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HomeMy WebLinkAboutAPPLICATIONS, CO, MULT DOCS - 06-00048 - The Backyard Custard Shop - RemodelZ ~ 0 = ~ N ~ ~ m m W ~ v ~ rn v ~ ^~ ~ ~• o ~ s~ D ~ n C ° v v m 3 c ~ ~ c Qm ~D-ov Z ~ o~~~ ~ ~ . 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CI1 A W N ~ O o ~ m ~ - _ 3 n ~ ~ ca ? ~ °' N ~ m ~. ~ `~° ~ ~ • o 0 d O tD Q CC 00 V ~ C71 A W N m w v ~ ~ n ~ ~ v '~ v ~ n~ - a, ~ °: ~ ~ v 3 ~ 0 a v o' 0 ~' ~ on c °.' O a 04 REXBUgG, Jd ~ I T Y ~ ~ Certificate of Occupancy :~ yy ___. O ~jJjZ~ City of Rexburg '•~,,~ America'sFam~ilyCornn:unity Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: 06 00048 Applicable Edition of Code: International Building Code 2003 Site Address: 115 S 2nd W Use and Occupancy: The Backyard Custard Shop Type of Construction: Type V-N, Unprotected Design Occupant Load: As Per Fixed Seating Sprinkler System Required: No Name and Address of Owner: Hemming A Lane Etux 3113 W 1000 N Rexburg, ID 83440 Contractor: Sommer Masonry Special Conditions: Occupancy: Business, professional or service, restaurants less than 50 This Cen`ifrcate, 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 vies inspected on the date listed tees found to be in compliance vuth the requirements ofthe code for the group and division of occupancy and the use for v~hich the proposed occupancy sties classified. Date C.O. Issued: July 05, 200602:28 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 Department• "` fire State of Idaho Electrical Department CITY OF REXB URG os ooo4s BUILDING PERMIT APPLICATION Plea 115 ~ 2nd W 19 E MAIN, REXBURG, ID. 83440 If the Custard Inc. Remodel 208-359-3020 X322 PARCEL NUMBER:~~~ ~, ~"~~%~UVe will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT#_ (Addressing is based on the information -must be accurate) (~ n! ble 6~LR`.' ~aJ,~ S air ~e.x' CONTACT PHONE # ~~o ~) 3 s(~ - 7 (~ oa ~, , PROPERTY ADDRESS: I 1 S S . a-'^=~' ~ - ~ .e x ~ c,~. ~- ~t 21~ ~ 3 `t ~ o PHONE #: Home (ao&) 35 ~ - ~ c~ o-~ Work Cell (Z~g) ~ ~°~ - y 1 d`~ OWNER MAILING ADDRESS: 3~n f 4 N 3~~ vJ CITY: ~ ~ ~ STATE: ~ ZIP: 8 3 ~ EMAIL ? ~ FAX~~bg) 3 5 to - ~ q g ~ ~ nn"~'" *rT: (If other than owner) ~a~ ~ ~-~ e rr w, ~ v~o, (Applicant if other than owner, a statement authorizing applicant to act as agent fo owner must accompany this application.) APPLICANT INFORMATION: ADDRESS STATE; ~- ~ ZIP 8 3 `F `(~ EMAIL CITY: ~e X b ~ rq FAX PHONE #: Home (~ 3 ~9 - -8`~9 Work ( ) Cell ( ) CONTRACTOR: S'o ~,,• ,~• ek ~ ~. s bti, r y i ~ C~„~s-1-,- u ~-~-<< MAILING ADDRESS: y 7 °I ~. `~ 15 `~ ~ ~ CITY ~ i ~b M STATE ~ ZIP $3 ~/ L T~T-------~---~-~ PHONE: Home# ~) ~f s - ~ ~ 3 Z Work# 'l y 5 - $ ~ 3 2 Cell# 3 sl - g? 3 Z °~``"""~` ~ ~ EMAIL -~\ so~~~} w~-Sn .FAX 1~}5 gZ3~C _ ;~~;; How many buildings are located on this property? Did you recently purchase this property?( Tc 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: ~ ~ ~ .~ v ci ct~ (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 2000 International Code in cases of any false statement or misrepresentation of fact in th~plication or on pl on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days 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 Signature of Owner/Applicant DATE Do you prefer to be contacted by fax, email or o .Circle One ,# C1TY ~ -~ ~ s ~ ~ ~ ~`` • • ~ ;~~. ' r: mod. ~r - AMERlCA'S FAMf1.Y COMMUNITY 19 ~E. Main (PO Box 280) Phone 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 vuvuw. rexburg. orp comdevCa> rexburg.org Affidavit of Legal Interest State of Idaho County of Madison I, L c~ ~ 2 1-~ e v+~ rh ~ ~n , Name - Address ~e bur , City Being first duly sworn upon oath, depose and say: ~~~~ State (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: ~r ~ S o ,~. ~.., e ~ 3 c~ ~ ~ iU 3 D D ~ w ~C`~~ wr~ ~=v Name Address g ~ ~~6 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 herin or as to the ownership of the property which is the subject of the application. Dated this ~~/~ day of ~i~-~-(~•~4,~-Y , 20 ~ G /~ Subscribed and sworn to before me the day and year first above y~ritten. ~\\1liltll~l~~ilr~ ~\~\\\`O`G~ sAJ/r~~i, -Y, Notary Public of Idaho ~~NpTARY Residing at: ~ J a gLIC * * PV My commission expires: v ~~~ 2 **Building Permit Fees are d t time of application** **Building Permits are ~f you check does not clear** Please complete the e~ire Application! If the question does not apply fill in NA for non applicable NAME Lks-~ar-~. c~ PROPERTY ADDRESS ~ ~ ~ S. ,~ - W Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area r , o~ a Unfinished Basement area ~~ Second floor/loft area ,~ ~ a Finished basement area ,,, /o~ Third floor/loft area w, ~ a Garage area M ]~ Shed or Barn „1 ~ ci Carport/Deck (30" above grade)Area ~0. Water Meter Quantity: **************** Water Meter Size• Required!!! PLUMBING Plumbing Contractor's Name: ~~Q r ~,/16 ~ d ~~ ~~.~,a, S Business Name: ~ t~~wl~~~' D ~ l' Address J (~ c( ~~ . ~ C~ C~ ~ . City ~~ ~ u- t _State ~ Zip '~~ Contact Phone: (jl 3 t 3 - 3 ~ Q~ 'Business Phone: (2b ~ 3 5~ r- r ~~ ~ 7 Email L~ ~ ~,~ i ~s (L (~~ ~+~ u c , ~ c.~y, Fax o FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Sprinklers Dishwasher Tub/Showers Floor Drain I Toilet/LJrinal Garbage Disposal ~ Water Heater Hot Tub/Spa ~ Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ ~ "•SC ©~ (Commercial Only) ~~,~~~ ~~ ~l~? Z r 2 z~, ~ s ~e fired! Signature of Licensed Contractor License number Da e The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 4 Please complete the entl~Appllcatlon! If the question doe apply fill in NA for non applicable NAME .t,~ s ~ aril , ~~ . PROPERTY ADDRESS ~ ~ ~ s . a~_ W , Permit# SUBDIVISION Required!!! MECHANICAL } ~ ~ . ~ ~~ Mechanical Contractor's Name: ~1 ~~ ~, ~,il! i ~ C ~~j S Business Name: l A. Address ~ (~~''( ~.