HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00101 - 311 Seagull Dr - New SFRw
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America's Fnmily Communify
Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
ne (20813
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 00101
International Residential Code 2003
311 Seagull Dr
Single Family Residence
Type V-N, Unprotected
Residential
No
Merrill Anthony W Etux
1322 N 16th E
Sugar City, ID 83448
Merrill Construction
Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 709 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 vies 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 vies
classified.
Date C.O. Issued: July 24, 20 8:24A
C.O lss `~'~
ued 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 Department: t ire D
State of Idaho Electrical Department
CITY,OFREXBURG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X326
P ~S 00101
lease c
If the quest 311 Seagull Dr-Merrill
PARCEL NUMBER: ~ r ~~ We will provide this for you)
SUBDIVISION: ~,vvr ~~~--spy UNIT# BLOCK
(Addressing is based on the information -must be accurate) LOT#
,.__~----- -- l.~
PROPERTY ADDRESS: ~~
~ G CONTACT PHONE # .s'S'r-
PHONE #: Home ( ) ~- ~Z/ (o v Work ( ) ~3sb - yZ,~ Cell
OWNER MAILING ADDRESS: l3ZZ,v /6'`~-~ CITY: ( ) ~^`~`
. ` STATE:=~ ZR: ~~d~
EMAIL ~ricbv /r~ y l ~/~„~ ~rs, ~ FAX 35`~ - y~ 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: ~d oh~~ ~ ~~~,~s ~~
MAILING ADDRESS: J~u,~ ~~ ~- ,~ CITY .Scf t c.~r ~ ~ STATE .~'c-I ZIP ~~'S
PHONE #: Home ( ) ,~5~ ~- %Z/ (P Work ( ) X57 ._ c~{Z ~~ Cell
EMAIL7~v,(~/ytJ~,~, ~~~ 3S~_ Yz~~ IDAHO REGISTRATION # ~C~- 7.,.~-,3Z.
How many buildings are located on this property?
Did you recently purchase this property? No es f yes give owner's name /~ t/ ~f
Is this a lot split? NO ~ (Please bring copy of new legal description of property)
PROPOSED USE: s„~y ~ .~ ~,,,,~~y ~ ~..~,~M~~e
(i.e., Single Family Residence, Multi Family, Apartments,
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 herea8er 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 approval was based. Pier/mi/t vroid/ if not stairt~ed w' 180 days. Pennit void if work stops for 180 days.
v
D
~ , z~ ,~
o you prefer to n~.contacted~fax, email or phone? Circle One DATE
WARNIN 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
**Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear**
3
~ o~ttEXBr~AC
~ rd CITY O F
~ 90
~~Tm(-! BUILDING SAFETY DEPARTMENT
~ V 1~V 19 E. Main (PO Box 280) Phone: 208-359-3020 x326
America's Family Community Rexburg, Idaho 83440 Fax: 208-359-3024
er r'THED ~80~
www.rexburg org janellh rexbura org
Affidavit of Legal Interest
State of Idaho
Count/A~y of )Madison
I7 rT~ / //oh4~ ~G~7 J''// 13 Z Z /V r / f~ ~i
Name ~ Address
St/ r, !,~ r- ~,',~~
City / '
__ -mil c~~ ~1 D
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 ~~ h % `~~, ~.~~` day of d ova , 20- (~I~
Subscribed and sworn to before me «~C uay ana year nrst above written.
Notary Public of Idaho
Residing at:
My commission expires:
2
please complete the entire A 1' -
pp ication.
If the question does not apply fill in NA for non applicable
NAME 77j~ir ~/' ~„ S LL G
PROPERTY ADDRESS
SUBDIVISION / Permit#
~C'r'1 L/Pf3c~.~
Dwelling Units: phi Parcel Acres: a Z~
SETBACKS
FRONT ,,3Z SIDE 3 ~ SIDE ~ BACK
Remodeling Your Building/Home (need Estimate) $ /~~~~ °~'
SURFACE SQUARE r vv ~ AcJr,. (Shall include the exterior wall measurements of the building)
First Floor Area /SDI Unfinished Basement area
Second floor/loft area ~/,4 /5~~
Finished basement area ~~~
Third floor/loft area /ji%,~¢ Garage area
Shed or Barn SZZ
~~~~ Carport/Deck (30" above grade)Area /!i/,~
Water Meter Quantity:
Water Meter Size:
Required!!!
PLUMBING
Plumbing Contractor's Name: ,J~e~'~ ~~~,,~,,~~ Business Name: Tv~,c
~ r~/~ ~.~
Address `f3/' ~', ~~ Gt~O(~SL-~ Cit
Y ~ ~ ` State .1 ~id Zip ~,~~~
Contact Phone: ( )_ ~~- ~j~,~- Business Phone:
( ) 2G~ -- 3862
Email Fax
FIXTURE COUNT (including roughed fixtures)
~ Clothes Washing Machine
_~
Sprinklers
~
Dishwasher
_
~ Fl ~ Tub/Showers
oor Drain
,.~
Toilet/Urinal
Garbage Disposal
W
C~ H ater Heater
ot Tub/Spa / W
~ ater Softener
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing. Estimate $ (Commercial Only)
~,.
~ t~.....__~..
C.-~" ufe'`of Licensed Contractor ~ /-~ ~-
License number
The City of Rexburg's permit fee schedule is the same as
` ~l
c ~ '~
Date
by the State of Idaho
4
Please complete the entire A lica ' -
pp tlOn. If the question does not apply fill in NA for non
applicable
NAME ~~~' // Cv~s~ ~L G
PROPERTY ADDRESS
SUBDIVISION Permit#
/~~~~/e.~a•~
Required!!!
MECHANICAL
Mechanical Contractor's Name: ~/~ ~ i~-- ~ j,~g j~
~o-, Business Name: ~'~ ~f~,f;,y
Address ~1.~5 ~~,, •dso~ ~,,~~ Cit " /
Y ~ ~ilt`/lory State~.,ld Zip 3 y`/S'
Contact Phone: ( ) Business Phone: ( ) S'/,3a
Email Fax
Mechanical Estimate $ st// (CommerciaUMulti Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
3~
Furnace ~ ( .s~' Exhaust or Vent Ducts s'
:/1/L~ Furnace/Air Conditioner Combo
Heat Pump
- N~~ Air Conditioner
~~ Evaporative Cooler
~_ Unit Heater
~~ Space Heater
Decorative gas-fired appliance
~v .4 Incinerator System
.ti ./.l Boiler
~_ Pool Heater
~ Dryer Vents i ~
y 4 Range Hood Vents
~'~~ Cook Stove Vents
~' Bath Fan Vents /s
~~.4 other similar vents & ducts:
~ IYS
._._--
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets ~5
<d
~ Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Ga Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
=z~
~~---~
Signature of Licensed Contractor
The City of RexburQ's
.~~U
License number
schedule is the same as
~- z ~1 ~
ate
the State of Idaho
5
' •
SUBCONTRACTOR LIST
Excavation & Earthwork: C?G ry ,~~,~~-- ~ ~i't"rr ~~ C~
Concrete:_ /
Masonry:_
Roofing:_
Insulation:
DrywalL_
~~ds ~
.mac/%4
~r~; ~~
~~-.- /~
// /r''~/'r ~/ ~D/1~
~~~-; //
o~~~-
Painting: ~i~~,~y ~~ ~~~~
Floor
Coverings: ~~ SS~i
Plumbing: ~7'd,,-C ~
Heating: J ~ L~
Electrical: / a ~~ ~
Roof Trusses:
Floor/Ceiling Joists:
Siding/Exterior Trim:
Other:
t//TC°f.Or`a
~~Gr~
/~,
'? ~~PC~i;
Special Construction
(Manufacturer or Supplier)
i
6