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HomeMy WebLinkAboutAPPLICATION, CO - 04-00228 - 1132 Golden Willow Cir - New SFRR CITY OF AMERICA'S FAMILY COMMUNITY 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: Harris David T Etux 382 E 3000 N Rexburg, ID 83440 Contractor: Special Conditions: Occupancy: Harris, David 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 vVth the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: C.O Issued by: CERTIFICATE OF OCCUPANCY City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3022 0400228 1132 Golden Willow Cir 5'1N61. F— FAyn «y R155. WOOD F- P-A-ME; R>.ES . NO January 11 05 (02:51 PM) 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 Departme State of Idaho Electrical Department d� CIT OF R I i 1 -E lB U -G AMERICAS FAMILY COMMUNffY 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: Special Conditions: Occupancy: CERTIFICATE OF OCCUPANCY City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3022 0400228 1132 Golden Willow Cir Harris David T Etux 382 E 3000 N Rexburg, ID 83440 Hams, David 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 wes 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 tees classified. Date C.O. Issued: December 10, 2004 (02:34PM) C.O Issued by. 6uuamg urriclai 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 State of Idaho Electrical Department (208 - 356- 4830): • • BUILDING PERMIT APPLICATION REXBURG, ID DATE N0. THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER t JAU1 0 L(S JOB ADDRESS (l�� Lj `j,�� (,✓iva C &IC PHONE BUILDER t2 ARCHITECT & /t A ' n&/ DESIGNER S M _NEW ❑ REMODE ❑ A DDI T IO N ❑ RE ❑ RE ❑ F IR E DAMAGE ISMod RESIDENCE ❑ COMM. ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ FENCE ❑ PATIO ❑ CARPORT (3 GARAGE ❑ AWNING FOOTINGS FOUNDATION BASEMENT FLOORS EXTT, WALLS INT. WALLS CEILING ROOF HEAT INSULATED jQ CONCRETE BCONCRETE L) PARTIAL Q WOOD WO WOOD WO WOOD 21 WOOD ❑ MASONRY ❑ MASONRY $FULL ❑ CONCRETE id MASONRY ❑ BUILT UP. 4[GAS Id WALLS ❑ MASONRY I& DRYWALL ❑ OTHER ❑ OTHER ❑ NO ❑ OTHER ❑ CONCRETE ❑ CONCRETE ❑ PLASTER ❑ WOOD SH. ❑ OIL IWr COMP. SH. ❑ COAL 00 CEILING ❑ FLOORS ❑ VENEER AD DRYWALL ❑ TILE ❑ TILE Cl FIREPLACE 04PERIMETER ❑ METAL ❑ PLASTER ❑ ACOUSTIC ❑ ROLL ROOF. ❑ ELECTRIC ❑ STUCCO ❑ TILE ❑OPEN ❑ METAL This permit is issued subject to the regulations contained in th nlform Building Code and Zoning Regulations of Rexburg, and it is hereby agreed that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations pertaining and applicable thereto: The issuance of the permit does not waive restrictive covenants. REMARKS: DEPARTMENT OF BUILDING & ZONING ..� ctiwnnr s wpy %,mmr— bunamg uepartment's Copy PINK — Assessor's Copy GOLDENROD - Inspector APPLICATION FOR BL CITY OFREXBUIF 0400228 Harris/Spec Date of Application 1132 Golden Willow Circle QvvrlFS Name 1�^u t/> ?, HA -ket_r " e� R Site Address /l r- IA- Mailing Address 3 S Z it, 3 3 E28"C-c - X— f- t..,: F 3 V'to City /State/Zip Telephone/Fax/Mobile Zo y G sz o f z Zaf =3S!- ZS 3 — CONTRACTOR Name �f'F Mailing Address City /State/Zip Telephone/F"obile PROJECT INFORMATION DEPARTMENT APPROVAL Property Zone: Is existing use compatible with zoning, (screening parking, etc) When was this building last occupied _ Architect/ Engineer Firm /�D c 0X44 r-n ✓v C... Plan Name o Y— �� ? Subdivision G✓ + /C _ Lot g Block 3 Circle One esidenti Commercial Educational Government Remodel Other Circle One House Addition/Remodel to House New Commercial Commercial Remodel Circle One Basement: None/ Finished / Unfinish Other: None/ Patio/ Carport/ Awning N/A Lot Square Footage vU , o Lot Width Main Level Square Feet Upstairs Square Feet _ Basement Square Feet Garage Square Feet V D Number of Storie Height of Building 20 ! o What will structure be used for: 4ome Home Business Apartment Commercial Other Will there be an apartment? !t/ d If so, how many units Total Estimated Building Value z S� 579 a Are you in a flood plain fll8 Signature of Appli Code Zone Building Type Commercial Building Plumbing bid Commercial Building HVAC bid Commercial Building Square footage Building Permit Fees Plan Check Fees Plumbing Permit Fees Digging Permit Fees Water & Sewer Fees Front Footage Fee (Parks, Fire, and Police) Impact Fees Signature of Inspector TOTAL $ Issued by CITY OF REXBURG APPLICATION FOR PLUMBING PERMIT OWNER FEES Name _ Address Lot _ Name Address Tel. _ Blk. Add. PLUMBER Tel. NATURE OF INSTALLATION Use Rough Plumbing $ Septic Tank $ Fixtures $ Water Piping $ Complete Sewer DESCRIPTION OF WORK Bath Tubs I I $ Urinal $ Showers ' $ Sink Trap $ Laundry Trays Water Heater Wash Basin Other Toilet ' $ Slop Sinks Kitchen Sinks ' Floor Drain Drinking Fountains Lawn Sprinklers Water Softeners Dish Washing Mach. Clothes Washer ± 1 + Plumbing Permit .................... $ Sewer Inspection .................... $ Inspection of Pipe ................... $ Inspection of Fixtures ................ $ TOTAL $ Received: Date By INSPECTOR'S RECORD N W E S INSP. NAME Rough Plumbing Sewer Other Finish Plumbing SUBCONTRACTOR LIST Excavation & Earthwork: 1 11 4 Concrete: t Masonry :��,q T� Insulation .- Drywall: Painting. Floor Coverings: �S Plumbing:{ Heating: Electrical: SPECIAL CONSTRUCTION (Manufacturer or Supplier) Roof Trusses: Floor / Ceiling Joists: 4TH Cabinets: Siding /Exteror Trim: Other: