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HomeMy WebLinkAboutAPPLICATION - 04-00263 - UPS Store - Tenant FinishCITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 PARCEL NUMBER: 04 00263 UP S iTeton River Village Ellsworth Paulson SUBDIVISION: /LO BLOCK# LOT# OWNER: ACC kI uc f Zy— ( CONTACT PHONE # PROPERTY ADDRESS: PHONE #: Home ( OWNER MAILING ADDRESS: APPLICANT (If other than owner)_ (If applicant if other than owner, a statement � , �/, /, Ll,� this application.) MAILING ADDRESS OF APPLICANT -) �©© S CITY: '1- STATE; ZIP 9 HONE #: Home ( ) Work ( -7�� 4� ell (�D /) T��o —4 CONTRACTOR: � 2 Z ,, , loo v, PHONE: Home# Work4Wl' C 1f MAILING ADDRESS: ��S CIT � � STATF How many houses are located on this property? Did you recently purchase this property ?�o Yes (If yes give owner's name) Is this a lot sp NO YES (Please bring copy of new legal description of property) PROPOSED USE: J - G/Sl (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION Under penalty of perjury I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized r entatives of the City to enter upon the above - mentioned property for inspections purposes. NOTE: The building offici ay rev ke a permit on approval issued under the provisions of the 2000 International Code in cases of any false statement or isreprese tation of e application or on the plans on which the permit or approval was based. Permit void if not started) ' 180 da .,Pe y if r5bps for 1,�0 days. Applicant � / 0164 DATE STATE: G1! ZIP: 8�j� 'WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning January 1, 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval * *Building Permit Fees are due at time of application ** * *Building Permits are void if you check does not clear ** MAME ` PROPERTY ADDRESS SUBDIVISION Dwelling Units: Parcel Acres: Front Footage (if applicable) /j`� ADDRESS PHONE( SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Second floor /loft area 41 A Third floor /loft area Alzg Shed or Barn Unfinished Basement area Finished basement area Garage area Carport/Deck (30" above grade)Area PLUMBING PLUMBERS NAME CITY STATE ZIP FIXTURE COUNT CLOTHES WASHING MACHINE DISHWASHER FLOOR DRAIN GARBAGE DISPOSAL HOT TUB /SPA SINKS (Lavatories, kitchens, bar, mop) WATER METER COUNT Permit# SPRINKLERS TUB /SHOWERS TOILET/URINAL / WATER HEATER WATER SOFTENER WATER METER SIZE HEAT (Circle all that apply) Gas Oil Coal Fireplace Electric Commercial Buildings & Apartments with 3 or more units BUILDING ESTIMATE $ o ap e" ?t 1 --L -� PLUMBING ESTIMATE $ 6GO STORM WATER LENGTH FRONT FOOTAGE STRUCTURES DESCRIPTION USE ant s` BEDROOMS 411,4 UNITS J NON CENSUS OCCUPANCY IOAD EXITS SETBACKS FRONT SIDE SIDE CONSTRUCTION ROOF SANITATION METHOD HEAT FLOOD ZONE FENCE TYPE OCCUPANCY 1 F) CITY OF REXBURG APPLICATION FOR PLUMBING PERMIT OWNER FEES Name 6 z , :� 7 o Plumbing Permit .................. • • $ Address / 4 6 �.�.l el. / —0697 Sewerinspection .•.•••••••••••••••••$ Lot Blk. Add. Inspection of Pipe ...... • • • • • • • • • • • • • $ PLUMBER Inspection of Fixtures ............ • • • • $ pit/ Name $ Address Tel $ NiATURE OF IN�T O / TOTAL $ Use G Lel Received: Date Rough Plumbing Septic Tank By DESCRIPTION OF WORK Bath Tubs Fixtures Water Piping Complete Sewer DESCRIPTION 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 Water Softeners Dish Washing Mach. Clothes Washer INSPECTOR'S RECORD W W E S INSP. NAME Rough Plumbing Sewer Other Finish Plumbing RESTROOM ELEC. PANE .� �. cra 7' -4j' 6" use• Ks 6' 20' -5' U.P.S. STORE 1,600 SO. FT. 9Z" ¢w�C CEtM ARCHITECT /ENGINEER DATE: R E X B U R G UPS ST ORE ZAPe g Red copy. jpg MODIFIED BY PEG DEVELOPMENT DATE: 07.13.2004 N.T.S.