HomeMy WebLinkAboutALL DOCS - 91-00005 - Autumn Winds Apartments - 2 BuildingsDate of Application
VWNE"
Name
APPLICATION FOR BUILDING PERMIT
BUILDING I TMENT
CITY OF REXBURG, IDAHO
r
Permit N
CONTRACTOR
Street Address
Street Address
Mailing Address f5: Mailing Add
city, state -: R City State 0,65F
z 3- Telephone- Telephone
4..
Architect or Engineering Firm Ida. N
Mailing Address
city
State i P T
LEGAL DESCRIPTION (ATTACH CO
Lot No. Block
Subdivision
0
Side of Street _
Permit Address t e assigned by City
Pr t Information(Toe completed applicant)
Residence Comm* Educational Gov ' t Religa.0us Fence Patio
Carport .are AwniLng
Structures i irRepair
F.
Total: Floor' Area.,Storeys .."6 Height of Building
ss Ct
_- -�
"�iini-shed Baseme t Sq. footage Basement Unfinished Basement -
Sq. footage
a a ent Unfinished Basement
What will structure be sed fo (include name of business if
,
r
app i.
#. a r
I f i uIt I-'lyt n .r t
Estimated cost,.-
L- Y/;f
Will owner occ-
upy i ? Sell it?
Other
0
Use classif i .ti-. /C17
Group T 'Construction Use Zone
na Permit Fees Plan Check Fees Plumbang
- _ ,-fir;;-.s_---e++•+ _ .�a .- �.
Permit Fee _ YDigging i Fee
Water & Sewer Hoak fees OtherFee
Signature of Applicant
Signature of Building Inspector
Issued by
a
off
A
CITY REXBURG
BUILDING PERMIT
Buildi..ng and Zoning Department
12 North Center Pa Sox 245
Rexburg, Idaho 83440
2Rris permit becomes
commenced within 180
been suspended for
void if r ' r
days, OR, if work haB
period 1 days
hereby of � rm that I am licensed a
In the cl`-ty of Rexburg, Idaho that my license entitleslegally
perform the work described in this application and that license is
in f 11 force and e,fectl.
/Date
signature
I hereby of firm the � I am the owner of the property described in th *13
t * that I r intend t use this property a primary
permipersonal residence; ani. that or
member of my immediate f mi -1 , will do the work described In this
application r that I will otherwLse comply with the l kens ung
r
f the i_t f bur with respect t the work rah
-.n per, IJ
r
signature
1 certify that I ha-ve ha-vread. this Permit and that theinformation in the
permit is correct, T agree to comply with all federal and state lawspr
with the UBS and all ordinances f the City of Rexburg relating to the
building construction r other work described in the applicationr I
further authorize representatives of the Department of Building and
Zon--Ls5 to Winter upon the property for which I have applied or the
per to the vurpose of making inspections
�ff
This i allows the Permittee to perform only the work described i
the application, if the permittee desi*res to perform addi Tonal or
other work not described in this application, additional permits may be
required. fore commencing any
additional r i i
advised It with the City of Rexburg Department of Buildingand
.Zona -ng et r i whether and what additional permits may be requiredO
EXCAVATION: This permit does not allow the permittee to do any digging
r make any excavation 'in public right-of-way or easement within the
City of Rexburg in connectiLon with the work described in the Permit
Before commencing any digging or excavation, the permittee is advised
to consult with the City of Rexburg City Clerk c)r Public Works Director
to . r i n h- h r a Public 'Right -of -Way Digging Permit is required.
Job Address
Use
Owner
atm 0.3
Address
Pi
i a F i w
Applicant
�14�99 -pe.
Contractor
Address
Casty State Z i --
Phone x � � - -State Licenses City License
CITY OF REXBtiRG
BUILDING FERMIT CHECK L
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