HomeMy WebLinkAboutAPPLICATION - 19-00498 - 517 W Main - Egress WindowsRexburg Building Department
New Single Family Home Building Permit Application
APPROVED PLANS MUST BE ON-SITE
For Office Use
Permit Number: -bb 4c -9 Zoning: Application Fee Paid: ❑ $500
1. Property Owner
Name: r. G IZ o5
Address: t -7 u) wl U ; K 5 d- City: 7�1Qx 19 c a� State:Zip Code: 'K 3 '�'f `'l D
Phone: abzj -701�fly Email:
Under Idaho Building Code, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #4 and complete the Homeowner's Exemption) Ef No, I am working with the homeowner
2. Applicant
Name: S5rie P2 rnly- 5 Role: (Owner, Tenant, Contractor, etc.) _ 0 LJ r\ C,r
Address: / yi!2 g& ,_( (% City: i - I i_ ._. z State:-.:rTZip Code:
Phone: Email: S 6oft-�:1Yf I toroN,pr, '
Contact/Rep. Name: :4_ Applicant Signature
3. General Contractor
Name: v,
Address:
Contact/Rep. N
General Contractor Authorized
_Registration #: K LE�; a o q Exp.:
State: T 17 Zip Code:
Email: Q7
ate:
A copy ofyour state registration/license is required e on file. AEt Isis the first timeyou have done work in the Cityof Rexburg, please x
a photo copy ofyour license. lfyou are unsure if our license is on file, please check with the Permit Technician by calling (208) 372-2341.
4. Project Description
Address: S 1 7w,} &VA " V,_ -OR- Lot #:—Block #:—Subdivision:
Project Description: �G C'P 5 U tal 5
Main Floor
S .ft.
Additional Floors
S .ft.
Basement Finished
S .ft.
Basement Unfinished
S .ft.
Garage
S .ft.
Accessory > 200 s .ft.
S .ft.
Building Total
S .ft.
# of Water Meters:
Water Meter Size:
Building Permit fees for new homes are charged based on square footage and the City's estimated valuation. For details on how fees are calculated, contact
the Building Department. There will also be a plan review fee totaling 10% of the building permitfee.
Names and email addresses of anyone that is expected to submit documents to the city during the construction process.
Name I Organization or Company I Email Address
Mechanical Contractor
Electrical Contractor
Plumbing Contractor
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day.
Rexburg Building Department Inspection Hotline -(208) 372.2344 Address: 31 N 1st E Email: shauna.eaton@rexburg.org Permit Technician - (208) 372-2166