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HomeMy WebLinkAboutAPPLICATIONS, BP, MULT DOCS - 05-00051 - 441 Reed St - Remodeli� CI f Y OF • • R-EXBR-UG $CtsHE� AMERk A�S FAMILY CO3WOUNITY Buil Permit 9 101, Key-1 011I BUILDING Date Approved 1. Layout No work shall be done on any part of on the premises during construction, 2. Footing NOTICE! 3. Foundation 2) The permit will become null and void in the event of any deviation from the in each successive inspection without 4. Framing 5. Insulation approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed 6. Drywall without aooroval. 7. Sidewalk 8. Mechanical 9. Final PLUMBING Date Approved This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on the Building Permit Application as approved by the Building Inspector. Date Approved 03/09/2005 Issued By � Building Inspector 1. Sewer Service Conn No work shall be done on any part of on the premises during construction, 2. Water Service Conn( NOTICE! 3. Rough -In 2) The permit will become null and void in the event of any deviation from the in each successive inspection without 4. Final 24 Hour Notice THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY 1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of on the premises during construction, the building beyond the point indicated NOTICE! 2) The permit will become null and void in the event of any deviation from the in each successive inspection without accepted drawings. approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered without aooroval. and Permit Number required to make inspection appointments For Inspections Call 359 -3020 option 2 ACERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL & PLUMBING INSPECTION CITY OF REXB URG 0 BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 17- \:Z0l0 1r► f L& : _ • PERMIT # 0 006 � , Please complete the entire Application! If the question does not apply fill in NA for non applicable I SUBDIVISION: UNIT# BLOCK# LOT# ,� J r OWNER: 13 e ( CONTACT PHO E t- � �S(G% 9 e) 1 PROPERTY ADDRESS: 1t4J P 66 ? PHONE #: Home (do$ 35� Work( ) Cell QGS) ;L 9 1 - q `) I OWNER MAILING ADDRESS: 4N JCee J AV-e CITY: ( w r STATE:_LDZIP: �-e 1/v 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: STATE; se�r� ZIP PHONE #: Home, w��T3 ji Work Cell ( ) CONTRACTOR: S Cc =-(- PHONE: Home# Work# Cell# MAILING ADDRESS: CITY STATE ZIP How many houses are located on this property? i Did you recently purchase this property? & Yes (If yes give owner's name) Is this a lot split? Q0 YES (Please bring copy of new legal description of property) PROPOSED USE: r� (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 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 within 180 days. Permit void if wofk stops for 180 days„ Signature`b'Owner /Applicant 3 3 / os 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. 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 ' - G- ,j PROPERTY ADDRESS t ( (' t2, CP SUBDIVISION Dwelling Units: SETBACKS FRONT SIDE Front Footage (if applicable) Storm Water Length SIDE Permit# SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Unfinished Basement area Second floor/loft area Finished basement area Third floor/loft area Shed or Barn ( "Adel N eed Estimate) $ vZN Water Meter Count: Garage area Carport/Deck (30" above grade)Area Water Meter Size: PLUMBING Plumbing Contractor's Name: Business Name: WAJ Grkbistg Address / State 1 , zip 83- W / Contact Phone: P* g) Y —X 4 ' 0-q7 S — Business Phone: 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) E lumbing Estimate $ / , *0 (Commercial Only) G �qo� Signature 0 License number Date The City of Rexburg s permit fee schedule is the same as required by the State of Idaho Parcel Acres: IT404 2 L� NAME PROPERTY ADDRESS SUBDIVISION L� Permit# MECHANICAL Mechanical Contractor's Name: Business Name: _ Address State Zip Contact Phone: ( ) Business Phone: ( ) FIXTURES & APPLL4NCES COUP ❑ Furnace ❑ Furnace /Air Conditioner Combo ❑ Heat Pump ❑ Air Conditioner ❑ Evaporative Cooler TT ❑ Incinerator ❑ Boiler ❑ Pool Heater Similar fixtures or pliances: Unit Heater ❑ Space Heater ❑ Decorative gas -fired appliance ❑ Exhaust or Vent Ducts ❑ Dryer Vents ❑ Range Hood Vents ❑ Cook Stove Vents ❑ Bath Fan Vents ❑ Other similar vents & ducts: ❑ Fixtures or Appliance outlets of the gas piping system Mechanical Estimate $ (Commercial Only) Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Point of Delivery must be shown on plans. Please check all that Apply: Signature of Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 3 ..■�.rr Moe r I ~=~ ------_ ___ ; :mow X .;~. ~ JP~ - ----_-- t -- ~-~--~ -~.-->_- j ; _- ~~: -_ ~ ---- _I ~ _ moo, _____ Se. 1~,__ I l ~ ¢'~r--+ jS~~~,_ .... i _.p.___,_-. r.:~--,~i.... __ ._ ~._~_ _ 1 ~____ __-. ~~ 3 .~~ » - 5-