HomeMy WebLinkAboutAPPLICATIONS, CO, MULT DOCS - 07-00381 - 674 Autumn Dr - New SFR04 Raxa uRC,
4k �j 1 "T
T YY0 FF
A
America's Family Community
(JSHED 1♦
Build,ing
- Permit
*ISSUED TO:
PERMIT #: 0700381
NAME: Muir Vernon R Etux
FOR THE CONSTRUCTION OF: 674 Autumn Dr- Pothier JOB ADDRESS: 674 Autumn Dr
GENERAL CONTRACTOR: Muir Llc
This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the
City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations
of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on
the Building Permit Application as approved by the Building Inspector.
Date Approved Issued B
Building Inspect
THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE
THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY
1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of
on the premises during construction, the building beyond the point indicated
2) The permit will become null and void in the event of any deviation from the in each successive inspection without
NOTICE!
accepted drawings. approval. No structural framework of
3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered
without aooroval.
INSPECTION CARD
BUILDING
Date Approved
1. Mechanical Rough In
2. Mechanical Pressure
3. Mechanical Final Ins
4. Layout
5. Footing
6. Foundation
7. Framing
8. Insulation
9. Drywall
10. Sidewalk
11. Final
ELECTRICAL
Date Approved
1. Rough -In
2. Final
3. Electrical Temporary
PLUMBING
Date Approved
1. Sewer Service Conn
2. Water Service Conn(
3. Rough -In
24 Hour Notice
and Permit Number required
to make inspection appointments
For Inspections Call 359 -3020 option 2
ACERTIFICATE OF OCCUPANCY CAN NOT
BE ISSUED PRIOR TO FINAL ELECTRICAL
& PLUMBING INSPECTION
Q gexsug cl
0
TS
v c
CITY OF
REX
CW
America's Family Community
Certificate of (Yccupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3024
Building Permit No: 0700381
Applicable Edition of Code: International Residential Code 2006
Site Address: 674 Autumn Dr
Use and Occupancy: Single Family Residence
Type of Construction: Type V, non -rated
Design Occupant Load: SResidential
Sprinkler System Required: No
Name and Address of Owner: Pothier Sam & Nancy
884 Capital Ln
Rexburg, ID 83440
Contractor: Muir Llc
Special Conditions:
Occupancy: Residential - less than 2 units, permanent in nature
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 mes found to be in compliance Wth 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: February 11, 20 02:2
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.
Plumbing Inspec Fire Inspector:
Electrical Inspector: P�ZAdministrator: K, ha
CITY OF AEXB UAG 0
BUILDING PERMIT APPLICATION Please
19 E MAIN, REXBURG, ID. 83440 If the quo
208 - 359 -3020 X326
PARCEL NUMBER:
M
SUBDIVISION: /�� VWI J - 4A UNIT# BLOCK# / LU'D " 7
(Addressing is based on the informa n - must be accurate)
CONTACT PHONE # Y&Z
PROPERTY ADDRESS:
PHONE #: Home ( ) / Work ( ) Cell( ) �9y0
OWNER MAILING ADDRESS: �1 &;;1A L-A/ CITY: kvv STATE: �IP: ff3K O
EMAIL FAX
APPLICANT (If other than owner) 44 Wk, ( ,L C - VitZN U IIZ
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS 33(0 �E AyLr-- st-t tw rr CITY: I 1�q
STATE; _ ZIP 33 YL1 0 EMAIL 35R-05�T'S
PHONE #: Home Work 2vo 15*1 7 Cell 2po :757-
CONTRACTOR
PERMIT #
07 003 81
674 Autumn Dr- Pothier
0/9
MAILING ADDRESS: 3 0 SAG Lk-- - S Zt NnI T CITY e4J STAT 83gV6
PHONE #: Home ( ) _ sy- OS5�8 Work ( ) 7.J ,, 7g58 Cell ( ) ? 57 -1 1$ 5'
EMAIL v��c- ��g��ic 359 oS58 IDAHO REGISTRATION # & EXP. DATE _ /0 -177
Nnxxr manxr }xnildinrrc ary lnratvrl nn thie r.rnrs rtc ? $'
MA
1 r J
Did you recently purchase this property? No Yes (If yes give owner's name) KA&w -,tea Srt^n;rw
Is this a lot split ?0 YES (Please bring copy of new legal description of property)
PROPOSED USE: 5 /N!q Le JaJ111 /
(i.e., Single Family Residence, Multi Family, Apartments,
Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereby certify
that I have read this application and state that the information herein is correct and I swear that an information which may hereafter be given by me in
hearings before the Planning and Zoning Commission or the City Council for the City of Rexbur ee to comply with all
City regulations and State laws relating to the subject matter of this application and hereby autho ' d r pen ve T ft e t�te the above -
mentioned property for ins 'ons purposes. NOTE: The building official may revoke a perm ri Si s he 2003
International Code in c es any false statement or misrepresentation of fact in the application o e plans on which the per p val was
based. Per:i / idid ' no tart 180 days. Permit void if work stops for 180 days.
/ � AIG 10 7� 3 7
Signatttfe,f0wner /Applicant t - -�_ S ATE
Do you prefer to be contacted by fax, email or phone? Circle One C i� OF u p C
WARNING — BUILDING PERMIT MUST BE POSTED ON
Plan fees are non - refundable and are paid in full at the time of application beginning anuar r�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**
Buil
19 E. Main
Rexburg, ID 83440
Safety Department
City of Rexburg
janellh @rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
0 sex E(R
U �
Ev
C I T Y OF
REXB
_-
Americas Family Community
Affidavit of Legal Interest
State of Idaho
County of Madiso
tea lei; e r
I, /y&ft ovl M . ?d tl-p; G✓
Name
ke�
City
�� C� 1 Z- 17
Address
1
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 pro erty described on the attached, and I grant in
permission to: W VI N9- .- LLC ` 1L N V I 33l� LAS L� 5�.tnti�cl�t ' Ie B u��•
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 tP ' day of s [J4iytX l� , 20 4)1:_
,�Cc / T
Signature
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
•
RECORDING REQUESTED BY
First American Title Company
AND WHEN RECORDED MAIL TO:
First American Title Company
127 East Main
Rexburg, ID 83440
Above
WARRANTY DEED
File No.: 210176 -RX (ns)
Date: April 25, 2007
For Value Received, Harvest Heights, LLC, hereinafter called the Grantor, hereby grants, bargains, sells
and conveys unto Sam Pothier and Nancy Pothier, husband and wife, hereinafter called
the Grantee, whose current address is 11566 Racetrack Road, Sonora, CA 95370, the following
described premises, situated in Madison County, Idaho, to -wit:
LOT 14, BLOCK 1, FINAL PLAT HARVEST HEIGHTS, DIVISION 2A, MADISON COUNTY, IDAHO,
AS SHOWN ON THE PLAT RECORDED MAY 5, 2006, AS INSTRUMENT NO. 327924.
SUBJECT TO all easements, right of ways, covenants, restrictions, reservations, applicable building and
zoning ordinances and use regulations and restrictions of record, and payment of accruing present yor
taxes and assessments as agreed to by parties above.
TO HAVE AND TO HOLD the said premises, with its appurtenances, unto the said Grantee, and to the
Grantee's heirs and assigns forever. And the said Grantor does hereby covenant to and with the said
Grantee, that the Grantor is the owner in fee simple of said premises; that said premises are free from all
encumbrances except current years taxes, levies, and assessments, and except U.S. Patent reservations,
restrictions, easements of record and easements visible upon the premises, and that Grantor will warrant
and defend the same from all claims whatsoever.
•
READ AJND APPROVED , ,AREAD D APPR 101
\ FINAL 'PLAT HARVEST HEIGHTS, DIVISION 2A,
EMNIND A PART OF THE SOUTH HALF OF THE SOUTHEAST QUARTER,
OF SECTION 29 AND A PART ' OF THE NOR'tH11EST QUARTER
OF THE NORTHEAST QUARTER OF SECTION 32, TOWNSHIP 8 NORTH
RANGE 40 EAST, BOISE MERIDIAN. IWISON COUNTY, IDAHO
t�
HARVEST HEIGHTS, DIVISION 1.
of erarw E r saw
I
I eesror E DaEOr VIEW N M.M
Sri`" Q¢\� BLOCK 3
LOt t
" lesae O C a 1i •R aM s LOT 3
I I� 1L III _ „; ._ � m �°
DRIVE LOT U Or
LOT 17 LOT 18 Iroaowt ; mAe HAMM IEMM OM I
(3 I LOT i6
LOT 13 0.66 ones 0.69 acres y j �. �
0.55 ^- ,
$ acres
063 ones
mor all all
? cr a
o wnrarr ww*a n LOT 20 LOT 1 I
Ixx c t 0.87 acres
R101er 088 acres \
r Rel or MAW j aP f -
LOT 23 I ;� .�� . y/ � ;; � all
1s LOT 14 = �� ? 0.63 Gem p = LOT 22 O { LOT 21 �} f f
R
a 0.56 aaes t C ; = 0.62 acre. �r ¢ 0.80 acres r
sit l a� Z ; I 1 - cti LOT 2
— +sex — »L - -� I 4 m u _ wr ; e 0.80 arse
wx a .' Dn
I DP
I r
c MFIEATLAND
L0T 13 /
LOT 15 r I as C14 as ` f� 0.55 acres '� osAPES ecAMs
0.56 acres i cn— ' 14M xsr —012 � 4&
- °4 LOT 12 s�
EC aver. MeL I [[ 0.51 ores, 11
SW37'3rW I I L.OT 9 F LOT 10 LOT 11 L E G E N D erccT
Ian` 0.59 acres ® . wr seDAlt PC" PsDPawr IAa
1 $ i 'v 0.55 acres 0.51 acres • . SIX` Dace ON u w MT ADATNea
I I O Ur mom roles FROMM lEa
® C K E Mm A
AR n E m 1 1 /r mix mix Do �r_� Willi tLM ` Ir0 E T Ann @ 111FF[ PAW" ux" [mmn Ir
0 . Row AESAe W/ LL OM Er at 111M.. FROMbiE
Ieoor
r low uwm tomm It UnM *M0 MIND M MICAM MIX E E 1 . a lar Mmm
I rwe BASIS OF BEARING - 744P Wp MwP�Yr W+ AM D'a'IMt 10
1t DA9E OF EARIMS Or AE WP a ODD RM a II[ MrRNa Rri1� sr/ a,erM 1MY y�.wl ILO.R . 1tA0a011 COMR' eCAOe
NO
MAE orr r MNr rd.fN far♦IW .Yw. d ►��
D" stAa rLaD 1 DVMwI Or 1 DD,, EAST re+ w PWa web
nW.
AS celaeaeD er eLaeRL Pae1IOMea EIEIFAI IETIOOt HFAI TH CMITFICATE " - PW a rr► P+ "'+ �'
eAMD ON KO.e PWT AAEILl ALL OWANOEf2 9gIM AE Awrer v /rF.NN b ,f�r� weq'
NOIeIDM7Al iO1MID eDGMILE M U.D. e1Ntl'I OM711A MEL �j�� M[ OMMI Q00[ ML ali►IQ Y� ,iMh M Mwart w y MMOM
REFERENCE 9 eM Tf or DelaR Rwle ADD w. w «.M w . w ,
I Ta enaEPla .,m ry r M p r..... r.... DYE R
EATiAOttal Of IaE1aCmv mm M TNM AT ➢a Tla eW .MRnrrA. Fr.r•'y Mnutur.A trr► '
IFIr fMAI PLAT.NAeAEEi RDal4 n1Eel L MDeI ar. ]067aL MCL Qo iW ND OIDIDeD WATN1 OR ei }�Aau1WS Res .r �Ytlr� er rrNr b r� rwr w
R-N MaaONAI RDRlaOiGAtl1 IepGNI► 001D. OrAS O Ital K OOlal MLMI mlanuenw uN E eml wPIIOaAa na. A rMy wryMr rMr rwM. w NR G R O U P
sail TO Lava I. see/ ea1L N. eM ILOe. DILaND MOVE W 0106" WAMI ON EeMR rACW xA1E DEER CONE'"M f . r rAelM all ,Irwea� dIAIA w Mla
OR W M mom a eNU7wa, SL WIaTWCOIa MOE f W Ta • i w lot aao% .rtr r r e deb
DEVELOPER MADE TO Oaa�eDCT MCLRWat OR fW Tla OVER NMlaw Or OM .�a�r *ar mw .r .Nuaa...c w SUET t OF 2 9HEE1S
I pEp //E' Eel Rpp W MADD GP MDI eANITARF REFIRM0Ne MAY E M SMO. M ACCORDANCE MIN aCOal M a.A.IP .qw At N tt.a YM a W ENGINEERING P . MANAOE4ENT
I fflllkll 1 A COMER V, ]2 l0 - /9e. DNo 0! W DE MWOMM OF A Ca1YICATON OF DAI PPINWM. NO Nrrr-t ay.ebrM o bry eNar
e w Doeee MO OONDIIeIC110N of ANr Kano OR MOM EaEWM Offim" wk= an d wVdlr ~ "Am MN w P01AL PL►7
aaalloTc FACUME wv L E Attaem w Fla, r Pra•d MOM w KE -*--t HARVEST HEIGHTS. DIVISION No. 2A
IoIA � Y � .leb aa. *�An
(/ .ar reetlr 6 Ilr ruc MMMe n ME MOON ma 27APR06
SURVEYOR'S CERTIFICATION
s�yA 66af= m .._. - _ ors
o�AW aR DaTIecT r IaRLTN �ART1aeT F L 0 0 D Z O N E e" W R D ° "°` 06070
L DAee A Desoto® Meucwww Dismiss Ale 6" ewlETa. ElaawlDN a taGTfD w IIE 2aalE WAWMFPLAt11M REVI.m'
yypppp�� 00 fElARY ATRET MAT lE PMT 0@ICRD '
Ilm N4 7e14 Aigl AE O�ICC7E0
' O.VO '1C FLOOD OF81at
Ie1A AN N D S c DORIETMD A E L
lK O OelaT fWa111eO11 AND a A FLOOD PM NAP / 1D000 O AM M I 0
lle
� lE D OOMaCf TORF3aRAl10M l /lF]O17F � eaEem AN D N0111Y DAIm JYE l 1N1.
