HomeMy WebLinkAboutAPPLICATION - 04-00304 - Jenks Townhomes - Bldg 7Y CITY OF REXB t-,
BUILDING PERMIT APPLICATION
19 E MAIN, REXBU G, ID. 83440
208- 359 -3020 X326
PARCEL NUMBER: R S '1�b X40 (� 0
SUBDIVISION: I_ �
PROPERTY ADD
PHONE #: Home
OWNER MAILING
•
Co�1 — 1 V11 1 6 Fsh"
rTT l - LI
0400304
Jenks Townshomes Unit 7 l home 609 TnJo
UNIT# BLOCK# Z LOT# (o
L CONTACT PHONE #
3aU Work (,,?-Q A - 37b Cell
DRESS: d bg 4) CITY: Q % STATE: 20 ZIP L / Q
APPLICANT (If othe 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
� a, c CITY: RC4 _ STATE; — JO ZIP
PHONE #: Home 3?X - � M+ Work V cV) 313 "- 3 Cell ( )
CONTRACTOR:_ J4& � CO' PHONE: Home# .3N - 3 0'1 - Work# 313 R 0 Cell#
MAILING ADDRES �rc� �1 CITY A b� STATE �Il ZIP (93'V�
How many houses
Did you recently
Is this a lot split?
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 -u4bin 180 days.
of Owner /Applicant
a
1
DATE
ING - BUILDING PERMIT MUST BE POSTED'! ON CONSTRUCTION SITE?
Plan 4es art 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 cal application **
*Building Permits are void if you check sloes not clear **
located on this property?
this property? No e�If yes give owner's name) e,Wis �c ► peed L LC
YES (Please bring copy of new legal description of property)
Tcu __A \ oyo ,
ti , Apartments, Remodel, Garage, Commercial, Addition, Etc.)
ATURE, 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
tatives 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 the 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
:rp� if work stops for 180 days.
1
NAME
PROPERTY Al
SUBDIVISION
LL C-
Permit#
Dwelling Units:
Front Footage (if apy
SURFACE SQUARI
First Floor Area
Second floor /loft `are,
Third floor/loft area
Shed or Barn
PLUMBING
PLUMBERS NAME
CITY C'.\1
FIXTURE COUNT
CLOTHES WASHER
DISHWASHER
FLOOR DRAIN
GARBAGE DISPOS,
HOT TUB/SPA
SINKS
(Lavatories, kitchens,
WATER METER
HEAT (Circle all that
BUILDING ESTIAL
PE UMBING ESTIt
STORM WATER LI
FRONT FOOTAGE
STRUCTURES
DESCRIPTION
USE
BEDROOMS
UNITS
NON CENSUS
OCCUPANCY10AD
EXITS 12
SETBACKS
FRONT 7-0
Parcel Acres: -L W
0
FOOTAGE: (Shall include the exterior wall measurements of the building)
Cld�
STATE T�)
MACHINE
r, mop)
�T
WATER METER SIZE 2
) (!fa Oil Coal Fireplace Electric
ys & Apartments with 3 or
7 E $ - 70poo
TE $ 2�22 3
GrH go'
.S IDE 2-O SIDE
Unfinished Basement area
Finished basement area
Garage area
CONSTRUCTION b-Qx.73
ROOF A'5-vJ,,,A t
SANITA 7I0N`A1ETH0D
HEA /-CS
FLOOD ZONE Nh
FENCE TYPE / 4
OCCUP4NCY (TI
2-& BACK 10 7
(30" above grade)Area �Uo
ADDRESS LD) F. CL- tmc-
PHONE (2-S) a 3,Y a
SPRINKL 0
TUB/SHOWERS
TOILE'.
WATER HEATER
WATER SOFTENER
2