HomeMy WebLinkAboutBP & DOCS - 05-00245 - Best Western Cottontree Inn/Frontier Pies - MechanicalZ
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JUL-20-2005 WED 04 29 PM FIRST CALL JEWEL FAX N0. 12085292793 P. 02
Ju1.I5. 2005 2;21 P'
CITY OF ~'.EXB UR~
BUILI~rNG PERMIT APPLI~
19 E MAIIV. REXHURC~, ID.
208-359-3020X322
No. 0925 P. 2
PERMIT
'-~- ~~~ a~+~re Application!
fA for non applicable
OS 00245
PAI2CELN[JMBER: AC Cotton Tree/Jewell Elec LOT#
SUBDIVISION:
(Addre9sing is based on the infola~aation - nat~ od euwuuia~..,
PROPERTY ADDRESS:
~N~~PHONl
P]EiONE #; Homc ( ) Work ( ) Cell (~)
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
EMAIL FAX
A~PP.~: (If other than owner)
(App~carrt if other than owner, a stattirnetrt authot9zing applleaat to act as agent for owner moat accompany this applicadan.)
APPLICANT INFORMATION: ADDRESS CZTX':
STATE; ZIP EMAIL ~'~
PHONE #; Homy ( ) Work ( ) CeU ( )
C~IVTRACTQ~~!_: ~
MAIirINa ADDRES : ~//~ ~yaz7~ /~nc~~~.cIrY ~ srATE~ZiP ~~ a
,~
PHONE: Home# World' ~~ ~ r7 ~ ~1#
FMAII. I•,AX ~5~~ ~I-- _~~
Hovv many buildin,~a are located on this properly?
Did you recently purchase this pmpcrty? No Yes (If yos give ownor's naCgc)
Is this a lot split? NO YES (Please bring copy of now legal desctxption of properly)
PROPOSED USE:
(i.e., Slitlgle Facaily Resldcnao, Multi Fsaslly, Apartfucnts, Remodel, t;rarape, CotnmerdRl, Addition, Etc.)
APPLICANT'' S SIGNATURE, CERTIFICATIaN AI~'D AUTHORIZATION: tinder penalty ofperjttry, t barclry crttifythot I
Save read flue applipttioA and stye tLot the infat'aAation horcin is oonoct and [ scvraa thtd arry iufonopation which may 1> ~ ~~ by rue in lseerlttga bdere tAe
Plapnlnl and ZonUtQ Commiosion or ttu City Cottooll.fbr tl-e City of Rexburg shell be trutbOd and coriett I agree m comply wish all Ciry regulatiam and 5teu locus
rolatfnt; to eho subjcvt matter oltbis application end hentby authorized rapteseotarlves ofthe Clry m enter upon the above-nwaUOncd pm~~ycny for laspcedoa9 DurP~~
NOTE: The building afRcial may revoke a peanut on apptvval issacd fouler the provisituts ottbe 2000 Iatctnatlonal Cock ¢~ cac~ of nay falso slatcmlent os
mistepteseal8sloa of ~ In the appllCSt{o1t of ea t7bc plans on w6loL tDe putt ar approval was based. Fafnir void if,tnot stoned withjn t SO days. pexmie void iYwoct:
stops 16t 180 dAys.
/ /„~.
SiplaaORe of Owner/Applicant RATE
Do you prefer to be contacted by fax, email or phone? Circle One
'PVARIV'1<NG -1BU'Q'.ATNG PEB14II1' MUST 8~ POSTSD ON CONSTRUCTION 8LTE1
Play !free ~ aa~-rNwadablo aed era psW In !!Sl at the tlmo of'pplicatlon beaaniu~ ,~gr~gp 1. ToO~.
City otRe+cDnrS's Axeptmtce of tb. plan rwiew iM does not cagatltut. plan approval .
JUL-20-2005 WED 04:30 PM FIRST CALL JEWEL FAX N0, 12085292793 P, 03
w Ju1.15. 2005 2:22P Na.0925 P. 3
Please complete tlz~entire Application! l~r~~ gaesHonaoea not apply lIll to NA for non
applicable
NAME
PROPERTY ADDRESS Pertnit#
SUBDIVISION
Mechanical Contractor's Name:
~/
Contact Phone: ~j,~ Business Phone: ~~~ -- ~,? 7
Email Fax ;~ o R`~ . ~"~- ~~ 13
Mechanical Estimate S_1y~~'~ (ConzmerclaUMulti Family only)
FlXTU1tES ~ ~.P.P.I,TANCES COZTtVT (S~ngle Fa»lily .Dwelling Onlj')
Pomace Exhaust or Vent Accts
„~_ Furnacc/Aiz Conditioner Combo Dryer Nettle
Heat Pwnp
Air Conditioner
Evaporative Cooler
Unit Heater
Spsce Heater
Decorative gas-fired appliance
Xncinerator System
Boiler
Paol Heater
Simper fixtures or Appliances
Peel Gas Pipe Outlets including stubbed in or futur~c outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) ~ Oil Coal Fireplace ec1r:
Mechanical 3i~ing Calculations must be 9ubn~itted with Plant ~t Applfeation
Poirot of Delivery must be shown on plans.
/f~
Signature of Licensed Contract License number
Required!
schedule !s rho
other sims"lar vents ~ ducts:
,~
the St~~
The
Range Hood Vents
Cook Stove Vents
Bach Fan Vents
5
Required!!! MEC~~NICAL
P. 1
~ ~ ~~mory TX Result Report (Ju1.20.~05 11:21AM) ~ ~ ~
,)
2)
date/Time: Ju1.20. 2005 11:14AM
File Page
No. Mode Destination Pg(s) Result Not Sent
----------------------------------------------------------------------------------------------------
0935 Memory TX 20$5226301 P. 3 E-3) 3) P. 1-3
----------------------------------------------------------------------------------------------------
Reason fior error
E. 1) Hang up or line fail E. 2) Busy
E. 3) No answer E. 4) No facsimile connection
E. 5) Exceeded max. E-mail size
7-~ ~-C~~TTY~TOF7
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nmEaz~nsta9nuxmumta+aY ~„~. iexno eass9 Foc ws3ssaora
Www.9:x6Y91A1II ®ND~9N.9~9
Office Flours: Monday-Friday 8:OOam-A:DOpm
,.,.~~`3 ~ sr~
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_'~;
Madison County
Mechanical Permit Apylication
Thefoddowingitems should be completed before you submit yore permit
application
Cotm~riai/Buidnrttat Aetmitr: (the following must be submitted with the Application)
• Page 3 ofthe Application must be completed and aimed by your Mechanical Cofactor. a
copy ofthe Coutmctor's Mechanical Irrsase is required for our files.
• Mecltmical system sitinganddesign
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CITY OF
'RF-xBL1R~t 5,x,2 - &3al
AMEAa'ASFAMILY OOIN~~NIfY
LATHY WINTEiffi
Pamit~amir9~a~a
3~L 19 E MoM
RD~:Ga.9Wf1-F LD78'-1dY 0eak PD.em~rd0
~y~gy,aWuq.ba6 ihnrou19, IaaEio 9s9W I .
JUL-20-2005 WED 04 29 PM FIRST CALL JEWEL FAX N0. 12085292793
' h ~ ~~~~
~~~~
310 Northgate Mile • Idaho Falls ID 83401
(208) 522-7777 • (208) 234-1224
Fax: (208) 529-279,3
P, O1
For all your Electrical, heating, and Air Conditioning Sales
and Service needs, First Call .TEWEL Inc. (208) 52Z-7777