HomeMy WebLinkAboutAPPLICATION, CO - 04-00197 - 192 Sequoia Ave - New SFRiv�aa- aS�
CITY OF
- FXBURG
AMERICA'S FAMILY COMMUNITY
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
WA
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
Homestead Construction
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 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: October
C.O Issued by:
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
0400197
192 Sequoia Ave
Homestead Construction Inc
1031 E 17th St
Idaho Falls, ID 83404
15, 2004 (02:34PM)
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 De artment: ire a t:
State of Idaho Electrical Department
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application Permit No.
OW.
Nan
�
1�1(Y1111� - �053
City /State/Zip
Telephone/Fax/Mobile
CONTRACTOR
Name
Mailing Address 0
City /State/Zip
Telephone/Fa:
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: - Is existing use compatible with zoning, (screening parking, etc) _ e S
When was this building last occupied ?
Architect/ Engineer F'um t42Ae9 -e- Des �F — s plan
Subdivision Q rc -C- C - Lot /Z Block T
ircle O Residential Commercial Educational Government Remodel Other
On e Circle O ew Addition/Remodel to House New Commercial Commercial Remodel
Circle One Basement: None/ Finished she Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage_ � 000 Lot Width
Main Level Square Feet Up stairs Square Feet M� asement Square Feet j,(O
Garage Square Feet OW Number of Stories 7r- Height of Building ZZ
What will structure be used for: ome Home Business Apartment Commercial Other
Will there be an apartment? A)d If so, how many units
Total Estimated Building Value PLO Are you in a flood plain Al p
Signature of Applicant
Code Building Permit Fees
Zone Plan Check Fees
Building Type Plumbing Permit Fees
Commercial Building Plumbing bid Digging Permit Fees
Commercial Building HVAC bid Water & Sewer Fees
Commercial Building Square footage Front Footage Fee
(Parks, Fire, and Police) Impact Fees
TOTAL $
Signature of Inspector
Issued by
SUBCONTRACTOR LIST
Excavation &
Earthwork:
Concrete:
Masonry:
Roofing:
Insulation:
D rywa 11:
Painting:
Floor Coverings
Plumbing:
Heating:
Electrical:
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
Roof Trusses: G
Floor / Ceiling Joists: �fTI
Cabinets � .,.. � � 1 ��- --�..s 'S L
Siding /Exterior Trim:
Other:
/Ca/
y
J 1
y SPCC /'se�S