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-