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Home My WebLink AboutAPPLICATIONS, CO, BP - 05-00319 - 1093 Arctic Willow Dr - New SFRZ ~ ~ ~ m rn W ~ c ~ rn O ~ ~.~ Z n D 0 0 ~ ~ s o ~ -0 ~ m ~ ~ O m m a ~ ~- m ~°fD`~ m -~~~~~' o cfl m a ~. O '~ v N ~ ~ O C O ~ ~ ~ ~ ~ _ °- °' y a ~ m O _ 7 C ~ A a .~. ~ O Z ~? o o ~ ~ ~ °, ~~ C ~~ m ~ ~ o fA m L ~ v r 6 ~ ~ ~ ~ o ~ o v F ~ ~ ~ ~ ~ ~ m T r ~ n' ~ ~ ~ ~ -i n o ~ o m v ~ W ~ ~ Q ~ Z ~ -67 ~ ~ a D 0 m ~o~~o ~ Z~~~~ ~, c ao~Q~ ' N K ~ O .. N 7 , n ~ ~+ o m v o ~~ o.° m c ~ 3 ~ ~ d ~ Z N fD T~ d d ~ o ~ = " O n 3 • ~ 0 ~ ~ d ~ o m O ~ I'TI ~ o ~ ~ a a n ~ Q 7 7 y a 0 v ~~,~~ ~ ~ ~ W~ c cco~' ~ '~~~ ~ Q- '- m 3 '~ x ~. 1 O ~1 ~ ~, ~ ~ c ~ ~ ca ~ N ~ ~D 1 ~ _ ~_~~~ ~~ ~ Q ~ o ~ c . ~ c1 n N=~;m p 3. ~ '~" __ ,~ ~~ ~ N1 ('~ ~ 3 N O Q ~ 7 Q ~ ~ ~ ~ ~ O NN.~ C = ° ~~ o fl; Q. ~ Q ~. O K N 3 y 3~ " n 3 ~ ~ ~ W~Nd __.~ ~~ ~~~~ N ~~~Q N ~~~:_ lD N ~ ~ W y ~ 3 W 3 ~ a .~. Cfl ~~ N ~ S O Q . ~~~ rt~ 7 ~ a n y N C -'• ~~~ `~ ~ '°" 3 C x~ ~ ~ O ~ ~ ~ . ~ C y Q ~ ~ + .. ~- O ~ ~ 7 N lD rn z rn n Z -i n n i0 O "~ L g m 7 C< G 0 z a m N C v rn 3 O O O W Cfl o ~a 9 v, '~,,/r {-,~ „ ~/\ `n ~~ N / c0 ~. ~ ~ ti. ~'A z m m ~ N ~ m ~ m D ~ v m ~_ ~ 3 ~ Z 0 0 O O C7 ~ Z~„ m ~ Z ~ r W c n = ~ ~'a~ ~ ' ~ c ~ ~ v f~i1~~ ~O p ~ O D ~ ~ ~ m c~ ' ~ ~ c !`F - o m pmt ~ ~ ~. z n n 3 a ~ g ~ ~ ~ n ~ N < < 1 <D N a a CT7 A W N ~ ~"I v ~ C a o ~ ~ ~ ?_ ~ ~ ~ ~ z ~. ~ ~ ~ m ? ~ a T ~ 3 CO Oo v d) Cn A W N ~ N N N ~ ~ ~~ p: ~ ~ v ~ ~ - (~/7 ~ a- TI ~ ~ ~ O C Q v j. O O 7 cQ N ~ ~ ~ O~ ~exs pg~ fa x ,~ a ~~< CITY of Certificate of Occupancy REXBURG Amet7ta's Family Community City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 3 Building Permit No: 05 00319 Applicable Edition of Code: International Building Code 2003 Site Address: 1093 Arctic Willow Dr Use and Occupancy: Single Family Residence Type of Construction: Type V-N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Meynders Tj 347 S 4th W Apt 4 Rexburg, ID 83440 Contractor: Owner Special Conditions: Unfinished Basement (873 sq. ft.). Driveway/sidewalk to be completed in 30 days. 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 of issuance, this building or that portion of the building that vies inspected on the date listed saes found to be in compliance vtith 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: April 06, 2 C.O Issued by: Building' Official There shall be no further change in the e~asfing 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: ~ ire State of Idaho Electrical CITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 PARCEL NUMBER: 3 ®,Ar UNIT# BLOCK# LOT# (f, sUBDIVISION: ~ 11 ~d~ ~~~e~~ ~`~~~'~~~ ~~ (Addressing is based on the information -must be accurate) OWNER: ~ ~ A t~ r,,,,,dP,~-; CONTACT PHONE #~~ = ~S'co - 4S~y PROPERTY ADDRESS: PHONE #: Home (?;~,?) `3Si~- ~s~~ Work ( ) Cell ( ) !/~lq Zol' KISS OWNER MAILING ADDRESS: 3H1 s~~~ '1t!- wed ~3 CITY: (Lexhu,~~ STATE: ~~ ZIP: 3N EMAIL~~_1,r,,,~„v ~ ,~ :;;~... FAX 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 PERMIT # Please complete the entire Application! If the question does not apply fill in NA for non applicable CITY: We will provide this for you) STATE; ZIP EMAIL PHONE #: Home Work Cell FAX How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name) 'T"`~ i4a,~c.~ Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE:~„~ (i.e., Single Family Residence, Multi 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 the application or on the plans on which the permit or approval wa~basec~{ Permit void if not started within 180 days. Permit void if work stops for 180 days. of Owner/ ~/~-/~ DATE Do you prefer to lie 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 Regburg'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** cf~~ • CITY OF R~:~BUR~ AMERICA'S FAMILY CQMMUNITY ~ P 4 ~ t 1 1 ~ - y 1 I i. ~~. 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 vuvuw. rexbura. ora comdevCcilrexbura.org Affidavit of Legal Interest State of Idaho County of Madison I, , Name Address 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 , 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Please complete the~ntire Application! ~ If fthe question does not apply fill in NA for non applicable NAME ~ A ~e4~er5 PROPERTY ADDRESS Permit# SUBDIVISION l,~-,1~ow ~Q~~~ [~~1~,,{~5 Dwelling Units: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $~ to SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area l'~~`~ Unfinished Basement area ~~ ~ Second floor/loft area Finished basement area ~~,~ Third floor/loft area Garage area ~ • ?,~ ~_ Shed or Barn Carport/Deck (30" above grade)Area Water Meter Count: i~9~~ Water Meter Size: a'/~ ~~ ~~ Required!!! PLUMBING Plumbing Contractor's Name: Uf~1 Business Name: QR.x~;,~-~, 1~1~--~+~~ ~ Nec~?,n~ Address ~]~,~, ~1 ~~~~~.-,h~~,~. Nj;;,,Y City ~,~,.~ State ~~ Zip~~~ta~w Contact Phone: (~,~ ) ~;~ -- ~> »~ Email ~I Y1 FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher p Floor Drain ~( Garbage Disposal ~ Hot Tub/Spa Sinks ~ (Lavatories, kitchens, bar, mop) Business Phone: (1~ f) ~~~, - ,Y~'t ~c Fax ~3 x-~ ~ r~ Sprinklers ~_ Tub/Showers 3 2 Toilet/Urinal ~ Water Heater Water Softener / f ~~~ ~~ Plumbing Estimate $ (Commercial Only) Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State ofldaho Parcel Acres: Please complete the ere Application! If the questionls not apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Required!!! MECHANICAL Mechanical Contractor's Name: Business Name: ~~~,,,,,~, '~ ~~~;,~~(~~;,~ Addresser t„I ~l'~~~ ~, ~,~City ~~1~,~rc State ~ ~~~~ Zip ~-~~yy Contact Phone: (~) ~,~(„- ~-1~o Business Phone: ('~~X) 'JSb ~7~0 Email Ali ~A Fax Zog ~~~~~11, Mechanical Estimate $ (CommerciaUMulti Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Air Conditioner (> Space Heater ~ 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 O Heat Pump 0 Incinerator ~ Pool Heater Heat (Circle all that apply) G~ Oil Coal Fireplace Electric ~~~ Unit Heater Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor License number Date Required! The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 5