HomeMy WebLinkAboutCO & APPLICATION - 04-00136 - 235 S 4th W - Duplex to SFR Conversion - Site PlanCERTIFICATE OF OCCUPANCY
City of Rexburg
Department of Building Inspection
Building Permit No. Roe -o5 -o6
Building Street Address: 235 S 4 th W
Building Owner: Dwight D. Wray
Contractor: Self
Description of building or portion of building for which this certificate is
issued:
Occupancy: Full
This Certificate issued rswant to the requirements of Section 109 of the Uniform Bu ifai ng
Code, certifies t at t e time of issuance, this building or that portion of the bui(aing that
was inspected on the date fisted was f ouna to be in compliance with the requirements of the
code for the group and division of occupancy and the use for which the proposed occupancy
was cfassi f ied.
Date: 05 -29 -2002
C.O. Issued by:
Remodel
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.
PERMIT APPLICATF�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 t) 41j1 r JOB ADDRESS Z35 5. 1 .0 IA)
4b. PHONE 3% -
BUILDER otorke
STRUCTURE:
WCESIDENCE
FOOTINGS
13 CONCRETE
13 MASONRY
O OTHER
REMARKS:
VALUE
FEE PAID
BUILDING
INSPECTOR
0 NEW
0 COMM.
reMEIAODEL CI ADDITION
CI EDUCATIONAL
DEPARTMENT OF BUILDING & ZONING
O CASH
U CHECK
0 GOVT
ARCHITECT
0 RELIGIOUS
REPAIR
0 FENCE
DATE
0 PATIO
APPLICANT
ADDRESS
DESIGNER
la RENEWAL
0 CARPORT
FOUNDATION
O CONCRETE
MASONRY
O OTHER
BASEMENT
13 PARTIAL
0 FULL
CI NO
FLOORS
0 WOOD
0 CONCRETE
CI OTHER
EXT. WALLS
CI WOOD
MASONRY
0 CONCRETE
O VENEER
O METAL
O STUCCO
INT. WALLS
O WOOD
13 MASONRY
CONCRETE
DRYWALL
PLASTER
O TILE
CEILING
0 WOOD
o DRYWALL
O PLASTER
o TILE
0 ACOUSTIC
0 OPEN
ROOF
0 BUILT UP.
0 WOOD SH.
0 COMP. SH.
13 TILE
O ROLLROOF.
13 METAL
HEAT
U GAS
CI OIL
O COAL
0 FIREPLACE
10 ELECTRIC
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.
WHITE-Owner's Copy CANARY-Building Department's Copy PINK-Assessors Copy GOLDENROD-Inspector
0 GARAGE
P AJ
MAY 1 3 2002
FIRE DAMAGE
0 AWNING
INSULATED
CI WALLS
CI CEILING
(3 FLOORS
O PERIMETER
Date of Application 5/9/0
Property Zone: rvl £ Is existing use
When was this building last occupied J
Zone
Building Type
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
OWNER
Name Lt/3 1 g k-i < LA
Site Address 235 5, L/ QS t
Mailing Address g2. £O tk3 1 C t. S ,p C.
City /State /Zip R eC Bwrj c g 3 0
Telephone/Fax/Mobile 55 p
0 — -! /5
CONTRACTOR
Name
Mailing Address
City /State /Zip
Telephone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL
Architect/ Engineer Firm "� Plan Name
Subdivision Seu`fe l P A ACV (+1
Permit No. Oat - 05"-
Ampati le with zoning, (screening parking, etc) Y S
ZO1
Lot
Circle One Residential Commercial Educational Government
Circle One New House ( to House) New Commercial
Circle One Basement: None/ Finished Unfinished
Lot Width 80
Other
Block
Commercial Remodel
Other: None/ Patio / Carport/ Awning N/A
Lot Square Footage 10 00
Square Feet 900 Garage Square Feet 4'OO Number of Stories Z Height of Building N i
2.5 "P
What will structure be used for: Home Home Business pa
Atmen3) Commercial Other
Will there be an apartment? )ley If so, how many units Z
Total Estimated Cost 22,O
Are you in a flood plain
Signature of Applicant
* * * * * * * * * * * **
****************************************** * * *s * * * * * * * * * * * * * * * * * * * * * * * * * **
Code /f9 /, 2 / L 1,_..,.....
PAID
filAY 1 -. ?002
' nF REXBURG
tic)
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $
Signature of Inspector
Issued by