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Home My WebLink AboutCO & APPLICATION - 04-00424 - 1181 Arctic Willow Dr - New SFRG 4A EXBURCf� CITY of CERTIFICATE OF OCCUPANCY Y REX CW America's Family Community Department of Community Development I 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3022 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy. Type of Construction: Design Occupant Load: Sprinkler System Required: 0400424 International Building Code 2003 1181 Artic Willow Dr Residential Type V -N, Unprotected Single Family Residence No Name and Address of Owner: Jensen Brett Etal • :._:- Rexburg, ID 83440 Contractor: Brett Jensen Construction Special Conditions: Unfinished basement -490 sq. ft. Occupancy. Residential, single family dwellings, lodging houses 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 Wth the requirements of the code for the group and division of occupancy and the use for Mich the proposed occupancy vies classified. Date C.O. Issued: January 27, 2006 (09:14AM) C.O 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. Water Departmen • Fire State of Idaho Electrical Depa (ment (208- 356 - 4830) �- CITY OF CERTIFICATE OF OCCUPANCY R.EXBURRG VAENCA5 FAMILY COMMUNrrY City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3022 Building Permit No: 0400424 Applicable Edition of Code: Site Address: 1181 Artic Willow Dr Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: Name and Address of Owner: Contractor: Brett Jensen Construction Special Conditions: Occupancy: 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 Mh 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: July 12, 2005 T PM C.O Issued by: 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 • e De State of Idaho Electrical Department (L8-356-48301- e CITY OF � h R.EXBURG q�ttSH�af;' AMEfLICAS FAMILY COM+b1UMY 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 Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3022 0400424 1181 Artic Willow Dr Name and Address of Owner: Contractor: Special Conditions: Occupancy: Brett Jensen Construction 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 vwis 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 vas classified. Date C.O. Issued: July 12, 2005 M C.O Issued by: 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 • Fir State of Idaho Electrical Department (L8-356-4830): CITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 PARCEL NUMBER: PERMIT # Please complete the entire Application! If the question does not apply fill in NA for non applicable SUBDIVISION: Q ,,`I,yW UNIT# BLOCK# Z. LOT # _[_ OWNER: &i" as CONTACT PHONE # PROPERTY ADDRESS: It 61 Ay 4-,rrAd,4, Pr - ,� 6 736 PHONE #: Home (emu) 8 S S . Work 9�"' K Cell ( ) 3/3 -47& OWNER MAILING ADDRESS: P.O. E & CITY: STATE:,D;� ZIP: y� APPLICANT (If other than owner) (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF APPLICANT PHONE #: Home ( CITY: _Work( STATE; - . ZIP Cell ( ) ,l CONTRACTOR: �rC -eMm PHONE: Home# S Y' ycc Work# Cell# 7� MAILING ADDRESS: CITY STATE ZIP How many houses are located on this property? 0 /lot., Did you recently purchase this property? No es If yes give owner's name) Is this a lot split? 9D YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION Under penalty of perjury, I hereby certify 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 permit on approval issued under the provisions of the 2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. !/ Ik f . n , . \ Signature 11 i / SD 1 Z DATE WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning January 1. 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval "Building Permit Fees are due at time of application" "Building Permits are void if you check does not clear" NAME &�C�G'tC PROPERTY ADDRESS ADDRESS SUBDIVISION Dwelling Units: Front Footage (if applicable) Parcel Acres: Permit# SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ) %q Second floor /loft area Third floor/loft area Shed or Barn Remodel (Need Estimate) $ Unfinished Basement area )7109 Finished basement area Garage area S7(o Carport/Deck (30" above grade)Area PLUMBING PLUMBERS NAME t ADDRESS CITY STATE S6 A P $3jy PHONE( FIXTURE COUNT CLOTHES WASHING MACHINE SPRINKLERS DISHWASHER �_ TUB /SHOWERS ,3 FLOOR DRAIN TOILET/URINAL 3 � GARBAGE DISPOSAL l WATER HEATER / HOT TUB /SPA WATER SOFTENER SINKS / (Lavatories, kitchens, bar, mop) t WATER METER COUNT i WATER METER SIZE HEAT (Circle all that apply) as Oil Coal Fireplace Electric Commercial Buildings & Apartments with 3 or more units Only BUILDING ESTIMATE $_ PLUMBING ESTIMATE $ STORM WATER LENGTH FRONT FOOTAGE STRUCTURES DESCRIPTION USE BEDROOMS UNITS NON CENSUS OCCUPANCY IOAD EXITS SETBACKS FRONT SIDE SIDE CONSTRUCTION ROOF SANITATIONMETHOD HEAT FLOOD ZONE FENCE TYPE OCCUPANCY BACK I 2