITY: ~'~,~ FnIZsSTATE:Tp ZIP: 83~f ~Oy EMAIL FAX ~GiMV1~ C1.S R~IriQ. 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 STATE; ZIP EMAIL PHONE #: Home Work FAX Cell How many buildings are located on this property? pn Q, Did you recently purchase this property? No es If yes give owner's name) Cf,~eS~-e ~alkQ,~' Is this a lot split? ~O YES (Please bring copy of new legal description of property) PROPOSED USE: ~1 ~ ' (i.e., Single Family Residence, M i Family, Remodel, Garage, Commercial, Addition, APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: uncle ~i atryAtNpe0ur6y ~n00e0by U b that I have read this application and state that the information herein is correct and I swear that any information hich may hereafter be given by f in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be tru and correct. I a ee to com ly with all City regulations and State laws relating to the subject matter of this application and hereby authorized re er 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 approval. was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Signature of Owner/Applicant DATE Do you prefer to be contacted by fax, email or hon 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 January 1.2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval CITY: ' ~ • ~ CITY OF ., , ~-~---~-- o ~ ~~ ~~ ~ -.. ~ d 4 REXBC.IRG ~~ _ ~ ~?~~ ~q~~p+~ AMERICA'S f AMILY CJMMU!\ffY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburo.ora comdev@.rexburQ.org Affidavit of Legal Interest State of Idaho County of Madison I, C~~~,s-`-e Wal Kre.r- a(oZg m al~.70 lt, ~t ~ Name Address '(,dla~.o ~a lts , ~~ty ~,Qq ah~ State Being first duly sworn upon oath, depose and say: (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 a ~~ day of , 2p 95 C~LI ~ o 11 , Signature Subscribed and sworn to before me the day and year first above written. N r NotaryPublic of Idaho ~a~ ~~G _: ~C"~ ~ Residing at: / (, S7~ ~ S 4 6~ r, ~~ ~> : ~] .~ ~Eti~~`` ~ F ;f, ~'~~ ~y~ ~~~~~~~ My commission expi es: ~- `7-C~ ''' ~ ~, ~r~~~~``~ti Pease ~com lete the eire .A lic h n ~ • P PP ao. Yf the question does not apply fits in NA for non applicable NAME -lira =~ ps}~. ~MEI~G,,p~C- PROPERTY ADDRESS Permit# SUBDIVISION ~; d,~~ ~ allevt Dwelling Units: ~ Parcel Acres: D'j' SETBACKS FRONT JSZ' SIDE q' ~~ SIDE /Z, BACK y3' ;j ~ ~~l Remodeling Your Building/Home (need Estimate) $ Y1 pL SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area~(.Q ~ Second floor/loft area Third floor/loft area Shed or Barn Unfinished Basement area I ~~ Finished basement area Garage area 9 Carport/Deck (30" above grade)Area Water Meter Quantity: *******~ °***** Water Meter Size: ~~ Required!!! PL IIMBING Plumbing Contractor's Name: ~ ~ ~ , `~C~~ ,~r~ ~~~~/~ Address ~ ~ ~ . /~ Contact Phone: (~) ~ 0 S ~'~to +''' ~ _) ~ ~'~~~'~ ~ ~~ Email ~~~ L> ~~~~~." 6 _ ~~~~' i a FIXTURE COUNT (including roughed fixtures) ( ~~~- ~ Clothes Washin Machine ~" ~`,~ ~~ g ~_ Dishwasher Y ~ ~) ~ ~~~~_ ~ Floor Drain Garbage Disposal Hot Tub/Spa _~ Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ _ (Commercial Only) ~~ fl S' afore of Lice ed Contractor License number The City of Rexburg s permit fee schedule is the same as fir -tn~5 Zip Date the State of Idaho Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME ~~--~ 11~1Q IK~. ~' PROPERTY ADDRESS Permit# SUBDIVISION ~~~ ~ c~( ,~,~~ Required!!! MECHANICAL Mechanical Contractor's Name: -~ ~~~1 Business Name: ~~ ,Q ~ (~, ~ .L~~G Address o~ o ~ ~ ~,Q ~~ ~'r 5' 1 ~-~ City -.L , ~ ~f ~~~ State ~ Zip o ~/v T Contact Phone: (2~ °) S 2 ~ 7 v J "~ Business Phone: ( ) _.~ Email Fax Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Furnace tS ~ Exhaust or Vent Ducts ~~~~~-~' ~~'~'`~"~`" Furnace/Air Conditioner Combo ~ S Heat Pump Air Conditioner Evaporative Cooler ---- Unit Heater -- Space Heater j Decorative gas-fired appliance ` ~ -- Incinerator System --__ Boiler Pool Heater Similar fixtures or Appliances other similar vents & ducts: i 35 ~ s° t ~5 ~_ Fuel Gas Pipe Outlets including stubbed in or future outlets ~s ~S . ~5 Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Oil Coal ~replac Electric ~-:~ ~~.ti'~ ~-`~ ~ 1 ,y Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. a ~ I 1 ~ ~ / ~~ oS' ignature of License Contractor License number Dat ~ ____~_ Dryer Vents Range Hood Vents 5 / Cook Stove Vents ~ s Bath Fan Vents The City of Rexburg s permit fee schedule is the same as required by the State of Idaho SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: ~, ,~,( ~ ~ ~ ~~, ~~ ~ Masonry: ---- Roofing: _ ~ ° Q l Insulation: Drywall: ~ Llp - n ~ ~ Q~ a.L ~~ ~~ ~ , a ~ Painting: Floor Coverings: , _.,~ ~-~( ~ ~ f Plumbing: j,(~ ~, ~ ~ 1 ~~.,~ 1~, Heating: ~ ~ h Electrical: ~~,~; ~ ~~~~~ Special Construction ] (Manufacturer or Supplier) Roof Trusses: _ `G O C ~ ~ Floor/Ceiling Joists: ~`~ d c ~~ Siding/Exterior Trim: ~~ ~ Other: