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HomeMy WebLinkAboutAPPLICATION, CO, BP - 05-00010 - Royal Market - Tenant FinishZ 2 v ~-~ 3~ '~ ~, , ~ ,~~:~ N V1 0 ~~o ~ _ '0 ~ c -~ ~ ' n - ~, m v R1 ~ ~ ~~ ~. ~ x ~, -~ co 0 0- _, ~ < ~ ~ ~ N. .. W N -~ _ zZ ~ X ~ N 3 a' c N .. ... ... ~o~?~D ~ C ~(Q~N °0°~~~ ~ -DC ~ O ~ ~~ ° c~ m 3 ~ 7 (D -, ~ ~ v aQ3 ~ ~ Z p ~ Cf . ~ ~ ~. 'h ~ ~ ~_. n 0 -, o~~~~~~ ~ m ~~~~o ~ ~' N ~' o- ~ ~' -~~ rn a° m p .O a~ u- n~ ~- ~~o~.~ n TT ~OQ.~ ~ Q c ~ ~~ v rn t° o C1 C N 0 .~ ~ '0 c~ .~ ~ c~ n o m '~ D y~ C _. o ~ _ j ~ a ~ ~ C ~ y ~ N rr N _ ~ ~ n~ ~ s o V/ m -I ,y, ? 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' ~ e~ ~ ~-~ f O~ ' IN ~ {~ N ~ ~ !0 y __. . _.. a i ~ ,Q r Cl7Y OF RExBURG nnn~x~5 Fn~na..r conan~un,m Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: CERTIFICATE OF OCCUPANCY Name and Address of Owner: Contractor: Special Conditions: Occupancy: City of Rexburg Department of Community Development 19 E. Main St. l Rexburg, ID. 83440 Phone (208) 359.30201 Fax (208) 359-3022 05 00010 England Joe 6 Etux 583 Maple Dr Rexburg, ID 83440 Owner This Certificate, issued pursuant to the requirements of Section 109 of the lnternati"onal Building Code, certifies that, at the time time of issuance, this building or thatportion of the building that uu~s inspected on the date listed vas found to be in compliance v~ith the requirements of the code for the group and division of occupancy and the use for v~iich the proposed occupancy vas classified. Date C.O. Issued: April 27, 2005 (03:20PM) C.0 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 Departure Fire De State of Idaho Electrical Department (208-356-4830): CITY OF REXB URG ~~ BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X326 PARCEL I~f UMBER: SUBDIVISION: OWNER: o ~t ~ ~,•.c ,~L~v~ CONTACT PHONE # Z,~ ZS ZS l ' 11 S s PROPERTY ADDRESS: ,3 ~ 3 S o.J(~ Z~ W PT S y. ~ ~ ~ Q.~e,~cl~.rc ST D k'3~1~{d PHONE #: Home (t~ C, SCo - 43`~ a Work (zas) ZS 1 PERMIT # Please complete the entire Application! If the question does not apply fill in NA for non applicable 1 SS-Cell OWNER MAILING ADDRESS: ~~3 mz ~. CITY:~~~.r STATE:~D ZIP:~'3 rya 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 ~~3 ~Mtnl~e, CITY: ~XI~M~ STATE, ~ ZIP~~~~~ PHONE #: Home (zo5d ~,S 6- i5 3ya Work (z6Y) SI - tl S5/ Cell ( ) CONTRACTOR:. `~ ~~ a ~` ; ~~' PHONE: Home# Work# MAILING ADDRESS: UNIT# BLOCK# LOT# CITY How many houses are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: tmwl~e r t~~ ~ (i.e., Single Family Residence, 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 incases of any false statement or misrepresentation of fact in the application or on the plans on which tb.e permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. ignature of Owner/Applicant ~, ~, ~ s DATE R~ARNING -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** Ce11# 3~3- 4 52,0 STATE ZIP 1 ~, NAMESo~e ~~c~.?,,tea ~~~e ~~iZ~ ~tr~~ PROPERTY ADD S S 3 ~ 3 sc~-'C~,~ Z'"` SUBDIVISION Dwelling Units: SETBACKS FRONT SIDE Front Footage (if applicable) Storm Water Length Permit# SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building} First Floor Area ~ 5 O Z Second floor/loft area Third floor/loft area Shed or Barn Garage area Carport/Deck (30" above grade)Area Remodel (Need Estimate) $ a 5TH PLUMBING ,~ Plumbing Contractor's Nam . ~~~~ ~ Business Name: , Address ~ ~ ~ ~ D ~ State ~ ~ Zi p Contact Phone: (~~ ,~) ('~(~ ~~~ ,~~ ~~ ~ Business Phone: (~o~ w S~ FIXTURE COUNT Clothes Washing Machine Sprinklers Dishwasher Tub/Showers Floor Drain Toilet/Urinal Garbage Disposal Water Heater Hot Tub/Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ Z a o ~= (Commercial Only) r ~ ~ ,~a6s Signature o trac or License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Parcel Acres: SIDE BACK Unfinished Basement area Finished basement area 2 11IECI~'ANICAL Mechanical Contractor's Name: Business Name: Address tate Zip Contact Phone: ( ) Business Phone: ( ) FIXTURES ~ APPLIANCES Furnace _ Furnace-Air Conditioner Combination Heat Pump _ Air Conditioner Evaporative Cooler _ Pool Heater EXhIUAST ~ VENTILATION Dryer Vents _ Range Hood Vents Fuel Gas Pipe (# of Outlets) Signa of Contractor Unit Heater Decorative Gas-Fired Appliance Space Heater Incinerator Broiler ~t`~ 0 Cook Stove Vents ~a(~.SD Bath Fan Vents ~l~p ~„'1o.8'a Mechanical Estimate $• rl~ b D (Commercial Only) License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho WATER METER COUNT WATER METER SIZE HEAT (Circle all that apply) Gas Oil Coal Fireplace Electric 3