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Home My WebLink AboutAPPLICATION - 05-00180 - BYUI Benson Building - Greenhouse RemodelCITY OF REXB URG ~ PERMIT # • BUILDING PERMIT APPLICATION Please complete the entire Application! 19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable 208-359-3020 X322 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information -must be accurate) OWNER: BYU-Idaho CONTACT PHONE # PROPERTY ADDRESS: Center St. Campus ~ PHONE #: Home ( ) Work ( ) OWNER MAILING ADDRESS: EMAIL FAX Cell ( ) CITY: STATE: ZIP: APPLICANT: (If other than owner) Atlas Mechanical & Industrial, LLC (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS 1380 Enterprise CITY: Idaho Falls STATE; Idaho PHONE #: Home ( ) Work (20~ 523-7030 Cell ( ) CONTRACTOR: MAILING ADDRESS: Same as Applicant CITY PHONE: Home# EMAIL ZIP 83402 EMAILmsmith@luwausa, coll~'~ 208-529-8743 Work# FAX STATE ZIP How many buildings are located on this property? 1 Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: BYU-Education (i.e., Single Family Residence, 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 dom. / /~/~ Signature of Owne Applicant DATE Do you prefer o be contacted by fax, email o h ~ ircle One 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 Cell# 3 Please complete the entire~pplication! If the question does n~ply fill in NA for non applicable NAME .Atlas Mechanical & Industrial, LLC PROPERTY ADDRESS BYU-Idaho Campus Permit# SUBDIVISION M/A Required!!! MECHANICAL Mechanical Contractor's Name:Melvin Cromwell Business Name: Atlas Mechanical it Address 1 380 Enterprise City Idaho Falls State ID Zip83402 ', Contact Phone: (2 0 g) ~ ~ ~ _ ~ ~ ~ ~ Business Phone: ( ) Email Fax 208-529-8743 Mechanical Estimate $ 1 2 5 , 7 8 0 . Q~ommerciaVMulti Family Only) FIXTURES cec APPLL4NCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances Fuel. Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Mechanical Sizing Calculations must be submitted with Plans & Application ~ Pointgl7Delivery must be shown on plans. Contractor HVC-C-1394 License number ~Yo~ Date s permit fee schedule is the same as required by the State of Idaho 5 **Building Permit Fees are due a of application** **Building Permits are voi~ou check does not clear** Please complete the en>e Application! If the question does not apply fill in NA for non applicable NAME Atlas M _rhani al PROPERTY ADDRESS Oyu-Tt~aho C'_am 1~--G- Permit# SUBDIVISION N/A Dwelling Units: N / A Parcel Acres: SETBACKS FRONT 1V / A SIDE N / A SIDE N / A BACK N / A Remodeling Your Building/Home (need Estimate) $ 1 3 0.0 0 0.0 0 SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Second floor/loft area Third floor/loft area_ Shed or Barn (3 0" above Water Meter Count: N / A Water Meter Size: N / A Required!!! PLUMBING Plumbing Contractor's Name: Greg Hill Business Name: Atlas Mechanical Address 1380 Enterprise City Idaho Falls StateID ZiI83402 Contact Phone: (2 0 ~ ~ ~ -~ _ 7 n ~ n Business Phone: ( ) Email Fax 208-529-8743 FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Sprinklers Dishwasher Tub/Showers Floor Drain Toilet/LJrinal Garbage Disposal Water Heater Hot Tub/Spa Water Softener Sinks (Lavatories, kitchens bar, op) Plumbing sti ate $ 5 0 0 0 (Commercial Only) r PLB-C-12380 GCS ~y"-~~~ Required! Signature of tensed Contractor License number Date h City of Rexburg's permit fee schedule is the same as required by the State of Idaho Unfinished Basement area Finished basement area Garage area 4