HomeMy WebLinkAboutAPPLICATION - 04-00289 - 450 W Main - GarageBUILD G PERMIT APPLICAT N REXBURG ID DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER
JOB ADDRESS Ld S /1 '711 / / //T I AJ PHONE
ARCHITECT
STRUCTURE: a FLEW 0 REMODEL 0 ADDITION 0 REPAIR 0 RENEWAL ❑ FIRE DAMAGE
O RESIDENCE 0 COMM. 0 EDUCATIONAL 0 GOVT 0 RELIGIOUS 0 FENCE 0 PATIO O CARPORT 0 GARAGE 0 AWNING
F TINGS
FO
BASEMENT
FLOORS
WALLS
INT.-WALLS
CEILING
ROOF
AT
IN TED
CONCRETE
CONCRETE
El PARTIAL
0 D
WOOD
0 WOOD
D
0 BUILT UP.
-
GAS
LS
0 MASONRY
0 OTHER
0 MASONRY
❑ OTHER
❑F,HLL
WrNO
MCONCRETE
0 OTHER
0 MASONRY
O CONCRETE
0 MASONRY
L39MCRETE
DRYWALL
0 PLASTER
❑ VOW SH.
GVtOMP. SH.
❑ OIL
0 COAL
EILING
0 FLOORS
0 VENEER
WDRYWALL
0 TILE
O TILE
0 FIREPLACE
0 PERIMETER
❑ METAL
0 PLASTER
❑ ACOUSTIC
0 ROLL ROOF.
0 ELECTRIC
O STUCCO
❑ TILE
0 OPEN
O METAL
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
perta and applicable thereto: The issuance of the permit does not waive restrictive co
REMARKS:
DEPARTMENT OF BUILDING & ZONING
VALUE
FEE PAID 0 CASH APPLICANT
CHECK
BUILDING DATE ADDRESS
INSPECTOR
WHITE - Owner's Copy CANARY - Building Department's Copy PINK - Assessor's Copy GOLDENROD - Inspector
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application Permit No.
MM -11"
Site A
City /State/Zip fj=- & g
Telephone/Fax/Mobile
CONTRACTOR
Name L�
Mailing Address
City /State/Zip
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 Plan Name
Subdivision Lot Block
Circle One =Residential Educational Government Remodel Other
Circle One New House Addition/Remodel to House New Commercial Commercial Remod O 12 A Z €
Circle One Basement: None/ Finished / Unfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width
Main Level Square Feet i Q Upstairs Square Feet Basement Square Feet
Garage Square Feet Number of Stories / Height of Building / k
What will structure be used for: Home Home Business Apartment Commercial Other (2A C
Will there be an apartment? If so, how many units
Total Estimated Building Val — Art-, in a flood plain 4) D
Signature of Applicant - --
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