HomeMy WebLinkAboutAPPLICATION - 04-00202 - Hollywood Video-Game Crazy - RemodelMay-26. 2004 2:23AM
No -3484 P- 2
APPLICATION FOR BUILDING PERMIT
MY OF REXBURG, MAHO
Date of Application 5/zI L Permit No.
7' CKE
Site Address 14'8 a) r tv ST • — — -
MailingAddress (,52-6 /U f fr p
City/StateMp _ ,,
Telephone/Fax/Mobile
CONTRACTOR
Name O Fe� eTCktM /iu6V
Mailing Address
City /State/Zip
Telepbone/Fx Mobile
PR OM ZLM DEPARTMENT APPROVAL
Property Zone: h existing use compatible with zoning, (screening p&*kin& etc)
When was this building Iasi occupied
Architect/ Engineer Firm ft V x Plan Name '
it I Q�e Residential oaunerc' Educational Government Remodel Other
0 a One New house Addition/Remodel to Mouse New Commercial ommercial Romo 1
Circle On Basemen on Finished/ Unfinished other- on Patio / Carport/ Awning N/A
Lot Square Footage_ Lot Width E� tST
Main Level Square Feet Upstairs Square Feet Af A Basement Square Fee
Garage Square Feet_ Number of Stories I Height of Building fi 2
What will structure be used for: Home Hpme Business Apartment Commercial Other
Will there bean apartment? /V0 If so how an units
Total Estimated Build' Valu 01 4 d- � ie S w e"X rS apo,
g a Are you to a flood plain
Sigmature of Applicant
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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 Fees
TOTAL $
Signature of Inspector
Issued by
May-26. 2004 2 :23AM No.3494 P. 4
BUILDING PERMIT APPLICATION RE XBU RG, ID DATE N
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED O�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. n,,
OWNER o � �N�` JOB ADDRESS W. //'llli¢-I�V PHONE fit/ -
Run nFR
STRUCTURE:
U NEW
REMODEL
-
U ADDITION U REPAIR
YGJIYr \CIS
U RENEWAL FIRE DAMAGE
Q RESIDENCE COMM.
U EDUCATIONAL U GOVT Q RELIGIOUS ❑ FE { j PATIO
0 CARPORT
[) GARA
p AWNING
FOOTINGS
FOUNDATION
BASEMENT
FLOORS
EKE WALLS
WT. WALLS
CEILING
ROO
HEAT
Q CONCRETE
U MASONRY
O CONCRETE
O MASONRY
G PARTIAL
O FULL
O WOOD
Q CONCRETE
O WOOD
Q MASONRY
U W0o0
WOOD
S
O BUILT UP.
Q GAS
INSULATED
Q WALLS
p OTHER
Q OTNFq
p NO
IJ OTHER
(� CONCRETE
O MASONRY
Q CONCRETTE
DRYWALL
O PLASTER
Q WOOD sH.
❑ COMP.
U OIL
Q CEILING
'7
VENEER
Q METAL
0 DRYWALL
O TILE
SH.
QTILF
U COAL
U FIREPLACE
Q FLOORS
O PERIMETER
0 PLASTER
O ACOUSTIC
Q ROLL ROOF
O ELECTRIC
This permit is Issued subject to the regulations contained In the Uniform Building Code and Zoning Regulations of Rexburg, and it is hereby agreed
that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations
pertaining and applicable dweto: The issuance of the permit does not waive restrictive Covenants.
REMARKS:
DEPARTMENT OF BUILDING i ZONING
VALUE
FEE PAID Q CASH APPLICANT
['
BUILDING DATE ennaccc
WHITE- thwnar'�Copy CANARY- OU11609Dep9drnmr' =COPY PINK- AteeeeerYCDW GOLDENROD- Inrpeclo/
APPLICATION FOR REXBURG CITY SERVICE
NAME
ADDRESS
PLUMBER
PROPERTY OWNE
WATER SERVICE: Type Size
W01er Connect......
_
Water Motor .......
3
Meter Box .........
_
Ring 6 Lid .........
_
Curb Slop .........:
S alter. . .. . b ......
$
Sewer CDnnaCt .....
_�_
TOTAL--, . .. - ..
i- ---- --
In City ^_ Out of City
Storm Drains — $ —
APPROVED BY
r�
I L
GROUP INC.
A R C H I T E C T U R E . ENGINEERING . ENVIRONMENTAL S E R V I C E S
1325 NW Whitman Street, Camas, WA 98607 Telephone: (360) 834 -6536 Facsimile: (360) 834 -6563
LETTER OF TRANSMITTAL
5/27/04
To: Cathy Winters
City of Rexburg- Community Development Center
12 North Center Street
Rexburg, ID 83440
208 - 359 -3020
RE: PERMIT SUBMITTAL DRAWINGS
Site: Game Crazy #012104
148 W. Main Street
Rexburg, ID
cc:
Job #: 2403.17
CIA: UPS ❑ For review El For your use ❑ As requested
QTY.
DESCRIPTION
2
Sets of prints
1
Permit application(s)
1
Lighting Calculations
REMARKS:
Cathy,
The attached drawings are submitted for your review for building permit. Let me know if I need to send plan check fees or
if the contractor pays when permits are pulled.
Please call if you have any questions.
Thanks.
0
SIGNED:
Ken McCracken, Project Manager
IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US! THANK YOU
BELLEVUE, WA ANAHEIM, CA PETALUMA, CA ROSEVILLE, CA SCOTTSDALE, AZ