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Home My WebLink AboutAPPLICATIONS, CO, BP - 05-00155 - 544 Golden Willow Dr - Addition0 Z O -I rn v ~ ? ~ n ~g~ ~" ~ S~ ~~ a~ ~; a - ~ ~,N~N _~~ ~o~~ ~~aN ~~~ a ~ a v ~ a o. ~ m < ~. Q~cfl _ N 7 p~ ~ O ~ ~ m ~ o m .o ~ ~ a ~ 5i 3 m 0 3 ~ s =moo ~o~~o ~ ~ m _a x C ~ y (Q A (O S O O n Q ~ ~ .y~. N ~ _ Q C N p N ~ n N G p C ~ ~ 01 N (Jp ~ N 'p V d a~ ~ °-. m - 3 0 ~. ~ m ~ ' ~ v o ° ~• ~ ~ ~~o~o o ~Q Q = rn ~ D o v ~°,n-~ m o ~ ~ ~~ ~ ~ "' T ~ , ~ N ~ 'DEC y ~ ~ Z N ~ ~D ~ ~, ~ X y ~ Z '_1 ~ o N . . ~p Nl N n ~ ~ V~ . ~ ~°-°~c O ~ m -I n~i ~ ~;`~' ~ O '.,, c x W o°.~~ Z rn ~ ~ ,~ ° ~, ~ o _ ,~ ~~ v p N~ oc O° ~ v ~ ~' ~ <~ i0 O O „dr O- cn TI Z a° ao ~ ~ U S N ~ C0 e~- ° ~ ~ y d ~ 7 v C. ~ ~ eD ~ ~,~~ . (/~ W y C ~ O .: ~ ~ ~ Q. W ~ ? Q ~ C ~ D . ~<y y ,~ ° a°~c 00 111 ~ o .. O m~~ O ~ ~ n~ ~ m _ \~, o~~ m \ _~' 00 c ~ ~ o _ o~ ~ ~ _ v K ~D rt ~ 7 Z '°mo ~ ~ . ~ ~ ~_ 3 C N p ~ Q ~ ~ ~ ° O ~ ~ m =yam ~ h~-0Y~~c c C~~ ~ m o '~~` -:~A<- ~6oOHd v ~ ~; r` i c~` ~ j n } I ~' ,~ .o ~~ m c00 ~. ~ ~. ~• n o A w N N m m O N N ~ 3 ~ ~ ~ ~' T ~ itl o ~ (A m m ~ c Ao ~+ m o~ a °~ G ~ m ~ n v ~ m c ? = c~-n+ ~ ~ ~ _ ~ ~ ~ m O ~m ~ 3 3 n ~ Z 0 000 n m z~~' m ~z ~ ' m ~ ~ ~ ~ ~ C n ooc°~ w 7•~ ~ o 0 C 3 ~ ~~^~ ~ .~ ~ Z W - ~ ~ T ~ ~ z z v ~ ~ s ~ ~g ~ v ~ v ~ ~ O ~ ~ ° ~ ~ d ~ m ~ z ; Q ~g o y ~ ] \V ~ Z N C O Q Q . . CD W V m CT A W N --+ -n m Z ~ ~ (n ~ m ~ p ~ 3 c ? -n ~ ~ ~t ~ v o T ° co r o ` 04 gEXSp,IC •9 °.~ O CITY or Certificate of Occupancy City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 ~~ V 1\V America's Family Community / 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: Harris David T Etux 382E 3000 N Rexburg, ID 83440 Contractor: Harris, David Special Conditions: 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 orthat portion ofthe 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 v~hich the proposed occupancy vies classified. Date C.O. Issued 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 Department: ~`~'`~ `~ Fire 05 00155 International Residential Code 2003 544 Golden Willow Dr Single Family Residence. Type V-N, Unprotected Residential No State of Idaho Electrical Department CITY OF REXB URG BUILDING PERMIT APPLICA~ PERMIT # • 19 E MAIN, REXBURG, ID. 83440 Please complete the entire Application! 208-359-3020 X326 If the question does not apply fill in NA for non applicable PARCEL NUMBER: ~'~ ~ ~ ~ I.., F3 ~, a~Q1~~~ SUBDIVISION: /J1~ f /,~,,,1 ~,,,/~ ~h,tif UNIT# 02 BLOCK# ~ LOT# .3 OWNER: ~Azn,~ fps CONTACT PHONE # o~vg ash Z.~3~ PROPERTY ADDRESS: ~~~/ l..~ l.•~i'~Lm~.... ~~-,ri.,•~ PHONE #: Home may) GSZ -olG ~- Work ( ) ~/Jg Cell (~) ~~ .- z S'~3 OWNER MAILING ADDRESS: ~ 9Z Cam. 3~o,y, CITY: ~y9(„ STATE ~ ZIP: ~3 y~o APPLICANT (If other than owner) N~ (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF APPLICANT ~/,Q' CITY: /!/y4 STATE; vl/,4- ZIP /I/12- PHONE #: Home ( ) M~ Work ( ) N~ Cell ( ) ,~,¢. CONTRACTOR: ~f~ir~s PHONE: Home#GSZ -,~~~~ Work# ~~ Cell# ?s1-ts-.3,~ MAILING ADDRESS: ~~¢Z ~ Z~~ ~,, CITY STATE. ZIP £s'?5~yo How many buildings are located on this property? ~- Did you recently purchase this property? No ~(If yes give owner's name)~;~L,,, Far•b~.._.~,~ Is this a lot split? OJ YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Sing e Family esi ence Multi Family, Apartments, Remod Gara 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 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 WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTI Plan fees are non-refundable and are paid in full at the time of application beg(un~ City of Rexburg's Acceptance of the plan review fee does not constitut~_:`pl~ **Building Permit Fees are due at time of application**+Z ~'" **Building Permits are void if you check does not clear*'~~ .Sl~t~ l~~ DATE ~ is _,.. 1'It~l ~~ :~ ~g :~xn -_ ~t approval ,~ MA ` ,~ • ., ~r~ ~ CITY O~ f T_ • H :a _i ~ -__- ~ _ AMERICA'S FAMILY COMMUNI°tY 19 E. Main (PO Box 280) Phone: 208-359 3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburg.orq comdevlg~rexburg.org Affidavit of Legal Interest State of Idaho County of Madison I, ~~rl~--l~stL2~i S' .~FZ ~-; 3oa a .v. Name Address ~e~r~~ ~ ~ ~ ~ ~r-a City 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 /~ ~ day of ,/lli9'y , 20 ~s-- Subscribed and sworn to before me the day and year first above written. `~~~~~T E.M~ j~~.,,~~ ,~ ~.~ ~~ ®,.~~R y :_ := Not ublic of Idaho ' ~ s = ~"~ ~`~ = = Residing at: ~;G ~c PUS *'',,,. `~ ~ My commission expires: ~- ~ ~j / Q~ ~,~~~4S+jq~E OF ~oQ.o~~~ Please complete the ere Application! If the question does not apply fill in NA for non applicable NAME Q~~p k~~ PROPERTY ADDRESS ~yy Sv~~~'L. .s~~ c.Jlc~.,, o~1t~ Permit# SUBDIVISION GJid9owl Ac~c ~ts,sfcs- Dwelling Units: SETBACKS FRONT Parcel Acres: SIDE BACK SIDE Front Footage (if applicable) Storm Water Length Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area (~"df ~ Unfinished Basement area ^J',.4 Second floor/loft area ,d'~t Finished basement area j g g g Third floor/loft area ~ Garage area ~ z Shed or Barn ~,,4 Carport/Deck (30" above grade)Area ,,~,,q Water Meter Count: Required!!! PLUMBING Water Meter Size: ~y ~ Plumbing Contractor's Name: Ana,. C~a „~,~ Business Name: C~~u ~, ~ j~,,~,,,~,1,,,,, ~hc. Address // a y ,~,, ~~+~- Lr- s~~ ~,~~, J State.~~, Zip v ~ Contact Phone: (may )~-~ /3 8 Business Phone: (Zo8) ,? s J - ~ f ~ ~' FIXTURE COUNT (including roughed fixtures) / Clothes Washing Machine ~ ( Dishwasher ~ ~_ Floor Drain Garbage Disposal V~ Hot Tub/Spa Sinks Gr (Lavatories, kitchens, bar, mop) Sprinklers ~ T Tub/Showers 3 Toilet/Urinal ~ oy Water Heater _~ Water Softener Plumbing Estimate $ (Commercial Only) c li6a y s o os Signa ure f Licensed Contractor License number ate The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Piease complete the ere Application! If the question does not apply fill in NA for non applicable NAME /~~1/ ~f~,.r°, r PROPERTY ADDRESS Sjf~1 S G~~ ~..,~7(ay Dn-'L~ Permit# SUBDIVISIONG/il(e...,,~~-,max ~~~,~- Required!!! MECHANICAL Mechanical Contractor's Name: 8~,,y S~l~~,~ Business Name: ~" ~ d ~Cf.~,r1.~ Address~~~- ,0a~„cs-~ 1~,.,,, St- /~, ~- State..~'YJ Zip $~3yY,s- Contact Phone: (p,~) 3i ? - a~w G Business Phone: (~) ~T13 -o~ v ~ Mechanical Estimate $ (Commercial/Multi Family Only) ~'~ FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) 5~ ~~ Furnace ~ ,3_ ~ Exhaust or Vent Ducts~'~ Furnace/Air Conditioner Combo ~ ~ Dryer Vents ~~ Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances Range Hood Vents Cook Stove Vents p~(c- Bath Fan Vents 2-~ other similar vents & ducts: ~n~ b~ Fuel Gas Pipe Outlets including stubbed in or future outlets ~h Inlet Pressure (Meter Supply) PSI 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. Signature of Licensed Contractor 0 ~ D l~ License number ate The City of Rexburg's permit fee schedule is the same as required by the State of Idaho ~- ! • ........................................................................................... SUBCONTRACTOR LIST Excavation & Earthwork: ~a u,Ci ~v,,.. sri2..~oy'1~ Concrete: iT~~.1~ ~Tixt. Goa , ,,,,~, Masonry: /Vl~'1~ /yi,~~„a.y Roofing: Co,p~~c,~,GS ~~,~„rZ,,,, Insulation: ~o~yh ,~G~~ ~-~.sL,,Lr~,~1c.~. Drywall: ~:=?/y9r~l p~,,,,~.p-u Painting: q,,y~,,,,,_~,, P~~~ Floor Coverings: Sfts ~e,a-~ ~ Plumbing:l~/~_ p~~~~ Heating: ~` 3 g Electrical: ~ ~L~,, ~ z,~ z~c ~ Special Construction (Manufacturer or Supplier) Roof Trusses: ~~ Srro-,o7 Floor/Ceiling Joists: ~~.~,~ S„~,,,,,~ ~,,, Siding/Exterior Trim: ~z~ek s~ ~ Other: