HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00481 - 591 Twisted Willow - New SFRZ --1
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7
,� o ���XBUR C _ CITY OF Certificate of Occupancy
��
" REX .BURG City of Rexburg
Department `) of Communi Development
'. Americas Family Community p
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3022
Building Permit No: 0600481
Applicable Edition of Code: International Residential Code 2003
Site Address: 591 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: Muir Brandon Etux
1058 Arctic Willow Dr
Rexburg, ID 83440
Contractor: Muir Construction Co
Special Conditions: Unfinished basement
Occupancy: Residential, single family dwellings, lodging houses
This Certificate, issued pursuant to the requirements of Section 909 of the Intemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
was inspected on the date listed wes found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy vies
classified.
Date C.O. Issued: March 00 (1 9AM)
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 Fire Department:
Electrical Department
•
CTi OF REXBURG
BUILDING PERMIT APPLICATION P1easc 0600481
19 E MAIN, REXBURG, ID. 83440 If the qu
208 - 359 -3020 X326 591 Twisted Willow -Muir
PARCEL NUMBER: �PVLLI LZ L _ y � eD_(
SUBDIVISION: wIl.t,oc.ZLcoK UNIT # LOT#
(Addressing is based on the information - must be accurate)
OWNERNAME MU//L. CONTACT PHONE # Z2_/ - 7
PROPERTY ADDRESS: / &_"S w 1 (d,uw 0 A,
PHONE #: Home ( ) 3M -3i7�j Work ( ) 22t- 73al" CCU( ) 22.i - 73Vq I I
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
EMAIL F
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS CITY:
STATE; ZIP EMAIL FAX
PHONE #: Home ( ) Work (
Cell ( )
CONTRACTOR "(i!2 1 :Z�NSTr--jCr1Q.1 C-0—
MAILING ADDRESS: 561--tF 05 A CITY STATE ZIP
PHONE #: Home ( ) Work ( ) Cell ( )
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE
How many buildings are located on this property? 1
Did you recently purchase this property. �f �es give owner's name)
Is this a lot split NO YES (Please bring copy of new legal description of pro r C 0 2 7 2006
PROPOSED USE: 51 t- tit R-r- CE i
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition Etc.) —
I C11Y OF REXBURG
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: erlury, ere y certi
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 2003
International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was
based. er v 'd if not started within 180 days. Permit void if work stops for 180 days.
Signature b Owner /Applicant DATE
Do you prefer to be contacted by fax, email or phone? 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 fang=L 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**
2
Bull
19 E. Main
Rexburg, ID 83440
g Safety Department
City of Rexburg
ionellh@rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
CITY O F
REX
America's Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
I, G"Ap 0 ct) NW t;l l� ' t7 S 77?7 t,.; i 4,40 2 .
Name Address
City State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
A. That I am the record owner of the property described on the attached, and I grant my
permission to: L 4mkxr� Cr,- /D5'�b dtr7c- wn.c0 0 9-- , 90c 13ulz -S ,
Name Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any
claim or liability resulting from any dispute as to the statements contained herein or as to the
ownership of the property which is the subject of the application.
Dated this f:c' c°t^�prh day of S' ►i d►-tlS i2 , 20 OG
Subscribed and sworn to before me the day and year first above written.
LYNDA MERRILL
NOTARY PUBLIC
STATE OF IDAHO
OHd01 d0 31`d1S
OJ-1Blld AUVION
- 1 - 1188311 dONA
Notary Pubic of Idaho
ppxs
v c
Residing at: / 1
My commission expires:
3
Please complete the •tire A p p lication!
p pp
P �� If the question does not apply fill in NA for non applicable
NAME Mtf-(4- 6b ST71, - 1 C - 7 .
