HomeMy WebLinkAboutAPPLICATION - 94-00007 - Teton Lakes Golf Course - New Pump HouseDate of Application
a
Street Address
Mailing Address
tr
Zip
APPLICATIONFOR
CITY OF REXBURG,
Telephone
�. I
NG PERMIT
Permit No.-
CONTRACTOR
oy
CONTRACTOR
_ F
Name0_ 7 --7'f- - - -
i
Street Address
g
Mail ink' Address
City State
zip
Telephone _ 77
Architect Eng i In Firm Ida. Li
LEGAL DESCRIPTION (ATTACH --COPY IF NECESSARY'
Lot No. BlockSubdivision
Job Address
project_ -
Information completed by applicant
Residence COMM.; Educational Gov 1 t Religious
Fence
Structure:
Patio a t Garage Awning
New Remodel Addition Repair Renewal
Total Floor Area Number of Stories
footage
Unfinished Basement
Height of Building
F31-nished Basement
What i11 structure used for (include name f business i
appl)? rZ -
,al
If use is multi le farm apartment how many units
Estimated
Use Classif ication
Group
Type Construction
Buildj*...,ng Permit i:�7_
�.
Plumbing Permit Fee �1
Water & Sewer Hookup fees.
Signature of Applicant
Signature of Building Inspector
Use one
Plea Check Fees
Digging Permit Fees
Fees
r
a
Issued by --- ---------
I
ti
�Ei�iUm"k .�HG PERMIT APPL���� to REXBUkqGfIDA. DATE -
THE
a3—�,9� Na.
THE UHEREBY APPLIES FOR A PERMIT FOR THE WORK H=REiN INaICATIL-:D
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
IV, t'. 4,.,-
OWNER _Z �� a -�1 �-_T�e`.�... �n
/41111
e� �-' _ AnDttFss
BUILDER J l �''r � � L-�' ..-1 �(� ti.. ��-su�.-(� ARGH[TEC'�
q
STRUCTURE: [j REMODEL [j ADDITION E] REPAIR
y "I RESIDENCE
F0 TI NGS
r R 4ETE
L A N I !
3u
s_q
r� comm,.
FOUNDATION
MASONRY
ROOT PROPERTY LINE
RF -AR PROPERTY LINE
OCCUPANCY
W r.H. I. J.
1. 2. a. 4.
ZONE A -PERI
This application be-
corres a valid permit
lien signedby build-
11!19
inspector.
EDUCATIONAL
BASEMENT
P RT i L
FULL
IN 0
FLOORS
WOOD
I SCR IE
OTHER
VT RELIGICUS
EXT, WALLS
El
D
C]
JyY
f T ASO I Y R
D
CONCRETE
E
VENEER
E]
ETAL
M
STUCCO
EEE
iNr. waits I
Ej ,PATIO
CEILING
El
WOOD
C]
MASONRY
E]
CONCRETE
E]
DRYWALL
Fj
ER
PLASTER
71
I'lLE
Ej ,PATIO
CEILING
El
WOOD
C]
DRYWALL
L]
ILA w ER
TILE
Fj
ACOUSTIC
71
OPEN
PHONE
DESIGNER
RENEWAL
1� AR'.P IST
E]
BUILT BJP.
C]
''FOOD 5 K.
E -j
r,,__hu p. S.H.
T1 LE
Fj
ROLL RODE.
F-1
EIAL
FIRE DAMAGE
[] GARAUlz
HEAT
L] AVVNIINU
ELAS
E;
0 1L
E -j
COAL
FIREPLACE
LJ
ELECTRIC
L] AVVNIINU
This ermit Is • regulationscontained i the Building Code and Zoning eguY
r f Rexburg., it agreed that the work done shown itheplans and
t applicable
specifications will be completed !I, accorciance with the regulations pertaining anci
i
thereto: The issuance f h permit dc>es not waive restrictive a n
MA R KS _ -
DEPARTMENT OF BUILDING ZONING
VALU ECAS H
1 _
FEE I _ CHECK__
BUILT. t B
INSFEC-IrOR - A"91
APPLICANT
ADDRESS
5
I M U L I L U
D
WALES
•
CEItI G
FLOORS
LJ
PERIMETER
This ermit Is • regulationscontained i the Building Code and Zoning eguY
r f Rexburg., it agreed that the work done shown itheplans and
t applicable
specifications will be completed !I, accorciance with the regulations pertaining anci
i
thereto: The issuance f h permit dc>es not waive restrictive a n
MA R KS _ -
DEPARTMENT OF BUILDING ZONING
VALU ECAS H
1 _
FEE I _ CHECK__
BUILT. t B
INSFEC-IrOR - A"91
APPLICANT
ADDRESS
5
•
'1 B
�
f
i
0
BUILIIING PERMIT CHECKLIST
Applic-ation For Building Permit
2 . Building Permit Agglication
3. Valid Rexburg Trade License
4. Subcontractor Lisp
5, New Address Given
6. Copy of Building Memorandum Issued
?, Two Complete Sets of Plans Including:
A. P].ot Plan
B. - Foundation Plan
C. Floor Plan
D. All 4 Elevations
E. Building Section
F , Door & Windows
G. Special Sections
H, Materials List
or Specif ications
I. State Health, Sewer
and Water Permit
8. Plan Check & Approval �-O .
9. Permits- & Fees: Amount:
A. Building Permit
Ba Plumbing Permit
C o Sewer & Water Sero
D. Digging Permit
E . IRE Energy Permit
F. Plan Review Charge
G. Electrical Temp.
Fewer -
10. All Permits & Fetes Issued & Paid ro--,u;
11. Inspectio on Record Card Issued:
12. Building Permit Issued:
13. Stamped Set of Plans Returned:
DATE
�..
01