HomeMy WebLinkAboutAPPLICATION - 04-00396 - 236 S 2nd E - RemodelCITY OF REXBURG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208 - 359 -3020 X326
PARCEL NUMBER:
SUBDIVISION:
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BLOCK# LOT#
OWNER: CONTACT PHONE #
PROPERTY ADDRESS:
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PHONE #: Home ( ) $� - gQNc Q Work y'M CelI
OWNER MAILING ADDRESS: / Jq S 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
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CITY:_
PHONE #: Home ( ) Work
CONTRACTOR: '5EY PHONE: Home# Work#
MAILING ADDRESS:
STATE; ZIP
Cell ( )
CITY
Wlf6.i
STATE ZIP
How many houses are located on this property? 02
Did you recently purchase this property? No Yes (If yes give owner's name)
Is this a lot split ?(9 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 plans on which the permit or approval was based. Permit void if not
started within 180 days. Permit void if work stops for 180 d �fl
Signature of Owner/
PERMIT #
Please complete the entire Application!
If the question does not apply fill in NA for non applicable
/
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
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
Front Footage (if applicable)
Parcel Acres:
Permit#
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area Unfinished Basement area
Second floor /loft area Finished basement area
Third floor /loft area Garage area
Shed or Barn Carport/Deck (30" above grade)Area
Remodel (Need Estimate) $
PLUMBING
PLUMBERS NAME
CITY
STATE ZIP
FIXTURE COUNT
CLOTHES WASHING MACHINE
DISHWASHER
FLOOR DRAIN
GARBAGE DISPOSAL
HOT TUB /SPA
SINKS
(Lavatories, kitchens, bar, mop)
WATER METER COUNT
HEAT (Circle all that apply) Gas 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 LOAD
EXITS
SETBACKS
FRONT SIDE
CONSTRUCTION
ROOF
SANITATIONMETHOD
HEAT
FLOOD ZONE
FENCE TYPE
OCCUPANCY l
SIDE BACK
ADDRESS
PHONE( )
SPRINKLERS
TUB /SHOWERS
TOILET/URINAL
WATER HEATER
WATER SOFTENER
WATER METER SIZE
2
04 �Exs
CITY OF
UN REXBURG
Americas Family Community
1/10/2007
Mr. Nyle Fullmer
236S.2 d East
Rexburg, ID 83440
Re: Building Permit 04 00396
Dear Nyle,
The file for your permit shows no evidence of work being done or completed in
the last 180 days for your project. You need to contact us about your project or the permit
will be considered expired. An additional fee is required to renew expired permits. If your
project is finished please schedule a final inspection, or reinspection of required
corrections. A final inspection must be approved before the building may be occupied.
Please let us know what stage your project is at, or arrange to have a final
inspection within the next two weeks by calling 359 -3020 ext. 345, so we can close your
permit and grant you legal occupancy. If you have any questions please contact me at the
same number with ext. 325.
Thank you for your cooperation,
Quinton Owens
Building Inspector
19E. Main Rexburg, ID 83440 P. O. Box 280 www.rexburg.ore
Phone (208) 359.3020 ext.326 Fax (208) 359.3024