HomeMy WebLinkAboutCO & APPLICATION - 03-00021 - American Manor Apartments - RemodelCERTIFICATE OF OCCUPANCY
City of Rexburg
Department of Building Inspection
Building Permit No. R- o2 -o6 -11
Building Street Address: 125 East 2nd South
Building Owner: Tamla Rencher
Contractor: Tamia Rencher
Description of building or portion of building for which this certificate is
issued:
Li Safety — Install four windows <J o N c_y
Occupancy:
This Certificate issued rsuant to the requirements of Section 109 of tbe uniform Building
Code, certifies at, at t e time of issuance, this building or that portion of tbe building that
was inspected on tbe date listed was found to be in compliance with the requirements of tbe
code for tbe group and division of occupancN and the use for which tbe proposed occupancN
was ctassrpeo.
Date: August 4, 2003 (5 :1 )
C.O. Issued by:
Building Official
There shall be no future change in the existing occupancy classification of the building nor shall
any structural changes, modifications or additions be made to the building or any portion thereof
until the Building Official has reviewed and approved said future changes.
Water Department N/n
Full
State of Idaho Electrical Dep arrtm nt - (208- 356 -4830) 0
/
Merlin Webster
Fire Department
/V/k
BUIL w E ` PERMIT APPLICA 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:
0 RESIDENCE
FOOTINGS
0 CONCRETE
O MASONRY
❑ OTHER
REMARKS:
VALUE
FEE PAID
BUILDING
INSPECTOR
❑ NEW
O COMM.
FOUNDATION
BASEMENT
0 CONCRETE 0 PARTIAL
O MASONRY 0 FULL
0 OTHER 0 NO
FLOORS EXT. WALLS INT. WALLS
0 WOOD
0 CONCRETE
0 OTHER
0 WOOD
0 MASONRY
0 CONCRETE
O VENEER
0 METAL
0 STUCCO
0 WOOD
0 MASONRY
0 CONCRETE
❑ DRYWALL
0 PLASTER
0 TILE
CEILING
D WOOD
❑ DRYWALL
O PLASTER
O TILE
0 ACOUSTIC
0 OPEN
ROOF
0 BUILT UP.
O WOOD SH.
0 COMP. SH.
O TILE
❑ ROLL ROOF.
0 METAL
HEAT
O GAS
O OIL
0 COAL
0 FIREPLACE
O ELECTRIC
ARCHITECT
❑ REMODEL 0 ADDITION
0 EDUCATIONAL 0 GOVT 0 RELIGIOUS
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.
DEPARTMENT OF BUILDING & ZONING
8
CASH
CHECK
JOB ADDRESS
DATE
❑ REPAIR
APPLICANT
ADDRESS
PHONE
DESIGNER
O RENEWAL 0 FIRE DAMAGE
0 FENCE 0 PATIO 0 CARPORT 0 GARAGE 0 AWNING
INSULATED
WHITE Copy CANARY Building Department's Copy PINK — Assessors Copy GOLDENROD - Inspector
0 WALLS
0 CEILING
0 FLOORS
0 PERIMETER
Date of Application
OWNER
Name a ,
Site Address ) �t
Mailing Address /
City /State /Zip
Telephone/Fax/Mobile
Code
Zone
Building Type
arte
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
0
1
Permit No.
�) 2 - I' 11
Wad'. j` ' i,&)
CONTRACTOR
Name
Mailing Address
City /State /Zip
Telephone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL
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 Remodel Other
Circle One New House Addition/Remodel to House New Commercial Commercial Remodel
Circle One Basement: None/ Finished / Unfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Square Footage Lot Width
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? If so, how many units
Tot Estimated Cost I i q Are you in a flood plain
Lt.-a) ,f12-t--t.tA:t 1 '
Signature of A. plicant �' r!'c�yJ•v
*************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $
Signature of Inspector
Issued by