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Home My WebLink AboutAPPLICATIONS, CO, BP - 06-00019 - 1134 Arctic Willow Dr - New SFRZ ~ ~ ~ N - m mT W N C v ~ rn .~ ~ ~ z~ -+o ~ ~ C o ~ ~ ~~ ~o ~ ~ C C 'O N N E Z ~ N ~. ~ ~ o ~ 0.3'3 ~ ~ W o ~ ~ f, y ~ W ~, = m m m - .N~. 7 Q N O ~ ~ a o c y c N 3 3 v n v ~ `~ o C O m ~ ~ ~ ~ n m n v ~' 0• D a ~ ~ Z ~. o ~? o o ~ ~ ~ a ~ N C o o m ~ ~ v r Q ~ ~ ~ ~ v ~ ~ ~ o ~ C ~ v ~ ~ ~ r ~ 3 y ~ o ~ o m 3 ~ °~° D °- ~ Z v~~so a = '~ ~ m ~~° d Q~ m O n ~ p nv ~c.x ~ ~ ~ C 7 N z~(o s ?+ C o o~ Q w n aTN.o ~ ~ 0 f ~~ n p m ~ C1 N (D fD o Z N - ~ ~ ~ Y/ N N n ~ 7 = 3 ~ ~ n n o f °: ~ ~ °~o ~ g m a "" n n 00 C C 3 3 N '~ e~ 0 o v ~~,~3 ~ ~ ~. W~ ~ a No ~ , a~~'' ~ C ~ O~ = y ~ ~ fl. ~! ~ ID 3 ~ ~ c ~~ y ~ ~ao~c 7 ~ `~ C1 ~ ~ n . O 3. ~ . ~ ~° '~ N (~ ~ ~ s~oa O H ~~ c ~ ~ C :; °. ~ °' c K N y to S ~ .~- C7 O ~ ~ S W o.~~~ N ;,~~~. N <G C1 .: C ~ C ~ W . ~ y ~ ` W C1 ~D 7 01 ~~ a ~ ~ ~ ; ~ A'~ ~ ~ ~ ~- ~~ ~ ' o ~. , ( ~ ~ m 'g , /~ ~ a ~~ S ~ K ~~- ~. {Q 7 ~ N ~ C ~ . •_ -, ~ ~ S ~ N <D m z m 70 C7 z n n 0 7 N c n 0 7 m n z C C7 Z O W n~ 0 L g m n C` G z m N 7 N 0 m V• C v O m ~k 0 rn 0 0 0 s ~ C~Tl, a' O ~~ x pN~O a i~ n A ..: ~ ~ 'C c O ~ ~ ~, ~I ~' , b ~ c0 ~. ~ ~ ~. ~• ~ ~ ~ W D ~ (/~ m m ° ~ ~ ~ vi ~ a, v ~ 3 ~ C1 !t° m ?+ m ~ a .~ ~°n ~ CD ~ . c v ~ ~ ~ ~ O 3 ~ m N ~ 3 Z , Zo~oT v ~z = r C n ~~o w ° ~ ~ on ~ y y C 70 yTC ~ ~, ~ W z v y C~~D N ~'~ Q ~ ~ Oi ~ 7 o m { ~ !~ c ~ .~ eD ~ . Zn o ~ ° g - ~ ~ ~ ~ n Z N O < < ~ ~ a a Ul A W N ~ ~ ~ ~ ~ C Q - ~ ~ n ~ 0 3 m ~ ? ~ ~. ~ m n ~ ~ ~ Cfl Oo v ~ CT A W N ~ ~ °' cn ~ ~ ~ ~ ~ ~ ~ ~ v ~ = ~ v o ~ „ 1 3 co „ 1 ~ co „ 1 ~ co o a v ?. o 0 ~ cn ~ 0 ~ Oe gZXUUR~, O ~`~O ~,TY of Certificate of Occupancy ~~~G City of Rexburg America's Fam ly Community Department of Community Development 19 E. 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: Name and Address of Owner: Contractor: Special Conditions: Occupancy: 06 00019 International Residential Code 2003 1134 Arctic Willow Dr Residential Type V-N, Unprotected Single Family Residence No Parkinson Wes Po Box 595 Saint Anthony, ID 83445 Tbc Construction 1502 sq. ft. Unifinished Basement 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 ofissuance, this building or that portion of the building that toes inspected on the date listed teas found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for lahich the proposed occupancy vies classified. Date C.O. Issued: June 05, 2006.2:1 C.O Issued by: Building Official There shalt be no further change in the ebsting 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 Department: ~ State of Idaho Electrical Department f2o8-356.as3o~~ l` Cl~ Y OF REXB URG • r BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 PERMIT # • Please com If the question c PARCEL NUMBER: ~.'P~WL~j~,?jQ~`~(~ (We wi 06 00019 1 134 Artic Willow Dr SUBDIVISION: (nl~(Ip,~VDfaok ~s~~~'cs UNIT# BLOCK# 3 LOT#~ (Addressing is based on the information -must be accurate) OWNER NAME: (~.r g ~a c ~',,, s o~ COnNTACT PHONE # (j PROPERTY ADDRESS:~~ ~ ~('c~~ (,t ~,~ [~~ 1 p(`~~J 2 PHONE #: Home ~)~-?S'Y-i Work ~) Asa- ~3YO Cell ( ) OWNER MAILING ADDRESS: _~~~~~CITY:S ~ h STATE:~ZIP: EMAILG~~s~~67~t~~~d,~FAX ~S'-~7- 73Y~~ 3Y APPLICANT (If other than owner) ~,QG ~ ~ ~, (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS Py ~~ ~ CITY: STATE; .1/~ PHONE #: Home ZIP ~3yyo EMAIL Work (Zof) 317-24y/ Cell FAX ~~5~- 3/T° CONTRACTOR: MAILING ADDRESS: PHONE: Home# EMAIL Work# ~7-2 8~ Cell# ,,~~~~,~jj~~~~ -FAX ~S,l-3~~~ I/~aJ ~s~rah~~ ~~2 S How many buildings are located on this property? ~o ~ Did you recently purchase this property? No Yes f yes give owner's name)- r-,~ ~~ -~°---~-,~, „ ~.,,, Is this a lot split. N ES (Please bring copy of new legal description of property) PROPOSED USE: S<~,9~,~ ~,~y (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc. JAN 0 9 2006 APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under pe "' ere y ce ~ 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-me ~ for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provision al Code ' cases of any false statement or misrepresentation of fact in the application or on the plans on which the p n~•~~ar 1_____ ~*~a~b~se .Permit voi f not started within 180 days. Permit void if work stops for 180 days. ~/~/~~ Signature of Owner/Applicant DATE Do you prefer to be contacted by fax, email or phone? Circle One 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 Regburg'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** ~0 ,~ ~( ~ CITY (~v~ STATE .1.~ ZIP 3K~{~ s a • CITY O~ RE:XBLIR~ AMERK:A'S FAMILY COMMUNffY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburg.org comdevCcDrexbura.org Affidavit of Legal Interest State of Idaho County of Madison Name ~.~~G~ ~ , ~~ ~ city Q~ ~~s~ Address ~~~~~ 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: Tr a ~; s C ~ Q,n A ~ P 1 ~ (~ Sauk ~ 1( C ~c~I,~ ~e~c~ era ~. 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. ,~-- > 20 0 ~ Dated this -:-::.yc-r,•~' ,~ day of ~./64~'cl/~r'C~ , Subscribed and sworn to before me the day and year first above written. quhii iii, ~~~ M• ~'y,''~~ Notary Public of daho MOT~~ '~'Z~ A` '~ ~ ~ Residing at: ~E,~ 13c.~~7 Z~~r~ ~,,~ ~tio My commission expires: //- 07- z~ 8 Please complete the e~ire Application! ~ If the question does not apply fill in NA for non applicable NAME ~ P ,5 ~0. t' ~ < r/l ~ ~-"`- PROPERTY ADDRESS ~~`~~-;~ ~~~Jo„~ 'QI'~~l-L Permit# SUBDIVISION ~ ~(o~,, roar ~s~'ates Dwelling Units: ~ Parcel Acres: ~ 4~~-2 SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area (,fj G Q S~ Second floor/loft area Third floor/loft area Shed or Barn Unfinished Basement area ~ s ~, ~ s~ Finished basement area Garage area _ 5 ~ ~ Carport/Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * * * * Water Meter Size: ~/ ~- Required!!! PLUMBING .~, ~ Plumbing Contractor's Name: ..W ~ ' y ~~~~ Business Name: __,-~ ' ~~yv -. / r .. Address '~ 3l r.'_ -~, ~~~ ..~., < ,,__ City ~' ,.• f~ ~_ State ~ Zip~Z Contact Phone: (~~-) ~~~ = ~~ ~--~;:'G~ _ Business Phone: ( ) ~ ~~-~y~~_ Email FIXTURE COUNT (including roughed fixtures) f Clothes Washing Machine Fax Dishwasher J Floor Drain Garbage Disposal R ~ Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Sprinklers ~ Tub/Showers 3 Toilet/Urinal Water Heater ~ Water Softener n~tz~ Plu timate $ (Commercial Only) a y ,* ...'i ..^'~ ~ ~ yn,n' ~........,~ ~j`fvJ \ J~ "~ fir.,/~ " ignatur of Licensed Contractor License number Date ~ The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Please complete the enti~Application! If the question does not apply fill in NA for non applicable NAME ~ • ~ ~~~~~~ PROPERTY ADDRESS Permit# SUBDIVISION Required!!! MECHANICAL ~""~~ 1~ ~~~ z z~ Mechanical Contractor's Name: ~ {~r/1-- Business Name: Address~Z~~/~ ~~u110 ~ City ((~t State /.~ Zip~l~(} Contact Phone: (~(.$) ~ ~ ~ Business Phoned G~ U .Z~~ ~--~ Email Fax Mechanical Estimate $ (CommerciaUMulti Family Only) F-1~,'~iURES & APPLIANCES COUNT (Single Family Dwelling Only) ! ~ Furnace 3~ Exhaust or Vent Ducts I~ Furnace/Air Conditioner Combo / Dryer Vents ~ Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Range Hood Vents Cook Stove Vents 3 ~ Bath Fan Vents I ~ other similar vents & ducts: ~ ~jo Sa Similar fixtures or Appliances Fuel Gas Pipe Outlets including stubbed in or future outlets (,~ l~ Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application E Point of Delivery must be shown on plans. ignat re of Lic sed Contractor License number D to The City of Rexburg's permit fee schedule is the same as required by the State of Idaho • SUBCONTRACTOR LIST Excavation & Earthwork: ~~c.~ Concrete: ~C -~S ~ Masonry: Roofing: ~-tC ~n/~~S~Y Insulation: l t t Drywall:~Frtr S~o /4~ Painting: f1~i~+L C~GJr~l- Floor ----~ Coverings: r y .2.- ~w1 Plumbing: _ Heating: CJ .~ Electrical: ~~~ ~~GG~~d, Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists:~~ Siding/Exterior Trim:~~ ~/~ Other: