HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00437 - 1118 Coyote Willow Way - New SFROe VtF XB v�
CITY OF • •
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0 Americas Family Community in
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Permit
ISSUED TO:
PERMIT #:
0800437
NAME: Scholes Paul
FOR THE CONSTRUCTION OF: 1118 Coyote Willow Way-S& JOB ADDRESS: _1118 Coyote Willow Way
GENERAL CONTRACTOR: Owner /Lessee
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 Approve
r
Is d By
ilding Inspector
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
NO TICE !
accepted drawings.
3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shalll be covered
without approval.
INSPECTION CARD
BUILDING
1. Groundwork/Ufer
2. Rough - In
3. Electrical Temporary
4. Electrical Service
5. Final
PLUMBING
Date Approved
1. Se Se Conn
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
ELECTRICAL
o` C IT Y Certificate of Occupancy
REXB City of Rexburg
Ow
Americo Family Community Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
0800437
International Residential Code 2006
1118 Coyote Willow Way
Single Family Residence
Type V, non -rated
Residential
No
Name and Address of Owner: Scholes Paul
Po Box 2820
Idaho Falls, ID 83403
Contractor: Owner /Lessee
Special Conditions: Unfinished Basement 2104 sq ft
Occupancy: Residential - 2 units or less, permanent in nature
This Certificate, issued pursuant to the requirements of Section 109 of the Intemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
ties inspected on the date listed vies found to be in compliance Mh the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued: July 06, 2009 (01:19PM
C.O Issued by: — -- - - -- - - _. ni7
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 Inspecto _ P&ZAdministrator: �._ __ __
Mar. 14. LUUb IU :UdAM
CITY OF RFXB URG0 PERMIT 4K
BUILDING PERMIT APPLICATION Please
19 E MAIN, REXBURG, ID. 83440 If the qu( 08 00437
208 -359- 3020 X326 l l 18 Coy Willow Way- Scholes
PARCEL NUM13ER: V u
SUBDIVISION: lb ( fiU) hrm)k UNIT #__. _BLOCK # 3 . _,LOT #��
(Addressing is based on the information - must be accurate)
CONTACT PHONE # ) 7A �& -zMa(y
PROPERTY ADDRES
PHONE #: Home W j ?i S 9 97 58 ' Work (Zo 5Z8A-9 9L Cell (Y9 ✓f/f o'
OWNER MAILING ADDRESS: �O ,C�j>�0 v� CITY: J dthd r STATE %, ,ZIP: S
EMAIL ha lt AC,) &ha*hay&5. ( FAX 5-
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
MAILING ADDRESS:
PHONE #: Home ( ) Work (
Cell ( )
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE,
How many buildings are located on this property? ✓
Did you recently purchase this property? No es If yes give owner's name) & J d J Ji e IZ 4
Is this a lot split. NO YES (Please
PROPOSED USE:
(i.e., Single Farrdly Residence, Multi F ly, )
copy of new legal description of property)
Garage,
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZA"
that 1 have read this application and state that the information herein is correct and I swear that al
in hearings before the Planning and Zoning Commission or the City Council for the City ofRexb
with all City regulations and State laws relating to the subject matter of this application and hercl
upon the above - mentioned property for inspections purposes. NOTE: The building official may
provisions of the 2000 International Code in cases of any false statement or misrepresentation of
permit or appJeq was�ased. PermA void i started within 180 days. Permit void if work st
Underpenalty of e�, ury, r certify
ati tcb.4ykllb fter by me
beful and correct. I a ee to omply
zed representatives of _it�to ter
the
9 / E _/63.
Signatde of Owner /Applicant ` DATE
Do you prefer to be contacted by fax emai or phone? Circle One
WARNING — BUILD G PERMIT MUST BE POSTED ON CONSTRUCTION SITE]
Plan fees are non - refundable and are paid in fail at the time of application beginning January 1. 21 MS.
r•+_ �ru = ^'• A — ^ +.— ^r th plan review fee does not constitute plan approval
* R e ee i v e d Time a r _14__ : 0 9 AMhon -* * *Building Permits are void if your check does not clear **
CITY STATE ZIP
N
ivl a I. I `F. L U U U I U; U 0 idyl
* CITY OF
REX
CW
Americo Fa?nily Communhy
BUILDING SAFETY DEPARTMENT
19 E. ain ?PO Box 260) Phone: 205 - 359 -3020 426
Rexburg, Idaho 63440 Fax: 206.359024
www.rexburg.ora Iansllh(di raxburp.oro
Affidavit of Legal Interest
State of Idaho
County of Madison
I,
Name Add ess
kI1s 1 '1-
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:
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
ii. /_ i •
Sxgna=e
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
Received Time Mar.14. 10:09AM
2
08 11:32a
The Plumber, Inc.
208 - 524 -1749
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Please cozznplete the entire Application!
IJA,�E
t e question does not apply fig in NA for nom applicable
PROPER ADD R�l S
SUBDIVISION pernlitiv
a �
Dwell ng Units:
Parcel Acres:
SETBACKS /
FRONT
SIDE 4 V SIDE BACK
Remodeling Your Building'I ome (need Estimate) S
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area ' � — Second iloorAloft area o
Third floorAoft area
Shed or Barn l7 A--
Unfinished Basement area 6 4
Finished basement area
Garage area .f
Carportl (30" above erade)Area
Water Meter Quantity: Water Meter size
required!!!
PL U1 B17VG
Plumbing Contractor's Name ; (�j Oi-f"S Business Name:
Address
City a 1'10 �i I b State ZiP
Contact Phone: (2�) - -$ Buss Phone: ( )
Em ail 1'1ne p , cM 1-�o y- { r ' ` a1n0D (' C)VVl Fax r-;2- -
FIXTURE CQUNI' rncludin rou lced es
�J Clothes Wang Machin f
Z _.. Sprinklers
Dishwasher �P T)ItifShowws
._� Floor Drain Lp Toilet/Urinal
Crarbage Disposal ? Rater Heater
Hot Tub /Spa 1 Water Softener
_ Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate S (Commercial Only)
Si; nature �01fLlcwaed Coy actor .License Dumber Uate
The City of Recbrvg's permit fee schedule Ys the same as regritrad by the State of7daho
Received T :me MaT,14, 10:09AY
a
Received Time Jun•26. 10:30AM
IVIar. 14. 2UUb IU: UVAM No, 1 /46 F. I
• Please com lete the entire Application! I If the uestion does not apply fill in NA for non
. P Ply g PP Y
applicable
NAME
PROPERTY ADDRESS Permit#
SUBDIVISION !
Required!!!
Mechanical Contractor's Name:
Address City State Zip
Contact Phone: ( ) - 757-051311 Business Phone: ( )
Email Fax
Mechanical Estimate S (Commercial/Multi Family Only)
.FIXTURES & APPLIANCES COUNT
Furnace
7i Furnace /Air Conditioner Combo
d Heat Pump
9_ Air Conditioner
d Evaporative Cooler
D Unit Heater
0 Space Heater
0 Decorative gas -fired appliance
d Incinerator System
d Boiler
d Pool Heater
MECHANICAL
(Single Family Dwelling Only)
Exhaust or Vent Ducts
Dryer Vents
Range Hood Vents
0 Cook Stove Vents
_ Bath Fan Vents
other similar vents & ducts:
d Similar fixtures or Appliances
- 7 Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
n
Point of Delivery must be shown on plans.
