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Home My WebLink AboutAPPLICATION - 04-00324 - The Village Apartments - Bldg 8CITY OF REXB URG PERMIT # BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 PARCEL NUMBER: SUBDIVISION: -12, V A Cif AWS UNIT# BLOCK# LOT# OWNER: C am ron Md K n I eca CONTACT PHONE # �_q7(.Q d 5a U ` PROPERTY ADDRESS: q C) PI oY1,tey Id 12.ubu-rg l b nqL to PHONE #: Home (10 a0_5 �1 Work ( ass) 5a- �F 7feo Cell 0.*) 5ao OWNER MAILING ADDRESS: a1( E. WO MA S ITY: �d t I� STATE:1ZIP: '8 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 a t l S . \14o mM k CITY: STATE; ZIP PHONE #: Home Sf'i3y' Work ( ) S` I-t - V (oo Cell ( ) 59 O - 593 °1 CONTRACTOR: We sfb r ook W B ONE: Home# S - Work# 9�?+ `l '7w Cell# 5Z-0 - G %39 MAILING ADDRESS: 9 1157. Vf pcc r lf Sft k • CITY k 0 F0 J(S STATE 1) ZIP E 3 t a How many houses are located on this property? Did you recently purchase this property ?&N 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: (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 misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. ,- Signature of Owner /. 9 / d2 / O 1 _ 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 ViuA &G APi S l W-Fwrg < PROPERTY ADDRESS 4116' Psaovee z SUBDIVISION Dwelling Units: /oS � 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 Remodel (Need Estimate) $ PLUMBING PLUMBERS NAME _111ti-s P6umg ADDRESS 5340 Under -- CITY jNrf A-6 r STATE _1 0 ZIP t3goW PHONE (?ors) 639 - ?7/_< FIXTURE COUNT CLOTHES WASHING MACHINE /oS DISHWASHER X03" FLOOR DRAIN io S GARBAGE DISPOSAL o S HOT TUB /SPA SINKS �o (Lavatories, kitchens, bar, mop) WATER METER COUNT SPRINKLERS TUB /SHOWERS ioS TOILET/URINAL io S WATER HEATER WATER SOFTENER WATER METER SIZE 2" HEAT (Circle all that apply )4!a ) Oil Coal Fireplace Electric Commercial Buildings & Apartments with 3 or more units Only BUILDING ESTIMATE $ PLUMBING ESTIMATE $ STORM WATER LENGTH FRONT FOOTAGE STRUCTURES DESCRIPTION USE BEDROOMS UNITS NON CENSUS OCCUPANCY [OAD, EXITS SETBACKS FRONT SIDE Unfinished Basement area Finished basement area Garage area Carport/Deck (30" above grade)Area CONSTRUCTION T2A o, T av A L ROOF 40 viz A rtr a SANITATIONMETHOD C, r HEAT r S FLOOD ZONE FENCE TYPE .� OCCUPANCY l SIDE BACK SUBCONTRACTOR LIST Excavation & Earthwork: + C-C) Concrete: Masonry: Roofing: RO C(C� l�aL Y� C ic�rS Insulation: Ldcd► 0 h Drywall: J w5e e n 0)qwCX v Painting: 2)un - a Floor Coverings: Plumbing: 1 V Heating: Electrical: LolYl i r S (eCfY l SPECIAL CONSTRUCTION (Manufacturer or Supplier) Roof Trusses: Floor / Ceiling Joists: Cabinets: Siding /Exterior Trim: � �c�.x,r�Qx I ,� ,ad U Other: