HomeMy WebLinkAboutAPP & DOCS - 01-00027 - Dr Alan Smith Office - RemodelCITY OF RFXBTi-R(;, IDAHO
APPLICATION FOR, BUILDING PERP�IlT
Date of AppUcatiorl-
aW�N-ER
Name 61 �(7 h
� r 4
Site Address
MaIi"ing Address
City/State/Zj-v
JL
'Te lepho ne/F ax/Mo bile
CON -T -R A.CT,0, tZ
Name
Mailing Address
Cit
y/State/Zip
Teiepfone/Fax/Mobile
PROJECT TNT- ORMA r
EO
Architect orEn�.' Am
Ida-Lic-No. Plan dame
division
ease ae��T4,rf
Lot rNy .
,j
Block•t
(circle aae) Re'sidenti
Descriptlorldi P
"Ir
(EI Y2i7ip1. e5: ?-� eN
apse � ianfl ���seFI l Oausa , L�;a������ c��� ��em
�o UM k
Scuare feet_ No. of Stones a�'�3���ding
Basemen fnis�edlu�finzsned Dara � sc�. fejt
� Patiol�arpa�t�'�w�z��
What will Structiire be Asea for �incluciing Warne a� business [f applicabjej:
Af used for a multiple faMlIviunit pease indicate �urraber of units:
Total atimated Cast � WI dwelling in a
flood plain
Signature of applicant I s --� . `' '� �_•
ommerciajI�uca�ianalIGc�vernment�}.Zeligifl us
UBC
Tai Cade Zone
ilding Type ---
LS i gnature of InS-P eCtLCr-
_.
FOR FFc-E USE ONLY
Building Ptcarmit Fie
Plumbing..
Oum"t Fie
t
CrIn
Linear -C'.'rIal-ge
WatiE.Lr & Sewer Fees
Plan Check Fees_
Total
I
Date of Application_
O W?�7Eit
Site Address
Mailing Address
City/State/Zip...—I-t, VA,� ,--x
Telephone3,�!K 3 3 13
APPLICATION FOR BUILDING PERMIT
CITY OF REXBURG, IDAHO
YJ
r
.0
Permit No.
CONTRACTOR
Street Address
Mailing Address
City/State/Z!p
Telephone
Mobile Phone
P fET'��M TIO]
Architect or Engineer F=* Le;at Description (attach ropy if necessary)
lda.Lic. No. Lot No. BIflck
Plan Nie Subdivision
Resi
clence omml Educational Gov't Rellollous Street Address
ence Patio Carport Garaore Acy
Description
Ne
moCie 0,}AdditionlRepairlReaewa1
Sim Sign Size Kind -_
Total Floor Area 'k? �' ;� `-y � j' � NO. of Stories Height of BuiidincT
Sq. Feet Unfinished Basement Finished Basement
What will structure, be, used for (includincr name of Business if appikable}
If use is multiply family (apartments) haw many unit
Total Estimated fast e QU in a flood plain? Permit No.
Signature Of Applicant f
i yFia7 �AeL��Fi � A!7l��eeFi ii�l�f#iia �' e.
U -BC use Classification Buildinu Permit
Tax orae Plumincr Permit Fees
Buildffig Type. Diac, a, Permit Fees
Water & Sewer Fees
Plan Check Pees
Signature of Building Inspector
Issued
by
u
0
-E --11 ,
o. r,
Fart h wor J c 0
concreta:
Masonry:
Roof inc:
Insulati
Drywall:
Painting
Plumbing:
Heating:
Eiectrical
Pzcaf
Float
m
SPECIAL CONSTRUCT.,0N
(MANUFACTURER OR SUPPLIER)
Trusses:
ceiling jcistsl
A" f.
Sidina/Exter-Lor`
11
I �Wr
BUILDING PERMI
TAPP�
THE UNDERSIGNED HEREBY' C
aRAss�o�yNANOAPpR AfPLIESF�AaP
�+ ° OPT ATION Umb i
AI �Eo�
OWNER „ � Ji�„`}��j N THE ACCOMPANYlia,- �, NE VvOAKm!mt-,
., ..._ s D DATE
BUILDEq
TTF
FoonN�s �
4 cvHCREr� p
C]
MASp�ygY
0 OTHER
�
a ow
"'•� rLRNSANfl Jnr ;;.c�iV fNQICAT97n
RA-) 0L
ALe 14ODFL
...�. ArtoNs.
J0e,rafla1q1Sss � � �•
-?e
LRCM
Q ADDITION
RPiF1
DIESIGNER
RENEWAL
NO.
Ff EDAMAGIE
Q NO � r LEA UUNCRETE0
L3 WOO� _ HOOF Irmu
o-niEm J MASONRY HNSU
ST
TASONRY Q BUILT UP INSULATED
Off,
� issued subject m TER u � TILE FI
that the wDrk to be the r �1� ROLL 110 FIREPLACE
done a shy tri i the ELE, F1
p'" ani! �• Codi
+.tip will Zoning (ji
issuance. ,art ,bur
permit,not ne with the regulations 1"t Is hereby agreed
KSREMAR:
Hams.