Signature o ed Contractor License nwnber
The City ofRexburg's permit fee s chedule is the same as
eceived TimeIar.14.70:09AM
9- 76
Date
the State ofydaho
5
Building Safety Department
City of Rexburg
19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org For 208.359.3024
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O
�7
CITY OF
REX
Americas Family Community
OWNER'S NAME _ PA U ! S( i c — S
PROPERTYADDRESS HIT Cc Y ok L& (6 W , Permit#
SUBDIVISION W i L i ow R r uVk
PHASE LOT BLOCK
HOME O WNER'S ELECTRICAL PERMIT
Home Owner's Name 4 1 �( J c tL�)k-S
Address f I C y City State Zip
Cell Phone (268) Z U Home Phone (106) 7 - c / 7,S1
Fax (k9) !j 36 - I[q 3 7 Email D a O (S c �1Pc� l i Ue %n M
QW�te y� t�oi n y �r ha( lla fi'dn crt�' �lvys IPe�P�fa
TYPES OF INSTALLATION f_-� j ec d; t a ( kn u 1 k CO m f Pct 4_Tn Spc�Cj Goy 514 F (rrh- 6
(New Residential includes everything contained within the residential structure and attached garage at the same time)
0 For power supplier requirements visit www.rockymtnpower.net
❑ *Up to 1,500 sq ft - $72
❑ *2,501 to 3,500 sq ft - $168
❑ *1,501 to 2,500 sq ft - $120
X *3,501 to 4,500 sq ft - $216
❑ * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total
❑ Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit:
# of circuits
• Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40
• Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable
• Electric Central Systems Heating and /or Cooling (when not part of a new residential construction permit
and no additional wirin,g) - $40
• Modular, Manufactured or Mobile Home - $50 plus $10 per circuit
❑ Other Installations: Wiring not specifically covered by any of the above:
Cost of firing & Labor ,$ (Includes the cost of materials installed regardless of theparty supping it).
❑ Pumps (Domestic Water, Irrigation, Sewage): horse power
❑ Requested Inspections (of existing wiring) - $40 /hr (1 hour minim plus $40 /hr thereafter
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
** Includes a maximum of 4 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
2 :,�? v 1
Signature of Home Owner Date
vcP. I LVVV L. LJI IYI
Iv u, Lulto r,
Please complete the S "re Application! If the question r of apply fill in NA for non
applicable �'?a
TEMPO, RA
NAME
PROPERTY ADD SS permit 908 00437
SUBDIVISION
1118 Coyote Willow Way
Requ re&ff
ELECTRICAL
Electrical Contractor's Name & l,Ln Business Name Le�'nG
Address City State Zip
Cell Phone 9 553 Busin Phone ( )
Fax
Electrical Estimate ( cost of wiring & labor $ (Commercial /Multi Family Only)
TYPES 0FJ2VSTA LA770NRESWEI TL4L
(NewSesidand -d Includes evesyrhing cauta nad within the tesfdendal s=crL= and attached gwVe at the same time)
_ Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
s . .
Fois ting Residential (# of Branch Circuits)
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 yeas)
Spa, Hot Tub, Swfin ing 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
Othet 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 = - 6mum of 3 inspections. A dditional inspections charged at requested inspection rate of $40 per hour.
Signature of 'tensed Contractor
The
3y&,�>
License number
it J6hedvle ix rbe same as
1 -s-4T
Date
the Sto
Received Time Sep. 1. 2 :24PM
14. LUUb I U: UMM
No. 1 /46
dMERM-PORN Nos ease ED nano as RENE KIERNAN am RJR mason AMR MR as no an swunm an NONE RUN INS Downs an am IN summmmy
SUBCONTRACTOR LIST
Excavation & Earthwork:
t.
2- ;z i01-210
C oncrete: /�. �.� ��,
Masonry:
Roofing:
- 9 y� -6,s675
Insulation:
Drywall: / %-P/1� � � �F& 72
Painting:
Floor t - 1 77 7
Coverings: %ia2 S
Plumbing:
Heating:
Electrical:
7-05 "3
Special Construction
(Manufacturer or Supplier)
Roof Trusses: Il'U- l ye l �
Floor/CeilingJoists: 3
Siding/Exterior Trim: 7 Ge l - S 544
Other:
Received Time Mar.14, 10:09AM
6