HomeMy WebLinkAboutCO & APP - 04-00184 - Jensen Jewelers - Tenant FinishCITY OF
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R..EXBURG
�� e� AMERiGi'S FAMILY CONAMUNrrY
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
[11E >[oil]liF !
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Teton River Village Lc
195 E 600 S
American Fork, UT 84003
Contractor:
Special Conditions:
Occupancy:
Ellsworth Paulson
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 tees found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued: August 31, 2004 (01:47PM)
C.O Issued by:
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.
CERTIFICATE OF OCCUPANCY
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3022
Water Department: ' —'Fire Department:
State of Idaho Electrical Department (208- 356- 4830):
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application
OWE
Nan
Site
Mail
City,
Telepnonel ax/Mobiie
CONTRACTOR /
Name
Mailing Addr(
City /State/Zip
Telephone/Fa:
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupiedd X - d I
Architect/ Engineer Firm &JO Plan Name
Subdivision °rrL .�� ,� et , / Z .� Lot /D� Block
Circle One Residential ommerciat Educational Government Remodel Other
Circle One New House Addition/Remodel to House New Co mmercial Commercial Remodel
Circle One Basement: None/ Finished / Unfinished Other: None/ Patio/ Carport/ Awning
Lot Square Footage Dd,4 Lot Width
Main Level Square Feet / G Upstairs Square Feet 0 Basement Square Feet �
Garage Square Feet 0 Number of Stories t Height of Building
What will structure be used for: Horne Home Business Apartment 6 qi Othdr
Will there be an apartment? - � 1 4 1 If so, how many units
Total Estimated Building VaJye Are you in a flood plain
Signature of Applicant
Code
Zone
Building Type
Commercial Building Plumbing bid
Commercial Building HVAC bid
Commercial Building Square footage
(Parks, Fire, and Police)
Signature of Inspector
Permit No.
Building Permit
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage
Impact Fees
TOTAL $
Issued by