HomeMy WebLinkAboutAPPLICATION - 04-00136 - 235 S 4th W - Duplex to SFR Conversion - Site PlanBULL PERMIT APPLICA REXBURG, ID DATE 7
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER 1+41
BUILDER I' 'K. V
STRUCTURE: U NEW
0 CONCRETE
0 MASONRY
❑ OTHER
REMARKS:
LA) ral JOB ADDRESS 2 3 ;, III R.) .
ARCHITECT
REMODEL p ADDITION
0 CONCRETE
0 MASONRY
0 OTHER
BASEMENT
CI PARTIAL
CI FULL.
0 NO
FLOORS
0 WOOD
O CONCRETE
❑ OTHER
EXT. WALLS
0 WOOD
❑ MASONRY
0 CONCRETE
❑ VENEER
O METAL
0 STUCCO
INT. WALLS
0 WOOD
0 MASONRY
0 CONCRETE
0 DRYWALL
O PLASTER
O TILE?
CEILING
0 WOOD
0 DRYWALL
O PLASTER
0 TILE
ACOUSTIC
0 (i
ROOF
0 BUILT UP.
❑ WOOD SH.
0 COMP. SH.
0 TILE
0 ROLL ROOF.
p METAL
HEAT
0 GAS
O OIL
0 COAL
0 FIREPLACE
O ELECTRIC
DEPARTMENT OF BUILDING & ZONING
VALUE °AI
FEE PAID
BUILDING
INSPECTOR
OC CASH
A
0 REPAIR
APPLICANT
ADDRESS
PHONE
DESIGNER
0 RENEWAL
❑ FIRE DAMAGE
RESIDENCE 0 COMM. 0 EDUCATIONAL 0 GOV'T 0 RELIGIOUS 0 FENCE p PATIO 0 CARPORT 0 GARAGE
FOOTINGS FOUNDATION
This permit is issued subject to the regulations contained in the Uniform Building l Cod &nd f&ning Regulations of Rexburg, and it is hereby agreed
that the work to be done as shown in the plans and spec'if'ication will be completed in accordance with the regulations
pertaining and applicable thereto: The issuance of the permit does not waive restrictive coveil"�1�•+.,...
JUL 10
1 0200
11 I
WHITE- Owners Copy CANARY - Building Department's Copy PINK- Assessors Copy GOLDENROD- inspector
9'
0 AWNING
INSULATED
❑ WALLS
❑ CEILING
0 FLOORS
0 PERIMETER
Name lAv<&'* R`�u,
Site Address 2 3 Cj t (� - R s f
Mailing Address
City /State /Zip Q_C kr- � LD
Telephone/Fax/Mobile 3 J p - t (55
What will structure be used for: Home Home Business
Will there be an apartment? }yes
Total Estimated Cost (`Y 0
Signature of Applicant
Code
Zone
Building Type
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application Permit No. R-0 a- 67 o Z
OWNER
3LIL4n
CONTRACTOR
Name
Mailing Address
City /State /Zip
Telephone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: RE Is existing use compatible with zoning, (screening parking, etc) ye_S
When was this building last occupied 1' / CZ
Architect/ Engineer Firm Plan Name
Subdivision , A t �4'\c7 Lot 3 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 'O0 Garage Square Feet CoSQ Number of Stories 2- Height of Building
PAID
JUL 10 2002
CITY OF REXBURG
Commercial Other
If so, how many units
Are you in a flood plain O
/7
Building Permit Fees 4 o,
Plan Check Fees (ca
Plumbing Permit Fees 3
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $
Signature of Inspector
Issued by
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer
Bath Tubs
Urinal
Showers
Sink Trap
Laundry Trays
Water Heater
Wash Basin
Other
Toilet
Slop Sinks
KitcherrSinks
1
Floor Drain
Drinking Fountains
Lawn Sprinklers
Water Softeners
Dish Washing Mach.
Clothes Washer
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER FEES
�.��1 � ���1 , t TM
Name 11 � -( r� Plumbing Permit $
Address 2 . lilt' t I) • Tel. 356 t` " q Sewer Inspection $
Lot Blk. 6 Add. ' . ' Apt d i Inspection of Pipe $
PLUMBER Inspection of Fixtures $
Name $
Address Tel.
NATURE OF INSTALLATION TOTAL $
f't
Use rte44•1 c ( wig Id + _ . Received: Date
By
DESCRIPTION OF WORK
INSPECTOR'S RECORD
N
PAI J)
JUL 10 2002
CITY AF RFXRURQ
S
Rough Plumbing
Sewer
Other
Finish Plumbing
INSP.. NAME
To the City of Rexburg:
June 29, 2004
I hereby agree to convert the house located at 235 South 4th West in Rexburg, Idaho from
a duplex into a single family residence on or before Aug. 1, 2004. After that date there
will only be one family occupying the home.
Thank you for your consideration and help in this matter.
Sincerely,
°*.4 tj6A—
Dwight D. Wray
82 Douglas Dr.
Rexburg, ID 83440
356 -9155 (home)