HomeMy WebLinkAboutAPPLICATION - 03-00046 - Porters Store - RemodelBUIL x `G PERMIT APPLICA ► tl ' 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
Gt'EONCRETE
O MASONRY
O OTHER
REMARKS:
O NEW
❑ COMM.
DEPARTMENT OF BUILDING & ZONING
VALUE
FEE PAID ! CASH
BUILDING
INSPECTOR
JOB ADDRESS
ARCHITECT
II/ADDITION
O RELIGIOUS
13"REMODEL
O EDUCATIONAL 0 GOVT
O REPAIR
ADDRESS
DESIGNER
WHITE- Owner's CANARY— Buildin
GePy 9 Department's Copy PINK— AsaRssor's Cow j GOLDENROD- Inspector
et
❑ RENEWAL 0 FIRE DAMAGE
❑ FENCE O PATIO O CARPORT O GARAGE O AWNING
INSULATED
FOUNDATION
O CONCRETE
O MASONRY
0 OTHER
BASEMENT
O PARTIAL
0 FULL
0 NO
FLOORS
❑ WOOD
O CONCRETE
O OTHER
EXT. WALLS
O WOOD
O MASONRY
O CONCRETE
❑ VENEER
O METAL
O STUCCO
INT. WALLS
0 WOOD
O MASONRY
O CONCRETE
O DRYWALL
0 PLASTER
O TILE
CEIUNG
O WOOD
0 DRYWALL
O PLASTER
O TILE
O ACOUSTIC
O OPEN
ROOF
O BUILT UP.
O WOOD SH.
O COMP. SH.
O TILE
❑ ROLL ROOF
O METAL
HEAT
10 GAS
O OIL
❑ COAL
O FIREPLACE
O ELECTRIC
O WALLS
❑ CEIUNG
❑ 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 7 4 3 0
OWNER
Name_ ( C d (/
Site Address
Mailing Address
City /State /Zip L &c4
Telephone/FaxlMobile 3$( ._ 7 j
CONTRACTOR
Name tee`( S✓',.[ ���� �,
APPLICATION FOR BID t 1,DEN G PERMIT
CITY OF REXBURG, IDAHO
Mailing Address - C
City /State /Zip
Telephone/Fax/Mobile
PROJECT LNFORMATION
Total Estimated Cost 7000
- /
Signature of Applicant
DEPARTIvMNT APPROVAL
Property Zone: e 'sting use compatible with zoning, (screening parking,
l `
When was this building last occupied __ n C / ,
Architect/ Engineer Firm 4ie 4 C /L-/ Plan Name
Subdivision
Circle One Residential Commercial Educational Government Remodel
Circle One New House Addition/Remodel to House New Commercial
Circle One Other: None/ Patio/ Carport/ Awning
Lot Width
Are you in a flood plain
Lot
If so, how many units
Permit No. g..0 3 -o e- Q y
Other
Block
Basement: None/ Finished / Unfinished
Lot Square Footage
Square Feet Garage Square Feet Number of Stories Height of Building
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment?
Code
Zone
Building Type
CITY OF REXBURG
PAID CASH $
CHECK$
AUG 6 2003
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Weser & Sewer Fees
Front Footage Fee
TOTAL $
/39. - L
/3. 9 Z
/5
N/A
Signature of Tnspector
Issued by
e-t
74-6
(>4
4
7 511 a /
()cc-
026 3 /'
if
Ne 1P A /2 wod ^let
erS 610)27i--