HomeMy WebLinkAboutBP & APPLICATION - 05-00313 - 1113 Golden Willow Cir - GarageZ
~
O _
~ N
~
~ m m
n ~ ~
~ ~
rn
_
~
._ ~
_
.Wi ~ ~
~ zd ~o a
~~~ ;= 3
a C
o
m 3
°
m
~
~ ~°
~ m Z
O .~
~
a
v
a ~' 3 m ~
_
F N W
~,
d F
^~"
- ~ ~ Q y m m
o
' ~ m a
n
m
O
'~
n r
O , .~
~_
c
~ n
C1
v
~
v ~ ~ O ~ O
~ C
~
a
=
~ m a m
v
'`
°-~f
o Z
~? o o' ~ ~
~ °~ ~ y C
0 5'
o
s
m
'-I
f v
~ r
~
o v
o ~ C V)
-1
a
c m' 3 ~ D
m
a ~ o
W v
~- ~ $
~ -~
mn~;gz
' D =
~
o ~ o
=
m
o~~o m
cx
~
N
Z~~~~
~
~
~ C
o' o ~ v °? n
f n m a o m
"o
° c Z
y
'~
' ~ ^
Y'
v v n o
=
"
~ O
n
3
»
c m ~ .~ n ~
av
o ° ~ _
.
~oo~~ ~
g
m
m S. a
a n
~
W
C
7
5
N
0
~-
v
Oa
0
Q.
y
N
C
~D
Q
3 ~ n ~
~ ~ O y
Q ~ ~ ~
•~ ~
cQOQ
~ ~ ~ N
3 a~+c
$~N°'
-~o~=
.~
~ ~ ~~
d ~ ~; ~D
O 3. Chi '•
~_ M
d ~ ~ M
wn=s
~ o o,~
O y „"
C
3 ~ ~
°.co ao
K N ~ N
S ~ ,~ n
~~so
. ~,
W M N ~
__. ~ ~ ;
c.~~~
~~~~.
~ ~ •~-
Q
'O O ~ W
~D < N Q,
~~~
o ~°ca
~ ~ n
~.so
~~~
n~~
~~ ~
a
~~~
o
.~
~ 3
~, ~ ca
~?c
~~D°:
~ ~ o
7~ C ~-
C. ~ ~
C ~ Z
> > ID
m
Z
m
Z
-~
O
m
1
L
g
v
m
w
O
O
Q.
m
O
C7
,-
Z
r
~~
m
s
/_~/ -0yyAs ~ Ciry~
/V• n~ ~`.
V ~ x ~?
~ T r
rn `
v
o ~ ~~~
-!~ 1
~!~
"< 1~5 ~ ~
b ~
co ~.
~ ~.
d4
m n A w N -• N
m
y~ y ~
o
~ ~
m
~ ~ ~ ~
Rom ?i ~ ~ a - cn c~ ~ C7
~oD ~ ~ ~ ~
~ ~ ~ ~ -~
c~-a ~
~ ~
z m u,
3
~
3 ~ ~ m O
Z
~°
0 0 0
0
~ ~+ n ~
~ ~.
~ ~.
m ~
C W
n
~~~
° 3 ~
O n w ~ o 0 3 r
yT~ ~ ~~ Z
z T Z z v
~
v o o ~
N
~~ Q v
~ v ~
~
-~mg
~~ o ~ c rh m
~ m
m
~
m -o ~ ~ ~.
z
.
a
~g =
y
N
~~ a c
co ao ~ rn w ~ w N -~
'n
~
- Z
c~
~
~
~
m (n
m
~-
~
'~ p
~
m 3
c
~
~ ~1
~ T
3
a
o
~ ~t
0
~ r
~
~
. CI~'Y OF REXB URG
BUILDING PERMIT APPLIC~ON
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X322
PARCEL NUMBER:
~,., -~ (( CONTACT PHONE # ~ L - os ~ ,-'
S' Ala -~3~' Work ( ) ~/ (b ~ ~3~o Cell ( ) Sf ~- b`~a
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information -must be accurate)
PROPERTY ADDRESS
PHONE #: Home
OWNER MAILING ADDRESS:
EMAIL
FAX
STATE: ZIP:
APPLICANT (If other than owner)
(Applicant if other than owner_ a ~+a+a...,,--` - (p9 ~ f
~ ~3 _ds ~~
APPLICANT INFORM ~,
STATE;
PHONE #: Home ( )_
( We will provide this for you)
CITY:
~a~~
CONTRACTOR:
~~.d ~ ~ Q~
~~~ ~ ~
MAILING ADDRESS:
PHONE: Home#
EMAIL
Work#
How many buildings are located on this property? -~-~~z- j
Did you recently purchase this property? No es If yes give owner's name) S~1C~ S
Is this a lot split~~ YES (Please bring copy of new legal description of property)
PROPOSED USE: ~
(i.e., Single Family Residence, Multi
FAX
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 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 cas 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 ' n started within 180 days. Permit void if work stops for 180 days.
~ N ; /~/
Signature of Owner/Applicant DATE
Do you prefer to be contacted by fax, email or phone? 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
**Building Permit Fees are due at time of application** **Building Permits are void if you check does not clear**
PERMIT #
~~"`°9.
Please complete ~ entire Application!
If the question does not apply fill in NA for non applicable
to act as agent for owner must accompany this application.)
CITY:
FAX
Cell ( )
CITY STATE ZIP
Cell#
s
Please complete the~tire Application!
If the question does not apply fill in NA for non applicable
NAME ~~ S
1~ ~-~
o D ~„ C~: rC~ ~ ~ Tc~ Permit#
PROPERTY ADDRESS 3 lcEe r\ ~
~t~ W
~ ~
SUBDIVISION '~~' ~,~ ~r~K ~5~~~5
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
Second floor/loft area
Third floor/loft area
Shed or Barn
Unfinished Basement area
Finished basement area
Garage area ,~(1,` k ~ ~;
Carport/Deck (30" above grade)Area
Water Meter Count:
qui~ed!!!
PL RING
Plumbing Con ctor's Name:
Address
Contact Phone: ( )
Email
City
Business Phone:
Fax
State
Zip,
Clothes Washing Machine Sprinklers
Dishwasher Tub/Showers
Floor Drain Toilet/LJrinal
Garbage Disposal Water Heater
Hot Tub/Spa Wa Softens
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
Signature of Licensed Contractor
The City of Rexburg's
Water Meter Size:
Business Name:
License number
e schedule is the same as
Date
the State ofldaho
.. Please complete the el>~e Application! If the question d~not apply fill in NA for non
applicable
NAME
PROPERTY ADDRESS Permit#
SUBDIVISION
Requi~~ed!!!
Mechanical Contractor's Name:
Address
Contact Phone: ( )
Email
Fax
Zip
Mechanical Estimate $~_ (CommerciaUMulti Family Only)
FIXTURES & APPLL9NCES C NT (Single Family Dwelling Only)
Air Conditioner
Bath Fan Vents
Range Hood Vents
Boiler
Cook Stove Vents
Decorative Gas Fireplaces
Dryer Vents
Evaporative Cooler
Exhaust or vent ducts
Fuel (gas) piping fixtures or appliance outlets `$
Furnace
Furnace/Air Conditioner Combo
Heat Pump
Incinerator
Pool Heater
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Signature of Licensed Contractor
Required!
The
Space Heater
Unit Heater
Date
's permit fee schedule is the same as required by the State of Idaho
License number
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
MECHANICAL
Business Name:
_City State
Business Phone: ( )
5