Loading...
HomeMy WebLinkAboutAPPLICATION, CO, BP - 06-00059 - 95 S Hidden Valley Rd - New SFRm Z m n Z "~ 1 ~o 2 m Z N "'~ it1 C _1 Z 0 .~ Q Q (D 7 v :(7 a 2 n O 7 r.. 0 g v m N 2 n: Q m yz 3 __ n N C n O CA C Jv "'7 O m ~k 0 rn io 0 0 .'' y$ O~ T o ~ k ~~ oa'~°ti m A ~. ~- ~ ~ ~ ~ H `~ '~ %`' J o a ~ s 4J b ~ ~ ~: ~'G Z ~ ~ ~ _ ~°~~s ~ ~D W 3' `~' y. ~ ~ m D `~~~ 171 ~ 'b a -• ~ -~ C C' ;-t p ~ ~ 1 O ~ < „ ti ~ ~ lQ y ~~~ Z ~ Q . ~ !C y ~ o ~~~ D ~ ~ 3 ~ , O _ ~~ N Q ' ~ o ~ ~ S O m ~ ^ ~ C y ~ ~ ~ , ~ rn 'a p ~ m 3 , ~ Z ~ ~p C ~ ~° o °~ 3 m ~ ~ O cD -~~ ~ ~, o m R1 ~~~ g c N ~ ~~ o '~ N B C S ~ 3~~ ~, ~, `° o ' n ~ c O ~ O p ~D v a Q- ac~~ o~ n m ~' _~ m ~ ~ "~ p p a ~ ~ -- ' O ~. C ~ ~ p ~ o . d~ =~ . O Z ac7i a^: a= ~ ~ a'y "'p 'n ~ o m ~ S~ rt n o ~~~.o y m F• T ~ '~ W ~ iy . ~ ~ s -I v 3 -• n ~.~~~ ~. ~ .~ _ o rA y 3 ~ ~ a v ~ ~ ~ ~ a = 3a Q- ~'. = ~ A cfl ~ -a o N W g ~ ~ c n -a -~ Q1 a ~ m o a ~. o ~ O R1 , ~ $ a o i v ~ ~~~~ Q ~ ~ Z y o ~s~ ~ ~~~ ~ ~; d ~-~ ~ ~z ~ a = `~ a ~ -o m m o ~ a'F n fl7 n C N °~o o~ m ~ o ~ Zc~ico s ~ C ~?.~ ~ c y m ~ ~ a~ y o~ n ~ n r pl ,,,~, ~ p o p ~° m a a I~TI 0 p' ~ C ,~°~ ~> >- ~ p Z K E N d d n = ~'° ' Q Y/ ~ p y ~ 3 0 ~ coo ~ ~ ~ ~ n C1 ~ 9 c ~ f 0 ~ o~ a~ ~ x ~a C '~ ~ o a '+; -w p s~ . p ~ a n a ~ m ~ `+ cn ~ W N ~ y O ~ ~ N 1 CD N Q, N ~ C O y O ~ ~ 0 ~ (D 171 n ~ • fD '"' ~ Z ~ C S N' o n W n cn " "' ~ C ~ 3 ~ ~ S C7 ~o v a W ~ ~ ~ 7 o °~ ~ O = T ~ ~ -C o ~ = rF ~ _. g a ~ ~ °- C ~ / ~ Z N /~ r C z v w v ~. W C v z Z ti m Z n v o~4~XeuA~ Certificate of Occu a ,~~ ~d CITY OF p ncy 70 - ~~G City of Rexburg „~, ;.•~ America's Famil}~Community Department of Community Development ~. 19 E. Main St. / Rexburg, ID. 83440 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 00059 International Residential Code 2003 95 S Hidden Valley Rd Residential Type V-N, Unprotected Single Family Residence No Hill R Construction 6579E 113 N Idaho Falls, ID 83401 R Hill Const Residential, single family dwellings, lodging houses This Certificate, issued pursuant to the requirements of Section 909 of the lntemational Buildin Code, certifies that, at the time time ofissuance, this building or that portion of the Buildin tha g gas inspected on the date listed vies found to be in compliance ~-ith the requirements ofthe code for the group and division of occupancy and the use for tnhich the proposed occupanc vties classified. y Date C.O. Issued: April 18, 2007 C.O Issued by: ~~ Building Official M) i/~~ There shalt 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 (208-35s~A~m• ~ r CI?'Y OF REXB URG pFR MTT # ~ I~UILL'ING PERMIT APPLICA ~ ON Please ci ' 19 E MAIN, REXBURG, ID. 83440 If the questi 208-359-3020 X322 06 OnQS PARCEL NUMBER:~,`P~ ~~~~ ~~~~~~ ~~~ S .Hidden Valley Rd-R Hill Const. w. SUBDIVISION:___~~~~~~'°K. ~~~ UNIT# (Addressing is based on the mformahon -must be accurate) --BLOCK# LOT# PROPERTY ADDRESS: CONTACT PHONE # ,~ ~~~~r .~ r PHONE #: Home .~ ~= ~Z3 -cy s 3work ( ) Cell ~ * ( ) OWNER MAILING ADDRESS: ` S~~ ,~~ !/3~/ CITY: l~ STATE:~'j~ZIP: ~3Yo~' EMAIL FAX S- 2z ~ ~ 7 ~ 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: MAILING ADDRESS: CITY PHONE: Home# Work# Cell# EMAIL FAX How many buildings are located on this property? ~ ~ Did you recently purchase this property? No `Y 1' (If yes give owner's name) Is this a lot " ~'~'`` PR Single Family YES (Please bring copy of new legal description of property) L'.. :7_ A ~-----~, ~rQi~lli~li~~, icemoaet, 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 th 0 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or ap ova as'jbased. Permit vp Ji~ if not started within 180 days. Permit void if work stops for 180 days. .~ ~/ /.7i7 /! // A~7 Signahfre ol~O~vrier/Applican ~ ~/ / (~,~ Do you prefer to be contacted by fax, email or hone? DATE p Circle One ~'~'ARNING -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 12005 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 you check does not clear** STATE ZIP ~ -~~1 r' n d t Please complete the dire Application! ~ • /~ • ~, j-.//~ ~~~he question does not apply fill in NA for non applicable NAME \t-"I i PROPERTY ADDRES SUBDIVISION _ ~~ s Permit# Dwelling Units: Parcel Acres: SETBACKS FRONT ,Z 5 ~ SIDE `] SIDE ~ BACK 2 _~ ~..rai-1, Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ..2~ y7 Second floor/loft area Unfinished Basement area~3,6 Third floor/loft area ~ U Finished basement area ~- Shed or Barn Garage area f~,7 ~,, Carport/Deck (30" above ~radelArPa Water Meter Quantity: ~ *,~**,~,~******** ~ ~1 Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: '~~, ~-d->s - -> 4~ z s ~~ Business Name: ~/¢~--~,Q,,~; ~ i Address ~~ ~ ~ . -r.~,~[. ~ _ ~Gt w~.Y ie ~ _ Contact Phone: (2r~s) 5~` ~ ~31~ Cit~~ 1.e State .~ ~ Zip ~'.~` Business Phone: (~) 3S-z-~y3 j Email r ~ t'(i,~v„~~;ya,~yy7_~,~~,.~- Fax 'Z~~' - 3 S 7 -- 3~ 3 FIXTURE COUNT includin rou hed ~x'tures ~ Clothes Washing Machine Sprinklers Dishwasher Tub/Showers Floor Drain ~ Toilet/1Jrinal j Garbage Disposal 2 Water Heater Hot Tub/Spa '~ _~ Water Softener Sinks (Lavatories, kitchens, bar, mop) Plu Bing Estimate $ (Commercial Only) C Signature of Licensed Contractor ©< - ~ ~7-'~~j License number Date The City of Rexburg s permit fee schedule is the same as required by the State of Idaho Please complete the enti~Application! If the question aoes~t a 1 applicable pp y fill in NA for non NAME ~ uv'~ PROPERTY ADDRESS SUBDIVISION Permit# Required!!! MECHANICAL Mechanical Contractor's Name: `~ `' Business Name: ~!~ ~ . Address City / ~` State Zip ~S Contact Phone: ( ) _ 2 ~ 1S Business Phone: ( ) Email Fax Mechanical Estimate $__ (CommerciaUMulti Family Only) FIXTURES & APPLIANCES COUNT (Single Famity Dwelling Only) Furnace ~~~Furnace/Air Conditioner Combo I i Exhaust or Vent Ducts ~ l•~ Dryer Vents Heat Pump I __ Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Range Hood Vents Cook Stove Vents _~ Bath Fan Vents other similar vents & ducts: Similar fixtures or Appliances .~ Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric ~, 1- ~~ ~ ~~ J I FEB ` ~ ~ ^u~ ~~ Mechanical Sizing Calculations must be submitted with Plans & A licatio Point of D,elive PP ,,.._,~ ry must be shown on plans. .~ A,~ .--^,f S~ ature'ofLicensedContractor ~' L/r ~~~ License number 7 - ~~ l -L, c~., Date The City ofRexburg's permit fee schedule is the same as required by the State ofldaho