HomeMy WebLinkAboutAPPLICATION - 03-00039 - 160 S 1st W - BasementBUILDING PERMIT APPLICATION 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.
Wit ALL JOB ADDRESS J 0 , i ° PHONE
OWNER
BUILDER
REMARKS:
0 NEW
ARCHITECT
FOUNDATION
CONCRETE
ASONRY
0 OTHER
BASEMENT
PARTIAL
FULL
NO
FLOORS EXT. WALLS
Q WOOD 0 WOOD
Q CONCRETE 0 MASONRY
0 OTHER 0 CONCRETE
0 VENEER
O METAL
0 STUCCO
INT. WALLS
0 WOOD
0 MASONRY
O CONCRETE
Q DRYWALL
Q PLASTER
0 TILE
CEILING
0 WOOD
Q DRYWALL
Q PLASTER
Q TILE
O ACOUSTIC
O OPEN
ROOF
0 BUILT UP.
0 WOOD SH.
O COMP SH.
0 TILE
Q ROLL ROOF.
0 METAL
HEAT
Q O GAS IL
Q COAL
Q FIREPLACE
0 ELECTRIC
STRUCTURE:
XRESIOENCE Q COMM. Q T Q EDUCAI1ONAL Q GOVT RELIGIOUS 0 FENCE Q PATIO Q CARPORT Q GARAGE 0 AWNING
FOOTINGS
0 CONCRETE
0 MASONRY
0 OTHER
REMODEL Q ADDITION 0 REPAIR Q RENEWAL Q FIRE DAMAGE
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.
ei
�., . 9i�i1
VALUE
FEE PAID
BUILDING
INSPECTOR
DEPARTM OF BUILDING & ZONING
is Q 11
1
DAT
ASH $
WHITE-Owner's Copy C
APPLICANT
ADDRESS
Copy PINK Assessors Copy GOLD Inspector
DESIGNER
INSULATED
❑ WALLS
❑
CEIUNG
❑ FLOORS
O PERIMETER
Date of Applicatio
OWNER
Name 1 h N``
/
Site Address /(p 0 ' f �'
Mailing Address
City /State /Zip _
Telephone/Fax/Mobile
CONTRACTOR
Will there be an ap. y -nt?
Total Estimated Cost
Signature of Applicant
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Name °l C 4 Cj i1�
Mailing Address y ° C ' ( S f 40/
City /State /Zip 061110 II 'fig ■
TelephonetFax/Mobile$4 —Q
PROJECT INFORMATION
Property Zone:
When was this building last occupied
Architect/ Engineer Firm Plan Name
Subdivision
Circle One Residential Commercial Educational Government Remodel Other
Circle One
Circle One
Lot Square Footage
Square Feet Garage Square Feet Number of Stories
Lot Block
New House
Is existing use compatible with zoning, (screening parking, etc)
Addition/Remodel to House
/ Unfinished
a
Lot Width
What will structure be used for Home Home Business
\MY
DEPART.MENT APPROVAL
Heist of Building
Commercial Other
If so, how many units 2 _
Are you in a flood plain 4e
* * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Code Building Permit Fees
Zone Plan Check Fees
Building Type T( OF REXBt1RG Plumbing Permit Fees
Signature of Tnspector
PAID CASH $
CHECK $
JUL 1 6 2003
Permit No.
New Commercial Commercial Remodel
Other: None/ Patio/ Carport/ Awning N/A
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $ Z8: L°
Issued by
a