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HomeMy WebLinkAboutAPPLICATION, BP - 05-00016 - 234 E 3rd S - MechanicalZ ~ O N ~ m m ~ /~ c ~ rn ~_ ~ ^~ Z O A ~ ~ ~ ~ 7 ~ c -° o 3 m a 3 m ~ a Z O ~ . -o o- 3 m -~ ~.~ ~ 00 m m ~ 7. o- N - 0 o ~ m a n N o ~.II ~ ~ C7 a 3 m m `° o n n C O m = ~ a ~ ' ~ °' `~ a m o _ °' p _ °- ~ ~ o Z °~ o o ~ ~ _ ~ ~ °' ~ C ~ o m -o ~ v r- 6 ~ ~ S _ (Q ? o ~ v F ~ o o ;~ ~ ~ c cn ~ `D 3 ~ T r ~ - ~ D `° ~ ~ ~ o ~ o m n 3 v ~ ~ a~ a Z -~ Z ~ ~ mm~~Z D = ~ ~ m 0 m 30~~0 ~ c ~ N ~n Z n tp s Ti 0 o ~ ~ m D ~ = a ~ ~ _ m a o rn ° ~ ~ ~' x O Z v rn m m T ~ ~ o ~ ~ v ~ o. O = 3 " ~ ~ Q ~ " (~ ~ ~ m ~ ° n ~ ~ ~ ~ o ~ ~ o~o m o ~a a Q N ~. 0 o v ,_ ~ N O O ~ ~ ~ 0 ~D Q N C lD a m ~~f7-1 ~,.,~? ~ 'O-M 7 K fxD cn o c -n ~ N ~ ~ (Q ~ w ~,ar' C D ~ y a '(~= 0 (D Z v ~ ~ r. O ~. m _ ,. ~~.~ o U) (7 ~ 7' 51 O ~ ~ Q ~ ~ 'C t9 ~ fD O N y-~ ~ C fD ~ O ,d„~ a ~ a -• ~N ,.•o ~ N S y .. 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J r ~r ! b ~ c0 ~. ~ ~ ~ ~. ~'4 WD -n ~ j Z mm ° ~' ! fA 3 ~ ~~~ m Q° m ~' ~ ~ ~ fl- ! s I C7 °D ~D ~ _ !; ! ~ v -~ . ~d O 0000 A„ c ~ -~ ~ W Z Z v ~Z ~ C n G7 ~ O - c o ~ on T Z ~ ~ 3 °' r ~ c v i m Z ~ ~ o ~ ~ ~ Z Z p ~~g N °~ 0 ===;w G~ --i m n o ~ c ~ ~ m O m { ~ --- Z ~ n -~ ~ o ~_ ~ a ~ .U N ~ ~ ;'C< (7 Z 0 ~ ~ iG N I Q CITY OF REXB URG M BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X326 PARCEL NUMBER: SUBDIVISION: UNIT# BLOCK# LOT# OWNER: ,~a ,,.~ ~s ~iC r~ ~~ ,r CONTACT PHONE # ,~3 /- (~ ~fo O PROPERTY ADDRESS: oZ3 `~ f ~.,Q ~~ ~..,.~ ~_3y~.d PHONE #: Home ~ ~,sf gAZQ~ Work (~8j~,f~ ~7Q7~ Cell ~! OWNER MAILING ADDRESS: 3as 1~,a~e,.s.dQ CITY:~„~STATE• ©ZIP: $3y ~~ APPLICANT (If other than owner) (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) MAILING ADDRESS OF APPLICANT CITY: PHONE #: Home Pleas ~ S ~ ~ ~ 16 If the qu 23~ E 3rd S Furnace Rcplacemcnt Work STATE; ZIP Cell ( ) CONTRACTOR:~~s ~Q~~ PHONE: Home#Work# jt/- G ~ell# 3~/ G yaa MAILING ADDRESS: 023 / I,J. $doo S CITY STATF,t~ZIP $jY~-d How many houses are located on this property? Did you recently purchase this property?~es (If yes give owner's name) Is this a lot split?C~O YES PROPOSED USE: (i.e., Single Family Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. of Owner/Applicant /~~/~_ DATE WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning January 1, 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if you check does not clear** (Please bring copy of new legal description of property) / k ~ • NAME ~ ~., ~ • • PROPERTY ADDRESS .z~ .~ „~ ~',~ SUBDIVISION Dwelling Units: SETBACKS FRONT. Parcel Acres: SIDE SIDE BACK Front Footage (if applicable) Storm Water Length Permit# SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area f~OD ~, ®/~ Second floor/loft area 90 ~.,/1~ Third floor/loft area Shed or Barn Remodel (Need Estimate) $ PLUMBING Plumbing Contractor's Name: Address Contact Phone: ( ) FIXTURE COUNT Clothes Washing Mac e Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ Business Name: State Zip Business Phone: ( ) Sprinklers Tub/Showers Toilet/LJrinal Water Heater Water Softener ly) /-3~~,- ~n ber ate The City ofRexburg's permit fee schedule is th~same as required by the State ofldaho Unfinished Basement area Finished basement area Garage area Carport/Deck (30" above grade)Area 2 M~ MECHANICAL Mechanical Contractor's Name: Address Contact Phone: ( ) Business Name: State Zip Business Phone: ( ) F S & APPLIANCES urnace ~Q~ /a c~ o/dQ a •Fw~-• c ~ Unit Heater ace-Air Cond~ioner w~..~d,dl,~,~ q3 ~ Decorative Gas-Fired Combination ,.,~,~,.~~ Appliance Heat Pump ,~,~~~ ~~,,,,...~-~• : Space Heater Air Conditioner y,~ ,~, ,,,,, f ,~~„~ y~i,~,~,,,,~ Incinerator Evaporative Cooler Broiler Pool Heater EXHUAST & VENTILATION Dryer Vents Cook Stove Vents Range Hood Vents _ Bath Fan Vents Fuel Gas Pipe (# of Outlets) Mechanical Estimate $ (Commercial Only) ~, ~~~ ~ gnature of Contractor Licen number Date The City of Rexburg s permit fee schedule is the same as required by the State ofldaho WATER METER COUNT WATER METER SIZE HEAT (Circle all that apply Gas it Coal Fireplace Electric 3