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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00462 - 1106 Coyote Willow Way - New SFR Z ~ O rt ~ _ ~• N: m m O <D ~ W co o+ ~ ~ Qo ~ ~ 2 117 m W ~ ~ ~ 'a , m 9 ~ • `C ~, n n c ~ ~ C `° ~, c vi O O Z ~; ~ 0 _ ~ < ~ ~~ ~D ' Z ^~ ~ ~ ~D ~ Q ~ ~ N 3 ~ ~ ~ ~ ,~ ~+ D ~ v ~z~s_D ' ~ C 'g~°,~u, n n o ~ ~ ~ ~ 3 D Z • o ~ c ~ O ~ ~ cD ~ ~ ~ v m a: 3 m m -o •3 m' ~ •~,: p ~ O N Z °~~~.~~ °° m '~~o ~ ° cQ m a ~, ' p ~ N n~~ ~ c m f~ ~ N ~ <D 'G Q - c 3 ~ v ~ ~ ~ f7 C ~ . tD ~ ~ ~ ~ ~ ~ O ~ 3 _ ~ W t A O .. a d~' ~ ~ 3 p N ~ p_ ~ ~ d • ~ Q. ID C- = ~y C o O CD aj~ ~ N C ~ ~ N ' .~ y .r ~D <D (Q .~. S -i v Q.. N ~ ~D ~ ~ O W y ~ ,~ ~ c ~ N ~ 5 ~ ~° -a ~ 3 ' 00 Q ~, Q- ~ ,~ c ~ m D o ~ C') 7 N ~ ~ 3 ~ ~~~ Q Q ~ ° . rt o ~ ~oo a~ z D o ~~~ v ~ ~ add ~ v v~ sz D 2 n~ ~ N c-° ni Q~ m m c ~•~ ~ °' o. 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"' ~ ~' 3 0 ~ ~ ~ " m Z 0o O O n ~~ . ~ n ~ " r W ~ C p n w ~ 3` '~ ~ o ~ ~ r Z - Z m~ DDO N o~ n Z O v~ v n . ~ ~ 3 -i ~ ~ ~ ~ C rI~ N N ~ N ~ o m v ~ ~. zig o ~ Q ~ ~ N `y N n < O < -1 ~ <D ~ W Q ~ Cfl OD ~l ~ CT A W N -~ '?t ~ d (n a ~ ~ ~' D ~ ~ - 5 ~ ~ o ~ 'T1 v ~ ~ 'rl °c N o ~= ~ o (p r ~ ~ ~ ~ 3 ~ n v ~ ~ 3 ~ n o~ ~ n 7" ~ n v -n -o ~ °-~ 3 y c cQ ~ y ~ 7 0 m Q o ¢~XBUA~, 1. ~1~ 9~ U O ,e_T\)r'1C, ITY O F 1 W~~~ 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 l~~ 17:03 209356A276 Ct'[7f OF ANTHOIJY MERRII.L PAGE 01 r ~ 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. .---~ ' .f .. ~~ ~`~ ~,. 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 7