HomeMy WebLinkAboutAPPLICATION - 01-00048 - 27 W Main St - Commercial RemodelBUILDING PERMIT APPLICATION REXBURG, ID DATE NO./ ' �•s_ 4�.
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:
O RESIDENCE
FOOTINGS
O CONCRETE
p MASONRY
0 OTHER
REMARKS:
VALUE
FEE PAID
BUILDING
INSPECTOR
0 NEW
0 COMM.
EMODEL
0 EDUCATIONAL
DEPARTMENT OF BUILDING & ZONING
0 GOVT
0 CASH
c
JOB ADDRESS
ARCHITECT
0 ADDITION
0 RELIGIOUS
0 REPAIR
0 FENCE
DAT ir
0 PATIO
APPLICANT
ADDRESS
WHITE Copy CANARY — Building Department's Copy PINK — Assessors Copy GOLDENROD Inspector
PHONE
DESIGNER
0 RENEWAL
O CARPORT
0 GARAGE
O FIRE DAMAGE
0 AWNING
INSULATED
O NIiG
O FLOORS
❑ I ERIMETER
FOUNDATION
❑ CONCRETE
O MASONRY
O OTHER
BASEMENT
O PARTIAL
O FULL
13 NO
FLOORS
0 WOOD
0 CONCRETE
0 OTHER
EXT. WALLS
CI WOOD
O MASONRY
O CONCRETE
O VENEER
0 METAL
0 STUCCO
INT. WALLS
O WOOD
0 MASONRY
CI CONCRETE
O DRYWALL
p PLASTER
O TILE
CEILING
O DRYWALL
O PLASTER
WILE
IIPUIACOUSTIC
d' OPEN
ROOF
0 BUILT UP.
Q WOOD SH.
O COMP. SH.
O TILE
O ROLL ROOF.
0 METAL
HEAT
0 GAS
0 OIL
O F FIREPLACE
0 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.
Mailing Address
City /State /Zip
Telephone/Fax/Mobile
CONTRACTOR
Name
Mailing Address
City /State /Zip
Telephone/Fax/Mobile
PROJECT INFORMATION
Signature of Applicant
* * * * * * * * * * * * * * * * * * * * * * * * **
Building Type
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application / / /3 - e /
OWNER
Name ri
Site Address ,> f-e/ 1,1
I G7 t
/
Cc' ,.•Z, -t e 1(
Property Zone: c c ; Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied
Architect/ Engineer Firm Plan Name
Subdivision Lot Block
Circle One Residents Commercial Educational Government Remode Other
Circle One New House Addition/Remodel to House New Commercial Commercial Remodel
Circle One Basement: None/ Finished / Unfinished
Lot Square Footage Lot Width
Square Feet Garage Square Feet Number of Stories Height of Building
What will structure be used for: Home Home Business Apartment Commercial Other
Will there be an apartment? If so, how many units
Total Estimated Cost /.< Are you in a flood plain
******************************************** * * * * * * * * * * * * * * * * * * * * * * ** * * * **
Code Building Permit Fees _1"J T C
Zone Plan Check Fees .
Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
�
TOTAL $ � �. �
Signature of Inspector lG - ti
Issued by
//
DEPARTMENT APPROVAL
Other: None/ Patio/ Carport/ Awning N/A
Permit No. e