AqM 1d 640e -2e-2 s 32 -+-
L:
0
•
LOT to
tr �►-
0.26 acres
•
I %
m an
LOT 2 .
0.25 acres .
LOT 19
I
eo 1`- mar 7"
0.58 acres
i L4pE ON
" lesae O C a 1i •R aM s LOT 3
I I� 1L III _ „; ._ � m �°
DRIVE LOT U Or
LOT 17 LOT 18 Iroaowt ; mAe HAMM IEMM OM I
(3 I LOT i6
LOT 13 0.66 ones 0.69 acres y j �. �
0.55 ^- ,
$ acres
063 ones
mor all all
? cr a
o wnrarr ww*a n LOT 20 LOT 1 I
Ixx c t 0.87 acres
R101er 088 acres \
r Rel or MAW j aP f -
LOT 23 I ;� .�� . y/ � ;; � all
1s LOT 14 = �� ? 0.63 Gem p = LOT 22 O { LOT 21 �} f f
R
a 0.56 aaes t C ; = 0.62 acre. �r ¢ 0.80 acres r
sit l a� Z ; I 1 - cti LOT 2
— +sex — »L - -� I 4 m u _ wr ; e 0.80 arse
wx a .' Dn
I DP
I r
c MFIEATLAND
L0T 13 /
LOT 15 r I as C14 as ` f� 0.55 acres '� osAPES ecAMs
0.56 acres i cn— ' 14M xsr —012 � 4&
- °4 LOT 12 s�
EC aver. MeL I [[ 0.51 ores, 11
SW37'3rW I I L.OT 9 F LOT 10 LOT 11 L E G E N D erccT
Ian` 0.59 acres ® . wr seDAlt PC" PsDPawr IAa
1 $ i 'v 0.55 acres 0.51 acres • . SIX` Dace ON u w MT ADATNea
I I O Ur mom roles FROMM lEa
® C K E Mm A
AR n E m 1 1 /r mix mix Do �r_� Willi tLM ` Ir0 E T Ann @ 111FF[ PAW" ux" [mmn Ir
0 . Row AESAe W/ LL OM Er at 111M.. FROMbiE
Ieoor
r low uwm tomm It UnM *M0 MIND M MICAM MIX E E 1 . a lar Mmm
I rwe BASIS OF BEARING - 744P Wp MwP�Yr W+ AM D'a'IMt 10
1t DA9E OF EARIMS Or AE WP a ODD RM a II[ MrRNa Rri1� sr/ a,erM 1MY y�.wl ILO.R . 1tA0a011 COMR' eCAOe
NO
MAE orr r MNr rd.fN far♦IW .Yw. d ►��
D" stAa rLaD 1 DVMwI Or 1 DD,, EAST re+ w PWa web
nW.
