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APPLICATIONS, CO, BP - 06-00008 - 1116 Arctic Willow Dr - New SFR
'~ S~+~~3 _ ~. ,~ 3 ~ ? N ~ ~ Cy ~~ -1 "~ m .~ Q et tD ~ ~ R1 ~ ~ ~ ~ ~ ~"'' C N ~~~ v ~ ~ ~xR= 3 ' ,~ s~. a _, c~ to ' 3 C ac= 'aOe ~' ~ ; O .~ ~ ~~K ~ m (Ti vi t~ ~ ro n ~ ~~~~ ~~~`° -c tf! fh ~ '9 ~ -* C ~ O fi ..~. G o Z ~ N ~ydv+ ~ n N RI ~ 7 ~ Cam! 3 ~7 ~; N Q1 ° ~ _ _ -~• ~--moo- R m 3 -_ -~ v o o ~, .~ - ~ to ~ _. is ~ 3 ~ - C: ` ~ a ~ D n ~ ~ ~ ~ ~. 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Main St. !Rexburg, ID. 83440 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 06 00408 International Residential Code 2003 1116 Arctic Willow Dr Single Family Residence Type V-N, Unprotected Residential No Name and Address of Owner: Orme, Ryan & Jodi 25 N 12th W Rexburg, ID 83440 Contractor: Ryan Orme Special Conditions• 1441 Sq. Ft. Unfinished Basement 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 thaf portion of the building that vies inspected on the date listed wes 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 wes classified. Date C.O. Issued: June C.O Issued by: 02, 2006 (12:0 C~ 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 of Idaho CIT ~ 4F REXB URG BUILi~ING PERMIT APPLICA~N~ ~~- Plea ~~ oonn p Il~ 19 E MAIN, REXBURG, ID. 83440 If the ~1~0 able 208-359-3020 X322 1116 ~rti C W i l how Dr PARCEL NUMBER: ~-~~~~~, ~~`~~~ C~ - SUBDIVISION: ~1 ~ ` ~ w ~~co ~. ~~`~~.~"C-5 UNIT# BLOCK# ~ LOT# ~ V (Addressing is based on the information -must be accurate) OWNER NAME: F ~ ~S ~d~ e. `H~,/: ` `CONTACT PHONE # 2C»- 35~° rl5`C9p PROPERTY ADDRESS: ~ ~ ~~ ~'~l C> y `~ l `1C~~1 V 1J~ •• PHONE #: Home (x~ ~ 5(~' ~~L~b Work (~b$ ~'~ ~~ ~ 50 b Cell (;20~ ~ 5 ~ - ~l ~ ~'~ OWNER MAILING ADDRESS: ~ 5 ~ t I ~.~ ~ tn~ CITY: 1~ x~~=r~ STATE: -~'~ZIP: ~ 3 ~ Gi ~ EMAIL ./~/~- FAX ~ C~~ - 3S6 `~8~~ 6 APPLICANT (If other than owner) /,''~r4 (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS STATE; PHONE #: Home CITY: ZIP EMAIL FAX Work Cell CONTRACTOR: /C~ u .~ U 12 .~'~ C MAILING ADDRESS: ZS /1o~/~th L./. CITY x~K~- STATE--~G' ZIP S/~`~1/~ 350" 35b` 2C78~- PHONE: Home#~~~ ~jjy0 Work# ~b~t ~ Cell# EMAIL r~~ ~ ~Q 1, ~~ , ~ FAX ZC~ ~ r .s.s ~ ~ ~d'~6 How many buildings are located on this property ! ..l- Did you recently purchase this property? No ~e~(If yes give owner's name) f,, ~6~ r'-'c r ~ ~ ~ Is this a lot split? N~ YES (Please bring copy of new legal description of propert ~€ PROPOSED USE: -Si wh f ~ ~ ''''< < r y ~ -S _~_ d ~^' ~ (i.e., Single Family Residence, Family, Aparttnents,~temodel, Garage, Commercial, Z ~ 0 N07C APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Un malty of perjury, I here rtify that I have read this application and state that the information herein is correct and I swear that any informatio i 1 r e y me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall bet plY 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. P •mit void if not started within 180 days. Permit void if work stops for 180 days. Sig e of OwnerlApplicant DATE Do you prefer to be contacted by fax, email ar hon Circle One WARNING -BUILDING PERMI ST 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** .. C1TY .. ~ .. ~...... .. ~ LL^^vv _ __ , __ _ _ uR~ _. ~_~ ___ ~. + AMERICA'S fAMtLY COMMUNffY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 www.rexbura.org comdevCcilrexburo.org Affidavit of Legal Interest State of Idaho County of Madison Name Address Cfty ~~Ah~ State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Q~~ J Dated this ~ O day of ~~-~ ~' ~" ~ b ~ ~ , 2p ~ S ~~.., Signature Subscribed and sworn to before me the day and year first above written. • :~ ...~,f~,.._ ,Please complete the e~ire Application! If the question does not apply fill in NA for non applicable NAME ~~ " -/ ~~z ~/ ~ PROPERTY ADDRESS Permit# SUBDIVISION G~~~l ~ w /:; rd~, ~ Dwelling Units: Parcel Acres: ~ SETBACKS FRONT ~ SIDE --CJ SIDE -~ BACK -~ Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 15 ~ ~ 5`~ ~ `F ~ Unfinished Basement area ~ ~ tf j S ~ , ~~ Second floor/loft area ,~//~'~ Finished basement area ~/' fib Third floor/loft area,~/'%,,~- Garage area ~ ~ ~ s c . ~ f Shed or Barn ~/~'~- ~ Carport/Deck (30" above grade)Area Water Meter Quantity: i * * * * * * * * * * * * * * Water Meter Size: b ~~ Required!!! PLUMBING Plumbing Contractor's Name: jP ~ Sr''- t~~L Business Name: ~ -~/ w ~,v c Y~ Address L. j (9 p l~ c~ ! v $ ~ City ~ h State T 1> Zipi,~ Contact Phone: (~o~) 7/c, _C>c~.-~ [s Business Phone: ( ~a~ ~ ~a - 3 ~? G 5 Email ~/',~- Faxes FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine ~ Sprinklers 1 Dishwasher ~ a~ Tub/Showers Floor Drain ~ ~ Toilet/LTrinal Garbage Disposal 1 Water Heater ~ Hot Tub/Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ .~/ ~{- (Commercial Only) Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 'Jan, 3. 2006 1:33PM Please complete the entire Application! applicable NAME /'~y a ~/ ~/Z~''1 L PROPERTY ADDRESS SUBDIVISION ~,/t' o ~.~ rdc~ K • No, 1502 P. 4 If the question does not apply fill in NA for non Permit# Requiredlll MEC~IANICAL Mechanical Contractor's Name: ~/ ~ ~'~ ~i C /~ Business Name: /7~% y ~ ~~3 ~„r~l/Tr` Address ~~ ~(~ ~ 6a ~' City ~' ~ L State ~~ Zip ~ 3 ~~ Contact Phone: (aD~) ~`O ~ ' tl6 5 (7 Business Phone: (z®I3) 7Z®~' y~ ~~ Email .N/~ Fax ~`'~i}- Mechanical Estimate $ (Commercial/Mulh Fami~ Only) FIXTURES & APPLI,4NCES CDUNT (Single Fa-nily Dwelling Only) ~" Furnace t ° ~ Exhaust or Vent Ducts Furnace/Air Conditioner Combo 3 ~ ~ S ~ Dryer Vents ,.~" Heat Pump ~ ~ Range Hood Vents Air Conditioner ~ Cook Stove Vents .~ Evaporative Cooler IS ~~ Bath Fan Vents Unit Heater Space Heater Decorative gas-fired appliance -E~ other similar vents & ducts; / Z~ Incinerator System ~b Boiler l 5 l ~ s Pool Heater Similar fixtures or Appliances Fuel Gas Pipe Outlets including stubbed in or future outlets , ~ , S ~_ Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) ~ Oil Coal Fireplace Electric Mechanical Sizi>ag Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ~~~ Signature of Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as Aate by the State of Idaho ,, SUBCONTRACTOR LIST Excavation & Earthwork: ~C~ r `~ /~ C.~ V ~' ~. v Concrete: ~ ~ E' ~ rev, ~ ~ e ,~ ~.SC~ •^~ S' Masonry: Roofing: ~c'~c~ ~~..-~ ~;X~°'"~Fr' ~ Insulation: ~~~ `~` -,l v s u ~a. ~-t ~ c~ •--~ Drywall: ~ ~%~ ~ `t% ~~ Paintin ~ Floor Coverings: Plumbing: ~~ // II -_ 4 Heating: ,lac Cf h ~~~ „-~ .--, ~ r ~ Electrical: ~~ lv H C, ~ ~ r2 / c~ ,eac% Special Construction (Manufacturer or Supplier) f Roof Trusses: ~~ ,~ ~ ~ ~--- ~`--~ ~ d ~ ~--- ~~ ~ ,~r:~ -- / r O Floor/Ceiling Joists: ~~~ / ~~ %~~ ~ / d ~ `~. ~ .~+~,,~~~ ~ c.,,.. /j Siding/Exterior Trim: i~~ ~ `i 'w ~ ~ ~-,° ~~~' ~Q/~° Other: • WARRANTY DEED For Value Received WILLOW BROOK PARTNERS, LLC, an Idaho Limited Liability Company Hereinafter called the Grantor, hereby grants, bargains, sells & conveys to: RYAN AND JODIE ORME, husband and wife whose address is: 25 North 12"' West, Rexburg, ID 83440 Hereinafter called the Grantee, the following described premises situated in MADISON, County, Idaho, to-wit: LOT 10 OF BLOCK 3, WILLOW BROOK ESTATES DIVISION 3, AN ADDITION TO THE CITY OF REXBURG, MADISON COUNTY, IDAHO, AS PER THE PLAT RECORDED AS INSTRUMENT #312429 ON JULY 28, 2005. SUBJECT TO all easements, right of ways, covenants, restrictions, reservations, applicable building and zoning ordinances and use regulations and restrictions of record, and payment of accruing present year taxes and assessments as agreed to by parties above. TO HAVE AND TO HOLD the said premises, with their appurtenances unto the said Grantee and to the Grantee's heirs and assigns forever. And the said Grantor does hereby covenant to and with the said Grantee, that the Grantor is the owner in fee simple of said premises; that said premises are free from all encumbrances except current years taxes, levies and assessments, and except U.S. patent reservations