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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: