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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 06-00482 - 523 Golden Willow Dr - New SFRINSPECTION CARD 04 g8Xt3 UgC • ciTY o - u • v o CVV ul ing B I N� A 1 Permit. • ISSUED TO: PERMIT #: 0600482 NAME: Tibbitts Tom ELECTR FOR THE CONSTRUCTION OF: 523 Golden Willow Dr -Wisem JOB ADDRESS: 1148 Golden Willow Cir GENERAL CONTRACTOR: Professional Builders Inc 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 By �iL/( QGt�B�C�S Building 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 NOTICE! 2) The permit will become null and void in the event of any deviation from the in each successive inspection without 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. � ��rrT�n �i.P� V 1115 America's Family Community 1. BUILDING Date roved 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 ICAL'° Date roved 1. Rough -In 2. Final 1. Sewer Service Conn 2. Water Conn 3. Rough -In 4. Ground. 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 IN PLUMBING noto e.,— .,..e,a • �J Certificate of Occupancy REXBUR G 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: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 0600482 International Residential Code 2003 523 Golden Willow Dr.. Single Family Residence Type V, non -rated Residential W Name and Address of Owner: Wiseman Jamie 490 Pioneer Rd Apt 9104 Rexburg, ID 83440 Contractor: Professional Builders Inc Special Conditions: ADA accessible sidewalk with connection to the roadway will be on next LID Occupancy: Residential - 2 units or less, 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 was inspected on the date listed was 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 was classified. Date C.O. Issued: January 15, 2D�'(02 4P C Issued by: 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. Plumbing Inspen[ G Fire Inspector Electrical Inspe::' P8Z Administrator �`. OTYOF REXBUKG 0 nrnr,rr -r 44 BUILDING PERMIT APPLICATION Pleas i! 19 E MAIN, REXBURG, ID. 83440 If the q 0600482 le 208 - 359 -3020 X326 523 Golden Willow Dr- Wiseman \� PARCEL NUMBER: �1' Q-0 P� ,�O �t l � ( SUBDIVISION: UNIT# BLOCK# -3 LOT# 7 (Addressing is based on the information - must be accurate) OWNER NAME StMA+n CONTACT PHONE # Z°8 - .316 - 1 Z3 8 PROPERTY ADDRESS: sz3 (moola(d 0 or o lI 't B' 6o/ ®Q„ C , - 2 Pkdu�s PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: y90 P, o ur.- Rol 0 , 7 1ogr CITY: a STATE: ZIP: dWY4 EMAIL a a rc,' {r .- FAX ..359 - Sc/sz 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 ( CONTRACTOR MAILING ADDRESS: r65 4�4o k CITY PHONE #: Home (Zo8) -65�- B'8 ZS EMAIL F Work ( Cell ( ) ATE ZIP Cell Fcj 5 Zl —,6 /3 IDAHO REGISTRATION # & EXP. DATE gc'r -1977 // - How many buildings are located on this property? ---- Did you recently purchase this property? No <es f yes give owner's name) Is this a lot splikt' T1� YES (Please bring copy of new legal description of property) PROPOSED USE: _ S - 4, "� 45, 06. (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjur I hereby certif 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 o � rovisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the appli r th[ larj�on hither r�pproval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. f + l Signature of Owner /Applicant U U S 7 L 1 XJrE Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POST D I3EFI91�LSiTF; J Plan fees are non - refundable and are paid in full at the time a ' ti n 5. City of Rexburg's Acceptance of the plan review fee oes v $ "Building Permit Fees are due at time of application" **Building Permits are void if your check does not clear** 2 Build Safety Department City of Rexburg 19 E. Main Rexburg, ID 83440 ionellh @rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 y �BRB(lR ClO CITY O F REX Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison I, c i�� L Wr Name Address Ida It 0 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: 1 1 - 1111 T atlhJ 868 1../ - Z,9, A 1'2 �t D 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 day of e# z 4ce , 20 Subscribed and sworn to before me the day and year first above written. 4'0 � Op�y,�� � . u ��� ~• 'y Notary Public of Id aho LW Q �Q� A R y , rY Residing at: 21 1111h PUe `�G � zz.� o eo My commission expires: 71 3 Please complete the Atire A lication! p Ap If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT * * * * * * * * * * * ** *Water Meter Size: ��+. Remodeling Your Building /Home (need Estimate $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 16rfy Unfinished Basement area Second floor /loft area Finished baseme t area 7 fS ©o P Third floor /loft area Garage are X1 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: RequiredLY PLUMBING � _ 6��� me �i Plumbing Contractor's Name: n a Business Name: 5Z Address P. 0 ' E ®X :5 l 29B' City I;i /ls State — Zip Contact Phone: ( ) 3 ( 7 - 6 9 6 'O Business Phone: ( ) Email K) H. p Laj f veA L6,-. s , ca.- Fax ZL7- Oy FIXTURE COUNT fin c ludinv- rou --hed fixtures Clothes Washing Machine Sprinklers ' Dishwasher �� Tub /Showers Floor Drain 3 Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa Water Softener .- Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Signature of Licensed Contractor The City of Permit# License Number& Expiration Date Date t fee schedule is the same as required by the State of Idaho SIDE SIDE BACK E Please complete the entice Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Requiredffl MECHANICAL Mechanical Contractor's Name: Mi ( h./o.a( Business Name: 1 L eob0 f?h� Address 1 /f� City State Zip $396 Contact Phone: ( ) -S 9. _ GS 5 Business Phone: ( ) Email Fax Mechanical Estimate $ ?zop -r?� (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace 3 ( Exhaust or Vent Ducts l Furnace /Air Conditioner Combo ✓ Dryer Vents S Heat Pump Air Conditioner Evaporative Cooler Unit Heater Permit# Space Heater Decorative gas -fired appliance ! S Incinerator System Boiler Pool Heater 4 (-1a .� Fuel Gas Pipe Outlets including stubbed in or future outlets !s Za Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply Gas Oil Coal Fireplace Electric Hydronic '61 44 - ( zz 3s Signature of Licensed C ntracto License number Date The City of Rexburg's permit fee schedule is the same as the State of Idaho k Range Hood Vents Cook Stove Vents Bath Fan Vents /v other similar vents & ducts: 5 Building Safety De 19 E Main ionellh@rexburg.org Phc Rexburg, ID 83440 www.rexburg.org Permit #06 00482 RG 523 Golden Willow Dr imunity OWNER'S NAME J(�OgI - b \A)15eY�Cc..r PROPERTY ADDRESS 53� ?) X10 CU n VtU i A k o A) Permit# SUBDIVISION PHASE C� LOT -- 1 BLOCK RequlredN ELECTRICAL Electrical Contractor's Name 7co\,t Business Name 7L Address '-(l.QU3 (jryrrne� Gv City `�o ve.lt'S State Z,53 Zip _3` Cell Phone (Zo? LE - 7 919 Business Phone (?DY) Fax ( ) 'S S , # ISD t Email Electrical Estimate ( cost of wiring &labor) $ 17,CQD - ' (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION(RESIDENTIAL) (New Residential includes everything contained within the residential structure and attached garage at the same time) X 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 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 *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Sigfiature of Licensed Contractor License number Date The City schedule i s the same as required by the State of Idaho 7 - . r . L ' . L V V V . i i , i / � III, Please comp lete the Mire A p p lication! 4 0 P P� iuu, LUVV I , L If the question does not apply 611 in NA for nom applicable NAME PROPERTY ADDRESS SUBDIVISION Dwelling Units: Parcel Acres: Permit#f p GOL�9;� SETBACKS FRONT. FRONT SIDE SIDE BACK Remodeling Your BvBdinglHome ( need k sdt:mate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) Fast Floor Ares /6 L a Unfimis Basement stea Second floor /loft area Finished baseme AW /'Soot Third floor /loft area Garage aze 2 Shed or Barn Carport /Deck (. V above grade)Area Water Meter Quantity: * * * *** * * *** ** *Water Meter Size: Requ redffl PLUMBING Plumbing Contra.cto?s Name: Business Name; Address Q °' 6 °X S/ 49Y City ';?5" a /,- State 5.17 Contact Phone: ( ) 3/7 ' Gaon Business Pbo ( ) �1�5 771 Clothes Washing Machine Sprinklers Dishwasher Tub /Showers I Flooz Drain 3 T oik t /Urinal L Garbage Disposal Z— Water Heater Hot Tub /Spa Water Softener .- Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) S Ae._4 ef — ���.��� Signature of I tcensed. Contractor License Number& Expiration Date Dace The Ciy!'&oxbM j- pavRfee .rahedrrle u' Ox some as required by th State of Idaho Z 'd ZL69' Ndv0:£ 900Z 0 0 SUBCONTRACTOR LIST Excavation & Earthwork: �� �CSS / et. "/4, Concrete: 3 - G �. Masonry: Roofing: Insulation: _ d etv 4&e Drywall: S �k4 (,,, /7 Sys r Painting: &A, A Floor Coverings: /� �� �cf�.,.�% �� • s Plumbing: a f ,1,4 f P /y.►, l Heating: Ali I - lel / s Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: / 1M e. T Floor /Ceiling Joists: 7ZT 94, i ll r SW/, Siding /Exterior Trim: - V) I') yl TP� Llt,si�,,, W o � A exeu Bc CITY OF R America's Family Community May 18, 2009 Jamie Wiseman 1148 Golden Willow Circle Rexburg Id 83440 RE: Corner Sidewalk Access Dear Ms. Wiseman, The City of Rexburg Building Department and Planning & Zoning staff have reviewed the files and inspection tickets with respect to the property located at 1148 Golden Willow Circle, and have found that according to inspection tickets dated 9/21/07 and 9/28/07, the corner sidewalk access was required. Inspector Ted dye stated on the 9/28/07 inspection that "handi -cap corner access needed with truncated dome." Please see attached copies of inspection tickets. The Certificate of Occupancy will not be issued until the work is completed. Consequently, the City of Rexburg asks that you make arrangements to have said property brought into compliance. We appreciate your cooperation. Please contact us if you have any further questions. Sincerely, Natalie Powell City of Rexburg Code Enforcement Officer Nala& Powell Compliance Officer 25 E. Main Rexburg, ID 83440 P. O. Box 280 Phone (208) 359.3020 ext.389 OIL (208) 201 -7389 Fax (208) 359.3024 natp @rexburgorg www.rlxburg.oig