HomeMy WebLinkAboutAPPLICATION - 02-00060 - 264 S 3rd W - Duplex ConversionDate of Application 5f I' 1 7 2,0
OWNER
Name (aKe. J (A-Yet(;
Site Address (( S . 3 `L VU,
Mailing Address s,q
City /State /Zip
12q2X 6u.■—j g 3 W
Telephone/Fax/Mobile 2_04a
CONTRACTOR
Name G qt K
Mailing Address
City /State /Zip
Telephone/Fax/Mobile
PROJECT INFORMATION
Property Zone: !' `b /Z-- Is existing use compatible with zoning, (screening parking, etc) P/J
When was this building last occupied
Architect/ Engineer Firm
Subdivision
Circle One Resident' 1 Commercial Government Remodel Other
Circle One New House .: tion/Remodel to Hou - New Commercial Commercial Remodel
Circle One Basement: None/ finished / Unfinished Other: None/ Patio/ Carport/ Awning N/A
Lot Width $ 2.4 f
Lot Square Footage l3 4C
What will structure be used for:
Signature of Applicant ( 4-L
Code
Zone
Building Type
Signature of Inspector
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
DEPARTMENT APPROVAL
Plan Name
Square Feet / 3 VO Garage Square Feet 3 yo Number of Stories ( Height of Building
Will there be an apartment?
Home Business Apartment Commercial Other
If so, how many units
otJ
Total Estimated Cost O'U Are you in a flood plain
Lot Block
Permit No. - cp._ et —1
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $
'M. 3
Issued by
BUILDING PERMIT APPLICATI ON 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 0.6it t )
NEW
REMODEL
JOB ADDRESS 1. 1,,r1 tA)
ARCHITECT
0 ADDITION
REPAIR
(7
PHONE
DESIGNER
0 RENEWAL
FIRE DAMAGE
FOUNDATION
'CONCRETE
MASONRY
la OTHER
BASEMENT
la PARTIAL
O FUU-
NO
FLOORS
O WOOD
la CONCRETE
O OTHER
EXT. WALLS
0 WOOD
0 MASONRY
CONCRETE
0 VENEER
0 METAL
la STUCCO
INT. WALLS
fa WOOD
O MASONRY
0 CONCRETE
0 DRYWALL
0 PLASTER
U TILE
CEILING
ROOF
HEAT
U WOOD U BUILT UR 0 GAS
la,ORYWALL CI WOOD SH. 0 OIL
UPLASTER la COMP. SH. la COAL
U TILE 0 TILE la FIREPLACE
la AtOUSTIC 0 ROLL ROOF. 0 ELECTRIC
0 OPEN 0 METAL
RESIDENCE CI COMM. la EDUCATIONAL 0 GOVT U RELIGIOUS La FENCE La PATIO
FOOTINGS
la CONCRETE
0 MASONRY
O OTHER
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.
REMARKS:
VALUE
FEE PAID
BUILDING
INSPECTOR
DEPARTMENT OF BUILDING & ZONING
3
0 CASH
(/' aCHECK
DATE
APPLICANT
ADDRESS
CARPORT
1
WHITE-Owner's Copy CANARY—Building Departments Copy PINK—Assessor's Copy GOLDENROD-Inspector
0 GARAGE
la AWNING
INSULATED
0 WALLS
CEIUNG
0 FLOORS
0 PERIMETER
a—m- cva t? cz
Como
Masonry:
Roofing:
Insulation
D ywa11:
Paint
'lour Ccv jng
Plumbing:
Seating;
Electrical:
Roar 7±utsas:
4C
'?oar / calling Joist.:
idl. g /E.� L._ io_ 7- LT:
SUBrONTRAITOR
weL
SPECIAL CONSTRUCTION
(MANUFACTURER OR SUPPLI ER)
I
Ai 4