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HomeMy WebLinkAboutAPPLICATION - 04-00302 - Jenks Townhomes - Bldg 5CITY OFREXBIYRG BUILDING PERMIT APPLICATION L' N_vV 19 E MAIN, REXBU RG, ID. 83440 '?08- 359 -3020 X326 PARCEL NUMBER: 'V�Vy\ kk) 5T k Q d®d5 SUBDIVISION:_ � t'ifS 04 003 02 Jenks Tots n- shoncs UNIT# BLOCK# Z LOT# S OWNER: ay\\ S u CONTACT ]?HONE # dob 3 3 -3 ifSi PROPERTY ADDRE SS. qci TYUV c5� . PHONE #: Home f 'lbj_ 3)0 cwt Work (ac *} 313 - 3 JN,9 Cell OWNER MAILING DRESS: 502 l t L rA CITY: Rte! - STATE - TO ZIP W0 APPLICANT (If oth than owner) (If applicant if other than owner, a statement authorizing applicant to act as agent' for owner must accompany this application.) MAILING ADDRES ' OF APPLICANT Lence_" L CITY: STATE; PH0NE#A4om6 }_ - 3csu' Work (Zrre ) t3 — 33 - 7 Cell( t Itut S 2 hones 649 Trejo ZIP P3Y40 CONTRACTOR: Ue i' �NU PHONE: Home# 3W � T Work# 313 - Nn Cell# MAILING ADDRESS: AP CITY STATE ZIP How many houses ar located on this property? L Did you recently pure ase this property? No e If yes give owner's name) .7045 � ' gLv�cVcA 0a i4%Z `LC Is this a lot split? &Z YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family APPLICANT'S SIG certify that I have read th hereafter be given by me truthful and correct. I ag hereby authorized repres+ building official may rev statement or misrepresen started within 180 days. , Apartments, Remodel, Garage, Commercial, Addition, Etc.) 4TURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby application and state that the information herein is correct and I swear that any information which may hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be to comply with all City regulations and State laws relating to the subject matter of this application and atives of the City to enter upon the above - mentioned property for inspections purposes. NOTE: The e a permit on approval issued under the provisions of `;he 2000 International Code in cases of any false ion of fact in the application or on the plans on which the permit or approval was based. Permit void if not rid if work stops for 180 days. of Owner /Applicant 9 / ld / e>z DATE WAIR ING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees ard non - refundable and are paid in full at the time of application beginning January 1.20 ©5. 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 sloes not clear ** NAME PROPERTY Al SUBDIVISION Dwelling Units: Front Footage (if SURFACE SQU First Floor Area Second floor /loft ar( Third floor /loft area Shed or Barn PLUMBING PLUMBERS NAME CITY FIXTURE COUNT CLOTHES WASHIT� DISHWASHER FLOOR DRAIN GARBAGE DISPOS. HOT TUB /SPA SINKS (Lavatories, kitchens, WATER METER HEAT (Circle all that BUILDING ESTI1fL PLUMBING ESTTtj STORM WATER LI FRONT FOOTAGE STRUCTURES DESCRIPTION USE BEDROOMS UNITS Z NON CENSUS OCCUPANCY IOAD EXITS 4 SETBACKS FRONT Zo l V k vMk V tv ('\0 -s LLB- -. S 16' 0 'SF Permit# WctgVc,ke� 2 Parcel Acres: ) C) FOOTAGE 5 (Shall include the exterior wall measurements of the building) Unfinished Basement area =- Finished basement area Garage area Deck (30" above grade)Area IVO ADDRESS 4 1 SV . STATE TT ZIP 83HN PHON }� (Zv$) Z� 38E� MACHINE Z 2 , mop) Z C:1 SPRINKLERS TUB /SHOWERS TOILE /URINAL _ WATER. HEATER � WATER SOFTENER .SQL qk'� WATER METER SIZE y) 51 yX Oil Coal Fireplace Electric ►ads & Apartments with 3 or more TE $ �Un 'GTH 5 CONSTRUCTION C IJCod _ ROOF &n 1 SANITATION METHO HEAT cc .SIDE 2 0 SIDE FLOOD ZONE ±VA FENCE TYPE ► IA OCCUPANCY NA �l 7cj BACK /G 2 1c 2