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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00139 - 578 Golden Willow Dr - New SFRINSPECTION CARD L_ 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: