HomeMy WebLinkAboutAPPLICATION - 01-00001 - Cindy's Specialty Cakes & Silk Floral Shop - RemodelFOOTINGS
FOUNDATION
BASEMENT
FLOORS
EXT. WALLS
INT. WALLS
CEILING
ROOF
HEAT
INSULATED
❑ CONCRETE
0 MASONRY
0 OTHER
0 CONCRETE
❑ MASONRY
❑ OTHER
❑ PARTIAL
❑ FULL
❑ NO
❑ WOOD
❑ CONCRETE
❑ OTHER
❑ WOOD
❑ MASONRY
❑ CONCRETE
O VENEER
O METAL
❑ STUCCO
U WOOD
❑ MASONRY
❑ CONCRETE
%DRYWALL
❑ PLASTER
O TILE
0 WOOD
❑ DRYWALL
❑ PLASTER
❑ TILE
❑ ACOUSTIC
❑ OPEN
U BUILT UR.
Cl WOOD SH.
❑ COMP. SH.
❑ TILE
❑ ROLL ROOF.
❑ METAL
❑ GAS
❑ OIL
❑ COAL
❑ FIREPLACE
0 ELECTRIC
❑ WALLS
0 CEIUNG
❑ FLOORS
0 PERIMETER
• •
BUILDING 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 L >f AT AT _a S t t A JOB ADDRESS J4 , S, C--e- 7 / r PHONE
DESIGNER
0 RENEWAL
BUILDER E J I/ !/ e-''ij ern
STRUCTURE: ❑ NEW REMODEL
0 RESIDENCE comm. ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS 0 FENCE 0 PATIO ❑ CARPORT ❑ GARAGE ❑ AWNIN
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
❑ CASH
E
ARCHITECT
0 ADDITION
O REPAIR
APPLICANT
DATE / ADDRESS
WHIT • er's Copy CANARY — Building Department's Copy PINK — Assessor'. .py GOLDENROD- Inspector
NO.
0 FIRE DAMAGE
Date of Application / /6 3
OWNER
n
Name L•- v r t r' . �/Q A 0 5 Iii- cot J
i t5' Ce49 to
Site Address
Circle One Basement: (None,D Finished / Unfinished
APPLICATION FOR BUILDING PERMIT
C.1TY OF REXBURG, IDAHO
Mailing Address /4' S. Ce,r7 per
City /State /Zip 4 T --f 3 - 6'3 V4/0
Telephone/Fax/Mobile
CONTRACTOR
Name $, 7/ 7 e �
Mailing Address 7 ' //' Sf .
City /State /Zip ,Aec bu r 6 3 Vc.
Telephone/Fax/Mobile 6 3 $G -03'7/0
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: COYY?M . Is existing use compatible with zoning, (screening parking, etc) /e-5
When was this building last occupied 0 2c90Z
Architect/ Engineer Firm Plan Name
Subdivision Lot Block
Circle One Residential Commer • Educational Government Remodel Other
Circle One New House Addition/Remodel to House New Commercial < Remodel!
Lot Square Footage / (J I y / Lot Width
Square Feet /0/ / Garage Square Feet it,7(1 Number of Stories Z Height of Building �2 v
What will structure be used for: Home Home Business Apartment ommerci. Other
Will there be an apartment? C, /re telc ex/5 /5
If so, how many units /
Total Estimated Cost S 06) , C V Are you in a flood plain
Signature of Applicant
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** * * ** ** ******* *** ******** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Code G
Zone
Building Type 8 )(4571A�
Signature of Inspector
Other:
Permit No.
Patio/ Carport/ Awning N/A
Building Permit Fees
Plan Check Fees
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee
TOTAL $
Issued by