HomeMy WebLinkAboutAPPLICATION & DRAWINGS - 01-00040 - Colonial TK & Auto Plex - RemodelBUILDING PERMIT APPLICATION REXBURG, ID DATE / NO.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER e
BUILDER
STRUCTURE:
0 RESIDENCE
FOOTINGS
CI CONCRETE
CI MASONRY
CI OTHER
FOUNDATION
CONCRETE
CI MASONRY
O OTHER
BASEMENT FLOORS EXT. WALLS
0 PARTIAL
CI FULL
C3 NO
0 WOOD CI WOOD
la CONCRETE D MASONRY
CI OTHER 0 CONCRETE
CI VENEER
0 METAL.
0 STUCCO
INT. WALLS
CI WOOD
CI MASONRY
CI CONCRETE
CYDRYWALL
O PLASTER
CI TILE
CEILING
CI WOOD
CI DRYWALL
CI PLASTER
cetE
O ACOUSTIC
CI OPEN
ROOF
CI BUILT UP.
O WOOD SH.
CI COMP. SH.
CI TILE
o ROU. ROOF.
CI METAL
HEAT
O GAS
CI 011
0 COAL
0 FIREPLACE
CI ELECTRIC
This permit is issued subject to the regulations contained in the Uniform Building Code and Zoning Regulations of Rexburg, and it is
that the work to be done as shown in the plans and specifications will be completed in accordance with ti 4,7
t
pertaining and applicable thereto: The issuance of the permit does not waive restrictive covenants.
REMARKS:
DEPARTMENT OF BUILDING & ZONING
VALUE
FEE PAID
BUILDING
INSPECTOR
0 NEW
0 COMM.
*
• / ?JOB ADDRESS /...„ 111
ARCHITECT
0 REMODEL 0 ADDITION
0 EDUCATIONAL 0 GOVT 0 RELIGIOUS
tr I' 1
e
/
CASH
HECK
WHITE Copy CANARY Department's Copy
0 REPAIR
la FENCE 0 PATIO
3/
4HONE
DESIGNER
0 RENEWAL
13 CARPORT 0 GARAGE
0 ,•,,,, j ..per1 5 2001
/, . Awe"'
DATE
/
PINK Cop Y GOLDENROD
APPLIC
ADDRESS
0 FIRE DAMAGE
0 AWNING
INS TED
ALLS
UCHLING
Q FLOORS
O PERIMETER ;
hereby agreed
iar
City /State/Zip
Telephone/Fax/Mobile
CONTRACTOR
Name
Mailing Address 71/03 . / CA
Cit / State/Zip Z29//D / U-S /D
Telephone/Fax/Mobile
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
Date of Application /0 " / ' f Permit No. -0/ / ®` ®r
OWNER
Name G k hr(G I/t s. f' 1' r 4x
Site Address 2 ( f _a G.) !Mai t
Mailing Address /1 if
f fly f7L 2,5 v /rjA
c•
PROJECT INFORMATION DEPARTMENT APPROVAL
%. _
Property Zone: .(1k 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 Residenti Commerci Educational Government
Remo �1� Other
Circle One New House Addition/Remodel to House New Commercial
Circle One Basement: 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
Will there be an apartment?
Total Estimated Cost 20 O
Signature of Applicant
* * * * * * * * * * * * * * * * * * * * * * * * * * **
Code ul3G
WellWI eft..44 fib
Building Type u•
Zone
�mmecialj Other
If so, how many units
Are you in a flood plain
****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Other: None/ Patio/ Carport/ Awning C
Building Permit Fees
Plan Check Fees
G� - 2001
I
Pluming Permit Fees
Digging Permit Fees
Water & Sewer Fees
TOTAL $,
Signature of Inspector
Issued by
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