AS celaeaeD er eLaeRL Pae1IOMea EIEIFAI IETIOOt HFAI TH CMITFICATE " - PW a rr► P+ "'+ �'
eAMD ON KO.e PWT AAEILl ALL OWANOEf2 9gIM AE Awrer v /rF.NN b ,f�r� weq'
NOIeIDM7Al iO1MID eDGMILE M U.D. e1Ntl'I OM711A MEL �j�� M[ OMMI Q00[ ML ali►IQ Y� ,iMh M Mwart w y MMOM
REFERENCE 9 eM Tf or DelaR Rwle ADD w. w «.M w . w ,
I Ta enaEPla .,m ry r M p r..... r.... DYE R
EATiAOttal Of IaE1aCmv mm M TNM AT ➢a Tla eW .MRnrrA. Fr.r•'y Mnutur.A trr► '
IFIr fMAI PLAT.NAeAEEi RDal4 n1Eel L MDeI ar. ]067aL MCL Qo iW ND OIDIDeD WATN1 OR ei }�Aau1WS Res .r �Ytlr� er rrNr b r� rwr w
R-N MaaONAI RDRlaOiGAtl1 IepGNI► 001D. OrAS O Ital K OOlal MLMI mlanuenw uN E eml wPIIOaAa na. A rMy wryMr rMr rwM. w NR G R O U P
sail TO Lava I. see/ ea1L N. eM ILOe. DILaND MOVE W 0106" WAMI ON EeMR rACW xA1E DEER CONE'"M f . r rAelM all ,Irwea� dIAIA w Mla
OR W M mom a eNU7wa, SL WIaTWCOIa MOE f W Ta • i w lot aao% .rtr r r e deb
DEVELOPER MADE TO Oaa�eDCT MCLRWat OR fW Tla OVER NMlaw Or OM .�a�r *ar mw .r .Nuaa...c w SUET t OF 2 9HEE1S
I pEp //E' Eel Rpp W MADD GP MDI eANITARF REFIRM0Ne MAY E M SMO. M ACCORDANCE MIN aCOal M a.A.IP .qw At N tt.a YM a W ENGINEERING P . MANAOE4ENT
I fflllkll 1 A COMER V, ]2 l0 - /9e. DNo 0! W DE MWOMM OF A Ca1YICATON OF DAI PPINWM. NO Nrrr-t ay.ebrM o bry eNar
e w Doeee MO OONDIIeIC110N of ANr Kano OR MOM EaEWM Offim" wk= an d wVdlr ~ "Am MN w P01AL PL►7
aaalloTc FACUME wv L E Attaem w Fla, r Pra•d MOM w KE -*--t HARVEST HEIGHTS. DIVISION No. 2A
IoIA � Y � .leb aa. *�An
(/ .ar reetlr 6 Ilr ruc MMMe n ME MOON ma 27APR06
SURVEYOR'S CERTIFICATION
s�yA 66af= m .._. - _ ors
o�AW aR DaTIecT r IaRLTN �ART1aeT F L 0 0 D Z O N E e" W R D ° "°` 06070
L DAee A Desoto® Meucwww Dismiss Ale 6" ewlETa. ElaawlDN a taGTfD w IIE 2aalE WAWMFPLAt11M REVI.m'
yypppp�� 00 fElARY ATRET MAT lE PMT 0@ICRD '
Ilm N4 7e14 Aigl AE O�ICC7E0
' O.VO '1C FLOOD OF81at
Ie1A AN N D S c DORIETMD A E L
lK O OelaT fWa111eO11 AND a A FLOOD PM NAP / 1D000 O AM M I 0
lle
� lE D OOMaCf TORF3aRAl10M l /lF]O17F � eaEem AN D N0111Y DAIm JYE l 1N1.
AqM 1d 640e -2e-2 s 32 -+-
L:
0
•
FINAL PLAT HARVEST HEIGHTS, DIVISION 2A,
A PART OF THE SOUTH HALF OF THE SOUTHEAST QUARTER,
OF SECTION 29 AND A PART OF THE NORTHEEST QUARTER
OF THE NORTHEAST QUARTER OF SECTION 32, TOWNSHIP B NORTH
RANGE 40 EAST, BOISE MERIDIAN, .MADISON COUNTY, IDAHO
CITY DF tal6uta AFnlm
LEGAL DESCRIPTION — HARVEST HEIORTS, DIVISION No. 2A
i n r W tanrr wt i iAT evlcles NRaOI
AIMRrE m 001A1
L 011 4M M�\
W"w R 1^ NAM M (AR m mmw^ Now amm OIIY '
o aw►
Un N A A PANT F M IOM 1W/ F M DIN/A6 a plat a0
-
RR07O1 a A POOR F M NOMmT wow Or M RO9MAR OAR[ [100 1YRnu&v ®m OO 101109!
1
.
