HomeMy WebLinkAboutBP & APP - 04-00295 - The Filling Station - FoundationCITY OF • •
R- EXBURG
AMERICAS FAMILY COMMUNITY Buil
Per- it
This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the
City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations
of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on
the Building Permit Application as approved by the Building Inspector.
Date Approved
�3zyo�
Issued
Building Inspector
THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE
THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY
1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of
on the premises during construction, the building beyond the point indicated
N O T I C E 2) The permit will become null and void in the event of any deviation from the in each successive inspection without
■ accepted drawings. approval. No structural framework of
3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered
without approval.
INSPECTION CARD
BUILDING
Date Approved -
_
Layout
2. Footing
3. Foundation
_ - - -�
4. Framing
5. Insulation
——
—
6. Drywall
7. Sidewalk
8. Final I J
9. Mechanical
OTHER
Date Approved
1. Fire Department Fina
PLUMBING
Date App roved
" 1. S ewer Servece Conn
-
2. Water Service Conn(
3. Rough -In
24 Hour Notice
and Permit Number required
to make inspection appointments
For Inspections Call 359 -3020 option 2
ACERTIFICATE OF OCCUPANCY CAN NOT
BE ISSUED PRIOR TO FINAL ELECTRICAL
& PLUMBING INSPECTION
ClX Y OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208 - 359 -3020 X326
0400295
PARCEL NUMBER: RQ �, x B CA o t 8n agq
Foundation The Filling Station
SUBDIVISION: UNIT# BLOCK# LOT#
OWNER: `%Zt -n Z r� CONTACT PHONE #
PROPERTY ADDRESS: ' & a& tw
PHONE #: Home Po�) S75 7 Work 4kr) Cell Peg) 3S
OWNER MAILING ADDRESS: A� CITY: STATE :,ZIP:
APPLICANT (If other than owner)
(If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
MAILING ADDRESS OF APPLICANT
2 - 1 z �(yS Al 7 w CITY: 4�7t STATE; ` ZIP -- elo
PHONE #: Home ( ) Work ( ) Cell ( )
CONTRACTOR: L�Qx J Z2Z{ PHONE: Home# Work# Cell# �3
MAILING ADDRESS: Z l�(5' W -15 71,J CITY ,r STATE _ ZIP E3-/ a
How many houses are located on this property? / ,
Did you recently purchase this propertyz�D Yes (If yes give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE: 4--f 01Vtrrte1L, j 4 L
(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 representatives of the City to enter upon the above - mentioned property for inspections purposes. NOTE: The
building official may revoke a permit on approval issued under the provisions of the 2000 International Code in cases of any false
statement or misre resentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
started m 180 days. iiit void if stops for 180 days.
Signature of Owner /Applicant
/ - /6, / 41V
DATE
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 **
NAME
r
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
Parcel Acres:
Front Footage (if applicable)
Permit#
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area
Second floor /loft area
Third floor /loft area_
Shed or Barn
PLUMBING
PLUMBERS NAME
CITY
Unfinished Basement area
Finished basement area
Garage area
Carport/Deck (30" above grade)Area
STATE ZIP
FIXTURE COUNT
CLOTHES WASHING MACHINE
DISHWASHER
FLOOR DRAIN
GARBAGE DISPOSAL
HOT TUB /SPA
SINKS
(Lavatories, kitchens, bar, mop)
WATER METER COUNT
ADDRESS
PHONE(
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 Only
BUILDING ESTIMATE $
PL UMBING ESTIMATE $
STORM WATER LENGTH
FRONT FOOTAGE
STRUCTURES
DESCRIPTION
USE
BEDROOMS
UNITS
NON CENSUS
OCCUPANCY LOAD
EXITS
SETBACKS
FRONT SIDE SIDE
CONSTRUCTION
ROOF
SANITATION METHOD
HEAT
FLOOD ZONE
FENCE TYPE
OCCUPANCY
BACK
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