HomeMy WebLinkAboutAPPLICATION - 03-00011 - East Idaho Credit Union - RemodelVALUE
FEE PAID
BUILDING
INSPECTOR
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DEPARTMENT OF BUILDING & ZONING
AP
CANT
ADDRESS
WHITE - Owner's Copy ANARY-Building Department's Copy PINK- Assesser's py GOLDENROD.
BUILD 4 G PERMIT APPLICA r N REXBURG,ID DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER
BUILDER
STRUCTURE:
RESIDENCE
FOOTINGS
0 CONCRETE
0 MASONRY
O OTHER
REMARKS:
U : 'kr, —
FOUNDATION
0 CONCRETE
O MASONRY
0 OTHER
BASEMENT FLOORS
0 PARTIAL
0 FULL
NO
❑ WOOD
0 CONCRETE
0 OTHER
EXT. WALLS INT. WALLS CEILING
0 WOOD O WOOD O WOOD
0 MASONRY 0 MASONRY 0 DRYWALL
O CONCRETE 0 CONCRETE O PLASTER
O VENEER 0 DRYWALL 0 TILE
0 METAL 0 PLAS i tH O ACOUSTIC
0 STUCCO 0 TILE 0 OPEN
ROOF HEAT
0 BUILT UP.'. 0 GAS
0 WOOD SH. O OIL
O COMP. SH: 0 COAL
O TILE 0 FIREPLACE
O ROLL ROOF 0 ELECTRIC
O METAL
0 NEW
JOB ADDRESS/ ;au r
ARCHITECT
ADDITION
0 EDUCATIONAL 0 GOVT 0 RELIGIOUS 0 FENCE 0 PATIO 0 CARPORT 0 GARAGE
0 REMODEL
0 REPAIR
PHONE
DESIGNER
O RENEWAL
0/ 9
0 FIRE DAMAGE
0 AWNING
INSULATED
O WALLS
O CEILING
❑ FLOORS
O PERIMETER
This permit is issued subject to the regulations contained in the Uniform Building Code and Zoning Regulations of Rexburg, and it is hereby agreed
that the work to be done as shown in the plans and specifications will be completed in accordance with the regulations
pertaining and applicable thereto: The issuance of the permit does not waive restrictive covenants.
Date of Application / Z.' 2 6' 03 Permit No. -83-03-0c(
OWNER �` (�
Name ! (, rj / f d), 6rC[) o ' 1 Of) / B,LJ
Site Address ip 0 5, 2 ca 4', bo p3 r _TO
Mailing Address PO, /3O? 57g /i t y. b„ r9 9
City /State /Zip / b i) r p /9, z
Telephone/Fax/Mobile 6-0/9/
7 7
CONTRACTOR
Name f " / Q ►'� t i i k c
Mailing Address
City /State /Zip
Telephone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: CO /i/ Is existing use compatible with zoning, (screening parking, etc) 1� $
When was this building last occupied ( Orr r t i
Architect/ Engineer Firm Plan Name
Subdivision Lot Block
Circle One Residential tr er ' Educational Government Remodel Other
Circle One New House Addition/Remodel to House New Commercial ommercial Remoslel>
Circle One Basemen<I0C Finished / Unfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width
Square Feet 2 3 Garage Square Feet Number of Stories Height of Building ?
What will structure be used for: Home Home Business Apartment ommercial Other
,f /
Will there be an apartment? 0 If so, how many units
Total Estimated Cost ;/..0o. 0O Are you in a flood plain
&4_./ * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **** **** ** *** ** ** * ** *** ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Signature o f Applicant
Code :2
Zone app
Building Type \f
Signature of Inspector r/
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
?°XAUY' ‘?"4/6
>sb- y/ c 7 / 357 - X 902_
7
CITY OF REXBURG
MAR. - 5 2003
Cck 4-1
PAID CASH $
CHECK $
98
Plan Check
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $ /L) S d
Building Permit Fees
Issued by
N
LA)+
72 : IFT