HomeMy WebLinkAboutAPPLICATION - 02-00013 - Holladay Apartments - RemodelVALUE
FEE PAID
DEPARTMENT OF BUILDING & ZONING
CASH
CHECK
DATE
ADDRESS
WHITE - Owner's Copy CANARY - Building Department's Copy PINK— Assessor's Copy GOLDE
BUILDI G PERMIT APPLICATION REXBURG, ID DATE - NO.
THE UNDERSIGNED HEREBY APPUES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER ! ;.
BUILDER
STRUCTURE:
Q RESIDENCE
FOOTINGS
*CONCRETE
0 MASONRY
Q OTHER
REMARKS:
O NEW
0 COMM.
.
; 1 4 ' , s' ;'JOB ADDRESS r
• ARCHITECT
REMODEL 0 ADDITION
Q EDUCATIONAL U GOVT 0 RELIGIOUS
Q REPAIR
0 FENCE U PATIO
PHONE
DESIGNER
O RENEWAL
❑ CARPORT
0 FIRE DAMAGE
0 GARAGE 0 AWNING
INSULATED
WALLS
CEILING
0 FLOORS
O PERIMETER
FOUNDATION
U MASONRY
❑ OTHER
BASEMENT
0 PARTIAL
0 FULL
NO
FLOORS
O WOOD
CONCRETE
0 OTHER
EXT. WALLS
0 WOOD
O MASONRY
0 CONCRETE
0 VENEER
O METAL
O STUCCO
INT. WALLS
O WOOD
O MASONRY
0 CONCRETE
*DRYWALL
Cl PLASTER
❑ TILE
CEILING
0 WOOD
IQ DRYWALL
U PLASTER
O TILE
0 ACOUSTIC
Q OPEN
ROOF
0 BUILT UP.
U WOOD SH.
O COMP. SH.
O TILE
0 ROLL ROOF.
Q METAL
HEAT
UO ILL
U COAL
U FIREPLACE
;® ELECTRIC
A
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 - '0 7 - OR
OWNER
Name
Site Address
Mailing Address P,, D 4. aD X 8g j Airo (
City /State /Zip R, 1,t-r^ .27") . 8 WI:.
Telephone/Fax/Mobile , — , - 6 1 0 - .3
CONTRACTOR
AS6YL
Name
� ll W 63 ®d .ss
City /State /Zip__ / ��C � - . �/, D
Telephone/Fax/Mobile cog) zi3 7D cm__ 313-
Mailing Address
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
"Le- L„,z
of g /S
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: I/ 6 p Is existing use compatible with zoning, (screening parking, etc) YeS ` Ct 7t`On w l bf
When was this building last occupied Gelid ay/ S Q GG,� /
Architect/ Engineer Firm � /
Subdivision _04 yl wl Pi}� h /.t, /D yi S J tl✓ Lot f Block
Circle One Residential Commercial Educational Government ' emod- Other
Circle One New House
Circle One Basemen Finished / Unfinished
Lot Square Footage /3) 4 102. 5 Lot Width
Square Feet 0 24,0 , 0 Garage Square Feet APO Number of Stories
What will structure be used for: Home Home Business (Apartment) Commercial Other
Will there be an apartmet ? qeib If so, how many units
Total Estimated Cost 0 O G 00 t`) Are you in a flood plain W0
Signature of Applicant
****************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * **
Code /Pi 7 `i/ge' Building Permit Fees / *
Zone 7) °' .� �m_,a Plan Check Fees
Building Type r Plumbing Permit Fees !O 07, d e
APR 2 5 2002 Digging Permit Fees ---
Water & Sewer Fees
Front Footage Fee
CITY
Plan Name
New Commercial
Other:
. 2 . 5 '
TOTAL $
Permit No. A a ` b 4 /S
Commercial Remodel
None/ Patio/ Carport/ Awning N/A
r a cistnl1 citt
Height of Building /2 Act
Signature of Inspector C
Issued by
Rough Plumbing
f°
Septic Tank
Fixtures
'
Water Piping
Complete
Sewer
Bath Tubs
f°
Urinal
Showers -
Sink Trap
Laundry Trays
Water Heater
Wash Basin
:
Other
Toilet
Slop Sinks
Kitchen Sinks
r
Floor Drain
Drinking Fountains
Lawn Sprinklers
Water Softeners
Dish Washing Mach.
Clothes Washer
Use /-
r7 s
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
FEES
Plumbing Permit $ `
Sewer Inspection
Inspection of Pipe $
fM
Inspection of Fixtures • • • • • • $
$
ER
Name
Address Tel.
Lot / Bik. �`�-' Add.
PLUMBER
`# t �
Name ' r. , ���,�,�
Address Tel.
NATURE OF INSTALLATION
DESCRIPTION OF WORK
Received: Date
By
INSP`ECTOR`S RECORD
N
TOTAL $
PA;i11
APR 2 5 2002 i E
QTY OF REXBLI
S
Rough Plumbing
Sewer
Other
Finish Plumbing
INSP.. NAME