HomeMy WebLinkAboutAPPLICATION & PLAN - 04-00408 - East Idaho Credit Union - Site Plan11/16/2004 11:20 2085224151
K T KENNEDY ARCHITEC PAGE 01
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CF'FY OF P"BURG PERMIT #
BUILDING PERMIT APPLICATION
19 'E MAIN, REXBURG, ID. 83440 Please eomplote the entire Application!
208 -359 -3020 7.326 U the gneetion does ant apply All in NA for non applicable
PARCEL NUMBER:
SUBDIVISION: - ja 3 L'NIU BLOCK# S LOT# _
OvyM I NTACT PHONE # Q
PROPERTY ADDRESS
PHONB #; Home ( ) Work( ) Cell ( )_
e ► ( � � i .i �ia�� ms`s' ir. -��J/ = � � J
APPLICANT (If other than owr}
(If applicant if otber flan owner, to st4tlmettt auabWYMS applinot to act as agrut For owner most acmonwa$y this applice6m)
MAILING ADDRESS OF APPLICANT
CITY: STATE; ZIP
PHONE #: Homo ( ). Work ( ) -Cell( )
CONTRACTOR: V t 4 i. S HOVE: Home# Wo�lc tdl# 42
MAILING ADDRESS: 3n2� I O?i CITY STATE ZIPO37
flow assay houws are located on dds property ? _Q
Did you recently purcbme this property? No (9(If yes hive ownar's name)
Is this a lot split? YES (Plcaaa bring copy of acw legal dcswiption of property)
PROPOSED USE: - a0
(i.e., Sh*e Family Regidenoe, Muni Family, Aparbuents, Rmnodel, Garage, Commercial, Addition. Eto.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby
certify that 1 have read this applieatloo end state that the informadon boron is va twat and I swear dw any icimmad= whica may
bersaltar be given by mew boarlags before tae Planning and Zoning Comminiamo at the City Co `moil far tote; City of ROW* shall be
tmthfni and comm I ague to comply with all City regulsdom and State laws relating to the subject matter of this aaplitadon and
hersby a duniaed rap eseamtives of Ow City to enter upon the aban- meadowd property for impeadons proposes. NOTE: The
buiidi g otfWal may Tevokoe a permit oa a val isautrd =der the provisions of ft 2000 Utemetional Code in cases of any lithe
statement or miunpmet ation fact in application w an tes plans on w bicb tae permit or approval wag based. Permit void if Ant
starts j tV dmp P i stops for ISO chin.
of
v4
/tp / - --
I)ATE
WARNING - BUILDING PERMIT MUST 111E MSTF60 ON COIVSTRilCTJON BITE!
Plan fees are am refuwlsbie •led are paid in NO at the time of application beQiat lag JnrgrY L 203.
City of RozboM's Acreptaaee of tee pbm review he dos not constitute plan approval
* Permit Fen ate doe at time of application "
"Building Prrmits are void it you ebak does not char"
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11/16/2004 11:20 2085224151 K T KENNEDY ARCHITEC
Pkv ':, 2004 3.38NIV
NAME - A49C 11aW ', Nt OPl
PROPERTY ADDRESS ±fl1L� Permitq
SUBDIVISION #�
Dwelling Unils: Parcel Acres:
Front Footage (if applicable) , �w�, ►per 'j
SURFACE SQUARE FOOTAGE: (Shull include the exterior wall measurwncnts of the building)
PAGE 02
r, 4
First Floor Areaa Unfiniahcd Bascm=t area
Second floor/loft area Finished basement area
Third floor/loft area Garage area
Shed or Barn CarpoWDeck (30" above arade)Area _
Remodel (Need Estimate)
PLUVNING
PLUMBERS NAME � ADDRESS ,
CITY ::��W-;6� STATE ZIP, PHONE (fig) -�"T77
FIXTURE COUNT
CLOTHES WASH NI G MACHINE
DISHWASHER
FLOOR DRAIN
GARBAGE DISPOSAL
HUT TUB/SPA
SfNKS
(Lavatories, kitchens, bar. mop)
S P RINKLERS
TUB/SHOWERS
TOILETMMAL
WATER HEATER I
WATER SOFTENER
WATER METER COUNT I WATER METER SIZE I x
HEAT (Circle all that apply, Oil Coal Fireplace Electric
Cy~wracW Baf film & Apartments with 3 or more units Only
BUILDING M77M4TE ,5 62&2 1 -1 LAW
PtVMBING ESTIMATE S _1173 0
?, 0
STORM WATFX LENG7WI
MONT FOOTAGE
era c.�u woO®
DESCRIPT10N*1
USE G ►� ��
BEDROOMS CONSTRUCTION V '1
UNITS ROOF �&0212 n:V11
NONCENSUS_ SANITATIONMETXOD � _ —
OCCVPANCYlOAD � HEAT C Md lr--
M ITS Z FLOOD ZONE , L 1 0
FENCE TYPE
SETBACKS , 1 OCCUPANCY � I
F1tONT Ie --D SIDE � SIDE '� _DACI �1
��CRNER
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—,-' N C El /1 u;z 9
A5P�IA,L
P, 1 A i7 a A
Up's
A 1
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T'I'mk A L
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C, U R E3 P E T A I L
Al
BARS
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ONTRACTCR
N � !N TA, L L
.0^NER
VN/ STEEL. r-sRA
L iTs
FN E � L - TQl :
I-
„5�4 TRANS
-
REMOVE EX!5-INC7 CURB
CUT AND REPLACE rV
NE^ CURB AND 6UTTER,
— 0 MATCH EXI!BTIN65
HM
NOTE 51JILDIN& FOOTPRINT SHOY4N
IS THE FOUNDATION ^ALL
Registere
Architect"
NO, 0
KEITH T, KENNEDY
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State of Idaho
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U-)
C\l
C\J
Lf)
cc)
■
0
J
Ld
VN/ STEEL. r-sRA
L iTs
FN E � L - TQl :
I-
„5�4 TRANS
-
REMOVE EX!5-INC7 CURB
CUT AND REPLACE rV
NE^ CURB AND 6UTTER,
— 0 MATCH EXI!BTIN65
HM
NOTE 51JILDIN& FOOTPRINT SHOY4N
IS THE FOUNDATION ^ALL
Registere
Architect"
NO, 0
KEITH T, KENNEDY
i j -,
State of Idaho
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