HomeMy WebLinkAboutCO & APPLICATION - 04-00403 - 1113 Golden Willow Cir - New SFR""� CITY OF
REXBUR -G
� fi r) AMERICAS FAMILY COAMAUNrrY
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
CERTIFICATE OF OCCUPANCY
City of Rexb u rg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3022
0400403
1113 Golden Willow Cir
wood �rarcv�
Name and Address of Owner: Willow Brook Partners Llc
P O Box 674
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 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: May
C.O Issued by:
03, 2005 (1 18AM)
Building Official
There shall be no further change in the e)asting 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 Departmen Fire
/ Q State of Idaho Electrical Department (208- 356 - 4830)
0 • •
BUILDING PERMIT APPLICATION REXBURG, ID DATE ff/V NO.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. zecfi:-r
OWNER 11 t T JOB ADDRESS # T,$IJG X f W t Ilt— PHONE
BUILDER ARCHITECT DESIGNER
STRUCTURE: ANEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE
Q'RESIDENCE ❑ COMM. ❑ EDUCATIONAL n GOVT rl REI_IGInuS n FI:NCF n PATln n rteannaT 9 r_ener_c n Au. 11-
FOOTINGS
FOUNDATION
BASEMENT
FLOORS
EXT. WALLS
INT. WALLS
CEILING
ROOF
HEAT
INSULATED
JaCONCRETE
&CONCRETE
❑ PARTIAL
If WOOD
® WOOD
❑ WOOD
❑ WOOD
❑ BUILT UP.
❑ GAS
® WALLS
❑ MASONRY
❑ MASONRY
❑ FULL
❑ CONCRETE
9&MASONRY
❑ MASONRY
Q DRYWALL
❑ WOOD SH.
❑ OIL
CEILING
❑ OTHER
❑ OTHER
NO
❑ OTHER
13 CONCRETE
❑ CONCRETE
❑ PLASTER
Q COMP. SH.
C3 CC C
9fLOORS
❑ VENEER
DRYWALL
❑ TILE
❑ TILE
❑ FIREPLACE
® PERIMETER
❑ METAL
❑ PLASTER
❑ ACOUSTIC
❑ ROLL ROOF.
❑ ELECTRIC
❑ STUCCO
❑ TILE
❑ OPEN
❑ METAL
This permit is issued subject to the regulations contained in thg Unif6 ii wilding Code and Zoning Regulations of Rexburg, and it is hereby agreed
that the work to be don plans and specifications will be completed in accordance with the regulations
pertaining and applica I fd re . T is nOs o#fhe.pBrmit does not waive restrictive covenants.
REMARKS:
DEPARTMENT OF BUILDING & ZONING
VALUE
FEE PAID ❑ CASH APPLICANT
CHECK
BUILDING DATE ADDRESS
WHITE-Owner's Copy CANARY - Building Department's Copy PINK - Assessor's Copy GOLDENROD - Inspector
y 0400403
11A Golden Willow Circle ;DnvGE�e ?036o o
_G, IDAHO
LCITYOF X
Date of Application
OWNER :t,
a �
Name
Site Address LDT T3L a� K (✓) .x.� Bitvsar; �S7y41� I
Mailing Address 3,? ..
City /State /Zip S 3 YYID
CONTRACTOR `
Name AS A&r w g
Mailing Address
City /State /Zip
Telephone/F"obile
PROJECT INF ORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied
ArchiteW Engineer Firm _ (3 � ,� plan Name HAt-ct S
Subdivision GJ /L� o WS¢s717/� F 7W7V Lot 3 Block 3
Circle One <esiden Commercial Educational
Government Remodel Other
Circle One I�e� Addition/Remodel to House New Commercial Commercial Remodel
Circle One Basement. one Finished / Unfinished Other: on Carport/ Awning N/A
Lot Square Footage ,, � z Z �'� Lot Width / ,3/, DZ
Square Feet 15 Garage Square Feet 2 Height of Building �� J
�_ Number of Stories
What will structure be used for: om Home Business Apartment Commercial
Will there be an apartment? If so, - how many units
Total Estimated Cost Ay0, 0IL2 0 Are you in a flood plai
Signature of Applican / %...) `
Code
Zone
Building Type
Building Permit Fees
Plan Check Fees
Other
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL S
Signature of Inspector
Issued by
7
1
NAME b,4vW KietI.J
PROPERTY ADDRESS /( Ge ow Lri 11o C i -O
SUBDIVISION 9x.,aoK
Dwelling Units:
Parcel Acres:
Front Footage (if applicable) 2 /
SURFACE SQUARE FOOTAGE: (Shall include the exterior
Permit#
First Floor Area Z O (a S Unfinished Basemen area
Second floor /loft area S Finished basement area NJA
Third floor /loft area m Garage area
Shed or Barn /1 /0 Carport/Deck (30" above grade)Area
Remodel (Need Estimate) $ /I�A
PLUMBING
PLUMBERS NAME B PL >.✓7 ADDRESS
CITY 7 of STATE ZIP o PHONE (,7 y0-7
FIXTURE COUNT
CLOTHES WASHING MACHINE
DISHWASHER
FLOOR DRAIN
GARBAGE DISPOSAL
HOT TUB /SPA
SINKS
(Lavatories, kitchens, bar, mop)
WATER METER COUNT,
1 SPRINKLERS /V/W
TUB /SHOWERS 3
AlZA TOILET/URINAL
WATER HEATER / r/
WATER SOFTENER
WATER METER SIZE 3 y Af
HEAT (Circle all that apply)( Oil Coal Fireplace Electric
Commercial Buildings & Apartments with 3 or more units Only
BUILDING ESTIMATE $
PLUMBING ESTIMATE $
STORM WATER LENGTH
FRONT FOOTAGE
STRUCTURES
DESCRIPTION Srrvc c,E (r►Mk� ��o �mw z
USE DES IOE �2
BEDROOMS CONSTRUCTION
UNITS ROOF
NON CENSUS SANITATIONMETHOD
OCCUPANCYIOAD HEAT g-o,a.c .w*ntA. cas
EXITS - FLOOD ZONE AM
FENCE TYPE A
SETBACKS OCCUPANCY l
FRONT SIDE SIDE BACK
2
SUBCONTRACTOR LIST
n:
Excavation & rrry
Earthwork: —J��4,�
Concrete: .
Masonry:-&A/—A—.f iiLlti�
Roofing:
Insulation:
-
Drywall: Dr— &AW
Painting:,d P PC��. ,
Floor Coverings:
Plumbing: -
Heating:
Electrical: SLAI-161 4Ra7X
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
Roof Trusses: S7? 55�A
Floor / Ceiling Joists:
Cabinets: -a,,
Siding/Exterior Trim
I Other: