HomeMy WebLinkAboutAPPLICATION - 00-00045 - Allen, Joe - 17 W 1500 N, 1412 S 2000 W - Annexation & RezoneBUILDING PERMIT APPLICATION 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:
Q RESIDENCE
FOOTINGS
1 CONCRETE
MASONRY
0 OTHER
REMARKS:
FEE PAID
BUILDING
INSPECTOR
FOUNDATION BASEMENT
111CONCRETE
MASONRY
❑ OTHER
❑ PARTIAL
O FULL
NO
FLOORS EXT. WALLS
13 CONCRETE
O OTHER
0 WOOD
O MASONRY
0 CONCRETE
0 VENEER
METAL
crsrucco
INT. WALLS
WOOD
0 MASONRY
❑ DRYWALL
0 PLASTER
❑ TILE
CEIUNG
❑ WOOD 0 BUILT UP.
O DRYWALL 0 WOOD SH.
0 PLASTER 0 COMP. SH.
❑ TILE O TILE
0 ACOUSTIC 0 ROLL ROOF.
tt�1.OPEN IH,METAL
HEAT
ickGAS
— 40 OIL
O COAL
O FIREPLACE
0 ELECTRIC
ARCHITECT DESIGNER
0 NEW '„REMODEL 0 ADDITION 0 REPAIR 0 RENEWAL O FIRE DAMAGE
'® COMM. 0 EDUCATIONAL O GOVT 0 REUGIOUS 0 FENCE 0 PATIO 0 CARPORT O GARAGE O AWNING
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
VALUE
JOB ADDRESS {
CASH
HECK
WHITE Owner's Copy CANARY — Building Department's Copy
ATE
APPLICANT
ADDRESS
PHONE
PINK — Assessor's Copy GOLDENROD-Inspector
Y � I'
INSULATED
;WALLS
OEIUNd
Q - FLOOR$
❑ PERIMETER
Date of Application 1 k Dto
OWNER
Name SOE P l\eo J
0\)
11 GU I ) - t)( � DJ
IL�Rf'S oa L p c 3 y y 0
Telephone/Fax/Mobile 3%-rtql r X 3,S10-q3)-)-
CONTRACTOR
Name
Mailing Address
City /State /Zip
Telephone/Fax/Mobile
Site Address
Mailing Address
City /State /Zip
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied
Architect/ Engineer Finn Plan Name
Subdivision Lot
Circle One Residential Educational
Circle One New House Addition/Remodel to House
Circle One Basement: None/ Finished / Unfinished Other: None/ Patio/ Carpo Awning N/A
Lot Square Footage I As Lot Width ilji,
Square Feet ,-)403 a Garage Square Feet --" Number of Stories i Height of Building S
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment? & 1 If so, how many units
Total Estimated Cost tC�., - o
Signature of Applic
Code /99 1 1B 6
Zone AR
Building Type V
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Are you in a flood plain
Permit No. ie of - //- /q
Government Remodel Other
Block
New Commercial (Commercial Remo
25
Building Permit Fees 40 7
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
TOTAL $ "P 9 is
Signature of Inspector
Issued by
Excavation &
7'i a rt;IwcrJC :
Concrete:
Masonry:
Roofing:
Insulation:
Drywall: �j G VFLEt,C)
Painting: -
Floor Coverings:
Plumbing:
Heating:
Electrical:
Roof Trusses:
Floor / Ceiling Joists:
Cabinets:
Siding /Exterior Trim:
SUBCONTRACTOR LIST
SPECIAL CONSTRUCTION
(MANUFACTURER OR SUPPLIER)