DFPA 13'ri.mE-: 14%m # - _
VALUE
- -
PEE PAID
BUILDING
INSPECTna
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CITY OF REXBURG
BUILDING INSPECTION SEQUENCE
Type of Inspections: For an -site constnrct�an, from ��ne t� Mme the �u�jd�ng of�cia[� u�vn notification
from the permit holder or his agent, shall make or cause to be made any necessary inspections and shall either
approve than portion of the construction as co�mpleted or shall nodf� the permit holder or his agent wherein the
same falls to comply with this code.
1.0 LAYOUT: Lot corners staked, staking in place for building, pn'or to excavation:
2. FOOTING& Commonly made after poles or piers are seg or trenchr s or b n areas are
excavated. Forms and horizontal reinforcing in �Iace, vertical reinforcing cue and an job
site air tied in place,
3, FOUNDATION INSPECTION:
The foundation inspection shall included excavations for thickened nabs intended for the
support of bearing walls, partitions-, structural supports, or equipment and special
requirements for wood foundations. AJI forms and reinforcing steel, etc., snail be in
place,.
4. PLUMBING, MECHANICAL AND ELECTRICAL:
Rough inspection: Commonly made prior to covering or concealment, before fixtures
are set, and prior to framing inspection.
5. TRUSS INSPECTION:
Inspections of trusses to see they meet shop drawing requirements and that they are
installed and braced adequately.
6. FRAME AND MASONRY INSPECTIU1rl;
Commonly made after the roof, masonry, all framing, firestopping, draftstopping and
bracing are in place and after the plumbing, mechanicsl and electrical rough inspections
are approved. -.
7. LATH AND/(JR WALLBOARD INSPECTION..0 -
Commonly made after all lathing and/or wallboard ionten-or is in place, but before any
plaster is applied, or before wallboard
Is and fasteners are taped and finished.
8. FINAL PLUMBING AND HEATING INSPECTIONS
AIS systems in place, fixtures set, ready for occupancy
9. FINAL ELECTRICAL:
Fixtures and wall covers in place, Directory completed in panel box.
10.1 5INSPECTS9
After forms are set, prior to placing concrete,
]in FINAL INSPECTION:
Commonly made after the bufld"ng
12. is competed and ready for. occupancy .
�CCLIPANCY PERMIT:
issued when, on final inspecdon, buiIding is ready to occupy.
13. OTHER INSPECTIONS...
in addition to the called inspections above, the buildl*ng department may make or
require any ether inspections to ascertain tompIiance with this Cade and other taws
enforced by the building department,
INSPEC7IC]N CARP
The permit holder or his agent shaiI post the inspection record on the job site in an accessible and conspicuous
place to allow the building official to make the required entries. The regard shall be maintained by thepennit
hoIder until the final inspection has bade anda
i have read the above and will comply in my requests for �nspectians by �Zq���. HOUR NOTICE prior for
'rnspecuons to De made.
Electrical: b24 -37b7 Building: 359-3020 ex 32+b or 313
Plumbing: 359-3�,Q/Jax 326 or 313 or 359-10-34
Si
,gnature:
Date:
RLY,AURG MADISON COUNTY FTRE DEPARTMENT
P.O. Box 280
26 North Center
Rexburg,"Idaho 83440
(208) .359-3010
THIS TS TO GIVE NOTICE
M A
Ar�L 117spection of the ET
iocated at as
Rexburg, Idaho was conduc-,L_ed onthis date and that: as nearly as
COuld be determined, was found to be Irl COMPliance W"th the Uniform
Fi.re Code and ordinances of the City of Rexbu.rc. th.1
t are preseritly
in effect,, with the following exceptions.
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County F�� Contact
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aL (208) 359--30111 the RexburgMadison
z"egardIng the�3e requireffients, ;0 for specifics or quest,
a r E,�, Any
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"re InsPector
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in and ful-1- view Of the Y 13 -Mited to tens and F
n Spector. Th r J- r)
ver f y the
obstructed lanIS I i- -
from ern,3 or areas
inspector I s t y
a e C'I
-Y Rexburg
accept tiOTI or Of code c
pl sobi I ca
. r
3, 0 such areas
le responsiblilty an P verl-ficat.10n the
Pref OrFniDg tho yj- o n
osy �� -as Persons
County F�� Contact
. �
aL (208) 359--30111 the RexburgMadison
z"egardIng the�3e requireffients, ;0 for specifics or quest,
a r E,�, Any
I DD -9,
d-'st
: l f -J
_
propertyI
criminal , en- If _jnct hazard . are subje
.hey j rj()t r
.ct to
il
ml - 4
Chris
nu3ki-nson
"re InsPector
I
1
Date
INSPECTION TICKET
1
� Bldg. J Plumb. ❑
Inspection Request: Recd By
Req- By
�7��J
Project
Address
'Inspeetic
Day /Time Req.
ElOct-
Mech- Fire
Phone No.�3/�-
Permit No-
Inspector's Report ❑ Res.
W
Collin).
.400 ;000JO/-,
i.,
-1 J-'4 ar- -ut, I nu I - I -LM S CONFORM TO APPROVED DWGS
'-TIO
A'APPROVI]D
❑ C.O. (FINAL)
ACTION REQUIRED:
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NOT APpL,ICABLE
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INSPECTOR"i 4015�
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