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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