restrictions, easements of record and easement visible upon the premises, and that Grantor will warrant and defend the same from all claims whatsoever. Dated: December j~ ~~, 2005 Kirb J. orbush, Manager WILLOW BROOK PARTNERS, LLC STATE OF IDAHO ) :SS Instrument # 32474 REXBURG, MADISON, IDAHO 2UtJb-12-19 02:17; No. of Pages: 1 Recorded for : RYANAND ODtE OR E MARI4YN R. RASMUSS'E .3.00 Ex-Oiflcio Recorder Dep COUNTY OF MADISON ) On this ~7 '-"aay of ,in the year ~°~~s before me a Notary Public, in and for said State, personally appeared Kirby J. Forbush, known or identified o me to be the Manager of Willow Brook Partners, LLC, who subscribed said name to the foregoing instrument, and acknowledged to me that he executed the same in said name of the Limited Liability Company. IN WITNESS WHEREOF: I h ve hereto set my hand and affixed my official seal the day and year first above written. ,~ Not u ~ of ID HO ~' LYNDA MERRILL NOTARY PUBLIC Residing at: ~~.~ STATE OF IDAHO - Commission Expires: ,~_,~ ~~~~' - ~ JAN, 4.2006 10:52AM •• N0. 641~r ~ '" "A D FINANCIAL 208 356 0854 v ~~'~'~ P, 1 ~- '" -~ ~ - ~ ~ 181 56 vi N ,5 v ° , -~_ l 0i 1 ~ i ^_' LOT 3 N _ ~ L_OT 2 I p N ~ z ~ 0.51 cCres ~ . N QD• ~ 2~~sM W ~ ~ I ~ s ocr 12'os~ E 234.00' _ _ z ~ 1H1.S6' ,4 ~•0 166.00' , ~ I ~ m I z c~DO LOT 4 N w LOT 9 w ~i LOT 3 ~ ~ 0.51 ocns ~ ~, ~ 0.50 acme N ~; _ ~ • z~~ i~ •P S 00'12'06 E > I I I cam, "' , t 81.56' ol"' ~ ~ I 166: .. m " o LOT 5 ~ N ~`'; ~ 0.51 ocrsa ~ I LOT 10 L_07 4 z ~ - 0,50 ocres ~ z N S 00' 12'06" E I i ~ ~ ~ ' ' I ~ m 7 81.56' w N 00' 12 06 /N~ .:.... Kx. ~ ~ W ~ LOT 6 ~ I ~ * ~ m ~ + • X c _ o.sl scree ~ N ~ ~ ~ u m w LOT 11 50 ~ ~ 0 . ~ v I ' , ~Cre9 cm ~ C~ N ~ S S 00'12'U8" F ~ N ~ j ~ a o N 4~ 181.56 I ~ I N Oo' 12'06" W fTt J ~ ~ I t ss.oo' I G~, a LOT 7 ~ ~ ~ ~ ~ A I - C-,S1 ocros cNn ~ ~ ~ LOT 12 ~ w ~ `9 ~ °•-° S 00' 12'06" E I I D r° i 0.50 ocres ~, ~ r.' ~ N N ~ 0 _ - Z 1g1.5s' I ~ I I ~ n I N o0'12'os" w Q, o ~~ I D LOT B ~ ~ 1 as.oo• ° ~ m~ -~ o 0.51 ocros N i r ~ I ~ ~. Ob o • ~ < ~ s oa' 12'os" ~ I ° t ~ LOT 13 50 0 ~ w ~ D acres . ~ ~` ~ N n ON t 81.SS' ~ d ~ ~ °~ ~ c I H ~ o ~ ~ ~ -- - _145.96'- - ~~ ~ r- N "' ~ ' ' ' ~ z 1 ~ ~" ~ 19 M 00 03 W _ o T12'06'1N rn ° m m C~'~ ~ 260.25' o k c C1 cG 34..0 / ~ ~ ° ~, \ A . ~_ -102,62'- -121.25 = - •P O -~l •v~ ~ ~ ~ ~ U P~'~ ~ ~ ti~ ~'+~ Ca`', ~ Or ~ b'~ On ~ ~ ` ~ ~ O m Rt ~ /~. ~ m~ O N pp ~ eS i~ Q ~ $~ w O ~~~ I ~ ° zo ~ O ~ v ~ jN v °m ~ O ~ ~ v N ~ ... ~ m ~ z - --'--- - ------ - --~- O c ~ ~ ~ r~ 233.74' 121.::5' 121.25' O ~~v' ~ _ ~ nn•~n~nzp r d7R'ld' F ~o~ /U, ~~/o~~ 3 • S ~,~~ i1v; St~©;l/ 31v~1~i 1 ~~ ~~ ~'~~ ~~ o~ ~~ .,~~ ~~ ,~o g~~ ., I- ~/Sc~C~