HomeMy WebLinkAboutAPPLICATION - 04-00250 - 424 S 5th E - Addition•
0
BUILDING PERMIT APPLICATION REXBURG iu DATE � �-dy
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED NO,
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER t✓" v� � �!�
JOB ADDRESS 'fZ q S, 5 BUILDER— .x �,6n�slf+ ARCHITE ° S PHONE LJ7^C�
STRUCTURE:
p NEW ❑REMODEL
C T
L® ADDITION
RESIDENCE Q COWA
FOOTINGS
❑EDUCATIONAL Q REPAIR
GOVT p RELIGIOUS
ROOF
FOUNDATION
BASEMENT FL��
III FENCE
p PATIO
CONCRETE
CJ MASONRY
CONCRETE
❑ PARTIAL WOOD
EXT. WALLS INT. WALLS
CEILING
p OTHER
Q MASONRY
p OT HER
ULL CONCR
p NO
WOOD WOOD
U MASONRY Q MASONRY
LIWOOD
Q OTHER
❑ CONCRETE Q CONCRETE
RYWALL
p PLASTER
Q VENEER RYWALL
Q METAL
Q TILE
CASTER
Q ACOUSTIC
p RENEWAL
Q FIRE D AMAGE
❑ CARPORT
p GARAGE
Q AWNING
ROOF
HEAT
INSULATED
Q BUILT UP.
Q WOOD SH.
Q GAS
41WWALLS
5K COMP. SH.
p OIL
Q COAL
EILING
Q FLOORS
O TILE
Q FIREPLACE
Q PERIMETEF
This permit is issued subject Q STUCCO Q TILE Q OPEN LL ROOF. Q ELECTRIC
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
Permit does n
Pertaining and applicable thereto: The issuance of the g
not waive restrictive covenants.
nCMANKS:
DEPARTMENT AF ttuu Haan a
VALUE
FEE PAID
BUILDING
wuiTC_n.. - --- -
"— a wPy I-ANARY- Building Departnent s Copy PINK - Assessors Copy GOLDENROD - Inspector
APPLICATION FOR BUH nTNvr PlwRMIT
CITY OF REXBURG
Date of Application / �� 04 0025O Pack/SFR ADD
owNER ,�
✓e L
Site Address
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S ash
Mailing Address
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City /State/Zip
YY#
Telephone/Fax/Mobile fi t -
CONTRACTOR /J
Name JGSov-
Mailing Address P S7/
City/State/Zip-----AK
Telephone/Fax/Mobile 3S� X08 35r/
PROJECT INFORMATION
Property Zone:
When was this building last occupied
Architect/ Engineer Firm plan Name
Block
Circle One side Commercial Educational Government Remodel Other
Circle One New House d t Ho New Commercial Commercial Remodel
Circle One Basement: None/ shed Unished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage
Lot Width
Main Level Square Feet J'1ft Upstairs Square Feet Basement Square Feet
Garage Square Feet Number of Stories < Height of Building 2
What will structure be used for: 4 ,/ HHome Business Apartment Commercial Other_
Will there be an apartment? /U If so, how many units
Total Estimated Building
Signature of Applicant
Code
Zone
Are yo u in a flood plain
Building Permit Fees
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
Signature of
TOTAL $
DEPARTMENT APPROV
Is existing use compatible with zoning, (screening parking, etc)
Issued by