PROPERTY ADDRESS f WI Wj-&t-� OA4%, - stn- l a Permit#
SUBDIVISION W I (. ,mr ga-ol-
Dwelling Units: I Parcel Acres: 3 14
SETBACKS 3� i r
FRONT !1 SIDE -(0 9 SIDE � BACK
Remodeling Your Building /Home (need Estimate $ K/b
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area Unfinished Basement area / (o
Second floor /loft area Finished basement area N4
Third floor /loft area Garage area '70(o
Shed or Barn k Carport /Deck (30" above grade)Area NA
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Requiredffl
PLUMBING .
Plumbing Contractor's Name: Aafd rc/� Business Name:
Address gy3 /t 6 &'w City A' 1d;Wf State 9W4- Zip T 3f/�
Contact Phone: (Zp5) 35 6 - V "u Business Phone: (,00) 3'F
Email F
FIXTURE COUNT (including roughed fixtures
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
Sinks (Lavatories, kitchens, bar, mop)
-8 Sprinklers
7/ Tub /Showers
3 Toilet /Urinal
1 Water Heater
-el' Water Softener
Plumbing Estimate $ (Commercial Only)
- "� ' C /l 5l8'4i;
Signature of Licensed Contractor License Number& Expiration Date
The City of Kexburg's permit fee schedule is the same as required by the State
Date
Idaho
4
•
Please complete the entire Application!
applicable
If the question does not apply fill in NA for non
NAME 9U /,.. 46v C,-A.0 iQj C&.
PROPERTY ADDRESS /plc. w 1 u o w QIL. L o T is 10
SUBDIVISION Wttitxu 844c*
Permit#
Required.!! MECHANICAL
Mechanical Contractor's Name: T in Name:
Address P . . L&, � ' 1 � / City State Zip
Contact Phone: (V 9 �f / ®S �� Business Phone: va J g y �iS — 6
Email Fax
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwe g Only)
r Furnace $6 Exhaust or Vent Ducts
Furnace /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
1 Dryer Vents
— Range Hood Vents
Cook Stove Vents
Bath Fan Vents
Space Heater
AV Decorative gas -fired appliance kS
Incinerator System J -10
Boiler
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
l7
�I Inlet Pressure (Meter Supply) PSI
Heat (Circle all that appl Gas it Coal e lac lectric Hydronic
other similar vents & ducts:
Contractor License number Date
The City ofRexburg's hermit fee schedule is the same as
the State of Idaho
5
• •
SUBCONTRACTOR LIST
Excavation & Earthwork: 111 f SCK&
Concrete: G Cow CNF, —'
Masonry:
Roofing: A4c.>tJ
Insulation:
/bDupti+C4:70 ltif-O Lo -nom
Drywall:
Painting:
P►; E �.�F4L-S
Floor
Coverings:
S1 4 0tSA�5
Plumbing:
Sf-o--O AA - I - *" a A%.ft i w i
Heating:
HWI Coot -jT'V"
Electrical:
k�4 1 - 1 "eyiynjhm Fit c,
Special Construction
(Manufacturer or Supplier)
Roof Trusses: 5'roGG 1SU a% C VjVL"
Floor /Ceiling Joists: 5'T OCIG GUIC40 .4 SOPPLAI
Siding /Exterior Trim: TM 6*-AJ - FLArS <oyG.
#-A�
Please complete the ent Application! If the question doe apply fill in NA for non
applicahle
NAME *1 CD , j 51 C.qq ct)-
PROPERTY ADDRESS rr-,Ww W(k, -10 ON L.V V# Perlrilt # 06 Q��gl
SUBDIVISION � hiwco ¢,c,art, 591 Twisted Willow Wa
Lot 9 Block 2
Required!fl
Electrical Contractor's Name
Address /� y. < 4
, IECTRICAL
' �s�
9
cit
Name
X aov � ..�
Cell Phone ( ) �l }� _ 3�1�57- Business Phone ( 1
Fax ( ) 3 - S - C . ' O- z e - 7 Email
Electrical Estimate (cost of wiring & labor) $ (Commercial /Multi Family Only)
TYPES OF INSTALLATION- 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*
Existing 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 (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
maximum of 3 in ections. Additional inspections charged at requested inspection rate of $40 per hour.
mature' of ensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State