HomeMy WebLinkAboutCO & APPLICATION - 04-00090 - 271 Mark Ave - New SFRCITY OF
R.EXBLRG
CERTIFICATE OF OCCUPANCY
City of Rexburg
Department of Community Development
19 E. Main St. l Rexburg, ID. 83440
Phone (208) 359 -30201 Fax (208) 359 -3022
AMERICA'S FAMILY COMMUNITY
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
0400090
271 Mark Dr
Name and Address of Owner: Summers Sam Etux
P O Box 772
Rexburg, ID 83440
Contractor: Alan Rasmussen Construction
Special Conditions:
Occupancy:
This Certificate, issued pursuant to the requirements of Section 909 of the International Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
was inspected on the date listed vies found to be in compliance with the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy was
classified.
Date C.O. Issued: October 15, 2004 (11:12AM)
Issued b
C.0 Iss
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 Department: Fire
State of Idaho Electrical Department
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application 1 171 70 "l
OWNER
Name_ !S ay-, 9- PAC �O J o 1 s
Permit No .' — n
Site.Address _ - ?- rvx*-.- k- Q r
Mailing Address - 7 7 Z
City /State /Zip �� b m
Telephone/Fax/Mobile k- o 35 1 l h 79
CONTRACTOR ( `
Name 1'i 1", k�
Mailing Address L &Y 601 'R 0 0, , n 1 $3 Lt L
City /State /Zip ie_k
Telephone/Fax/Mobile 3 S 6- S Z'Z
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied
Architect/ Engineer Firm
Plan Name
Subdivision Lot . Block
Circle One Cesidentia Commercial Educational Government Remodel Other
Circle One <ew Hous Addition/Remodel to House New Commercial Commercial Remodel
Circle One Basement: None/ Finished <Unfmishe Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage /61 S CI S Lot Width q 5 Q
Square Feet ��
_� Garage Square Feet 0 Number of Stories 1 Height of Building
O
What will structure be used for: ome Home Business Apartment Commercial Other
Will there be an apartment? W O If so, how many � O units
4t/ ., ^ you in a flood lain N of y p
Total Estimated Cost Are
Signature of Applicant �L
3�-
Code
Building Permit Fees
D
�T Y
XBVR�
Plan Check Fees
Building Type
G�� dF
Plumbing Permit Fees
/ 3 to
. D, 0
ti
J
Digging Permit Fees
�8
Water & Sewer Fees
4
Front Footage Fee
s, Fire, and Police)
Impact Fees
G?
/ q 7•
G�
TOTAL $
Signature of Inspector
Issued by