HomeMy WebLinkAboutCO & APPLICATIONS - 04-00421 - Subway - Tenant FinishrLWEC
CITY OF
REXBURG
AMERICAS FAMILY COMMUNrrY
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 -3020 / Fax (208) 359 -3022
0400421
International Building Code :2000
383 S 2nd W
Fast Food
Subway South
No
Name and Address of Owner: Erickson Eric Etal
1573 W 190 S
Rexburg, ID 83440
Contractor: Hollist Construction
Special Conditions:
Occupancy:
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
vies inspected on the date listed vies found to be in compliance with the requirements of the code
for the group and division of occupancy and the use for Mich the proposed occupancy vies
classified.
Date C.O. Issued
C.O Issued by:
There shall be no further change in the e)asbng 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 Departmen • Fire
State of Idaho Electrical Department 208 - 356 - 4830):
CITY OF REXB URG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208 - 359 -3020 X326
PARCEL NUMBER:
0400421
Please cc Subway SOUth 383 S 2nd W
If the question uuca nut cappa
-- rr - - - - - --
01 -b6i� D�
SUBDIVISION: Q 1Z krrz A 881 - rr ar UNIT #_ BLOCK# _ LOT# �
OWNER / fir &L& CONTACT PHONE S-
PROPERTY ADDRESS: 4>
PHONE #: Home O 3 SG - Yy .S� Work ( ,1 y 3�� - (c, -fly 5��' Cell
OWNER MAILING ADDRESS: 15,6-& 6),5 A Lo CITY: 26>4km STATE;dZIP: &J
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
166 0 MA KI CITY: h� EWk S TATE, .t� ZIP J.3 v �
PHONE #: Home (ao 5 14 Lt,; Work (� ) .3.�Cn t�� ' Cell Q*) ? 0 9 -
CONTRACTOR: (� ll 5 1 7 Aa t4Sil! AcP,tiPHONE: Home# 70 f '�/ys V ork# 3/ 3 - #6_d 0Cell # r ��_ •3'
MAILING ADDRESS: 0 8 ,nx / ,3 f CITY _'5ZJ7A_J STATE ZIP 3y6 - 1
How many houses are located on this property?
Did you recently purchase this property? 10 Yes (If yes give owner's name) f � 4
Is this a lot split? a YES (Please bring copy of new legal description of property)
PROPOSED USE: . ? r 1k All fL4
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, tc.) —'--
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 misreprese ct in the ica'Nn or on the plans on which the permit or approval was based. Permit void if not
started within l mot i�w l- Qt-n -F A- %Q_a ,
i/ X 30 l .0 4
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 Januarp 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 —A?-, L ' fk f(.I -Go XA
PROPERTY ADDRESS 1
1 6w c.c l F Permit#
SUBDIVISION P. AO re 48 1 n j
Dwelling Units: Parcel Acres: A-
SETBACKS
FRONT SIDE SIDE / BACK
Front Footage (if applicable) A/
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area lO
Second floor /loft area
Third floor /loft area
Shed or Barn
Remodel (Need Estimate) $
Unfinished Basement area �l>�
Finished basement area N
Garage area
Carport/Deck (30" above grade)Area
PLUMBING r
PLUMBERS NAME � k°�2�' ILa41 ADDRESS 9�� / t0 &
CITY STATE y' )0 ZIP g q' 2 ZHONE (go% 7 `, , ; —
FIXTURE COUNT
CLOTHES WASHING MACHINE SPRINKLERS
DISHWASHER ) TUB /SHOWERS
FLOOR DRAIN 3 TOILET/URINAL
GARBAGE DISPOSAL WATER HEATER /
HOT TUB /SPA WATER SOFTENER i
SINKS
(Lavatories, kitchens, bar, mop)
WATER METER COUNT ,� WATER METER SIZE IL
8141`Oi C� 6 rll-
HEAT (Circle all that apply) Gas Oil Coal Fireplace Electric
Commercial Buildings & AP rtments with 3 or more units Only
PLUMBING ESTIMATE $ Sam
STORM WATER LENGTH tl14
FRONT FOOTAGE /Q . 14-
STRUCTURES
DESCRIPTION
USE
BEDROOMS (If Applicable) l�
APT. UNITS (If Applicable)
OCCUPANCYLOAD AR Uzi fr3
ROOF CLASSIFICATION AdI -
HEAT TYPE (ter AA
FLOOD ZONE IU/ f + -
OCCUPANCY (As Per IBC)
2