HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00139 - 578 Golden Willow Dr - New SFRINSPECTION CARD
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CITY OF
A,.MLRICXS FAMILY CONAMLI FfY
Building
Permit
ISSUED TO:m
PERMIT #:
NAME: Durfee, Ryan P
6 7 7 , C1, UVW �,�011��ov �
FOR THE CONSTRUCTION OF: Durfee SFR JOB ADDRESS:
GENERAL CONTRACTOR: Owner
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
06/06/2005
Issued By
Building Inspector
BUILDING
Date Approved
1. Layout
2. Footing
3. Foundation
4. Framing
5. Insulation
6. Drywall
7. Sidewalk
8. Mechanical
9. Final
PLUMBING
Date Approved
1. Sewer Service Conn
2. Water Service ConnE
3. Rough -In
4. Final
24 Hour Notice
THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE
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 approval.
THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY
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
U a 4gBUa �t� CITY of CERTIFICATE OF OCCUPANCY
REX
CW
Americas Family Community
SHED Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3022
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
0500139
International Building Code 2003
578 Golden Willow Dr
Residential
Type V -N, Unprotected
Single Family Residence
No
Durfee, Ryan
3246 S 1st W
Rexburg, ID 83440
Owner
Special Conditions: Landing out the back door not completed.(Door disabled)
Sidewalk handicap access on the corner to be completed in the
Spring. 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 with 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: January 24, 20 (09
C.O Issued by:
1 30
Building Official
There shall be no further change in the eAsting 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 Departrnent:�52 Fire
State of Idaho Electrical Department
CITY OFREXBURG 0 Ol�O1
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440 Please Durfee SFR - 1180 Arctic Willow
208 - 359 -3020 X326 If the que;
PARCEL NUMBER: (Z P P_W PEE Z 0 00 C 0 k bs� ` d q'ZZ L' t
r-ed i't ►fe, @,q M,41-
SUBDIVISION: WILLOW 2>P_06IL UNIT# BLOCK# LOT# .S ca"
OWNER: 1ZYAN t i0 LSE CONTACT PHONE # 31 022S
PROPERTY ADDRESS: S78 GoL64_: iKl M UM M h 1_ _
PHONE #: Home (Zo$) ( t - Oq? Z Work (
Cell (,W) 313 — 622-8
OWNER MAILING ADDRESS: _�Oqb J. 14U0 W. CITY: P_a)(0 f_& STATE: ZIP: 83yy p'
APPLICANT (If other than owner) h
(If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
MAILING ADDRESS OF APPLICANT
Ni Al CITY: d STATE; M X ZIP NX
PHONE #: Home ( ) JJ A - , Work ( ) MX Cell ( ) NJN
CONTRACTOR: NA PHONE: Home# NA Work# Mk Cell# KA
MAILING ADDRESS: N A CITY N A STATE NA
How many buildings are located on this property? (�
Did you recently purchase this property? No es If yes give owner's name) wiCLUw i32o0k' PAU N"f
Is this a lot split? @ YES (Please bring copy of new legal description of property)
&L.C.
PROPOSED USE: � :FAM I C P_f__�I
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby
certify 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 2000 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. Permit void if not
started within 180 days. Permit void if work stops for 180 days.
Signature of Owner /Applicant
WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRI
Plan fees are non - refundable and are paid in full at the time of application begin
City of Rexburg's Acceptance of the plan review fee does not constitute
"Building Permit Fees are due at time of application"
"Building Permits are void if you check does not clear"
DATE
u " 2005. w ;
oval
CITY O•
lr
R.EXBURG
'O AMERICA'S FAMILY COMMUNITY
Affidavit of Legal Interest
State of Idaho
County of Madison
I, IZUav, 7V _ �h lA rfe S78 Grolaei, I01 1(ow I
Name Address
P-ex -h L L 4 -T 6
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: N A N A
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 2 day of ADKI ( / ,20
k
Signature
Subscribed and sworn to before me the day and year first above written.
d
S a �Or A R k*iar)f ublic of Idaho
_s n
• e 'Y
i
a u E1 00 Q esiding at: �rn
c
�� My commission expires:
IV
Please complete the entire Application! 0
If the question does not apply fill in NA for non applicable
NAME P2 �j ccin hu.r f2
PROPERTY A DRESS '7g C-vUff`, t t } 1j" 'bV, Permit#
SUBDIVISION
Dwelling Units: Parcel Acres: o s
SETBACKS
FRONT `=t2' SIDE �Pj ` SIDE 3S ` BACK
Front Footage (if applicable)
Storm Water Length
Remodeling Your Building/Home ( need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area S i2 Unfinished Basement area
Second floor /loft area Ki A Finished basement area (�
Third floor /loft area Nil Garage area 9'1
Shed or Barn MA Carport /Deck (30" above grade)Area QS
Water Meter Count:
Required!!!
Water Meter Size: !-q /l
PLUMBING 0 y
Plumbing Contractor's Name: _ / ��" e cje'c' o b ; t vj
Business Name: /�- /f j� l
Address % LI J t ese ' 40zlil—I Ar. State Z 0 Zippy'
Contact Phone: (' Business Phone:
FIXTURE COUNT (including roughed fixtures)
I Clothes Washing Machine „g Sprinklers
•0'' Dishwasher 3 Tub /Showers
Z Floor Drain Toilet/Urinal
0 Garbage Disposal 1 Water Heater
U Hot Tub /Spa Water Softener
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ (Commercial Only)
122L,o
Signature of Licensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
Please complete the a *re Application!
If the question does not apply fill in NA for non applicable
NAME P- h) L4 t&g,
PROPERTY A DRESS C- tldoa_ l.�ill�n� Permit#
SUBDIVISION �511�ew',
Required!!!
MECHANICAL
Mechanical Contractor's Name: 1h i ke Wj a Business Name: n1 t k e j,�,, a �l V r
Address 6 "X 1 rrT State - Zip 1- 8 7
Contact Phone: (A010 3 f(} - Business Phone: ( - )
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLL4NCES COUNT (Single Family Dwellin Only)
I Furnace Exhaust or Vent Ducts
0 Furnace /Air Conditioner Combo
Heat Pump
d Air Conditioner
Q Evaporative Cooler
0 Unit Heater
0 Space Heater
0 Decorative gas -fired appliance
O Incinerator System
Boiler
0 Pool Heater
C) _ Similar fixtures or Appliances
Dryer Vents
Range Hood Vents
0 Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
2 Fuel Gas Pipe Outlets including stubbed in or future outlets
6 Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Ga Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Signature of Licensed Contractor
X4235
,5 d Q'
D to
License number
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
3S( -o32Z
SUBCONTRACTOR LIST
Excavation & Earthwork: C v!j �r:C �t elr 0 00 1
Concrete: 1`x,.1, 1.,4,E 11A. �,._�,_ _ = .,i„1,,.,: �.. C�_�_� /-2
Masonry:
Roofing:
Insulation: Ad yKo� (S 07 7)
Drywall: Tr, . `c a v c�r -�v� �(r ;r1 �Cj, –
Painting:
Floor
Coverings:
Plumbing:_
Heating:_
Electrical:
Special Construction
(Manufacturer or Supplier)
Roof Trusses: 8f 4C ( -
Floor /Ceiling Joists: k VIA L WeA
Siding /Exterior Trim: Teak
Other: