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Home My WebLink AboutAPPLICATION - 05-00094 - 343 Talon Dr - New SFRCITY OF REXB URG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 Pleas 208-359-3020 X326 If the qua '~ PARCEL NUMBER: ~ ~~ ~~~ ~~~ , OS 00094 421 Eagle Ct SUBDIVISION: ~~~ L(Jo~ UNIT# ~ BLOCK#~LOT#~_ OWNER: Cif! ~ ~ ~i A/~u /~~J~~ly CONTACT PHONE # ,,~,~` PROPERTY ADDRES 1 PHONE #: Home (~!) ~7/ ~ SI $~- Work ( )~ Cell ( ) ~/~" OWNER MAILING ADDRESS:~_f lJ~ ' /~ ~e TY: Pl~Uf , STATE:GLf `ZIP:~Gd~ APPLICANT (If other than owner) ~' jr,, ~ ~ ~! r~ D~U/ S (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) IL G ADDRESS OF APPLICANT _ !~'~~ ~~ CITY: ~ STATE; , ZIP ~v >'1l~f2- PHONE #: Home ( ) Worl ( ) Cell ( ) ~ ~' 1- ~~ ~S CONTRACTOR: ~ ~, ~'~ PHONE: Home# Work# Cell# MAILING ADDRESS: ~ D ~ U IJ~L ~~F CITY STATE~ZIP~~ 2-- How many houses are located on this property?. Did you recently purchase this property? No ~ (If yes give owner's name). Is this a lot split?~r/~NO~ YES (Please bring copy of new legal description of property) U , PROPOSED USE: ~ r n (i.e., Single Family Residence, 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. Signature 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 Rezburg's Acceptance of the plan review fee does not constitute plan approval *xBuilding Permit Fees are due at time of application** **Building Permits are void if you check does not clear** NAME siS ~-~~~- ~~ 1~~ PROPERTY ADDRESS - ~ . SUBDIVISION Dwelling Units: SETBACKS Parcel Acres: ,,~c3 FRONT ;~ 7 ` SIDE f ~ SIDE ~d BACK ~ Jr Front Footage (if applicable) Storm Water Length SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area / Gj 7 ~ Second floor/loft area Third floor/loft area Shed or Barn Remodel (Need Estimate) $ Water Meter Count: Water Meter Size: .rl PLUMBING Plumbing Contractor's Name: ~Ol~ ~~ ~~~~~i~~9$usiness Name: 3 ~~~/~0/ Address State Zip Contact Phone: ( ) Business Phone: ( ) FIXTURE COUNT Clothes Washing Machine l Sprinklers ~ Dishwasher 1 ) Tub/Showers 3 Floor Drain ( Toilet/Urinal 3 Garbage Disposal ! Water Heater ?-~ Hot Tub/Spa ~ ~_ Water Softener / Sinks ~ (Lavatories, kitchens, bar, mop) $ (Commercial Only) ~/~y1~ , ~- / / S` / ~ ~ - 3 ~ - vim. ontractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Unfinished Basement area / ~ l'f Finished basement area -- Garage area ~'~~ Carport/Deck (30" above grade)Area 2 NAME GG~-rf 15 N~ jf c'~~t/ PROPERTY ADDRESS ~1 ~ /~ ~.%` ; Permit# SUBDIVISION _ ~ __ MECHANICAL ,~ ~ 11- Mechanical Contractor's Name: , T ~ j ~ ~~ ~~'r Business Name: ~w ~. ~ 5 c ~-r' !-~C~.t~-f - i~Ic; ~'~5. c , Address ~~f/ ~~c~ ~ State_; z~ Zips- ~ , Z ~ y ~ R~~ Contact Phone: (,,~) 3~i' L~ ~>%J~ Business Phone: (~~,Y) 7~ ~ _ ~~~ t~ e~i,!/ FIXTURES & APPLIANCES COUNT ~ ~ Furnace ~ Furnace/Air Conditioner Combo . ^ Heat Pump Air Conditioner ^ Evaporative Cooler ^ Unit Heater ^ Space Heater ~ ~ ~ Decorative gas-fired appliance ^ Incinerator ^ Boiler ^ Pool Heater ^ Similar fixtures or Appliances: ^ Exhaust or Vent Ducts Dryer Vents ^ Range Hood Vents ^ Cook Stove Vents ^ Bath Fan Vents L:1 (Other similar vents & ducts: ~.1 L:J Fixtures or Appliance outlets of the gas piping system Mechanical Estimate $ (Commercial Only) Heat (Circle all that apply)~Gas Oil Coal Fireplace Electric Point of Delivery must be shown on plans. Please check all that Apply: m Signature of Contractor ~ ,31 ~ License number ~~~U~ D e The City of Rexburg s permit fee schedule is the same as required by the State of Idaho ,~ ~n o ~, o ~ N ,-~ ~ ~ N c~ ~ ,::~ =ti <~ ~A ~ ~ ~i = s z kj z ~ ~~ ~ •~ ~ ~ ~µ y} ~ ~ ~ ~ ~ L, ~ ~ ~ ~~ ~ 1~ :e $ ~ ~ ~ i ,.. :. ~! ,;_j s .,. i~ ~ W __ ~ ~~ ~ ~ ~ ~ ~ _ _ ~..~-- T ~- ~~ ~ ~py~.+ S' ~~ ill ~"~~~ Q ~' ~ ~ ~ 2 {~ 1J Z ~ c`! p~ .- ~ ~' N J gu ~' J w. ~~ T ~ LL _J ~~ i~= V _~ ~ ..y ~ R~ ~'4 ,u at1 Q., (~ ~v ;~ ~ ~ "~ 1~ ~',, cd v -. ''~' #~ .a ~~, ~~' ~ ~~ ~~~' `.. .F # ~j +~ `~ ~.