HomeMy WebLinkAboutAPPLICATION - 19-00579 - Ollie Manor - 109 N 1st ERexburg Building Department
New Multi -Family or Commercial Building Permit Application
APPROVED PLANS MUST BE ON-SITE
For Office Use
Permit Number: Zoning: Application Fee: ❑ $1000/Building
1. Property Owner
Name: L!4
LliOt.utN••i'(/`
Address: 1: Ise F, f les- N Is} r City State: .1 V) Code: _83�I p—
Phone:_62�� f3 5 _9A Email:
2. Applicant
Name: 'Y%A. Role: (Owner, Tenant, Contractor, etc.) Owvv.r
Address: l 61 ^31 is } G. City: P Y-6,Lvu State:T_ .V�) Zip Code: P,3 4t4 r)
Phone: a o it - 311-59 S0 Emait: f a;
Contact/Rep. Name: ru ac 11k IWO- - Applicant's Signature
3. General Contractor
Under Idaho Bui►ding Code, a registered contractor must do the work for a Commercial Building.
Name: U.0 Registration #: gcf -144• RIati Exp.:
Address: )ff5 /c5 It N City: 94-09lAref State:S(LZipCode:(>�t�y2-
Phone: o2OA - 3ay - 7931-7 Email:a C,"a.
Contact/Rep. Name:ar•I-t+ Phone -917-SIM Emai : retail. c
General Contractor Aut ortzedSignature: Date:
A copy ofyour state registration/license is required to e o le. If this is the first time you have done work in the City of Rexburg, please provide
a photo copy ofyour license. Ifyou are unsure ifyour Icense Is on file, please check with the Permit Technician by calling (208) 372-2160.
4. Project Description
• Address:_fps iy 'I s I E OR- Lot #:—Block #:—Subdivision:
• Project Name: Ailie W&*W-V • Construction Type: •Occupancy Type:
Complete all that apply: (Note: Any contractors involved will need to fill out their respective application.)
MechanicalCost$
Electrical Cost$
PlumbingCost $ nj \->
Fire Alarm Cost $
Fire Suppression I Cost$ MY30
FireSprinkler Cost$
TOTAL COST OF PROJECT Materials & Labor
Cost $ 3p
• Total Square Footage: 4AAP,
• # of Water Meters: 1 •
• Water Meter Size:
# of Dumpsters '40- 11
Estimated Dumpster Delivery
Date:/ J /_
• # of Parking Stalls: .23
# of Dumpster Pickups/week
1l3 4 5
• MFR ONLY Number of Buildings I Number of Units per building 8
Building Permit fees for commercial construction are charged based on the City's estimated valuation. The application fee applies toward
email addresses of anvone that is
or
Mechanical Contractor
Electrical Contractor Ty, n I I
Plumbing Contractor I1g r::)
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:31NlstE Emaihshauna.eaton@rexburg.org Permit Technician -(208)3722166