HomeMy WebLinkAboutAPPLICATION, CO - 04-00170 - 874 Widdison Ln - Remodel9
CITY OF Certificate of Occupancy
REXBURG City of Rexburg
--- `u'--
„aDepartment of CommunityDevelopment
nmcnca; Family cin+u,
ty
19 E. Main St.. / Rexburg, ID. 83440
Phone (208Y359-3020 / Fax (208) 359-3022
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of owner:
Contractor:
Special Conditions:
Occupancy:
0400170
International Residential Code 2043
272 Mark Dr
Single Family Residence
Type V -N, Unprotected
Residenti2l
No
Mot Lic
9777 S Snake River Rd
Rexburg, ID 83440
Mot LIc
lDQU SF' Oft ed &,A B4,45einemlf
Residential, singe family dwellings, lodging houses
This Certificate., issued pursuant to the requirerrrerrts of Section X09 of the Intemational Building
C ode, csrtifies tha t, at the fim e tim e of issuance, this building or that portion of the building that
yes inspected an the date listed vies found to be in compliance Wth the requirements of the code
for the group and divi sion of occupancy and the use dor Mich the proposed occupancy vias
classified.
Date C.Q. issued
C.0 Issued by:
Ir
Building Official
There shall be no further change in the existing accupancy classifica#ion of the building nor shall any structural changes,
modifications or additions be made to the building or any portion thereof until the Build Mg Official has reviewed and approved
said future charges.
Water Department: Fire De
f
State of Idaho Electrical Department (208 -356 -4830): -Oro
0
Date of Application,
OWNER
Name f''io-r I—L G
Site Address
APPLICATION FOR BU
Mailing Address 01 7 7 <
CITX OF REXBUR
I
c
04 00.170 MOT -LLC/spec
Cite/State/Zip -�C6vr� � ::r --b Q �3 Fa
v
Telephone/Fax/Nlob fle xco— GSTv ~— C� +t+
CONTRACTOR
Name /" &r I
ivl.ailn� Address �� r R � t
�d a yG
City/State/Zip
1..+Mo l
PROTECT INFaRMO�
AT�N
Property Zone:
DEPARTMENT APPROVAL
Is existruouse compatible with coning, (scTeeninor par ietc)
When was this buildiner last occupied
Architect/ Enori
Sub ivi lon
eer Firm
27q eV-,,e4A
Lot � � _ dock
Circle One (ze e Commercial Educational Govemment Remodel
Circle One ew Horse Addition/Remodel to House New Commercial
1
OneCircle
Other
Commercial Remodel
M&MM&MM- 1
Basement: None/ Finished I(UnE.is!e0-414d� Other: None) atio Carport,' Awning
Lot Square Footage
Square Feet
5ffaa—rag
BR'
What will structare be used for -
Will there be an apartment?
Total Estimated Cost � ��►,
Signature Qf Applicant
Code
Zone
uil Type
e Square Feet.
Lot Width
W 3 4 Number of Stories Height of Building
Hone Home Business
Apartment Commercial Other
If so, how man37 units
Are you in a flood plain
�s
(Parks, Fir , and Police)
,
Buy Penia Fees
Plan Check Fees
P" l h Pennit Fees
1 Permit Fees
Water & Sewer Fees
r Footage Fee
Impact Fees
TOTAL
Signature of Xnspector ��, ..._._.r.--
Issued by
�1WA
"xcavatjon
ahworK'.-
11
ct-rn;:
%-.dr
oTLCC
Masonry- A1mTGL6
Roofing.-
_�m�i�t �,�,,,,
r
Insulation, 4
SUBCONTRACTOR LIST
Drywall: qlloj 'Aq a1
Painting: ii?vT
FioQr
Goverings: M0 7'
Heating,. -
Electrical:
SPECIAL CONSTRUCTION
I" .
(Manurm�,-turei- or Supplier)
Roor Trusses: �T�
Floor, /Ceiling Joists: �`T
Cabinets: �� %-