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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00168 - 505 Golden Willow Dr - New SFRCITY OF R-EX BUR- ,,N ERICA' FkMILr (;vMM NITY Building Permit INSPECTION CARD BUILDING Date Approved 1. Layout 2. Footing 3. Foundation 4. Framing 5. Insulation 6. Drywall 7. Sidewalk 8. Mechanical 9. Final PLUMBING Date Approved 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 06/17/2005 Issued By Building Inspector 1. Sewer Service Conn 2. Water Service Conn( 3. Rough -In 4. Ground Rough -In 5. 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 0 04 gEXBVgC ♦ CITY o , Certificate of Occupancy R 9 REX RG City of Rexburg ` Department of Community Development America's Fam Community [NED Efa, 19 E. Main St. / Rexburg, ID. 83440 Phone (2081359 -3020 / Fax (2081 359 -3022 Building Permit No: 0500168 Applicable Edition of Code: International Residential Code 2003 Site Address: 505 Golden Willow Dr Use and Occupancy: Single Family Residence Type of Construction: Type V -N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: DurFee Ryan Etux 264 N 3rd E #205 Rexburg, ID 83440 Contractor: Owner Special Conditions: 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 sties 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 vices classified. Date C.O. Issued: November 16, 2006 (0 PM) C.O Issued by: G�=� f" Building Official There shall be no further change in the existing 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 Department: Fire D State of Idaho Electrical Department CITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 PARCEL NUMBER: PERMIT # • Please complete the entire Application! If the question does not apply fill in NA for non applicable SUBDIVISION: UNIT# Z BLOCK# ;> LOT# OWNER: CONTACT PHONE # X43-022-9 PROPERTY ADDRESS: ,(')(i i-, (n) &-1 PHONE #: Home Qcfl) �S� t�� 7,2 Work ( Cell (2q) 3,3 -6'2 ZZ OWNER MAILING ADDRESS: Z( L( P' 2 , 6 CITY: LL STATE: 'tb ZIP: APPLICANT (If other than owner) 1QA (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF APPLICANT K � CITY: A STATE; M-A ZIP PHONE #: Home ( ) MA Work( ) A Cell ( ) &A CONTRACTOR: 1)v� PHONE: Home# 56 a Z Work# Cell# 31 D MAILING ADDRESS: W. CITY 1 STATE -Lb ZIP VV How many buildings are located on this property? Did you recently purchase this property? No es (If yes give owner's name) Lt�il ��rn ,L &/�Pgi�g,T Is this a lot spli . NO YES (Please bring copy of new legal description of property) PROPOSED USE: � k,,Ae 4ztn4d, (i.e., Single Family Residence Multi Family, 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. Pgrmit void if work stops for 180 days. Signature of Owner /Applicant ©S / 3t DATE WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning January 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 you check does not clear" d< o s �► CITY OF 0 R.EXBURG AMERICA'S FAMILY COMMUNITY .x �a'*f F' Rrsr r�+f t `" .?�,� a. � v ; �v'�jE >;•. Affidavit of Legal Interest State of Idaho County of Madison I, 3 S_ 11460 - Nameu V Address xb I'D 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 I day of T u VW — '20 O Signature Subscribed and sworn to before me the day and year first above wri My commission expires: /-/— ' / arotq Please complete the entge Application! 0 If the question does not apply fill in NA for non applicable NAME r-Qee PROPERTDDRESS Permit# SUBDIVISION /,,vi�(Qb� e2 y 6Ae 1 Dwelling Units: SETBACKS Parcel Acres: s S7 FRONT , , �1 , SIDE 3C SIDE L - �j , Front Footage (if applicable) pV Storm Water Length Remodeling Your Building/Home ( need Estimate) $ BACK (L- ' N _ A SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 19t2 Second floor /loft area Third floor /loft area Shed or Barn Water Meter Count: Required!!! Water Meter Size: PLUMBING f J _ Plumbing Contractor's Name: 50 1�� Business Name: n CC�G� ���� i n 7 Address &15?1- - Ar State Zip i C Contact Phone: Business Phone: U C FIXTURE COUNT (including roughed fixtures) i Clothes Washing Machine G Sprinklers C7 . Dishwasher 3 ]Af Tub /Showers �- �- Floor Drain l Toilet/Urinal 0 Garbage Disposal Water Heater U Hot Tub /Spa Water Softener 7 S inks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature 1 f Lic nsed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Unfinished Basement area Finished basement area Garage area & 7 �L- Carport/Deck (30" above grade)Area Please complete the enop Application! 0 If the question does not app Ty fill in NA for non applicable 1 . PROPERTY ADDRESS �t�iS C-- pj&U;L, k%�l(��,� rte Permit# SUBDIVISION G,�i/( caw Required!!! MECHANICAL Mechanical Contractor's Name: r1A 4 Business Name: nA i L "M HVA Address ppax J XX S ti.,.� Cdr State Zn Zip o3q Contact Phone: (20� 3y'D — g 6 69 Business Phone: ( ) Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) h0 J Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo j Dryer Vents \� Heat Pump Air Conditioner Evaporative Cooler Range Hood Vents Cook Stove Vents 9 Bath Fan Vents Unit Heater Space Heater — Decorative gas -fired appliance Incinerator System -- Boiler -- Pool Heater - -- Similar fixtures or Appliances — other similar vents & ducts: - -- Fuel Gas Pipe Outlets including stubbed in or future outlets - Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) as Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature icensed Contra or License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho moommoommmommoommmommmmmommoommmommmmonommmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI SUBCONTRACTOR LIST Excavation & Earthwork: C- fir,,., r aktl I Concrete: Masonry: Roofing: Insulation: Vat'Lu — (3 Drywall: i Painting: Floor Coverings: n g Plumbing: Heating: �ia w Z A?-c t- j0x R c, ct j cc I I Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joists: b ULi c W les t Siding /Exterior Trim: U ' Other: