HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00401 - 1115 Arctic Willow Dr - New SFRZ ~
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°~RaxsuR~,o ~ 1 T Y o F Certificate of Occupancy
y~ __.
~~~ ~~URG City of Rexburg
,,,,,,~taSFQ ~~mmu~~ Department of Community. Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No: 05 00401
Applicable Edition of Code: International Residential Code 2003
Site Address: 1115 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: The Development Group
4330 W 3800 S
Rexburg, ID 83440
Contractor: The Development Group Llc
Special Conditions:
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 909 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 wes found to be in compliance with the requirements of the code
for the group and division of occupancy and the use for v~hich the proposed occupancy v-es
classified.
Date C.O. Issued: June 20, 2006 •13AM
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 Departure
Fire
State of Idaho Electrical
CITY OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X322
PARCEL NUMBER:
PERMIT #
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
( We will provide this for you)
SUBDIVISION: Willow Brook UNIT# N A BLOCK# 2 LOT# 5
(Addressing is based on the information - must be accurate)
OWNER NAME: The Development Group CONTACTPHONE# 390-0230
PROPERTY ADDRESS: Artie Willow Drive
PHONE #: Home (20~ 656-051 4 Work (~0$l 390-0230 Cell (20)8 390-0230
OWNER MAILING ADDRESS: 4 3 3 0 W 3 8 0 0 S CITY: Rexburg STATE: I D ZIp; 8 3 4 4 0
EMAIL scottaliciai @msnF~~ln N/A
- -- _
APPLICANT (If other than owner) N / A
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE;
PHONE #: Home
ZIP EMAIL
Work
Cell ( )
CONTRACTOR: The Development Group LLC
MAILING ADDRESS: 4 3 3 0 W 3 8 0 0 S CITY Rexburg STATE I D ZIP 8 3 4 4 0
PHONE: Home# 656-051 4 Work# 390-0230 Cell# 390-0230
EMAIL scottaliciaj @ FAX n/a
T~n~x~ manv hnililinoc ara ln~atPrl nn thie nrnnPnc~~9 (1 at T)T'P RPrIt DY'~DOSe
J ~_ __ C_ _r __ _J _ -
Did you recently purchase this property? No Yes (If yes give owner's name) Kirby Forebush
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE: Single Family Residence
(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 ail 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 ' cases of any false statement or misrepresentation of fact in the application or on the plans on which the
permit or approval was,~ased. Pern}it of not startedzwithin 180 days. Permit void if work stops for 180 days.
1 0/ 1 2 / 2005
Signature of Pfwner/Applicant ,, DATE
Do you prefer to be cont elect by fax, mai or phone? Circle One
WARNING - BUILDIN ERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non-refundable and are paid in full at the Bose of application beginning lanuarv 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**
CITY:
FAX
• •
~~ Please complete the entire Application!
If the question does not apply fill in NA for non applicable
NAME The Development Group LLC _
PROPERTY ADDRESS Block 2 Lot 5 Artic Willow Drivepermit#
SUBDIVISION Willow Brook
Dwelling Units: 1 Parcel Acres: 1 / 2
SETBACKS
FRONT 2 5 f t SIDE 2 6 f t SIDE 2 6 f t BACK 1 2 0 f t
Remodeling Your Building/Home (need Estimate) $ N / A
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area 1 5 0 0 s g f t
Second floor/loft area N / A
Third floor/loft area N / A
Shed or Barn N / A
Unfinished Basement area 1 5 0 0 s g f t
Finished basement area N A
Garage area 5 9 8 S qF t
Carport/Deck (30" above grade)Area N A
Water Meter Quantity:
1 ************** Water Meter Size: 3 / 4
Required!!!
PLUMBING ~f
Plumbing Contractor's Name: _ ~~'U~ ~ tlvN _ Business Name: ~~x~ v~9 ' ~ `~°'' ~"'~~
Address P- 6 - ~ . 75~! City ~~ar~Jc//'4 ~e --~Ct/ Zip_~53~ ~
208 J $~,~ ~„
Contact Phone: (2 0 8j ~.~ " _ , ~? C Business Phone: ( )
Email N / A Fax N / A
FIXTURE COUNT (including roughed fixtures)
~~ Clothes Washing Machine ~ 0 Sprinklers
_~ Dishwasher 3 Tub/Showers
_~ Floor Drain 3 Toilet/Urinal
1 Garbage Disposal 1 Water Heater
p Hot Tub/Spa 1 Water Softener
5 Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ n / a (Commercial Only)
Signature of Licensed Contractor License number Daj
The City of Rexburg's permit fee schedule is the same as required by e State of Idaho
• •
' Pfease complete the entire Application! If the question does not apply fill in NA for non
applicable
NAME The Development Group LLC
PROPERTY ADDRESS Block 2 Lot 5 Artic Willow Dr. Permit#
SUBDIVISION Willow Brook Division #3
Required!!!
MECHANICAL
Mechanical Contractor's Name: Rexburg Heating Business Name: Rexburg Plumbing an
Address 114 N Hwy 33 City Rexburg State ID Zip 83Q4nin
Contact Phone: (2 0~ 3 5 6- 8 7 7 0 Business Phone: (2 0 8) 3 5 6- 8 7 7 0
Email N / A Fax n / a
Mechanical Estimate $ (CommerciaUMulti Family Only)
FIXTURES & APPLIANCES COUNT
1 Furnace 3 ~"
0 FurnacelAir Conditioner Combo
~ Heat Pump
0 Air Conditioner
0 Evaporative Cooler
0 Unit Heater
0 Space Heater
(Single Family Dwelli g Only} -+~c~~"~
Exhaust or Vent Ducts wtf ~ t ~
_~ Dryer Vents S
~_ Range Hood Vents
~_ Cook Stove Vents
~~ Bath Fan Vents ~,~
~/ _ other similar vents & ducts:
1 Decorative gas-fired appliance ( S
0 Incinerator System
_~_ Boiler
d Pool Heater
~_ Inlet Pressure (Meter Supply) PSI
S~
~~
~ ~~
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Mechanical Sizing Calculations must 6e submitted with Plans & Application
Point of Delivery must be shown on plans.
Signatur icensed Contractor License number
The City of Rexburg's permit fee schedule is the same as
Date
the State of Idaho
• ~ •
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SUBCONTRACTOR LIST
Excavation & Earthwork: Kauer Excavation
Concrete:
K&C Concrete
Masonry: Mickelsen and SonG
Roofing: Smith Roofing Rigby
Insulation: BMC West Insulation
Drywall: Gary Sears Drywall
Painting: Banta Painting
Floor
Coverings: Gundersen Carpet The Tile Store
Plumbing: Hyde Plumbing Blackfoot
Heating:_ Rexburg Plumbing and Heating
Electrical: Darnell Weekes Electric
Special Construction
(Manufacturer or Supplier)
Roof Trusses: BMC West Truss Plant
F1oorJCeiling Joists: BMC West
Siding/Exterior Trim: Heartland Vinyl sidi
Other.