HomeMy WebLinkAboutAPPLICATION, CO - 04-000188 - 641 Vale Ln - New SFR►�, CITY OF
R.EXBURAG
A �LSNED w�
AMERICAS FAMILY COAAMUNrrY
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:
641 Vale Ln
Owner
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 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 vies
classified.
Date C.O. Issued: May 20, 2005 (1
C.O Issued by: `
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:
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
Fire Dafiart*
State of Idaho Electrical Department (208- 356 - 4830):
APPLICATION FOR BUILDING PERMIT
CITY OF RE"URG, IDAHO
Date of Application Zi l�_{ Permit No.
OWNER
Site Address
Mailing Addre
City /State/Zip
Telephone/Fax
CONTRACTOR
Name c3� t�� Cry Q
Mailing Address $ 4Q, ✓�� 12-m. 1 C7
City /State/Zip
T
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 . L, 'Pr;
Subdivision { i Lot
Circle One esi � Commercial educational Government Remodel Other
Circle One New House Addition/Remodel to House New Commercial Commercial Remodel
Circle One Basement: None/ Finished Unfinishe Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage 1 ( 1 -{ Lot Width p
Main Level Square Feet P_-_g_ Upstairs Square Feet AL Basement Square Feet !�g
Garage Square Feet 4 4 1 40 Number of Stories Height of Building Q �
What will structure be used for: ome ome Business Apartment Commercial Other
Will there be an apartment? If so, how many units
Total Estimated Building A%you in a flood plain
Signature of
Code Building Permit Fees
Zone
Building Type
Commercial Building Plumbing bid
Commercial Building HVAC bid
Commercial Building Square footage
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
(Parks, Fire, and Police) Impact Fees
TOTAL $
Signature of Inspector
Issued by
SUBCONTRACTOR LIST
Excavation &
Earthwork: a
Concrete: K , L,,-` —e4
Masonry:
Roofing:
Insulation: - imc LJp s�
D rywall:
Painting:
Floor Coverings: -
Plumbing: 2 c "I'.
Heating: 1 n*.�m
Electrical:
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
Roof Trusses: 1r'LC -- ��-
Floor / Ceiling Joists: 1 S
Cabinets
Siding /ExtLerior Trim: - i
Other:
REQUEST TO EXAMIlVE /COPY PUBLIC RECORDS
1�
DATE:
I hereby request, pursuant to Idaho Code Section 9 -335, to examine and/or copy the following public records: t
These records specifically pertain to myself.
Cl I wish to merely examine these records.
X I wish copies of these records.
Printed Name: t✓(C� �G11 c I� (/1 Y� 5 l�i
Mailing Address:
Telephone Number: `-7
Signature:
1 acknowled e b h st lure t request will not be used
for a mailinkAs Sr tele one list as set forth in Idaho Code Section 9 -348.
Please allow us ten working days to complete your request.
This request has been reviewed by city attorney on the day of 200 . Said request is hereby:
CI Approved
0 Denied
City Attorney