~~, C~ /~/( City ~~~u ~ State '_1__ Zip L ~ j~ Contact Phone: (2 3 I ~ - 3 3 a~ Business Phone: ( ) Email Fax Mechanical Estimate $~ (CommerciaUMulti Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Air Conditioner Space Heater Bath Fan Vents Unit Heater Range Hood Vents Boiler Cook Stove Vents Decorative Gas Fireplaces Dryer Vents Evaporative Cooler Exhaust or vent ducts Fuel (gas) piping fixtures or appliance outlets Furnace Furnace/Air Conditioner Combo Heat Pump Incinerator Pool Heater Heat (Circle all that apply) Gas' Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ~~~~~ ~~ ~ ~, 5r7 fZ 'L0 ~ ~ Signature of Licensed Contractor License number Dat Required! The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 5 c# CITY QF R~xBU~~ _ + AMF.RlCA5 FAMILY COMMUN(fY 19 E. Main St. Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 www.rexbura.org cdd@rexburg.org APPLICATION: "CONSTRUCTION PERMIT" -APPLICANT INFORMATION: CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO APPROVED BY: BUSINESS NAME: C~ s-~a~- ~~ . OFFICE ADDRESS: i i s s ~ ~- ~ I('e.,kb ~ r~ ~~ R 3 ~yo City State Zip OFFICE PHONE NUMBER: ( a ~g )_ 1 a ~ - ~ s;~ CONTACT PERSON: `Te.~--~ N-u,-,~e CELL PHONE # (a-~ g) ~ s g - ~ s 61 -LOCATION OF WORK TO BE DONE: STREET ADDRESS WHERE WORK WILL BE DONE: 1 i s s _ a ~ w . BUSINESS NAME WHERE WORK WILL BE DONE: C.~s-4-~,.~ ~~ , DATES FOR WORK TO BE DONE: ~_ . i s i `,tee- TO ~a„~, ~y ~ 'os CONTACT PERSON: ~- -N~,,,.~s PHONE NUMBER: ( ~a ~) ~s~ - ~~,~ ~ CELL # ( ~~) -a ~~-~ ~ lc/ PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ~ AUTOMATIC FIRE-EXTINGUISHING SYSTEMS ^ COMPRESSED GASES ^ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ^ FIRE PUMPS AND RELATED EQUIPMENT ^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ^ HAZARDOUS MATERIALS ^ INDUSTRIAL OVENS ^ LP-GAS ^ PRIVATE FIRE HYDRANTS ^ SPRAYING OR DIPPING ^ STANDPIPE SYSTEMS ^ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES ~~~~- 0~ APPLICANTS I NATURE DATE 6 SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: ~S-prn~y- ~~~ ~S en~G ~~ ~snS~-Lc.~`Fza~ Masonry: ~b rn ~~ ~ ~° I!1/l ci s ~_r r 4 nn+~ C ~~ s'~`f ~ ~-`~-~ v~ Roofing: ~~~,a~5 ~z~ Insulation: SD ,gig {r ~M t~ s o~n r u i ~ C t5v~ S~r~ ~-T~-~ Drywall: Painting: Floor Coverings: Plumbing: c~J - I ~ c a. vas Heating: ~A ct. vk a v~ IC ~ ~ ~~ ~~ ~ ~ ~ ~ ~t ., Electrical: ~V1.¢-~c~s ~~e: ~-~-~-~ ~ Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Siding/Exterior Trim: Other: 7 v ~a ?~~o - _~ XO~a~ _~~Ac «`0.. uNi < ~ v~ ~Aza~ N~mn Z a o ~ Vl ~ K ~ ` N OD C ~ C7 mg ~-'+ ~ w<mr' w ~o ±~~ ~ ~m.,=' cNn z m rTl m n N V U O+ .., t , , ~1 II ~'' ~~II ~~~~~~~ 1 ~~ I~ ~ hi ~~ ll . I~ e b b ~ ~ ~+ O K N a a a ~' q ~ 0 ~ 40 p ~ 'K n ~ O < a ~ O a N C ,~ O 0 ~ \ N ~ a s ~ ~ o ~ o ~ ~ ~ `~ ~ x h a ~ D o a~ ~ ~ ~ o D O 1 ' ~ ~ tv o 3~ ~ ~ d P A ^ ^ o x ~ O ~ ' ~ ~ n+ 2 oo° O d O n o d .° o ' °z 'b~7 O a i i aC M W ,, ~^^..v ~' ~ /^ lI x ~ ~ ~ ~, N ~' O n ~ ~ ~ ~ ~p ''^^ Vl F,..i ~ i N ~_, ~ ^..,' 0 r~E O b 0 ti 1 3 z ' d 80E~bEELBOZ I Pll S~ I1ddf1S '8 N9I S3Q 21SH WH~bE = 6 90DZ i E 21dW • a p~ W 0 0 0 ~ 0 B a ~ ~ o N o 1 ~ i ,, ~ ~, ' ~ n A j ~ 1 V ~ j ~ t !.l n o ~ I I II o ~o~ „ ! ~ N !1 ~ o ~~II r I„ ~~~ I' I ll ~ li ~~ i ~ N ^' P ~~~ ii d I ~ Od ~ r ~ o ~~aoo e~~am ~ y o ~ ~ ~ ~ ~ N ~ o ~ \ Oci N 0 0 0~ Cij b f. ~ ~ ul `C ~ r o x ~ , E ' d BOE~EELBOZ I f'il S3I 1ddf1S '8 N9 I S3Q 21SH Wdt+E = 6 9002 T E ZIHW D ON ~m m D r A ._. n N V 1']= ~_ ~~ n K ro ? 1r o ~ Z o z a 1 ~ m .~,~~ SUPPLY AIR DISCHARGED ~ ~L_ BELOW COOIQNG SURFACE ~r A () ~r ,, ~ ~ ~ ~ ~ ~ ~ ~ ~ N A ~' 1 I ~ ~ 3 ~ av m 3 z x x I fTl ~ 2 O A ~ ~ y O ~ -~ ~ 1 I C7 mm ~ I~~ ~~~I C" ~ C ~ y ."O ff ~ I~' ~ ~ Ii ~ ll ~ i II II I I ~ ~ W V O+ g .i s Z " ~ ~IbbN~. w ~ c~~~~ m ~ '~ iZ ~ D n O t+ ~ o ~ CZr ~Z 3 z~ Ld mm ~ ~ N A ~-n+r~i Hm ~~°: mM O ~ N ~ mGn ~yA Nm ~~ N r HZ o ~aa ~~ mt1 a ~^~n r ~ p°~ my~ 1 D r~ '~r'-a H ~ H Z ~ b D D m~ ~ Zf *1 ~~ mm rey A~- . Nme n b ~ ~ a n ~+• ~ Q1 ~ o o r m z ~ zdci ~ 3 m C11 ''ti r- o x ~ r i '~'d BOE~EELBOZ If'Il S3I1dd(1S '8 N9IS3D 21SH Wd~bE=6 90DZ TE ZIFJW .. 2 P C`7 n .. h ~ pz ~ ro ~~z a ^'3 ~ ~ ~a az m n ro z ° b ~ N ~ ~ n ~ (aj ~ ~ ~ m b C=J a P Z ~ ~ '~ ~ xl S; ~" ae n ~ = s n i a ~ ~' s G d ~ '0 00 ° fl '~ ~ z y C~! x D n = O ~ ~ ~ L1 ~ A 3 ~ P ~ N Q a ~ f O ! l '~ a C.i i O - ~1 7 h ~ Z N 0 °o z ~ G D O ~ r '( ~ r E C r c O ~ D 3 D = O ~ ~ x r D .3+ z N r x ~ bd X H t °0 ~ ~ 0 o N V c7 n ° ~ o s N x 7~ ~ o G ~ ~ ~ C ~ 2 A O ' Z .'_'.. t N ~ Z = 3 T r ~° Q o ~ ~~ , , H ~ r,. 6 , , ~ N G A I ~ I I III X ~ o ~ II 1 Illllt~~ I 3 ~ o i~ (~I i ; ~° m r ii i I r s -i °z o N ,D. N w ~ b a ~o h ~ c c ~ ~ ~ ~ o ~ -~ ~ !-- ~ o ~ 4 O ~ ~ w C Q° CG y r1 x ~ °o Z C '~ o° ~ [ ~ ~ n ° j Q` ~ rt y O ~ D f7 Z ~' A Z ~ O ~ A ~ ~ A UI S ~ ~ m ~ ~ o o o ~ d o ~ = ~ W Q~ (~ W p ~ 1 CII °C ~ ~ D "' ~ X D ~ ru c . ~ c r- ~- r... -i ~ ~ ~ D S ' d BOE~EELBOZ I f~l S3I 1ddf1S B WJ I S3Q 21SH Wd~E = 6 9002 T E ~JdW 1 I ,, 1~ I' t~~ ~~II 1111 ~ 111 ~~~I~~ li `ilI ~I I~ ~ I ~J ~ ,1a ~ ~~~a~ o~°~ ~ ~ N Z7 O Qo O ~ 0~ ~b~+ Cll ''C X D ~ ~ ~ • D ~ D D ~Q'I D D *A1 a D ~ D D ~ D D ~ D D ~ D ~ 0 ~ a a Z d m r A UI ~ O~ y, V N W W ~ W W ? W o N N V A N U A = ~ N N fAi m .WO ~ o v ~ T W A W tb V m W m W A A a N N N N N N N N W N A o W W OD ? .N- .N- C1 A W V \ O~ (WJ N b U m ~D N W N N W N h- N m N ~ INl1 ~ {N.1 T A ~ ly A V ~ W ~ N V m A -. m A c ~ m .NA P O ~ T Q c ~ N o N o 0 o N R1 C1= 1 Z W ~ a 2 ~ ~°I a 2 a ° a Z a ~ a (Z"1 D ~ a Z D --i a Z D ~ a Z D m a a Z zo r°i r A N N W m ry r N N O~ N ~ V N N W ~D \ N ~0 ~ N ~ 0 0 0 0 0 0 o N N m r1 LJ ~Z ~~ za Aa ~1 Gf D r '~ r cd b m m a to y X D c N i a Z to 0 3 Z N O Z r D D D f'1 1 d=! ~l C ~ ~ht.. 1 A X A ~~~ 1 0 mzrmi 'osci '~' N~Z ~ ~ ar~~-a ma Z3NwH2Z ORp12 Z=X0 Nxz v f 1 rimy Z zcai=olr*IC~ rmvir r' Cn d -Diedm m ~m N Inm~o vi~ ~°-I~IX~ r I '~..,a vir ,°brrm-i c nAZX r mO NtJDD'1 Dg ylorDaS ~~ OD„E,~~yZD zZ mZ„C,,,DyZ~ ~ r °° 'i~_-~~m Z y G , z-is~o m N1 Z mO~C 1y~ C ~ y' 'IA DL 'I a TI •-• ~ C Z-i~Amp ~ ~ ~1 (' AiA-ar OfA'1 ` yN N Z=a f '11 plj I• l-i Z a =~Anm"i a m--IG i-ai~ <- D~ ,., m m W ci°tl~m°z Cp~m~ ~r'=rD''~z° C~ ~ ra ~ ~ ^. .. z'Impz C Z < p D d~ p D~ ~H =~ vC ~ N ~ r 2 j f.~. 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