HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00036 - Da Pineapple Grill - Tenant FinishZ
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U
~ CITY OF
RExBUR~
~°>q~~~• AMERICA5 Ft~411LY CO(vU1AUNITY
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
05 00036
i 13~ 2003
383 S 2nd W
bcti. 1~- i nec~pplG El ri l 1
~,~ N ; Vin pro-l~~l
15
~b
Name and Address of Owner: Danielson Steve P Etux
535,W 7 S
Rexburg, ID 83440
Contractor:
Special Conditions:
Occupancy:
Hollist Construction
~-Z
This Cen`ificate, 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
taas inspected on the date listed sties found to be in compliance vuth the requirements ofthe code
for the group and division of occupancy and the use for v~hich the proposed occupancy vas
classified.
Date C.O. Issued: July 26, 2005 (12:15PM)
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 Department Fire Depart e •~
State of Idaho Electrical Department (208-356-4830):
CITY OF REXB URG ~ ~ PERMIT #
BUILDING PERMIT APPLICA ON
19 E MAIN, REXBURG, ID. 83440 Please complete the entire Application!
208-359-3020 X326 If the question does not apply fill in NA for non applicable
PARCEL NUMBER: ~~~ ~ (,~/~ ~~
~a' ~~~
SUBDIVISION: UNIT#~_BLOCK# LOT#
OWNER: ?' ~ h~ CONTACT PHONE #
PROPERTY ADDRESS: ,~ ~ 3 ~.d7,~,~ ~}Iil~ _~~. ~l~.r,, F
PHONE #: HomeG~aO) 3~G - ~o~~Zwork (c~""~3/3 -,6?,~S Cell ( )
OWNER MAILING ADDRESS: ,~.$~Lu .~! ~i. CITY: STATE~ZIP:~~~~~d
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
CITY:
PHONE #: Home
CONTRACTOR:
MAILING ADDRESS:
Work
STA'
ZIP
Cell ( )
PHONE: Home# Work# Cell#
CITY STATE ZIP
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: ~~~ %~~~~,~,~
(i.e., Single Family Residence, Multi Family, Apartments,
~ri 11
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 wi~n.~89-e1Rys~-- Zit void if work stops for 180 days.
'Applicant
~~~~ y
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
CT'" Q 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** ~;~nd~ sd~R~- a- ~,-z,-v~~~
~i
Mil ~l-ollls~' - 313 -~SZ~ ~~~ ~\C~e 1~L~,0~ ~,~~~5 ~~ ,~n~
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
SETBACKS
FRONT
Parcel Acres:
SIDE SIDE
BACK
Front Footage (if applicable)
Storm Water Length
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area
Second floor/loft area
Third floor/loft area
Shed or Barn
Remodel (Need Estimate) $
PLUMBING
Plumbing Contractor's Name: ,~.~~ Business Name:
Address State
Contact Phone: ( ) Business Phone: ( )
FIXTURE COUNT
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub/Spa
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ fit, Zpd (Commercial Only)
Signature of Contractor
Sprinklers
Tub/Showers
Toilet/LJrinal
Water Heater
Water Softener
License number
Date
The City ofRexburg's permit fee schedule is the same as required by the State ofldaho
Unfinished Basement area
Finished basement area
Garage area
Carport/Deck (30" above grade)Area
Permit#
Zip.
2
MECIIANICAL ~'
Mechanical Contractor's Name: Business Name:
Address State Zip
Contact Phone: ( ) Business Phone: ( )
FIXTURES & APPLIANCES
Furnace _
Furnace-Air Conditioner
Combination _
Heat Pump _
Air Conditioner _
Evaporative Cooler _
Pool Heater
EXHUAST & VENTILATION
Dryer Vents _
Range Hood Vents
Fuel Gas Pipe (# of Outlets)
Signature of Contractor
Unit Heater
Decorative Gas-Fired
Appliance
Space Heater
Incinerator
Broiler
Cook Stove Vents
Bath Fan Vents
Mechanical Estimate $ (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