HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00462 - 1106 Coyote Willow Way - New SFR Z
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America's Family Community
Certificate of Occupancy
City of Rexburg
Department of Community .Development
19 E. Main St. / Rexburg, ID. 83440
ne
ax
Building Permit No: 06 00462
Applicable Edition of Code: International Residential Code 2003
Site Address: 1106 Coyote Willow Way
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: Butcher Steve & Marie
8659 Maple Glen Ct
Springfield, VA 22153
Contractor: Merrill Construction
Special Conditions: Unfinished Basement.
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 109 of the lntemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
ttios inspected on the date listed vties found to be in compliance with the requirements ofthe code
for the group and division of occupancy and the use for v~hich the proposed occupancy vties
classified.
Date C.O. Issued: September 0 1 PM)
C.O Issued by: _
Building Official `~
There shall be no further change in the e~asting occupancy classification ofthe building nor shall anystructural changes,
modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved
said future changes.
Plumbing Inspector: Fire Inspector ~~
Electrical Inspector: PAZ Administrator: C -.~~
CITY OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208-359-3020 X326
PERMIT #
Please corn
If the question
PARCEL NUMBER: ~~Zw },.g~,~D~~-t~ (We ~
SUBDIVISION: ~,~~~~cxc~ ~rrx.~k ~ ~_iINIT#_
(Addressing is based on the information -must be accurate)
06 00462
1106 Coyote Willow Way-Merrill Constr.
BLOCK# 3 LOT# 2
OWNER NAME: S~vL ~.. ~i-ja„~e (~,~c{er_-- CONTACT PHONE # X03) YS'S"- 2039
PROPERTY ADDRESS: ~(oS~ ~a.o/~ Cj~~y„ C_pr r-l .SOr,:w+;c ~ 1/a. Z2/S3
PHONE #: Home (Xj3) ~fSS- Zo3 y Work ( ) Cell (z23) 3YZ- ~Z/S
OWNER MAILING ADDRESS: X651 ~o~ ff~ ~en~ (a~~r~ CITY: ~ ` Y/~( STATE: I/c~,ZIP:2Z/~ ~3
EMAIL FAX
APPLICANT (If other than owner) ~~.,; // ~~,/ LLL i~, ~o~-,/~
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS 1322 w. /~ ~'~ ~ CITY: ~ ,- ,;~~
STATE; Z~~ ZIP yy EMAIL7r~cbu/d 5~v E~J_ ~ala_...~r.~ FAX fib- yZ7~
PHONE #: Home ( ) ,3,5Z - yz/~ Work ( ) 3sZ - S~Z2 ~ Cell ( ) 3S-/ - /8D /
CONTRACTOR:
MAILING ADDRESS: ,~3 Z2 rU, f 6~L E CITY v~ ,'•~ STATEZ~ZIP Y ~
PHONE #: Home ( )~,-b- yZ/L Work ( )j~s-6- yZ7~ Cell ( ) 3S/-/~o/
EMAIL~,~/dyyE, ~~„ti~[ FAX ~z -Y2.7~ IDAHO REGISTRATION # & EXP. DATE ~C,~ -ZS~Z
How many buildings are located on this property?
Did you recently purchase this property? No es f yes give owner's name) Sure. ~-77,2~,;~ ,B~~~e„
Is this a lot split? ~ YES (Please bring copy of new legal description of property)
PROPOSED USE: ,Sr'~-olP -1-r~s~,`Iy 7L~-s~`C/e~i~,P _ _ _ _ .. „„ ~,~ F-
(i.e., Single Family Residence, Multi
Remodel, Garage, Commercial,
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATIO der penalty of perjury, I her c
that I have read this application and state that the information herein is correct and I swear that any in n w~~i~irta}~ h~re~e gi
in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg s 1 th 1 and correct. I agree comb
with all City regulations and State laws relating to the subject matter of this application and hereby au orize representatives of the Ci enter
upon the above-mentioned property for inspections purposes. NOTE: The building official may revo e a e
provisions of the 2000 International Code in cases of any false statement or misrepresentation of fact i th i ti~
permit or a val was based. Permit void if not st within 1 ~0 days. Permit void if work stops f
~~~i~-
ature of Own 'Applicant DATE
Do you pref to e contact y fax, email or phone? Circle One
WAR ING -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 your check does not clear**
3
CJ
8!31!2006
fa
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17:03 209356A276
Ct'[7f OF
ANTHOIJY MERRII.L
PAGE 01
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~ HUL~L~1N'G SAFE2Y DI~lARTMENT
~ro ~ IatAo /3M0 Fan: ?Od-JdiF-a0~
www.numus~an ~pM~~l~9.agi
A~atr~ !~lJy Cpa+ar~gity
State of Idaia
Conxry df Madison
Affidavit of Legtal ftater~t
I, _~`~t~~LC~A ~ 1~1Q~ci p ~ tz_I~t?~ ~ ~ ~ ~~ ~ .
H.,ne ~~nss
_.~~~s~na ~.tc~ ~ yam- 22 e 5 3
Cyr state
Going first duly sworn upon oath, depou ~ say:
(If Applksut V also t3rvocr ot)~cord, iklp to B)
A. That I am the record owner of the property deuribed on the attached, wnd I grant any
perrniasioa ta: N ~_a•~ w , yi7_w~.'/~ /L'--~' ~ S~.sr-G~j+~ g3~'!'!`
to submit tlac accampat~yittg applic~atian pertaitting to that proparty.
B. 1 agrac to i~it'y, defend and hold Rexburg City and its employees harail+css from any
claim or liability resuitizl,g frown any diapuw as to the statements cantsined herein or as tro
the ownership of the property which is the subject ofthe applicatio~nl.
Dated this .,~~_~~ ..~.._. ~y of ~~ ~~' N-~ -~1 ~ /~20~
~i~~~~ {
Snaneturc '
3abaertbed sad sworn to before me the day and year first above writte~a.
.---~
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.. ~~ ~`~
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Natary Public afadstr6 ~/"~;~ ,•,,,•Q ,
Residing at: X ~° c<,' .',, ~ a .
My commission expires: D t~ Q 9 ~ _,
~~ 3Jt~d SSfl~d ~3~~Ib'd ~~~~btr9c0L 85 ~8T 99C~?!bt!6@
Please com lete the entire A lication! •
P Pp
r If the question does not apply fill in NA for non applicable
NAME ~et~2.~F- 7~a„`L ~-~Clrr
PROPERTY ADDRESS ~J(~ ~,,o,(G (,~,;//~ war Permit#
SUBDIVISION (~,'//ow B~/~ ~ ~
Dwelling Units: / Parcel Acres: ~ 5 ~/
SETBACKS
FRONT 25.00 ~ SIDE 21.00 ~ SIDE Zl. cb
Fax
Remodeling Your Building/Home (need Estimate) $ tiQ.
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area 2_/97
Second floor/loft area - r~ -
Third floor/loft area ~- v -
Shed or Barn - o -
a-
Water Meter Quantity: / * * * * * * * * * * * * * * Water Meter Size: ~ %y y
Required!!!
PLUMBING
Plumbing Contractor's Name: ~~~~~~ r~%Business Name: ~r'~~'Lf !~
Address/~~ ~~~~~r,s c City State - Zip,~~
Contact Phone: ( ) ~G~ r" ~~Business Phone: ( )~/~
Email
FIXTURE COUNT (including roughed fixtures)
/ Clothes Washing Machine
/ Dishwasher
1 Floor Drain
~ Garbage Disposal
- ~ - Hot Tub/Spa
~ ,~ Sinks
(Lavatories, kitchens, bar, mop)
Sprinklers
~' 3 Tub/Showers
2 Toilet/LJrinal
BACK 72. DD ~
0" above grade)Area
Z- Water Heater
~ Water Softener
Plumbin Estimate $ /(/ (Commercial Only)
e f Lic ed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
Unfinished Basement area
Finished basement area
Garage area
a
- v-
4
•
Please complete the entire Application!
applicable
NAME S~eve. 9~- 7ylar, e Q ~ ~~ er-
PROPERTY ADDRESS _ //p~ Covor~e (,c',llow ~,~y
SUBDIVISION (~; /~~ j3reo ~ # S
Permit#
Required!!!
MECHANICAL
Mechanical Contractor's Name: ~~ti ~ ~ ~ h " c ti Business Name:~~~rU ~ %'~%~ ~ ~ L C
Address ~ ~~/~ _2 vet) ~ City ~~C f j ilt/ State l .oJ' Zip ~~~~'~
Contact Phone: (l~ ~ /;3 ~y~~ ~, Business Phone: ( ) --~ ~~ ~,
Email ~ /'- t ~,} ~ ~ /~`~f-54;. ,'~ , c. ~~n Fax ..~-~ ~ lr.L l
Mechanical Estimate $ (CommerciaUMulti Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
~_ Furnace ~ Z Exhaust or Vent Ducts ~ ~
Furnace/Air Conditioner Combo 38'
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance ~s
Incinerator System
Boiler
Pool Heater
•
If the question does not apply fill in NA for non
Dryer Vents ~~J
Range Hood Vents
Cook Stove Vents
`7~ Bath Fan Vents ~°
other similar vents & ducts:
kJ~
Similar fixtures or Appliances
.~ Fuel Gas Pipe Outlets including stubbed in or future outlets Za
~_ Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
point of Delivery must be shown on plans.
lJ __
Signa of is nsed ontractor License number ate
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
5
~. _ .
Building Safety Department
City of Rexburg
19 E Main janellhQrexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME ,.ir~~'~.~. ~ 7~'~ar:~ ~,,~~ch~f--
PROPERTY ADDRESS //~ fc?yy~_ Gov. //ay c-cxty
SUBDNISION G~~~~lct-c' 1~~nc~
PHASE ~s LOT Z BLOCK_~
~io4 ~Exs URC ld
U ~
m~ 9~
. et
CITY O F
REXIiURG
America's Family Community
Permit # 06 00462
1106 Coyote Willow Way
Required.!!
ELECTRICAL
Electrical Contractor's Name To cf ~ ~P;'~/,~.,~~,-, , Business Name ~~,'t /.no,~ iC%r~~ ~.~; `r
Address ~,S S, N,` c~~cn V~ l ~~7 2d City 2erbr~ ~ State ~~ Zip ~yYb
Cell Phone ( ) ~%D ~~ ~J(G~ Business Phone ( ) 3J (v -- ~~,~
Fax ( ) Email
Electrical Estimate (cost of wiring ~ labor) $ (COMMERCIAL/MULTI-FAMILY ONLY)
TYPES OFINSTALLATION(RESIDENTIAL)
(New Residential includes everything contained within the residential structure and attached garage at the same time)
_~ 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) j'-~
Requested Inspections (of existing wiring)
Temporary Amusement/Industry
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate
~'~~
Signature of Licensed Contractor License number
The City of Bexburg'.r permit fee schedule is the .came as
the State of Idaho
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