HomeMy WebLinkAboutAPPLICATION - 03-00027 - Rexburg Housing - Apartment RemodelBUIL ° G PERMIT APPLICATI o 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:
O RESIDENCE
FOOTINGS
DCONCRETE
❑ MASONRY
❑ OTHER
REMARKS:
DEPARTM
VALUE
FEE PAID
BUILDING
INSPECTOR
JOB ADDRESS
APPUCANT
ADDRESS
PHONE
ARCHITECT DESIGNER
O NEW S REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE
❑ COMM. ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ FENCE ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ AWNING
INSULATED
FOUNDATION
BASEMENT
10 CONCRETE ❑ RTIAL
CI MASONRY fa FULL
Q OTHER Q NO
FLOORS
❑ WOOD
CI CONCRETE
❑ OTHER
EXT. WALLS INT. WALLS
O WOOD
Q MASONRY
Q CONCRETE
❑ VENEER
❑'METAL
❑ STUCCO
❑ WOOD
Q MASONRY
❑ CONCRETE
CI 'DRYWALL
Q'PLASTER
Q TILE
CEILING
O WOOD
❑DRYWALL
Q PLASTER
❑ TILE
Q ACOUSTIC
❑ OPEN
ROOF
❑ BUILT UP.
❑ WOOD SH.
❑ COMP. SH.
❑ TILE
❑ ROLL ROOF.
,OMETAL
HEAT
CI GAS
Q OIL
❑ COAL
❑ FIREPLACE
❑ ELECTRIC
WHITE—Owner's Copy C rs Ccfy GOLDENROD- Inspector
Q WALLS
Q CEILING
Q FLOORS
Q 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.
ENT OF BUILDING & ZONING
lit
ri CHECK
CITY OF REXB
MAY 21 ZUUi
PAID CASH $
DATE
Date of Application 5-20- 0 3
OWNER
Name
Site Address
Mailing Address
City /State /Zip
Telephone/Fax/Mobile
CONTRACTOR
Name i NA,. •1 1 -0ov0'
Mailing Address 3S j 2 yc a a
City /State /Zip 4i _70 Zr 3 y 4 / Z
Telephone/Fax/Mobile • 3 9v - 6 5 Z
PROJECT INFORMATION
Property Zone:
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied
Architect/ Engineer Firm Plan Name
Subdivision
Lot Block
Circle One Residential Commercial Educational Government Remodel Other
/PeK A
Circle One
Commercial Remoder,
Circle One Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage
New House Addition/Remodel to House New Commercial
Basement: None/ Unfinished
Square Feet Garage Square Feet
will structure be used for: Home
Will there bean apartment?
Total Estimated Cosh p
t �
Signature of Applicant
t Number of Stories Height of Building
Home Business Apartmen Commercial Other
If so, how many units
Are you in a flood plain
riLwn
********************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Code
Zone
Building Type
Siyature of Tnspector
CITY OF REXBUR
MAY 2 1 2003
PAID CASH $
CHECK$
Permit No. k_ C�
DEPARTMENT APPROVAL
Lot Width
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $ 7/'
61' L12
Issued by