HomeMy WebLinkAboutAPPLICATION, CO - 04-00216 - 74 Star View Dr - New SFRO W- 4 - 4 CITY OF
a R MURG
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:
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
0400216
74 Star View Dr
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
R Hill Const
ONLY 2'7Z SF F /utfFlEl, IM 13"CI AE7Uf
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
tees inspected on the date listed vies found to be in compliance Wth 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: November 16, 2004 (12:48PM)
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.
Water Department: A Fire
State of Idaho Electrical Department
BUILD G PERMIT APPLICAT RE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR XBURG, �� DATE � 6
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC F ONS. ED N0.
OWNER 1 1 j3
JOB AD ' /I--
STRUCTURE:
ew ❑REMODEL DESIG
E COMM. ❑ ADDITION 13 REPAIR
❑ EDUCATIONAL n rnvT n BFwruu
?/�S ;
wJ tNCiS FOUNDATION - ❑FENCE ❑PATIO U FIRE DAMAGE
BASEMENT FLOORS EXT WALLS INT.WALLS
❑CARPORT O GARAGE
60NCRETE ONCRETE O RTIAL WOOD CEILING O AWNING
❑ MASONRY 0 MASONRY ULL WOOD WOOD WOOD ROOF HEAT INSULATED
O OTHER ❑ OTHER Q NO 0 OTHER CONC 13 MASONRY ❑ MASONRY g R LL O BUILT UP. I&GAS WALLS
ENEER
0 CONCRETE 0 CONCRETE O PLASTER O WOOD SH. El OIL CEILING
V Q/DRYWgLL COMP. SH. ❑COAL
L) METAL
❑ TILE C) FLOORS
❑ STUCCO LI PLASTER C) ACOUSTIC L3 ROLL ROO LI FIREPLACE PERIMETER
This permit k issued subject to the regulations contained in the ............ Unfform Building Code and Zoning Regu n of Rexburg, and I
that the work to be done as shown in th specifications will be completed in accordance with the regulations
pertaining and applicable thereto: The issuance of the permit does not waive restrictive g t Is hereby agreed
e plans and
META . a M —
covenants.
I iL-rvrr%rlr\J:
" PHONE
DEPA RTMENT OF BUILDING - A 7,,,,,
VALUE
FEE PAID
BUILDING
WHITE-Ownae rr.....,
.. n T- ouiwmg Departments Copy PINK - Assessor's Copy GOLDENROD. Inspector
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, M u^
Date of Application 0400216 Hill /Spec
OWNER p // r �Star V'cw Dr.
Name 9 .A, �, 7C � Grl�t COtj 'l
Site Address 5�f %r
Mailing Address s - k— l (3 V
City /State /Zip Xdak;, E # s- ? 3 V
Telephone/Fax/Mobile Z 2_ `� 8 Z � lc T S Z� I 5 C-- � DYf3
CONTRACTOR
Name ,
Mailing Address
Citv /State /Zi
Telephone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc
When was this building last occupied
Architect/ Engineer Firm / 2 (4 Plan Name /7 5Z)
Subdivision UX 1' / Lot
Block
Circle One esidential Commercial Educational Government Remodel Other
Circle One w Hous Addition/Remodel to House New Commercial Commercial Remodel
Circle One asement: None/ Finished / Unfinished Other: None/ Patio/ Carport/ Awning . N/A
Lot Square Footage / 5Z YS.0 3 r°- - Lot Width / 12
Square Feet ( 7 ti(J Garage Square Feet �n� Number of Storie Height of Building Z l
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment?
Total Estimated
00 '
l Sl.oz��
If so, how many units_
Are you in a flood plain /V
Signature of Applicant -�
Code
Zone
Building Type
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
Issued by _
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER
Name ( "n'l L
Address ) Tel. s p 4-s - 7
Lot — Blk. / Add. ,C P7
PLUMBER
Name &;�
Address Tel. ?,Y3?
NATURE OF INSTALLATION
Use
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer
UESCRIPTION OF WORK
Bath Tubs
Urinal
Showers
Sink Trap
Laundry Trays
Water Heater
Wash Basin
Other
Toilet
Slop Sinks
Kitchen Sinks
Floor Drain
Drinking Fountains
Lawn Sprinklers
✓Vater Softeners
)ish Washing Mach.
;lothes Washer
D 1+ ooh i(o
FEES
Plumbing Permit .................... $
Sewer Inspection .................... $
Inspection of Pipe ................... $
Inspection of Fixture $
. � TO AL $
Received: Date
By
INSPECTOR'S RECORD
N
Rough Plumbing
Sewer
Other
Finish Plumbing
W
E
S
INSP. NAME
SUBCONTRACTOR LIST
Excavation &
Earthwork
Concrete:
Masonry:
Roofing: 46
Insulation: Z-�
Drywall /G
Painting:
Floor Coverings:
Plumbing:
Heating:
Electrical: /1�2
Roof Trusses:_
Floor / Ceiling Joists:
Cabinets:
Siding /Exterior Trim :_
Other:
l c-
SPECIAL CONSTRUCTION
(Manufacturer or Supplier)
6�y o u jt �
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