HomeMy WebLinkAboutAPPLICATION - 02-00047 - 125 & 127 S 4th W - Two 4-PlexesBUIL
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
JOB y ADDRESS
OWNER
BUILDER
STRUCTURE:
0 RESIDENCE
FOOTINGS
0 CONCRETE
0 MASONRY
0 OTHER
REMARKS:
VALUE
FEE PAID
BUILDING
INSPECTOR
G PERMIT APPLICA
0 NEW
0 COMM.
FOUNDATION
0 CONCRETE
0 MASONRY
0 OTHER
BASEMENT
0 PARTIAL
0 FULL
0 NO
FLOORS
0 WOOD
0 CONCRETE
0 OTHER
EXT. WALLS
0 WOOD
0 MASONRY
O CONCRETE
0 VENEER
0 METAL
O STUCCO
INT. WALLS
0 WOOD
0 MASONRY
0 CONCRETE
0 DRYWALL
0 PLASTER
O TILE
CEILING
0 WOOD
0 DRYWALL
0 PLASTER
O TILE
O ACOUSTIC
❑ Q?EN
ROOF
0 BUILT UP.
0 WOOD SH.
0 COMP. SH.
0 TILE
0 ROLL ROOF.
0 METAL
HEAT
0 GAS
OOIL
O COAL
❑ FIREPLACE
❑ ELECTRIC
This permit is issued subject to the regulations contained in the Uniform Building Code and ning 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 a• ►a dance with the regulations
pertaining and applicable thereto: The issuance of the permit does not waive restrictive covenants.
DEPARTMENT OF BUILDING & ZONING
ARCHITECT
REMODEL 0 ADDITION
0 EDUCATIONAL 0 GOVT 0 RELIGIOUS
O CH
REXBURG, ID DATE
DATE
0 REPAIR
0 FENCE 0 PATIO
1-.L
PHONE
DESIGNER
❑ RENEWAL
❑ CARPORT
AUG 0 1 ?00Z
APC11MT OF REXBURG
ADDRESS
WHITE Copy CANARY Department's Copy PINK Assessor's COIN GOLDENROD Inspector
0 FIRE DAMAGE
O GARAGE 0 AWNING
INSULATED
0 WALLS
0 CEILING
❑ FLOORS
O PERIMETER
Date of Application
OWNER
Name eC.'\;
Site Address \ ,� `-
Mailing Address L, ,3
City /State /Zip v
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Cam:., c`-1 Co
Telephone/Fax/Mobile 3Q? --, < S
CONTRACTOR
6
Name
Mailing Address
City /State /Zip
PROJECT INFORMATION
Lv1
Telephone/Fax/Mobile )-C-'' `S — 3 .) `
Property Zone: 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
Circle One New House (Addition/Remodel to House'
Circle One Basement: None/ Finished / Unfinished
Lot Square Footage
Lot Width
Square Feet Garage Square Feet Number of Stories Height of Building
What will structure be used for:
Will there be an apartment?
Signature of Applicant
Code
Zone
Building Type
Home Home Business
Total Esti -mated Cost 3 CZ - C
0
DEPARTMENT APPROVAL
Do
\A
Remodel Other
New Commercial Commercial Remodel
Other: None/ Patio/ Carport/ Awning N/A
Commercial Other
If so, how many units
Are you in a flood plain J�
Permit No. p_ a'L -c g - fJ
************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Building Permit Fees A3, :2- 1 -{
3 2 -
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $
Signature of Inspector
Issued by
Eucravatica
Marthwork:
Concreta:
Masonry:
Roofing:
Insulation: •
. Drywall:
Painting:
Floor
Plumbing:
. Heating;
EZectrical:
Rcof TruSses:
Floc= / Ceiling Jot:
ad-L -eriOr 'T 4 rri
SUBCONTRACTOR LIST
SPECIAL CONSTRUCTION
CIANUFACTURER OR SUPPLIER)