HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00328 - 1058 Arctic Willow Dr - New SFRZ
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CITY O F
1~.G1~17 V 1\V
cav
America's Fatuity Community
CERTIFICATE OF OCCUPANCY
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Building Permit No: 05 00328
Applicable Edition of Code: International Building Code 2003
Site Address: 1058 Artic Willow Dr
Use and Occupancy: Residential
Type of Construction: Type V-N, Unprotected
Design Occupant Load: Single Family Residence
Sprinkler System Required: No
Name and Address of Owner: Muir Brandon & Kelsey
390 Bare St
Re~urg, ID 83440
Contractor: Owner
Special Conditions:
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuanf 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 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: January 30, (0
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: /L~~~~J/~..-,/~~,~fa/~ire De
State of Idaho Electrical Department
..__C'ITY OF REXB URG
BUILDING PERMIT APPLIC~Yf`ION
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X322
PARCEL NUMBER:
( We will provide this for you)
SUBDIVISION: ~%I~° w~r~ro ~ UNIT#~BLOCK# ~ LOT#
(Addressing is based on the information -must be accurate)
--
OWNER: tD~ `~ K~~c.~E~-I l~-t ~/2 CONTACT PHONE # ~ ~~ Zu "'~~~F'
PROPERTY ADDRESS: 1 Q ~~ ~rlc ~~fr+-~ ~ D~+ ~~- ~ ~=~~8.~~5' ~~ ~ ~9't~
- ,
PHONE #: Home (~)3s~ ~3t~7s Work (2~) zz/ -7~c:.~{ Cell ~ LZl ~'730~
OWNER MAILING ADDRESS: %~O ~h~' ~S'r ,, CITY: ~,~~r~ STATE:/Q ZIP: ~3 D
EMAIL FAX 3s ~ ~ 3, 7~
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as
APPLICANT INFORMATION: ADDRESS
STATE; ZIP EMAIL
PHONE #: Home
PERMIT #
Please com lete t ~ entire A lication!
P PP
If the question does not apply fill in NA for non applicable
Work ( )
(~ er must accompany this application.)
~ ~ ~~.ti
SEP Y ~~~,
Cell ( )
CONTRACTOR: 1~-1~~ 2
~.
MAILING ADDRESS: ~~~ ~iM~ ~T- CITY ~c~PL-~_STATE /D ZIP ~~ I~
PHONE: Home# 3b~-3%~! Work# ZZ-C-~3~~ Cell# ZZ/ - ~3c~`
EMAIL
FAX ~~ - ,~ 7 r7'
How many buildings are located on this property? /
Did you recently purchase this property? No ~%(If yes give owner's name) ~(lirn/9~~ /lf uf/~
Is this a lot spli~' YES (Please bring copy of new legal description of property)
PROPOSED USE: ~InfS~z f7tx-11 u-1 /1~~~~J~w __
(i.e., Single Family Residence, Multi Family, 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- entioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the
provisio o th 2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the
per[~it ~t a>~r al was based. Permit void if not started within 180 days. Permit void if work stops for 180 days.
` ~ / ~ / ~~
of Owner/Applicant DATE
prefer to be contacted by fax, email o hon .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 Rezburg'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**
Please complete the ire Application!
If the question does not apply fill in NA for non applicable
NAME ~(~E~ ~ K~-cS~ia M ul t2,
PROPERTY ADDRESS /'4,SP~ t~-iC~ w l~~ ~~ Permit#
SUBDIVISION wlu~wt~~~
Dwelling Units:
SETBACKS
FRONT ~ SIDE 3d ~ SIDE 3 J..~ y BACK -~ J ~
Remodeling Your Building/Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area_~(,~~ ~ Unfinished Basement area ~~~~
Second floor/loft area ~r ~ Finished basement area 13-
Third floor/loft area Garage area 1 ~~ ~~
Shed or Barn Carport/Deck (30" above grade)Area
Water Meter Count: 1
Water Meter Size: ~~
Required!!!
PLUMBING
Plumbing Contractor's Name: L''~'c~y ic~3irt~ Business Name: ~-'rx~s'c~s. ~1'Lu~inls'
Address -~~~ r•~. ~,r,~c.c.e<..~~.•.+~ .t-l~.,y City ,Qr-,~Q;,~~ State l,/.> Zip `~'Q
Contact Phone: (Z~) ~6 -- ~~ °Z ~ Business Phone: (Z,vc~) ~a~ ~ ~ ~ 'Z 0
Email Fax 35~ °' ~~1°~
FIXTURE COUNT (including roughed fixtures)
~ Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
-~' Hot Tub/Spa
Sinks '~
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
~-~ ..
Signature of Licensed Contractor
The City of Rexburg's p
~ Sprinklers
~J Tub/Showers
Z Toilet/LTrinal 3
~ Water Heater
Water Softener
C t'L~~' 0 5
License number
fee schedule is the same as
Date
y the State of Idaho
Parcel Acres: C~~ SO
Please complete the ent~ Appllcatl0n ~ If the question dot apply fill in NA for non
applicable
NAME _ i3~•too,, ~ I~cs~'y r..i~,;2
PROPERTY ADDRESS low n~~~, ~.c+ ~c.e~.,y oni ~~ Permit#
SUBDIVISION W ~ ~ ~ srr~ ~,~ `
Required!!!
MECHANICAL
Mechanical Contractor's Name: _ lax gu,c.s ~M3rr, ~ N~Business Name: (mac , Plw-~r3t~ s ~ KF~~
Address ~?~06 ~, u~~-cws-~= NwY City ~ State I~J Zip ~3~0
Contact Phone: (`Z~) 3s'~ -- ~~~ ~~ a Business Phone: (~, )_ ~Z. - ~~~ Z~
Email
Fax (?.ao) 3~ -~0_1'~(v
Mechanical Estimate $_ _ (Commercial/Multi Family Only)
FIXTURES & APPLL9NCES COUNT (Single Family Dwelling Only)
Air Conditioner Space Heater
2- Bath Fan Vents
f 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 Ga~ Oil Coal Fireplace Electric
Unit Heater
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signat 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
•
SUBCONTRACTOR LIST
Excavation & Earthwork: l'~(u;,G C~ s~ ~ ~ ~ ,
Concrete: ~42' ~: ~~' r _'
Masonry: .~ ~ ~-fi~f3F~y
Roofing: ~~~
Insulation: ~vAr~ ~ C~sv t.,~7 ate/
Drywall: j'~U~,c. ~3~/5~4~7tr/ 4a .
Painting: /~Ja%G C~~~ ~j~ 4~-
Floor
Coverings: ,~Ul~ D~i~/e~ ~Ciyir~Y~- ,~~'2-S
Plumbing: l~~Cr3v ~ Pf,~M Br ~ ~' ~~"a'h°lvy
Heating: /~~ /~tcay,/~,~/~ ~ /?r'~'tT/nom
Electrical:_ ~?/~' 1~'1 ~ ~%=~~71~-cam
Special Construction
(Manufacturer or Supplier)
Roof Trusses: S~~ Cc~~e~~~
Floor/Ceiling Joists: Sq~c~ ~yC~Q~M sb~P~
Siding/Exterior Trim: ~T~j ~Si~ ~i~-~
Other: