The URL can be used to link to this page

Home My WebLink AboutCO & APPLICATION - 04-00398 - 568 Cook St - New SFRCITY OF R MURG AMERICAS FAMILY COMMUNITY Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: CERTIFICATE OF OCCUPANCY City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3 / Fax (208) 359 -3022 Name and Address of Owner: Contractor: Special Conditions: Occupancy: 1*11I1191 568 Cook Ave Belknap, Shane 1000 Hillview Dr Rexburg, ID 83440 Self This Certificate, issued pursuant to the requirements of Section 109 of the International Building Code, certifies that, at the time time of issuance, this building or that portion of the building that vLes inspected on the date listed vies found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for vthich the proposed occupancy vies classified. Date C.O. Issued: May 26,200541-143 C.O Issued b Y Building Official There shall be no further change in the e)asting occupancy classification of the building nor shall any structural changes, modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved said future changes. Water Department State of Idaho Electrical Departm CITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 l G PARCEL NUMBER: AD Please complete the entire Application! If the question does not apply fill in NA for non applicable SUBDIVISION: Y 2tlx S 4to UNIT# BLOCK# [ LOT #__�_ OWNER Y�c� y� �, y CONTACT PHONE # PROPERTY ADDRESS: PHONE #: Home 04) 3- - 1 `Z 0L Work (kO 6 5 b — 0 1 -1 1✓ A Cell ( .) 70R -1 462 OWNER MAILING ADDRESS: W [4 b \W R _L) Af CITY: �K�tV � STATE:JLZIP: 93gt b APPLICANT (If other than owner) 0 (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF APPLICANT 0 yv W V - l�.j, /�:�e � �� CITY: � STATE; p ZIP PHONE #: Home ( ) ` �( - (Zdf Work ( ) 656 Cell( - 7o - 1 - 1461 CONTRACTOR: PHONE: Home# MAILING ADDRESS: CITY How many houses are located on this property? - Did you recently purchase this property? No es If yes give owner's name) pl 1 N PY(/3Ut1 Is this a lot split? ND YES, (Please bring copy of new legal description of property) PROPOSED USE: 5t' "'kQ ` a-w (i.e., Single Family Residence, Multi Family, A 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 Pit on approval issued under the provisions of the 2000 International Code in cases of any false statement or misrepresentatio f fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 �ys. P ityQjdif work std for 180 days. Signature owner /Applicant DATE / WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! 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" ;4 K c. STATE ZIP Work# Cell # 44 1 0 F.11 LTA I PROPE SUBDI' Dwelling Units: Parcel Acres: \ IW (x-A Front Footage (if applicable) ' fla e y � .. 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 Al 14L Remodel (Need Estimate) $ Unfinished Basement area - = J.4 :� \ \ \' ; Finished basement area ' t Garage area b Carport/Deck (30" above grade)Area PLUMBING 1 PLUMBERS NAME o Uo\ ADDRESS CITY X STATE j, L ZIP 440 PHONE FIXTURE COUNT CLOTHES WASHING MACHINE f "f DISHWASHER ✓- FLOOR DRAIN l .� GARBAGE DISPOSAL HOT TUB /SPA r SINKS (Lavatories, kitchens, bar, mop) 0 SPRINKLERS TUB /SHOWERS r / TOILET/URINAL 3 L WATER HEATER f WATER SOFTENER WATER METER COUNT 00 l WATER METER SIZE 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 CONSTRUCTION UNITS ROOF NON CENSUS SANITATION METHOD OCCUPANCY LOAD HEAT EXITS FLOOD ZONE FENCE TYPE SETBACKS OCCUPANCY l FRONT SIDE SIDE BACK Fa