HomeMy WebLinkAboutAPPLICATION - Hackworth, Alan - 241 SteinerAPPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, EDAH6
Date of Application 7--3-6))-
OWNER --3-6))-
OWNER f J�
Name l�Ql� l Ct Lr1,1't1C" —t 1j�
Permit No. R - 0 o-- - Q 7 -6-1
Site Address
Mailing Addresslf�
i
City/State/Zip / /
Telephone/Fax/Mobile ( �/0 j/ 3
CONTRACTOR ) L_ J
Name ���a� �fCC Lt/�� %� � ���/ flee -lc )'1
Mailing Address 2Y S�� i'/1 C'f�
City/State/Zip��1�
Telephone/Fax/Mobile
PROJECT INFORMATION DEPARTMENT APPROVAL
Property Zone: Is existing use compatible with zoning, (screening parking, etc)
When was this building last occupied_ (%�' l' �'Z� /y ",-C- ", t.'
Architect/ Engineer Firm Plan Name
Subdivision Lot Block
Circle One Residential Commercial Educational Government Remodel;' Other
Circle One New House(Addition/Remodel otof House New Commercial Commercial Remodel
Circle One Basement: None/ Finished / Unfinished Other:; None/ Patio/ Carport/ Awning N/A
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 Costo (� Are you in a hood plain
Signature of Applicant 4/Ze&-t t��' e� V� 11
Code Buil. fin.g Permit F $ ii
uuuui� i eiitu� Fees ,
Zone Plan Check Fees S 3
Building Type Plumbing Permit Fees
Digging Permit Fees
Water & Sewer Fees
Front Footage Fee �/-
TOTAL $
Signature of Inspector
Issued by
BUILDING PERMIT APPLICATION REXBURG, ID DATE O J
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
OWNER JOB ADDRESS PHONE
BUILDER ARCHITECT DESIGNER
STRUCTURE: ❑ NEW (]REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE
❑ RESIDENCE ❑ COMM. ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ FENCE ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ AWNING
FOOTINGS
FOUNDATION
BASEMENT FLOORS
EXT. WALLS
INT. WALLS
CEILING
ROOF HEAT
INSULATED
❑ CONCRETE
❑ CONCRETE
❑ PARTIAL ❑ WOOD
❑ WOOD
❑ WOOD
❑ WOOD
❑ BUILT UP. ❑ GAS
❑ WALLS
❑ MASONRY
❑ MASONRY
❑ FULL ❑ CONCRETE
❑ MASONRY
❑ MASONRY
❑ DRYWALL
❑ WOOD SH. ❑ OIL
❑ CEILING
❑ OTHER
❑ OTHER
❑ NO ❑ OTHER
❑ CONCRETE
❑ CONCRETE
❑ PLASTER
❑ COMP. SH. ❑ COAL
❑ FLOORS
❑ VENEER
❑ DRYWALL
❑ TILE
❑ TILE ❑ FIREPLACE
❑ PERIMETER
❑ METAL
❑ PLASTER
❑ ACOUSTIC
❑ ROLL ROOF ❑ ELECTRIC
❑ STUCCO
❑ TILE
❑ OPEN
❑ METAL
I his 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.
REMARKS: ry ;41
4e�_
DEPARTMENT OF BUILDING & ZONING
VALUE
FEE PAID ❑ CASH APPLICANT
CHECK
BUILDING DATE ADDRESS
INSPECTOR
WHITE—Owner's Copy CANARY—Building Department's Copy PINK—Assessor's Copy GOLDENROD -Inspector
CITY OF REXBURG
APPLICATION FOR PLUMBING PERMIT
OWNER FEES
Name Plumbing Permit .................. • • $
Address Tel. Sewer Inspection . • • .... • ... • ........ $
Lot Blk. Add. Inspection of Pipe . • .. • • .. • • ... • .. • . • $
PLUMBER Inspection of Fixtures • • • • • • • • • • • • • • • . $
$
Name
Address Tel. $
NATURE OF INSTALLATION TOTAL $
Use
Rough Plumbing
Septic Tank
Fixtures
Water Piping
Complete
Sewer
DESCRIPTION OF WORK
Bath Tubs
Urinal
Showers
Sink Trap
Laundry Trays
Water Heater
Wash Basin
Other
Toilet
Slop Sinks
Kitchen Sinks
Floor Drain
Drinking Fountains Lawn Sprinklers
Water Softeners
Dish Washing Mach.
Clothes Washer !
Received: Date
By—
W/
Rough Plumbing
Sewer
Other
Finish Plumbing
INSPECTOR'S RECORD
N
P
AID
JUL 0 2002
QTY OF REX
I
INSP. NAME
E