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HomeMy WebLinkAboutAPPLICATION, CO - 07-00123 - 1049 Arctic Willow Dr - New SFRo�REXBUkC,Q C1 T Y OF Certificate of Occupancy `+ RE X13 UR G City of Rexburg amerrsF� community Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 0700123 International Residential Code 2003 1045 Arctic Willow Dr Single Family Residence Type V -N, Unprotected Residential 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 109 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 vies found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for VIhich the proposed occupancy vies classified. Date C.O. Issued: C.O Issued by: Building Official November , 2007(03 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. Plumbing Inspector• Fire Inspector: 1a Electrical Inspector: P &Z Administrator:- CIT F OF AEXB URG PERMIT # BUILDING PERMIT APPLICATION Please 19 E MAIN, REXBURG, ID. 83440 If the ques 0700123 208 - 359 -3020 X326 PARCEL NUMBER:�Ff) ).��c:cq W 1049 Arctic Willow -Muir SUBDIVISION i i - -c - % 2. O -C UNIT# BLOCK# 2 - LOT# (Addressing is based on the information - must be accurate) OWNER NAME: Il v ix- CONTACT PHONE # - 2 " - 3 C: 4 PROPERTY ADDRESS: P 1 1 + C- 1 �� PHONE #: Home ( ) 2,21 - '73c.y Work ( ) Z ! 3 c' q Cell( OWNER MAILING ADDRESS: /031'/ fib. -E nC:t L- 14t ---- CITY: 1?- L4e8 STATE: 10 ZIP: EMAIL FAX -3-rC- 3 % a 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. PHONE #: Home ( EMAIL F Work ( Cell ( ) CONTRACTOR MAILING ADDRESS: 0 IV-�fc- r-- Itz-c- CITY STATE l!, ZIP 'eS'1 PHONE #: Home (Ze" -) 3 3 17 J Work (411��) . _1 21 _ 7 3a 1 Cell ( ) SA" r,::-- /'a 4� =te. EMAIL FAX 3 �C 3 ✓' IDAHO REGISTRATION # & EXP. DATE PU_a - 579`7 How many buildings are located on this property? C it Did you recently purchase this property? No ( (If yes give owner's name) Is this a lot split? (J� YES (Please bring copy of new legal description of property) PROPOSED USE: 1 ' , cv ir (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: U, that I have read this application and state that the information herein is correct and I swear that any information hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truth City regulations and State laws relating to the subject matter of this application and hereby authorized representa mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval is International Code in cases of any false statement or misrepresentation of fact in the application or on the plans based. P it ldZifot started within 180 days. Permit void if work stops for 180 days. r and I of Pe Iry—I here" 4jrttfy hereafter be given by me in ect. I agree to comply with 613 / DATE of Owner /Applicant Do you prefer to be contacted by fax, email phone? `Circle One WARNING — BUILDING PE UST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning 7anuaty 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** 4 BuildfKg Safety Department �' ;o FREXBUR� City of Rexburg ! o 19 E. Main jonellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y OF REXB Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison Name Address C�vAl City Being first duly sworn upon oath, depose and say: I:\ i Ott -z" State (If Applicant is also Owner of Record, skip to B) That I am the record owner of the property described on the attached, and I grant my permission to: 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 l day of �`� , 20 Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: 3 0 0 Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME �dJ 4° ';Tv` r C'�' . PROPERTY ADDRESS DIV 2 SUBDIVISION 61v f"=cs� .t Permit# Dwelling Units: l Parcel Acres: (> SETBACKS FRONT 3 i ' SIDE �% �` SIDE BACK Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area / 7 C 7 Unfinished Basement area Second floor /loft area - Finished basement area Third floor /loft area Garage area r_>'54 - Shed or Barn _1 -' Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Required!!! PLUMBING / Plumbing Contractor's Name: /_Ge-A.t �� �al� Business Name: �G•••�+ Address gi(3 5V `,l City State Zip Say Contact Phone: ( ) 3'70 - 4 �6 C2 Business Phone: ( ) Email FIXTURE COUNT CmcludWg roughed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) n Y OF REM: 8'( Signature of Licensed Contractor License Number& Expiration Date The City of Rexburg's permit fee schedule is the same as required by the State 3 -S' -o7 Date Idaho �L Sprinklers Tub / Z Toil Wate Wate o 4 0 l I Pleage Complete the entire Application! If the question does not apply fill in NA for non Applicable NAME V W [ ,` Cyr s�-►:..� c�► PROPERTY ADDRESS B w C-66 Z- CA i ' ? twa 1 c.c o w Permit# SUBDIVISION w l<.00w &w Requiredffl MECHANICAL Mechanical Contractor's Name: Business Name: !� Address //r Ox 1� City 1 State 0 Zip 2__ Contact Phone: �U �a [�� Business Phone: ( ) Email Fax Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace I_ Exhaust or Vent Ducts Furnace /Air Conditioner Combo 3< 4{ r Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater I Decorative gas -fired appliance 1 Incinerator System Boiler Dryer Vents I Range Hood Vents Cook Stove Vents a Bath Fan Vents Pool Heater t Ste Y m,c I MV �~� �� P f (� Fuel Gas Pipe Outlets including stubbed in or ii Lure outlel Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) other similar vents & ducts: Oil Coal Fireplace Electric Hydronic Point of Delivery must be shown on plans. Date 5 The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Please complete the enti .Application! If the question does* apply fill in NA for non applicable / NAME (UU PROPERTYADDRESS S� z ter- Permit #07 00123 SUBDIVISION w1 uoc,.>c3A.">lc 1.049 Arctic Willow Required.!! - ELECTRICAL Electrical Contractor's Name '� °/� Business Name ✓� �/ C� �jg-� Address t S City ,r S&e © Zip 3 Vb Cell Phone � Business Phone Fax ( ) Email S� �^ r �n 2 r '"�?'r►��` �� � v � 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 *Includes a Aia�mum of 3 inspectidns. Additional inspections charged at requested inspection rate of $40 per hour. r2 Signature of Licensed Contractor License number Date The schedule is the same as required by the State of Idaho • 0 SUBCONTRACTOR LIST Excavation & Earthwork: — V 5�,,. Concrete: L &;- 5 - ru.-.% Masonry: )�.`J H,'�34' � 13 Insulation: Drywall: 0 " ie Painting: S i F't rj '�� ►�► Floor Coverings: CA ;:� Plumbing: Heating: �tvv ErtNS Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Y kA M ( -- Floor /Ceiling Joi &W Siding /Exterior Trim: /")!Z) (' I