HomeMy WebLinkAboutCONSTRUCTION MONITORING SEPT 03Fax Transmittal Sheep
Date: September 2, 2003
To: Construction Monitoring
Fax: 877-777-5781
Phone: 1-866-777-3062
From: City of Rexburg
P.O. Box 280
Rexburg, Idaho 8 3440
208-'.")'59-3020 - Ext. 3 1 3
208 -359 -3022 - Fax
Blair D. Kay
City Clerk
RE: Weekly Building Report
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Lot Square Footage Loi Vtiridth
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NtunberOf stories Height of Bulldmcl
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Date: September 9, 2003
STATE OF I DAHO
Fax Transmittal Sheet
10
To: Construction Monitoring
Fax: 877-777-5781
Phone:] -866-777-3062
From: City of Rexburg
P.O. Box 280
208-359-3020 -Ext. 313
208-359-3022. -Fax
Biair D. Kay
City Clerk
RE: Weekly Building Report
12 North Center Street
Rexburg, Idaho 83440
Phone (208) 359-3020
Fax (208) 359-3022
e-mail rexburg@srv.net
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Date of Application
APPLICATIO.N.- FOR BUILDING PERMIT
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PROJECT INFORNLATION
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Propeny Zonc-. Iit use _til with zoninc
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.Axchitect/ Engineer F=
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Number of Stories_ Height of Buildfficl
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how many units
Total Est=aced Cost- ISO 63� in a flood plam'
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0"ANER
Name f,"o, r
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C1TYVFEXBUFRG., IDAHO
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PROjECT INFORN-1-ALTION' DEPARTMENT APPROVAL
Property Zolie. Is existing use compatible w' ' �nM(screenincr ParKma
was this building last occupied
-.. t J,
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Subdi'v1sion
Circle One
Circle One
Circle One
crr Firm
Plan Name
CommeTcial, Educational
Additioii-Remodel to House.
Basement.- /FIM'shed /
Lots quare' Lade
Square Feet Garaoe Square Feel
'What will Studs be used for:
Will thez-e be an apartment?
Total Estimated Cash
S in,ar-.---. of Appfficant
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Other. None/ %�-
.Lg�i�L f"arport/ Awning
Number of Stories
Home Business Apartment
Height of Building
Commercial Other
If so, how many units
-.Are wu in a fbod plain.
S�r` 2 2003
Y op Pi=XRUR0-
R
-Buil.mcr Permit Fees
Plan Check Fees
luT.Tnb arm. it F e l s -i
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Water & Sewer Fees 4
Front Footage Fee
TOTAL �
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Date, of'a li ti
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Site Address
M ili eu Ad&ess
C 14 ty/S t at, C, /Z i p
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CONTRACTOR
Name
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City/State/Zlp
APPLICATION FOR BUILDING PERMIT
CITP OF REXBURG, IDAHO
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-36
Telephone;'Fax-Mabxle �j� � � �.`'G� �{ -�Oct
PROJECT INFORNLATION, DEPARTMENT APPROVAL
-Proper-(y Zone.,
� [9�� II 's {ex�F �y'r�+ -e 'r'�J 'st,
Ne
,{yy� ,[yamf_..J i� �1�L11 �,_,1, �, ' �4. +L1 ' ... with zona
L7 k.! � �'
Vv'hen was this buzld�ng Iasi occupied
Arc ittcA rlcll� �' Firm
Subdivision
ilr-.1'e One
circle0n
Circle One
Lot Square
Square Feet
'What will S1
Will there b
(11esidenti
New HOU,
Co=ercial
Basement: None/
k,
. %
,,,. N�
Educational.
Plan N ame
I
W--� -� --� ;51
I,at � Bloch
Government Remodel Ocher
Addit'Ion/Remodel to House
inzshed ) Unfinished
Total Estimated Cast
7D -), e�
Sianature of Applicant
F N IEI .e � ti a
None/New Comm-ercial Commercial Remodel
ort/Other- r
atio, Carp I lwnfiicr
cries
—L
ent .o ril
eight of $uildinCar � +
Other
If so, how many units
-A-re you in a fioO plain
Zone
Build'qg Type
r Ply Check Fees
lum rmit Fees
L {
,fio-umcr
Pernut Fces
�� �
s
a 1
Wate-r w r Fees
Front Foota.ae Fee
F. ti
TOTAL S �c 9 2,
r —
SiPatin-e. of htt$
l u Y
APPLICATION FOR. BUFLDI_VG PERMIT
CITY OF REXBURG, IDAHO
a
F1,
Dathcation z t4__>
�rm No�
- �.
0 WNTER
'CIL
Site Address—At
Coo 14.-
A
Maifinor Address
ity States Zip
CONTRA.CTOR
Malling Address
r
City/Statev'Zip
Telephony,/ax/MYl
PROJECT FRMATN
rZone,
V
DEPARTMENT APPRUVAL
Is r
existing use compatible Frith zonino-, (scrparkincy
� etc,) r
Vann was this buildilicr last t led
Architect/ Encrfficer Firm
t5i
7 {
Subdivision �� r
Circle On,
Circle One
ke�ii d 6ni ar
tiAf _Vip 00 1 anName
7Efc iv4vtl tS -.A�
Lot
Commercial Educational Gove;imment Remodel
New House Addition/Remodel to House
r"
New Co mmexcial
Block� .,..
Cather
Commercial Remodel
circle0r)-c None/ Finished /'�I, �nfjj , : Other: None/ Patio/ Carport/ F
g N/A
Lot Square Footag�ArLot
Width
q
�j[stet + Number of Stories Hel-aht
` 14 :5�
40m�� Home Business
Apent
NVhat will strucmre be ustnd for: �7ia�l Otber
Will there a
.,ro f , how} � � �i
Total Estimated Cosi _Are you, i a flood plal'.D_
x
I Cr
urc
o-fApplicant
Cede
Zone
Jig
Si��Mature
lssucd by
Building, P it Fees �
I; 0-- er.
X
Plan Chec.1c Fees
4
1dmbicry
AUG
2
G
ii,�Cr Permit Fees
--
Water & -wr -Fees
l C _
a FrOnt F 00tacFe Fee
Ors
TOTAL
t...0 1
0 WNZ
Name
Sits.d 7- 5.S
.A—Pj— f--fC-A'-7j'J0JN7''' OR.
PERA_
3 _
:1-E
ip
0
-F' iz (-., r<
0
/Zio
5
M rLI ing Ad&es&�
T�Iephone/F=,Pq0flzlia
— C)
.-r�-A-R-
fT -A -,
�,s exisunc- use,
I -S compatibjelkqt� zolam, (sc.7, Cr
rt -
-Ax�hitec-,�
0
Egmener
FiIM
Subct
-Lo
r
t
Rc - -
�• - Educational
-
OG :as ct Re
:1 �Fc D Base e L. FiaisInt NOW Unan's` ed othr5r. Non �
f
Patio/ Carport./ ATA
NI/A
Lot SaUa4
F00. a
4.
Arl
Lo+'Width 0
await Fit '0a
ones lie:i�ht C)'B-u-I
st. U- k -Ir - - - I I 14/a
Home BUSM,-eSs-
A -1
Wille Opl. _
Totalsit tAre you in a iffood plain
J
i
` aSEPZ. ??003,
Plum,binc.,
R�.
OF REXR,.URG
t_
-- v .
ewer
- roam Ft .-- U,
.
OT
SloMat[lZ"' Of IaSDaCtOr Te
-15
Daie of Application
OVv WER
Name <�� , {
APPLICATION FOR BUILDING PERMIT
CITY OF REXBLrRG. IDAHO
She Address I)
Mallin.a. AdcLT ss��} �`
CiiylStatet�ip-e x
Telephone/F-ax/Mobilel
CO-.NTTR-kCTOR
A
17, lit t,
Ct C V
V
CA
Mail.L'qlar Address
0C
Clt
5 S ��'Statr.--1, --Ub
Telephone,oTax,/Mobile
PROJECT FNFORMATION DEP-ARTMENT APPROVAL
Prop ' /.C)Ile,, Is existm,cl Usc compatible with zoninor, (screen* g parkincy,
etc
Veen was this building: last occupied
Architect/ Eii(jineer Firm
Plan Name
Subdivision Lot Block
zCircle One Residential mnii ucational Govenunent B del Other r7t�
0
C � ,Rr d-
Ucle One N House Addition,,Remodel to Hou -,s -e Nle�N, Commercial Commercial Remodel
Circle One Basement- None/ Fin' h ;/ Unfmlsb Cr
-od Otber: None/ Patio/ U1 Carport/ Awn' :, X/A
Lot Square Footaae Lot': 3
Width
T,
oquaic reeL
u'arage quare Peet
Heicrht of Buildm'Cr
11�umb(ar of Stories
What will structure be used for: Home Home Business Apartment Cormercial cr,�Other]'
Will r be as apartment?
If so, how yes
Total Estl'mawd Cost
Z j., Axe you in a flood Dia].T]
Signature of Applica
Zone
Building T3rpe
Sipr InspeC-.tor
Issued by
t
CNAV19
"Nos y
Build-incr Permit Feesdr-6.
Plai-i Check Fees
P1-1,n-r-bW*-1g Permit Ftit:s
Dilaal' iJPeim-iit Fees
WaTer & Sewer Fees
Front t Fee
6 -O TAL t
T
APPLICATION FOR B U, ILDWG PERMTT
CITP OF REXBURG3 IDAHO
Date of Application
OWNER �
Name A-77
ex G 1\
Site Adclrc.ss
Mailing Address
CitF
-/State!'Zip
Tel ehnAfme/'0M1-J.e
CONTRACTOR
Name
io114-
f
MallZ!?
Address
C�?
s
�7 �_ jc/o�
D
J, emit , .
f
City/State/'Zip
L Col
Tele /Vjbili -
PR.O.TECT N_F0n1ATT0N
DEPARTMENT APPROVAL
. � e ""T Sze e - table with zone(screenm-g-
g, � r A_r, etc)
-
L
.en was this building last occupied 7
2
Architect/ Re Firm
Plan Name,
Subdivision Lot —Block
4
Circle One
Residential ( Commercial
Educational G 0 vCjrn . I nt Remodel Other
Uircle One New House Add`t'on/Rem
odel to Hous,_. NewCommerc* I
iereil Remodef
IreI. One Basemen Nope/ Finished/ Unfinished
t .e : None/ m/' ./ y jN/A
Lot quart --w, Footage
Lot Width
Square Feet .rz e Square Feet Number of Stories Helaht of Build'
inor./I
i .t will structure. be used for:
p��e e
Will there be an apartment?
If so, how many units
Total t . cosi � �) � in You. flood plain �
F�
Signature ofApplicant,—j')/
Code
Zone -.
Plan e ;R
Fees
Building Type
signa=e
Issued b
OF
RiG
0 4dPW
��'''n
ITY t
4'
SEPn003
■
- ;
remit Dees
Dior-iiinsz Permit Fees
Watei- & Sewer ee
Front ' . � F,,f.,e
0
TOTAL �2
�� v
bmmk
ii Ar iL
Nam
42
gE—J.2 2: effi'
ci
61 lllllrmii,.�
■
2
- — --------- — - 5� 3
f LCTt �.�i
�4 r
P'AwffiNT
use ccrimpall-
z<)nJ49v (-sQr'c=UQ9 pv;dng�
Wh tl�s oud din
I= Occupied
ArohhevV gjne" Plan Neame
V1 I DAM
Blwk
one Gav=rnent R=odej
-Now 1'16-L' A C)Wj;'�cz" "del
None,/ Finished/ Nzn& -Patj
ol
LotaZe.Footage N/A
Lot width
F
Tit;4ht of BWIding
What W�l gtrt'r'
t M� Ise llje*44,0.
as
A6.J.Lrjj_Lj'—
Apartnj=t
C Other
W..... .........
T T
-- -py
so, how ina-
TOL-VI
A06
Ai e You i2 a tlood
Ift j
*4:1:
code
-R&Jdir� gy P=Tjjt _Fees
Zone
Man
Gwck
Z�zv
9;58AM
APPLICATION FOP, J3iTMDptiC, PER1�'_r'
CUT CF Rz"tm
T V P Rmr
No - 15 q I P
L
f1mil Fees
ew= '71�
Flnntf- Font mm- -P-11121-11A-
E:'� T 9 9 Z T 0 0 T
APPLICATION FOR BUILDING PERMIT
� 1
Date ofApphcauor,
Name
Site Address-,
ilicr Address
iM. State.,./Zipa
e.ol rT- a -1
CONTRACTOR
I\Iame
Milli z Address
e +
CITY'OF REXBURG.. IDAHO
C-4-K�- 5 -
Cky/SiaTe,/Zip
Telephone�T, a3c.
PROYECT E\TFORK4-TION
Propem7 Zone
r
r
DEPARTMENT APPROVAL
Is existin'.9- . 'Ne with zonincr M -i
use compaii i (screen' cr park ng, ca
)A7hen was this b0 i t occupied.
Architect/ Encri-aco:;j- i�
%mllPlan Name
Subdivision
Circle One,
Circle. One
Circle One
Residential
Now Tiouse
Lot
Commercial Educational Government Remodel
Addition/Remodel to House -New Cornmercial
Basement: None/ Finished 1.
FW
Ioc.
OthCT
commercial Rom
�
ot er: NOne,�� Patio/ Cay / Awnm'cr N/A
Lot SqualreFoo i.'
Lot Width
Square Feet Gara-ae S r FeetN
u�r of Stories Helorlit of Buildm'cr
'V�Iat w'11 structure be ustid for... Home Homck, Busm'ess Apa=ent Commercial Ot1her
it there be n _ n `?
Total Estimated Cost r_,44.
f
t
signatdre of Appi Ilt,/ 11 ZL
Codi
Zoe.
itT3,Te
.
SicynatUFe Of 111SPeCtOT
Issued by
If so, how mane units
Are you in a flood plain
r _ u"I in
J
k - #4 1.
1:.
le
Uri
� Is
T
Plan Check Fees
P L
lumbffi a P ermit Fees
D*
l I %_�
Water & Sew, g0,Fees
Front Footage Fee
TO TAL S
U
r1• _
SIH
Date: September 15, 2003
STATE OF I L H
Fax Transmittal Sheet
To: Construction Monitoring
Fax: 877-777-5781
Phone: 1-866-777-3062
From.- City of Rexburg
P.O. Box 280
Rexburg, Idaho 834,40
208-359-.3"02110 - Ext. 313
208-.'"359-3`022 - Rax
Blair D. Kay
City Clerk
RE: Weekly Building Report
P.Q. Box 280
12 North Center Street
Rexburg, Idaho 83440
Phare (2Q8) 359-3020
Fax (208) 359-302
e-mail rexburg@srv.net
=�-FAL-TC�TiON FOR BtaDPE2VIT
c-ZI'F OF,'Rl-.XB-,Fj-RG, -a)�g
;�� OZ�-,er, 3
r 63
___ L/__)_1 q - n
16
RL
17
M iLings
017 a5;//
i al CP h Oil tT `_ -7 7
.._
- /1--
O . TOR
"
cityll-S
't�lcph
T IJDEPAM�N�L _AppR(j- Vk—
pro _Q e
QOM'Dof at z ]�
• & . c=g =
- .- was �s buil last - ..
r
ia
Plan Name
�� ■ o _-
irle MCIA a EduCationalt
Rer. me -Her
l
Commercial Remi mel
_OneNone
.
Nc),
L Ariz NVA
Sqef -
= -dot Width
Square Fect 20!5v _
�� yo%St
�.
ones
o2 ll
wRaT L. .i - `
r 0 � c D,c
Ommerc.,'IYO
V'R! th�crl,:,:N nc-iL
_ �L� t E J k i a_r s r■ i i a�
Total E- � 'd C�
of A Ic pp
�tWcfing ly d
2 tui c Oflusuector
LL
17's -a-3
F
Mar k�lja
_ f �
41
Di 'In`rM it F
�. 0
F 10 1 it F 0 e
5
11
AYYLIC:�TIO�V' FOR BUILDING PERiVIIT
CITY OF REXBUR,G, IDAHO
Date of Application._11.T
Per m i�� I.
ONk NER
Name
Site. Addy
ess --7,:) '7
7. / t t / i
Telep . a /Mobile
CONTRACTOR
Nam.e pv_ t
Mailing Address 56
Ciiy,'StatzlZzp
Telephone/Tax/Mobile
C5
CA;
:
rc u_; I "
PROJECT INFORMATION DEPARTMENTAPPROVAL
rryr is exist
nmcrscree
Y
-
o, etc)
When was this bulUding last occupied
t . t/ E r r
iPlan Name
r
I
I
-o
Irr 'drop
}
Subdivision Lot
.:
Block
Circle One esidential ommercial
Educational vmmt Remodel Other
=UCircle One ew HoI1111111111 Addition -Remodel to HouseT
Commercial Commercial Remodel.
.t:-1eUnfmished
ort/Other.- None/, Patio/ N/A
Lot Squarc Footaue
Lot Width
Square Feet �0 Jve Garag
,- Number of Storiesy
Hei_,aht Buil dor
'\Vhat will structurc be, used for: Home Home Business
Will there be an apartment . -
If so how man
f units
:2 00
Total Estimated Cost _ aae
A -Axe you in, a flood piain
Sianature of APPE __7
i ant
r
Bu'ld'acr Pei —7 0. R
Zone
Building Type
S Mamie of Inspector
Issued by
G
}
4
1_; G4
-14 R
Plan Check Ftn_.Les
lu mjbiu-1cr Pew -t Fecs7
Permit Fees
Water & Sewer Fees /3(4e-07
Front Footacre
TOTAL3
_. a
Date Of"' Azrp
11cazim
01�i �-ER
A-PPLrc -NT1o� FOR BLMi,�� G PER -AUT
CTn,7, OF R EXEUR, G, MA Ho
I-qle
3�, �e
_ WE � ; r32vo
Sit-t,L Ad dress
Manng Adaress
4-0
N 4.0
ENT
0
F
I -3 T lumi 1% -
G. LC
0 Yl�-
Ci-EY//StatC/Zi LI
_p
'Telepi�o�e/F`a�1?'�ob�l a � — , j � —` �—� 3 �
-------------
CON7RACTOR z
1 313--3737 5 + e K
e F --r- I Jill"'' !�:::I 1111 111111, 11111111110''Ill 1 41
7 �. �P- I. � �1�11
-AIAI
L.L
Alai" A 'dress 211
:S
56 C)
IL
A—
T eph o n C-Taxfmo b I- I e
I 1!11F10
DEPAR i
IL
Prop eftv zone.-
p ain with zo
L s S till 1-1 C I Ma nung, (Slarctenzagr pailancr
Wn =Veu-s tills buildffig last 0=upied L�IIIIIIIIIIII�
02,ctf E.
Pla CM LL -4
.subGIVISion
4
Lot
Block
L'ircle One Csi:dTntiaDIC0, cau
oaal
Ciro -IIOne Rcmoaei 0--Lffier
-ALAML, to Hous;e NTew CD=nercial
r=erimal Remo -tj
.CiMle On;=, Basemcat.
UU,
UIIIi�n s'ed Othez-: of p1r,11.
Onela,01 C���Ng T/A
or
04 A
L or- WH dth
'P7 -P�+A - -0 0, -H--- I
S�quare Feet ry
V LLCU Eta Mi=ber of Stories
Heint of B wi din Cy CI
W-±Iat Will be, -used for: Home Homa
A. Co_mmerclaj 0, M- elf, t4 400
L7. Will fere be an apajtmen�L,?
I 60�• _
ar
_u
0
Total Esz=ated cost
-A'eY<)u L'I aflood plain
Sim
aDf Appi cant
IWA "'I
olId 1111
0-40.
C o d okI
Zola e
.-C -T -
c
Of
SEP
00,
J A -L-
*
I ding Permit Fe oED. Is
Plan Checl,, -F.,,,
NI -3t
-Mumbiu-cr 00
?AM
wk; & F-
T
Wro,ut Fc) otag-,
TOTAL s
16;7.
:D e+
.
0 Com'
l
r rCN 0 0 CD '
1 , O co C� # [? . M 0 c} M. co
0 C? 0 0
m co
y- rI I 1 11 1 1 I (�D Cj) 0 �.�+ � n
+FM
0
c co
. JY 40
4.
w �jj' c c
in
C) :3 LoCL LO n;
>`
T c CL
_j
LL CL olf
W w mCO a)E5 F "Y'llm
4-1 TD
C � m 'D 70� m
ZZ r -
E m 6.
ca X
_ -
co -i a �
-0 L � 5F
m � U 4* C:m
7` C3
f lu . CEJ Q3 " ] .
Q
m C3
-� 2 0 m N 0
'7 Imo.
r
€}
6
Co
-�
45' 3 ��
0 , w
46 T
cu m
0 0 n. t0 C
5.
0
.�
U
[ a- 0,tL .
m a) -
o j
cu co co C9 co ;'
CD
46
LO ON, -C!)0 m
�. .
� co +moi Cep
O � .D OD co m co co c
CD 0 CD
L (D
E co co m m co C.0 CO I •�
a m C3 CD CD co co co m
L L 1i iL : I UL LL U- D- !
V—
[3
M\7
X114 1 �E_9
Date: September 23,, 2003
STATE OF I DAHO
Fax Transmittal sheet
To: Construction Monitonng
Fax: 877-777.-5781
Phone: 1-866-777-3062
From: City of Rexburg
P.O. Box 280
Rexburg, Idaho 83440
208-359-3020 - Ext. 313
208-354-3022 - Fax
Blair D. Kay
City Clerk
RE: Weekly Building Report
r
12 North Center Street
Rexburg, Idaho 8344
Phone (208} 359-3020
Fax (208) 359-3022
e-mail rexburg@srv.net
Date of Application,
0 WN E. R
Name. �'j a."
Site Address
APPLICATION FOR BUILDING PERMIT
C-1
CITY" OF REXBLZiG, IDAHO
1�
No.
NM
Mailing Address
City/Sate/Zip 6
Telephone/F- ax,_, -Mobil e
Name /0 4.
Mall Address
illlllle
C1*1l`/State/Z'
IP
#e7
-;l
Nk
L
Te,lophone/'Fax,M o bile ;f � E
PROJECT Vil"lll-iTORMATION
Propeany Zone:
'P
DEPARTMENT APPROVAL
Ii t use compatible with zoninor
=55 (screenijag parking. etc)
When was this buildu'lcr, last occupied
.Axe hica, ct/En orinetr FU'M
Plan, Name
Subdivision
Lot
Block
CiTcle 011,e Residontial Commercial Edu-cational o vemm ent Rcmodel Other
Cycle One ew House Addi'tion/Remodel to 14-ouse,
New Conunerol'al Commercial Remodel
Circle One Basement: None/ l-'Fini"shed Unfinished Other: None/ Patio/ Carp'orU A),vnincr
Lot S quare Footacye 3 'f'?,c --,-h
In Lot Wich
Square Feet 9:�� k, :z, Garacre Square Ft:,,Let A
L. umbejf Sto-rI�S
He'aht of BuildiTa or
H
What w1*11 structure be used for: 140m
Ome Busies e APaftment Comme-rl. Other
Will t.re be an apartment?
If so, how' manv units
Toti Estimated Cosiq-.L
Are, you '111 a fl o o d P I ain
P
Signageof A
Code
Zone
Building Type
SiL.znall.ure cof 1nSP%_?%l_l-t01-
Issued by
rl� A RE' f -I5.
$ -----
L
$
Buil rr Ple-n-nit Fees
l[_=
Plan Check Fees
Plumbiouacr Permit Fees.
DI=I
crorilig. Pet FoJes
'Olt)
Water & Sewer Fees
Front Footage F,, -2,e
TOTAL S
6D
!i
F.
rl� A RE' f -I5.
$ -----
L
$
Buil rr Ple-n-nit Fees
l[_=
Plan Check Fees
Plumbiouacr Permit Fees.
DI=I
crorilig. Pet FoJes
'Olt)
Water & Sewer Fees
Front Footage F,, -2,e
TOTAL S
6D
Date o-",APDl'ca 'on
�
i
OV,° TER
. � L., r
P� A7
APPLICATION FOR BUILDING PERMIT
CITY OF R-EXTURG, IDAHO
I�r1t.
41
Site Address
jr .0 N --d; 11 ;j
Nlailm'or AddressCltv/State/Zip
r�--
\Tele�
,w .
p .�./Noels ��� F�
CONTRACTOR
N, am e.
ilcr A-asr
Cityv/State
a' PROYECT IN-FOR-MATION
—��z -;z
DEPARTMENT A-PPRO VAL
Propem�
ZZO-n.plh, exist'�IS use at'ble Ft(screenmg.
parking., etc)
r was this fl�,cr last occupied
Artecyinr Firm
— 4 Plan Karn
Subdivision iejr11 , V ( t A e
�>
Lt Block
r
tr x l thiol Government Remodel OtherGird u i
.'Remodel to House
Addition,
Circle 013C New House
New Commercial Commercial Remodel
_
Circle One B as ement.- No.n e�Other-fed i
. None" P afio,,arport/ Av N/A�-mincr
Lot S ware, Foo to- 0, 1Lot Width
Square Feet C ar ,e, Square
__Fe
---.t of Buildinor
t will stTacture be used fo{Home ome
s'
mess Apartmeiit Commercial Other
there bt an apartment? Tf so, how many ui-lits
Total Estimated Cost_475 Are you 4
r
maturepOr
PIle e
'— - ���
Code
PFCOudor Peet Fees
,nom
U
Zone TY
i"° �,
Man Check Fees
BuIldina Type
R pt Pluinbma Peimit fees Qa
z
.AID CASH
irte,, of Insptictor
Issued
'i iol.- enn t Fees,
Water Sewer Eames
Front Footage Fee
TO T -AL S
a
T
D at5
t
A -ffD
LICL
F -
EX,
E
- D
f A '-f' Apo
07
'A
Jew
r
OF07
rte,
e--
.7 �3
,CQN�TR-A-C
A
r
7,-
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