HomeMy WebLinkAboutAPPLICATION - 04-00169 - 874 Widdison Ln - RemodelAPPLICATION FOR BU
CITY OF REXBURI
Date of Application A o P 1( I IQ , ' .00 y-
OWNER
Name_
Site Address
Mailing Address
04 00169 Conway /Remodel.
I1
City /State/Zip _ h V ► - q- - L) '&3 cP
Telephone/Fax/Mobile D 'S — 3 5 6 — 3 161 C 1
CONTRACTOR
Name � 0 W y-L u
Mailing Address '
City /State/Zip
Telephone/Fax/Mobile 1p —
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 - a R � pN Lot Block
C ircle One esidenti Commercial Educational Government Remodel Other
Circle One New House Addition/Remodel to Hous New Commercial Commercial Remodel
Circle One Basement: None/ Finished / Unfinished Other: None/ Patio / C o Awning N/A
Lot Square Footage &c kC., Lot Width
Main Level Square Feet Upstairs Square Feet Basement Square Feet
Garage Square Feet - 52 0 Number of Stories Height of Building
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment? No If so, how many units
Total Estimated Building Value �� Are you in a flood plain
Signature of Applicant k
Code
Zone
Building Type
Commercial Building Plumbing bid
Commercial Building HVAC bid
Commercial Building Square footage
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
(Parks, Fire, and Police) Impact Fee:
TOTAL $
Signature of Inspector
Issued by
SUBCONTRACTOR LIST
Excavation &
Earthwork :
Concrete:
Masonry:
Roofing:
Insulation:
Drywall: `-
Painting:C
Floor Coverings:
Plumbing:
Heating:
Electrical Z, f,
I
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
Roof Trusses:
Floor / Ceiling Joists:
Cabinets:
Siding /Exterior Trim:
Other: