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: