HomeMy WebLinkAboutAPPLICATION - 04-00148 - Woody Smith Ford & Mercury - RemodelAPPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application 7 - s Uy Permit No.
OWNER / l
Name 5rnilk F or-0. P S M1��
Site Address &5 So. �cllo r
Mailing Address H k r�
City /State/Zip k0 . OD g3'4gb
Telephone/Fax/Mobile
CONTRACTOR
Name JAft - R. G ri m PI mi'l of -U.6
Mailing Address _ 120 LB So. Cr o t Jv 9 &S Pr -
City /State/Zip .':N11j0 Wx
Telephone/Fax/Mobile 5 Z.3 103- 370 5 --
PROJECT INFORMATION DEPARTMENT APPROV
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied ?
Architect/ Engineer Firm Q64 Scs 45CL t T�O Plan Name - S 4v F040.
Subdivision Lot Block
Circle One Residential ommerciai Educational Government Remodel Other
Circle One New House Addition/Remodel to House New Commerci ommercial Remo
Circle One Basement: None/ Finished / Unfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width
Main Level Square Feet Upstairs Square Feet Basement Square Feet
Garage Square Feet Number of Stories
What will structure be used for: Home Home Business
Will there be an apartment?
Total Estimated Building Value
Signature of Applicant
* * * * * * * * * * * * * * * ** * * * ** * * * * * * **
Code
Are you in a flood plain 1113 O
Building Permit Fees
Zone
Building Type
Commercial Building Plumbing bid
Commercial Building HVAC bid
Commercial Building Square footage
Signature of Inspector
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
(Parks, Fire, and Police) Impact Fees
TOTAL $
Height of Building
Apartment ommerei her
If so, how many units
Issued by
SUBCONTRACTOR LIST
Excavation &
Earthwork:
Concrete:
Masonry:
Roofing:
Insulation: A11A
Drywall: "Q-cwAse 4er CousA raA(on .
Painting:
Floor Coverings:
Plumbing: /V
Heating: (- a,,A&A
Electrical: l Vcz�cu �ec�t
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
Roof Trusses:C
Floor / Ceiling Joists:
Cabinets: A
Siding /Exterior Trim: — T rc &d ge,#er- eo&,s4rvcf tarp _
Other:
/V A
i t A