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HomeMy WebLinkAboutAPPLICATION, BP - 05-00037 - Little Academy Daycare - RemodelZ ~ ~ N ~ W ~ ~ ~ ~ ~ x ~p~-~ ~ ~ ~ ~ ~ `y m v ~ ~~~y ~ .~ Z G7 ~ Q ` ~.~^'c '~ C y fD F Z °' ~ o D ~ C ~~ ~ ~ o s~"so ~ ~ ~ ~ ° fD a ,cam c~ ~~ 3 ~ ~ m - Z . n n ~.. o m aa3 ~ O (~ fl;~=~O o~~~.N~ ~ m ~~,~o ~ ^ ~ m a ° p ~ ~ t~ir (y ~ ~ n cn o~~ n 61 O Q fD ' c ~ ~ ~ m cD n /~ O a Q O ~ 'D fD N m ~~ m ~ O y "' ~ w o o' ~ A ~ N~ y ~ a ~ ~ C ~ •~- N M C'1 ~ c d s ~ m -I ~~ ~ ~ ~ ~ 3 ~ o I"' oo ~; y v ~ rn ~- S S ~ ~~ n ~ 3 ~ -{ v Q O fD fD o~ o W N ~~~Q ~ ~ ~ ~~ ~3 ~ o- 3 ~ ~ _ Q ~D ai ~ O W o' ~ ~ -~ ~ ~ W ~~ p 0 0 ~ o m ~ .,~~~ ~ 3 m ~ ~ ~ m n ~ O S O Q o- ~ Z D O N ~ fD -I ~ n ~ °' z o -~ ~ '~ a m m ~- ? 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Q- I ~. 1 .1 i c -~ ' ooOO n ~ i ~ ! n' ~ U7 coo - o.~ ~ i i i~,a I ~ i~ i ,~ j ~ ~ Z- ~ ~ i ~~ ~ i ~ „ m ~ ~ ~ ~~ v, _ ~ 7 _I v n ~ z o o. ~ O I~ ~ ~O ~ ' ~ i0 ,n _ _ Im - _ --- - ~ ^ D z ~ ~ 77 (~ ~ a Cl Z N '.~ : 'O ,O D ~ ~ < < !< i' CITY OFREXB URG ~' BUILDING PERMIT APPLICATION D `' ~ ~ Q 19 E MAIN, RExBURG, ID. 83440 Please com 208-359-3020 X326 I~~e qu~stjdo PARCEL NUMBER: • PERMIT # the entire Application! apply fill in NA for non applicable j VI ~ Y Ut- REXBU~~ SUBDIVISION:-. ~ ~ q " BLOCK# I~ ~ LOT#~ OWNER: CONTACT PHONE # X01 - 72'7- ©I7~ ~ eJ~~'~~~ PROPERTY ADDRESS:~~ ~ , ~ ~~ ,~'" ' ai PHONE #: Home (,) "~ $9 - p(~p~ Work Cell (gyp `125. 9~7 9 OWNER MAILING ADDRESS:g$2 ~,,(, t 50d S. CITY: YGrrna ~ STATE: U ~-'ZIP: ~ b7 $ APPLICANT (If other than owner) (If applicant if other than owner, a statement applicant to act as agent for owner must accompany this application.) MAII,ING ADDRESS OF APPLICANT ~~olQ S . ehke, r CITY: C~~' STATE; `~' ZIP~~ PHONE #: Home ( )~~~ 3~1 Work ( ) ~,~~(c - ~ ~7 Z ~ Cell ( ) ?j ~3 - ~3d CONTRACTOR: ~" ~ PHONE: Home# Work# Cell# , I3Fo~~,3C~ MAILING ADDRESS: ~ ~q ~ ~ . ~xl~' 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 lo# split. NO YES (Please bring copy of new legal description of PROPOSED USE: (~ °t~`M D L G(, f a.q e (i.e., Single Family Residence, Multi F 'ly, Ap U 2QU5 CITY OF REXBURG 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 o~this application and hereby authorized representatives of the City to enter upon the above-mentioned properly for inspections purposes. NOTE: The building offici y revoke a permit on approval issued under the provisions of the 2000 International Code in cases of any false statement or 'srep esentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started wi 180 d ys. Permi~oid if wo~ stops for 180 days. of ,p~~~.i O 5 DATE WARDING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION 5ITE! Plan fees are non-refundable and are paid in full at the time of application beginning January I, 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 PROPERTY ADDRESS ] ~ ~ S . ~~, }cX- SUBDIVISION Dwelling Units:. SETBACKS FRONT Parcel Acres: SIDE SIDE, Front Footage (if applicable) Storm Water Length Permit# SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Unfinished Basement area Second floor/lo$ area Finished basement area Third floor/loft area Garage area ~ 3 x ~ ~ Shed or Barn Carport/Deck (30" above grade)Area Remodel (Need Estimate) $ ~ S OOD. " PLUMBING Plumbing Contractor's Name: Address Contact Phone: ( ) FIXTURE COUNT Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ Signature of Contractor BACK Business Name: State Zip Business Phone: ( ) Sprinklers Tub/Showers I (~ ToiletliJrinal ~V r Water Heater Water Softener License number Date The City ofRexburg s permit fee schedule is the same as required by the State ofldaho (Commercial Only) 2 J ~f MECHANICAL Mechanical Contractor's Name: Business Name: Address State Zip Contact Phone: ( ) Business Phone: ( ) FIXTURES 8~ APPLIANCES Furnace _ Furnace-Air Conditioner Combination _ Heat Pump _ Air Conditioner _ Evaporative Cooler _ Pool Heater EXHUAST & VENTILATION Dryer Vents _ Range Hood Vents Unit Heater Decorative Gas-Fired Space Cook Stove Vents Bath Fan Vents Fuel Gas Pipe (# of Outlets) Mechanical Estimate $ Signature of Contractor License n ber Date The City ofRexb g's permitfee schedule is the ame as required by the State ofldaho WATER METER COUNT. WATER METER SIZE HEAT (Circle all that apply) Gas Oil Coal Fireplace Electric. ~~ (Commercial Only) 3 Sent Pay: SHG-SLG GAPAPUS; 1 801 262 7600; Feb-2-05 €i:42PM; Pege 1!t L. ~1P a,CG.c~~ O~~A 7-D ,~j~-~9' C~ .Q ~t r T QM~ R~ 1~-P~WV'i2"2 ~ c~`l G) ~ Q~tCY G{,~ ..y~ -r~~.g~0 C~6aYS ~~` /~-1P ~~Q ~~`2ar~' u~` /~ Crma~ruc~t~ - ~~~ ow~,~C~ a~d- z-2-o~ III FEB 3?005