0100112111100 A M mm Guam OOOY F INDN01 Y Ala NIAEr 11618 dY /9U'2r�UR tlO1N M m 110 s M
7RO �YA'Aw=4222A1 MIT W AAA: AWR AT M NIrNWRWT OOaM F MARIEf ROOM OWOI N► I me is
im ,YNrr warar &a am M YIM'mwmw F AAr wmw 16r14 011(NN NA 1 me smame Mr W A AN•
mum
.
mm 0011rA0r MEIN Ma am 9 mum 1166 "rw m FOR. mm MT W A 4f MAa -
YA01401 fbl9iTY�,e
1616 COalM am we mm 90NOM1Y20AON UN717r mar M OA6 MT'1b A IN MUa
'
aaad
14M OWONa ^O NO UO ROM 9041*0 MIN IMOW U6 FOR Ma MT W A W' MAR
2008 M K Ia0 11 101 FOR Al1 EM 6 N- I a Nowr
MMR! ORMNM Mm Inn NOM gM6r SO M SW%W U6 1'K MR.N Off 10 A AW A" al M NOM ARIM6P '
ti1FY w T ALL OOIANY FRO MM rt M 1WY FAU6R'MC OAAWL
F ONARAIO
°�FAr
"m am M mam tIwiaw F wmw NR6NL OrO Wr I. ONION wuw ROOT MR RA7 PUT W A W 116118
- Q.wr 7 ��
11DIOU MONN M NOIN1 �a9awY F 11AAIET 16AIOt ■1FNON N° 1 aa1M 11717T WT FOO 16.6 16 W A Sl9r NRNM
R ORI)O'S COrIFICATE
1 N61Z NM1Nrw Afar ONY 6YM fckM1w ORION lrww DOT M MO W MAN I A 4T 11110109 OM
M ONI6lY
. --
aaR-a IF ROL NaLm Nwa
L NNNi/ COMFY w T M FOR19100 RAY Cr NAME! Im` WHOM a1 Y
ARROW W M F RCM1114 7AS FRAM M M 002 F M MOOi6 Or
• R6DR mm OAr N01911WiM1' ANw-0� -a1T d<OL NO{OOr !me mm aVfOI DOT MR am MOT TO A w MM
RANDOM
Ann A0006D AS MOAAOa Na OAT F 608 AT _
■612 IUYUO UO arlr-V -MY ROM Of NMI was; FOR "La FM W A W MAa
. -
,
141011Z OOM OWWW m NO BOX PST 10 A W ROAN AT M POINT F A 01114
cam" NFfYDQ'
baltrinr6 / StT/1R M
D ual ?'
A
110a AIOO NOI -TAMOO CAM W M MMM A ROOM N[ 10 M m/0R KAM1 OOM oniw m am Lem F
N00 M[ MOIL F ULOO>LR, ML O' 1M lW. TNOWT F "ON Mt 0106 OF 40.7A FKr ar MM FAINO F
- AWMrF,rr o f
6ION 21NI9r EtlTWAw -'
A OEAI E1L pAlld : ACwwaiOl 71.M
VISA: mm uww m FO NOT W A IN MY AT A FOIT F OOW�
Ib11HTY f1F YAOISAN AN y� °ate
TA F MR171. TMNpf F W
16C 0O0 OF mm MT A1q.006 RA60 FROM 91106' OT 6 A 40' R6Aa1
NNOI ALL 161 UY 76 ' INN M OM6N0 AR KRORA 01®rN
=
16�OM �
716Q UNION 9110W m MO 9LW MT W A I MA4 '
OFaNgMy11(Y9T
1 tOAlOM9W . R M ORION iw�NOY
AOFt W M OOOANON F M 6AL MFCMMI/ Y wMpt NpM1� 011 0 01I
MNO NOM uww 690 FOR IOAM FUR W A W MOAa .
Ya7MN W M an F M7a0q Y so. ar so CT "' w M
' A_MT,"
GUM OOI N& MWX W M FU= WO Pon" F MI6 Y UMOE
MNZ UNWI OR I'2U' m 1011 aW Mf W A 4r" N6AIN .
Y Q MOOT M 9AO0110 A� A M W 110![ 110N OR 2141.
w M 11WJC IOIIIan Orr 069
MM[ iYON 6M1fUA' m lal NY 1Qf W A oR IOAR -
.. ... ? LONALr auftmm
• O
7612 Nr1r WN1aAF m ION Wass m W A 4r AO1a .
r A1AA OMB wT M 1A0 MM1 9Y m A m RAL OR 001E AY M an
* M1�00.f0 WArFAt wTa AM 9[161 sW1Dr Ala NAa an WN /0 ®M MYOO
/ N,yON U>Y7U' m 10N 7AiU Mr W A w MM
•
10N 1I0RON671Nr RaTWA RWWMYFYINAM M1[:
71612 umst AY711r sF RR ULU Mf W A w MM E 1Cm m"W F WRAP OIL
WAVE[ NOMWR LL6 - MOWO t SWOOL MORROW 1616
76NR 70YON N/J7'Rr m FOR WAD FAR W A W AOY W M OF UOIWr F M IORmw wow F M
—
INrMYf A111NN0 r MONNN a
71612 NO'M Wn7N9' m A10r M m NtW1Rrr1r F M NRNIOW aIONAr F "M NDN*gW QUAMO1 NO 48,70 Mr W
- UO MINN90L
A W MAN ATM EMM QLWM 0004111 F MONO On
ApMONLEDG pOT
m Mm M m NWO6r F M MYN4F cum= F RL7NN 1 m don MT W M an
I
STATE OF a"
F MS
COUNTY CF WlpSM I
NMr9f NOWNL 01601 NL 1A OO IAM 14M AM MW OR 1a
AT R � VAT O 16 " F,Q6L.� .
. -
A NOW" N
M'I "I M AID 1 ON W ATAtt,. • AaR/M N /
MM F.
OONe . LLJ
MMOO O NWFE W Ia.W O M YAMAOa YNr F IWIIEf NNWIt 4A
'.
.
w T 1 e67E�1=_RAI Q 11 . N w a a m m.
p'1 m M UTAi F Oar m AOA00 A IIAW 2 rM1l7�A
N610ATION RATER 601E
!rM AIWO A6 AAMa6R OWAaAr AAU IIOf W M IADU
Ma1r6 aM r M /VAT. tCa ryNl M/ adI00011 r1 NpT �1(A f\Td!
FOR OARO COZ W1334 7M adomm =Lx aYa Or 11t aw F [DOE
MUNW L ORION ONLY AND Oi601NI 919m
MOIICN a wall 11411 AIY11A/011 /R a /VCR Nr Ai
ATOIE® AU Ar7AUr 1� a-M � �x.�.AV- . MA0IAOA OOIMOY. M06L
Dula
' Um9F9/1m
441 i D - YER
GROUPW
rguL Mr -
IA u 0111 - in ON
•
4
A Yl t co ID K M M K YO v IMMET LL4. .
w
�
w /n erNRRrO DPN1s 12 -.17 - • Ir'�.11
o aw►
lJ�� � f� g
PYNVR O
llmw RFC �F 1` ---
•� /t of
1f
srATE a oA1a
e�InY t>F NAasaN s9
O O RG66@ wf 0 116�NAY O ATW� - ' �A�.UF/r W
A Wo" /71UItl. A MO 0011 EN7tAL IWUOWLY AIUUp .YAO l (1171,
l
r tl E � 14 rA A WAN MON•P� MIN AM NARROWED
NAO 91[ W M IOM000 DORAONT AM AOONIaOMO W NO wT MO "
DA0N6 M 0" a Im Fr RARE F EW Wt 7eM WINNIM - RUM
!
waMtYNO OOMa _ /2-29 -1eN
°�FAr
. - ;A.,.. - °i
N9rYr r1�D NcN6r r 1
w T 1 e67E�1=_RAI Q 11 . N w a a m m.
p'1 m M UTAi F Oar m AOA00 A IIAW 2 rM1l7�A
N610ATION RATER 601E
!rM AIWO A6 AAMa6R OWAaAr AAU IIOf W M IADU
Ma1r6 aM r M /VAT. tCa ryNl M/ adI00011 r1 NpT �1(A f\Td!
FOR OARO COZ W1334 7M adomm =Lx aYa Or 11t aw F [DOE
MUNW L ORION ONLY AND Oi601NI 919m
MOIICN a wall 11411 AIY11A/011 /R a /VCR Nr Ai
ATOIE® AU Ar7AUr 1� a-M � �x.�.AV- . MA0IAOA OOIMOY. M06L
Dula
' Um9F9/1m
441 i D - YER
GROUPW
rguL Mr -
IA u 0111 - in ON
•
4
irs
Certifies That
MUIR LLC
Registration No: RCE -10177
Subject to Annual Renewal
having fulfilled all the requirements of the Laws of Idaho and possessing the prescribed •
qualifications, is hereby authorized to practice as a
1 1 on*'A'
IDAHO
CONTRACTING BUSINESS
within the State of Idaho
�!W u
STATE OF IDAHO CONTRACTORS BOARD
Bureau of Occupational Licenses
Department of Self Governing Agencies
The person named has net the requirements for Ikensure and is entitled
under the laws and ruses of the state of Idaho to operate as a(a)
CONTRACTING BUSINESS
MUIR LLC
VERNON MUIR., ET AL
336 EAGLE SP.MMlT ST
REXBURG p $3440
Payola Jacobson RCE•10177 01/24/2008
Chief, B.O.L. Number Expires
IN TESTIMONY WHEREOF, I have here unto put my
hand and affixed the Official Seal of the Bureau of
Occupational Licenses at Boise, Idaho, this 24th day
of January A.D. 2006
F, Ell U OF
OC LICENSES
a
t
{
l
Please Atire com lete the A lication!
p Pp
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
Parcel Acres: �e &` , V , '
0
Permit#
SETBACKS
FRONT � / SIDE 2 � SIDE Z-6' BACK
Remodeling Your Building /Home (need Estimate)
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
3
First Floor Area
Second floor /loft area
Third floor /loft area
Shed or Barn
Unfinished Basement area 6
Finished basement area 3
Garage area iA Z
Camort /Deck (30" above grade)Area
Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size:
Required ff!
PLUMBING l
Plumbing Contractor's Name �� _��� Le
!� Business Nam
Address Er IJ4 A r Ci U " _State Zip �3
Contact Phone: (20� Z& �a Business Phone: (Zoe') 7 X5 7 — 8
Email Fax ff 7 FZ-
FIXTURE COUNT (including roughed fixtures
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
Sinks (Lavatories, kitchens, bar, mop)
Sprinklers
_ Tub /Showers
l� Toilet /Urinal
Water Heater
Water Softener
Plumbing Estimate $ 6 6 (COMMERCIAL /MULTI - FAMILY ONLY)
50 v� 7 AV
Signature of cerised Contractor License Number& Expiration Date Date
The City of Bexbura's permit fee schedule is the same as required by the State ofldaho
Building Safety Department
City of Rexburg
19 E Main ionellh@rexburg.org
Rexburg, ID 83440 www.rexburg.org
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
CITY 0
REXV1G
cw
America's Family Cmwnuniry
Required!!!
MECHANICAL
M�
Phone: 208.359.3020 x326
Fax: 208.359.3024
Mechanical Contractor's Name: Steve Dick
Address P.O. Box 627
Cell Phone: (208 ) 709 -4650
Fax: ( 208 ) 745 -0817
Mechanical Estimate $
Business Name: High Country Heating
State Idaho zip 83440
Business Phone: ( 208 ) 745 -8056
_Email highcountryhtg @netscape.com
(Commercial/Multi Family Only)
FIXTURES & APPLL4NCES COUNT (Single Family Dwellipg Only)
Furnace Exhaust or Vent Ducts
W / Furnace /Air Conditioner Combo 1 Dryer Vents
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
3 Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Range Hood Vents
Cook Stove Vents
F Bath Fan Vents
other similar vents & ducts:
� -v y s �
t _ Fuel Gas Pipe Outlets including stubbed in or future outlets
Heat (Circle all that apply) "'il Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
City Rigby
_Steve Dick 6068 _7 -31 -07
Signature of Licensed Contractor License number Date
Building Safety Department RBXBUgCrQ
City of Rexburg �� 7
19 E Main janellh @rexburg.org Phone: 208.359.3020 x326 k
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME Jk rA PROPERTY ADDRESS
SUBDIVISION - 1 EW_%r � tws
PHASE LOT 1 ± BLOCK
CITY OF
REXBURG
Americas Family Community
Permit #07 00381
674 Autumn Dr
Requlredffl
ELECTRICAL
Electrical Contractor's Name
A1E1L50N Business Name
NeLso I
Ls Le csr-xie-,
Address . Q V. /�/Z
City � t_V,410V
State .D
Zip
Cell Phone ( ) Business Phone (
Fax (
Email 9yR ink NO� ® /ESN .CDC
Electrical Estimate ( cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
Number of meters being installed
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
l 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
of inspections. Additional inspections charged at requested inspection rate of $40 per hour.
L57
of Licensed Contractor License number D Ke
The
schedule is the same as required by the State of Idaho
SUBCONTRACTOR LIST
Excavation & Earthwork: L- CLVyq U 1JS
Concrete: P�
Masonry: j N'
Roofing: LL i S
Insulation: y /S
Drywall: /M j m Z> r ,, vi / Lc Bev o t-s C v A c z-
Painting: . J �] "TY� FA - t t6 N!=,
Floor
Coverings: S S Ci L �7 r O2p
N
Heating:
N
Electrical: 4 t.L -eo" Z. ec4 t L
Special Construction
f' (Manufacturer or Supplier)
Roof Trusses: _ S� GCk 4'-NtM p p 4U e -" T S
Floor /Ceiling Joists:
Siding /Exterior Trim: Wa pcl S }u tT t p llt c;
Other: ry Gr -