HomeMy WebLinkAbout19-00584 - APPLICATION - 404 N 2nd E - SITE PLANRexburg Building Department
New Multi -Family or Commercial Building Permit Application
APPROVED PLANS MUST BE ON-SITE
For Office Use r'''
Permit Number:icl-o0�� Zoning: C, Application Fee: 0$1000/Building
1. Property Owner
Name: S'ayjh Fnrj� j�ar7/IFr5
Address:3 S6 NOyt 77 �(%O we5'r City: on.�jh FarK State: 7A H Zip Code: _ y6�d
Phone: el/ iJ8' FZ Email: ';r1h: haJJ �YVGG� 5r, GD/h
2. Applicant
Name: 1 -add- Im/,f ehelI Role: Owner, Tenantr,� Contractor, etc. OLt A
Address: .�S/ /1/DV-t/?_ *20/4/i57— City: Smor'511 Fn, -X State:V r.41i igHOW
Contact/Rep.
3. General Contractor
UnderIdaho Building Code, a registered contractor must do the work for a Commercial Building.
�j
Name: /t Vv' Registration #: Exp.:_
Address:_ SID -5;OO'7t/n A1,09Xa47- City !W-fldt'SE State: //T Zip Code:
Contact/Rep. Name: —Phone:—Email:
General Contractor Authorized Signature: Date:
A copy ofyour state registration/license is required to be on file. If this is the first time you have done work in the City of Rexburg, please provide
a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2160.
4. Project Description
• Adrirrcc- 0//4 1
• Project Name:_
Complete all that apply:
29 �t!)11- Lot #:_Block#:_Subdivision:
• Construction Type: • Occupancy Type:
(Note: Anv contractors involved will need to fill nut their resnective annlicatinn-1
Mechanical Cost $
Electrical Cost $
PlumbingCost $
Fire Alarm Cost $
Fire Suppression I Cost$
FireSprinkler Cost$
TOTAL COST OF PROJECT Materials & Labor
Cost $
• 'Total Square Footage:
• # of Water Meters: •
• Water Meter Size: •
• MFR ONLY Number of Buildings
# of Dumpsters
Estimated Dumpster Delivery
Date: --J—/
Number of Units per building
• # of Parking Stalls:
• # of Dumpster Pickups/week
1 2 3 4 5
Building Permitfees for commercial construction are charged based on the City's estimated valuation. The application fee applies toward
Names and small addresses of anyone that is expected to submit documents to the city during the construction process.
Name I Orqanization 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 lst E Email: shauna.eaton@rexburg.org Permit Technician -(208)372-2166