HomeMy WebLinkAboutAPPLICATION, CO - 04-00096 - 227 S 4th W - Addition-e�
CI OF CERTIFICATE OF OCCUPANCY
I 20--v REXBLIRG
AMERICAS FAMILYCAMMUNrrY City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3022
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
0400096
225 S 4th W
Tanner Joshua A Etux
2271/2S 4W
Rexburg, ID 83440
Same As Applicant
This Certificate, 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
vies inspected on the date listed saes found to be in compliance faith the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy saes
classified.
Date C.O. Issued: October 15, 200 1:13AM)
C.O Issued by:
/'0`/2/0
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 Departmen o4 t:t��' i re Depa
State of Idaho Electrical Department (208 - 356- 4830):
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application,
OWNER
Nam A rn
Site Address I 11� IS. 1- 1 I'-l 11
Permit No. R _0 a Tk'
Mailing Address
City /State /Zip
Telephone/Fax/Mobile J - 0 1
CONTRACTOR
Name
Mailing Address
City /State /Zip
Telenhone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: ��r� 1�- Is existing use compatible with zoning, (screening parking, etc
When was this building last occupied 20
Architect/ Engineer Firm Plan Name
Subdivision Lot Block
Circle One Ye enti Commercial Educational Government Remodel Other
Circle One New House Additio de t e New Commercial Commercial Remodel
Circle One Basement: None/ Finished / Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width
Square Feet Garage Square Feet Number of Stories Height of Building
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment? LA'e S If so, how many units I
Total Estimated Cost l . � Are you in a flood plain
Signature of Applicant
Code Building Permit Fees C 1 C
Zone Plan Check Fees � 9- t q
4
Building Type Plumbing Permit Fees "1 • Ua
2 6
EB Digging Permit Fees
��X� { Water & Sewer Fees 40 co G, oC)
�.� OF Front Footage Fee
(Parks, Fire, and Police) Impact Fee
TOTAL $ 1 ��
Signature of Inspector
Issued by