HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00459 - 561 Twisted Willow - New SFRz
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~ ¢EXB UgC
'" Certificate of occupancy
d~ CITY O F
° ~~jjjZ~ City of Rexburg
`~ n Department of Community Development
'•, , ~ E America's Famit Communi
19 E. Main St. / Rexburg, ID. 83440
Building Permit No: 06 00459
Applicable Edition of Code: International Residential Code 2003
Site Address: 561 Twisted Willow
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 109 of the Intemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
vties 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:
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 Department:
Electrical Denartment~ ~~~ JdCIl~
CITY OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X322
•
Please c 06 00459
If the quest
561 Twisted Willow Way-T D G
PARCEL NUMBER; `1n i ~~' ~~, ` ~ ~ ( W
V•'v~ `S•'or.
SUBDIVISION:~,r(~ocJ gravlL UNIT# .Z BLOCK#_~_LOT# /~
(Addressing is based on the information -must be accurate)
OWNER NAME: The L~eyelo~-kP~t C~cc)TCONTACT PHONE # _'~gD-a.2 ?15
PROPERTY ADDRESS: /oo > ~r~r'L (,J,•!!vw L~r,
PHONE #: Home (you) [osCo-oS/y Work (ars) „~'~td Q1~0 Cell (~j ~gp - O,g ?rte
OWNER MAILING ADDRESS: i~O l3ok Fl ,Y1 CITY: ~ ~ STATE:_~ZIP: f135~~0
EMAIL ~o~ Q j~,,~; ltbv t~FAX ~~S' ~ - ,~/S.Z
APPLICANT (If other than owner)_
(Applicant if other than owner, a statement
APPLICANT INFORMATION: ADDRESS
STATE; ZIP I
PHONE #: Home ( ) W
to act as agent for owner must accompany this application.)
CITY:
Cell
FAX
t
CONTRACTOR: e 5 r
MAILING ADDRESS: CITY STATE ZIP
PHONE: Home# Work# Cell#
EMAIL FAX
How many buildings are located on this property?
Did you recently purchase this property No Yes (If yes give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of p > SEP 12 ZOQ6
PROPOSED USE:
(i.e., Single Family Residence, Mu amily, Apartme s, Remodel, Garage, Commercial, Ad itio
~ OF REXBURG
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: n er pena ty o 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 Inte tional Code J' cases of any false statement or misrepresentation of fact in the application or on the plans on which the
permit or a~roval was s d. Permit voifl if not started within 180 days. Permit void if work stops for 180 days.
of
Do you prefer t,~be contacted by fax, email or phone? Circle One
l~ 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 Januarv 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**
~~~~--~
DATE
.-, --~~~ ~. .. vvv vwa uoc cu0a.7.7J L.7C
•
Please complete the entire Applic$tion'
if !bc question does soot apiti~ fiU Ia NA for noa applicable
NAME ~_ ~~~~ ~~ (ate ~
PRt?PERTY ADARESS Permit#
SUBDIVISION 5•~,.~. R?.... ~p
Dwelling UA1LT: t?areC! Acmes:
SET$ACKS ,
FRONT %~ f~ SIDE? ~~ ~ ~ ~ SInE ~' ~ ~ ~ ~ BACK ~ S .
Br~odeliieg~ Your BrsiJdiag/flonse Geed kstimsooe) s /7/iy
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements oftbe truitd'nrp~
r•~
Fast Floor Area ~,,,_ UnfaaisAed Bit arm_ r~ / 7c~ _;
Seooed tloon/bR area Finisi~Cd t errs
Shod a Bari R arses ~~ ~/t~rle~nrsd~lArea / SD
WatC2' Mohr!' Qaiatity: ~ s*+ss*~sRSS«,sss WatKl'MOtCT Siu: ~~
Required!!!
P,Z UMBING c~- ~~•,
Plu:nbirtg Contractor's Nsene: _Qe~~_ Business Name:
Address J r SI fFW ~ 3 __3 _~~ - - city ~,~.~,
Ca~ntaet P~wne: (wI( )_ - ,~ SCQ- $T ?Q Business Phone: ta~ 3S'lp - S ? 7 a
Emaii_ ~ A~ Fax
~rrnE eorrNr,~
~ Clothes Washing Ma~ime
,_,~,~ Dishwasher
_ S Floor Drain
'' use
~ %~ Hot Tub/Spa
_~, Sinks 's
(i.avatoties, kitcl>~s, bat, coop)
ets
~_ Toilet/Urinal
~ water Heater
_.,,_j__ Water SoRetx~
Prom ~ Estimate S (Cammerda! Ua1y)
~cl~~
SCR liamsd Lioeiese aaalber
- a Ire Ciy olRecbrvx's p~enrdlss sel~ile tr ~olYr ~e m
~ Spriaklets
TuWSbo~w
Please COIllplete the ellt'li'e L~ppllCatlOri~ If the question does not apply fill in NA for non
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required!!!
MECHANICAL
Mechanical Contractor's Name: l~ ~- ~ ~• Business Name: ~ ~ ~~ T/qtr C
Addresses ~~ z7~/1/ •~t~t,};' ~/ City State % ~' Zi
Contact Phone: ~ ~ '' p y~
~~) ~ ~ ~ `- U~ L ~i Business Phone: ( ) SG.I yr~r
Email J f~J h F.tl ~' /~ i~~ ~ (G'iyl Fax_ • ._ ~~ ~~ ~- ~% ~ Z T
~ a
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelli g Only)
Furnace ~ Exhaust or Vent Ducts is
~_ Furnace/Air Conditioner Combo ~ ~ ~ Dryer Vents S
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
_~ Decorative gas-fired appliance ti ~
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets 2
~_ Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply a ~ Oil Coal Fireplace Electric
l'~ ~
Mechanical Sizing Calculations must be submitted with Plans & Application
~ °° Point of Delivery must be shown on plans.
U
Signature of L censed Contractor License number
The City of Rexburg's permit fee schedule is the same as
Z r
Date
the State of Idaho
Range Hood Vents
Cook Stove Vents
Bath Fan Vents 2~
other similar vents & ducts:
05/07/2013 00:14 FAX TKTT
•
.P,lease complete the entire Application! if~.e gaestion aoe$ not apply 511 ~ NA for non
applicable
~:titE ~ /eve/ t ~rnr.~ ~~
PROPERTY ADORES __/CAD 7 ~'1r~F,° W ``l/per ~t-, Pe~rmic#
SL'SDI~'ISION ._1~,~r 11 OtJ Qr•oe k ~
f~ 0 0
Regzruxed.!!/
Ez~cT~c~z
Elec~uieal Contractor's Name ~Atda1~ G~ke~~s ~»' ,.-«•~,:~-,:~Bus~iness Name ~~~. s ~,~~,
Cell Phone ( ) Business Phone (m?og) ,35~ - GS~"1
Fax ( ) Rrnail
Electrical Estimate (coat of wiring ~ labor) $,~ (Commercial/Mufti Family Oaly)
TYPES OF INSTALLATION RESIDI~VT'IAL
(New Residential rnched~ eve~ryrldng contained t+vithin the reefdentisl ®a uctrue arad anached garage at the same dme)
-,,~,,,--- Lp to ?00 amp SeYVice*
201 to 400 amp Service*
Over 400 amp Service*
E:zistiag Residential (# of Branch Circuits)
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Spa, Hot Tub, Swimming Pool
Electric Central Systems Heating and/or Cooling (wb~ca not part of a new residential coasuvcrion permit
and no additional wiaag)
Modular, Manufactured or Mobile Home
Other Installations: Wiring not specifically covered by any of the above
Cost of Wiring ~ Labox: $
Pumps (Domestic Water, Irrigation, Sewag~c)
Requesud Inspections (of existing wiring)
Temporary ~musemeaL/Industry
'Includes a maa~mum of 3 inspections..~dditional inspections charged at requestod inspection rate of $40 per boos.
/f/ 85/~
Signature of Licensed Contractor License number
The
tcbedrtle u the renre ar
,/8-oG
Date
the State ofYdobo
6
• M
4
SUBCONTRACTOR LIST
Excavation & Earthwork: ~ a.u. e r' C e ~ S .~,
Concrete: {~-b G C.oa cre t~.
Masonry:
Roofing: /~!/~„i,"'
Insulation: [~a ~~ ~.L ~ 5 k (~,.~. J~.,~
Drywall : ~ o~ art ~' yo,.rl, S (~ ~ y ~,
Painting: C ~B ~ ~ov`,1'F ~` ~, q
Floor
Coverings: ~j~er-S~an ~loor,~~c
Plumbing:
Heating:
\ ~ }y ~
Electrical: ~ar~,e~ G[/~~G~ZPi.S f~~e~~ f j..~
Special Construction
(Manufacturer or Supplier)
Roof Trusses: ~~ ,'~-- ~ ~,~,~ ~
Floor/Ceiling Joists:_ ~/'~G ItJG 5
Siding/Exterior Trim: (itJa,-~~- ~~~ ~ ~ k ~e..•,'o r
Other:
~ ~ ~ ~ z---
Building Safety Department o~~tiXBUR~
City of Rexburg ~~ °x
,, o
19 E Main janellhC~rexburg.org Phone: 208.359.3020 x326 ~.~, M E o
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
CITY O F
REXIiURG
~__._v~__ ~, .~._,.~____
America's Family Community
OWNER'S NAME ~cyc~d/~j.'~c'; ~% ~ ~ ~<>~~ ~'
PROPERTY ADDRESS 5~j ~`t/,r~ ~,~~Gloc~ L,I/9Y Permit# ~~~Oa ~ ~~
SUBDNISION l1 ~ IIOV ~ rco 1(
PHASE ~? LOT ' ~. BLOCK
Required.!!
ELECTRICAL
Electrical Contractor's Name ~/~ ~i~Tii'/C ~~ Business Name /~~ ~- ~/~GT/z/ C ~./C
Address `~(~.- ~~~ ~ S3 City ~i4~~ State ~ Zip ~S i~2
- ~-°- ~.._ ic--
Cell Phone (7py) ,. - _-_ -_ SZ1 ~7372 Business Phone (~~ 7~5 = 7
Fax (2~ 7y~- ~ ~ Email
O~
Electrical Estimate (cost of wiring & labor) $ ems- C MERCIAL/MULTI-FAMILY ONLY)
TYPES OFINSTAI.LATION
(New Reside~ntia/l includes everything contained within the residential structure and attached garage at the same time)
1/ Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Existing Residential (# of Branch Circuits)
Spa, Hot Tub, Swimming pool
Electric Central Systems Heating and/or Cooling (when not part of a new residential construction permit
and no additional wiring)
Modular, Manufactured or Mobile Home
Other Installations: Wiring not specifically covered by any of the above
Cost of Wiring & Labor: $
Pumps (Domestic Water, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement/Industry
*Includes a maximum of 3 ins~ctions. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor
The
~~ Z1~~~
License number
schedule is the ,tame as
~ ii ~~
Date
the State
~ / ~ 1 c~~l