HomeMy WebLinkAboutAPPLICATION - 92-00017 - Job Service Government Offices - New Building12
"'a 40"'PLI CATION FOR BUILDING PERMIT
Ke
CITY OF REURr IDAHO
Date of Application
OWNER
Mailing Address
City, State
.,&-
?If
Permit bio. ,/ '1� ,l, Z-
CONTRAC
Street
i 1��, di i i
. _ �.
Mailing Address
City State
IV
l 3. Telephone
Architect or Engineering Fig
Ida. Lic.
J 1 � TI(ATTACH COPY IF NECESSARY -
Lot No. Block Subdivision
Job Address
f,
Pro Info= ion (To be completed by applicant)
Residence Comm. Educational Gov't Religious
Fence Patio Carport Garage AwnaLng
Structure. YNew'Remodel Addition Repa3-r Renewal
/ + y
Tota. Floor of Stories Height of Building,
Sq. footage: Unfinished cement Fin" shed Baseme
-
What will structurincludeappis l
If use is muleiple familyapart . rets how many ni"
Estimated cosi 7tle,
ti
Use Classif ication lot
r
Grow Type Construction Use Z`
C a
Building P=i Fees Plan Check Fees
Plumbj-ng Per i _- i ire Permit Fees
Water & Sewer Hookup fees �;�,��''4' Other Fees
Signature Applicant
Signature of Building Inspector_ -
Ed a
.61.
4
DEV L
Name of Applicant
--aL-
Address
FLOODPLAIN Permit No.
OPM NT PERMIT APPLICATION
54
Location of Propcsed Development
Leal Description.
-
U.0AA:-A
date
r �
Phone
k
Description Proposed Works
New Building Mobile Homme Placement
Res'I'dentia.1 On Single Lot Subdivision of Land
Non Resid.ential In Mobile Home Park FII
Watercourse Alteration
Other Estimated Cost
Attach Vlowing informatian where applicable: Plans of the development to be undertaken including any filling anci
any watercourse or drainage way alteration.
Specifically, the following information i's required: Mean sea level MSS) elevation of the lowest floc (including baseT
merit) of all proposed structure, MSL elevation to which any proposed structure will be flrf cerci#kation
by a registered professional engineer or -architect that th_e floodproofing method meets the %community flood ro f criteria-
(4) a description cf the extent hi
data for a development or subdivision greater than 50 lots or 5 acres;
{
The foilowing is to be completed by the Local Administrator:,,
The proposed development ' located in the Roodway
The Base -Plod. Elevationc�t de th -r ajEmber .t the development. site* r
Source Mme nt :Map
Effective�
Plan Review
MSL elevabon or depth number to hi the stNcture is to be elevated/floes proofed
Are necessary ar information., certificates,, and other permits attached?
Action
r.he Proposed development L' in fa
nce with applicable floodplain standards.
PERMIT IS APPROVED
'EDThe Proposed development i's not in conformance with applirab
PERMIT IS DENIED
Date
Elevation Certilic-ation
faeL
oo fin standards lfio attached),,
Signature
(Local Administrator)
The
cerdfied
as -built
MSL
elevation of the lower
fl400r Of
the S = re is
feet.
The
cerbfied
as -built
MSL
fl �f elevation
1i,
the
structure
feet,.
Certificates of a registered professional engineer or land surveyor documenting these
Certificate of Occupancy or
COMPI-lance Issued. Oate Signature
Signature Lam! ►mins tr t
11
Ir
n
R�
-P
CITY O FJ X
BUILDING EI K LIST
T b y a c"Pee p dw
i PEW.
-P c, 1, 741 f
5 7-v
lL�c� 1��'�'
`s 7A�ti � ct�3�•
J