HomeMy WebLinkAboutAPPLICATION - 05-00427 - 1767 W 4300 S - New SFR MechanicalCity of Rexburg/ Madis~ County
BI~iLDING PERMIT APPLICATION z ~='sA ~S 00427
.. 19 E MAIN, REXBURG, ID. s344o ~ ] 7(,~ W 43p0 S-Mech. 1VIad. Co
208-359-3020 X322 ~,
PARCEL NUMBER:. V ~'[.~' j ~~~L%~-'~U (~+~'e w111 provlae uus ivr your
SUBDIVISION: ~ ~~ ~ UNIT# BLOCK# LOT#
(Addressing is based on the information -must be acctu~ate)
OWNER• °^CY~ 4~ ~~ ~ ~ CONTACT PHONE #
PROPERTY ADDRESS: ~~ 3v~ S L ~,H~ L ~ ~ ~ ~ (oc 1c- a j ~~~ I~l~. ~')oc~S,
PHONE #: Home ~d~ 3 ~~ 3 ~ v( Work ~D~ ~v S' ~ ~ ~ ~' Cell ~} ~/y 3 ~ ~ 3 `~ ~
OWNER MAILING ADDRESS: ~ G ~' ~~G c~c.Y Lit CITY: ~? ex ~ ~%_STATEZ ~ ZIP: ~Y~~v
EMAIL. (~~~ ,_ ~ ~i ~1 ~~'~ vas u.<<~ FAX
APPLICANT: (If other than owner) mod- ~ l-f e~
(Applicant if other than owner, a statement authorizing applicant to
APPLICANT I /NFORMATION: ADDRESS
STATE; T ~ 1~1o ZIP ~ ~~~~~y
CITY: ~ ~ ~~~
EMAiL FAX
PHONE #: Home ( ) Work ~ ~ ~ ~ ~~~ ~ Cell ( )
CONTRACTOR:
MAILING ADDRESS:
PHONE: Home#
agent for owner mast accompany this application.)
CITY
Work# Cell#
EMAIL FAX
How many buildings are located on this property?
Did you recently purchase this property? No ~es yes give owner's name
NOV 0 2 2005
Is this a lot split? TO YES (Please bring copy of new legal description of property)
PROPOSED USE: Sln 5 l~°--- ~~ '~" % ` ~/ '
(i.e., Single Family Residence, ulti Family, Ap ts, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, t hereby certify that t
have read this application and state that the information herein is correct and I swear that any hrfornt~ior- which may hereafter be given by me in hearings before the
Planning and Zoning Commission or the City Council for the City of ltexbrag shalt be tsttdrfut and corrax. I agree to comply with alt City regulations and State Taws
relating to the subject matter of this application and hereby authorised represeruatives ofthe City to eater upon Weabove-mentioned property for iiupections purposes.
NOTE: The building official may revoke a permit on approval issued under the provisions of the 2000 httema6onal Code in cases of any false statement or
mi ~ resentati Y of fin the/ i~ plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work
sto for 180 da s.
~of~r/Applicant DATE
Do you prefer to be contacted by fa;~, email or hon Circle 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 Janrtarv 1.2005.
City of Rezburg's Acceptance of the plan review fee does not constitute plan approvab
zi
~J1~C~.S~ CO[>r!{3~~1L~ ~}it' ~ni f'~.1~~ll~.'c~ti0a~f If tl~e saa~estion trot apply fill i~~ IAA fin• ii~n~
.~
aj~pd3cal-lc
~~NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Rer~ui~ed!11
MECHANICAL
Mechanical Contractor's Name: ~lli /r J'~ " `Q ~~ Business Name: ~.J ~ ~ C~~
~J, - l.~ nn r ~' 3 ~~c~
Address ~az~ /'~ ~ ~ ~ ~ City 01~ ~~ S State -1- ~ Zip ~ Y
Contact Phone: {a~) .~ ~~ ~ ~ Business Phone: ( )
Emai]
Fax
Mechanical Estimate $ ~ ~~ (CommerciaUMnlti Family Only)
~~RES & APPLIANCES COUNT (Single Family Dwell, i~g Only)
Furnace ~( Exhaust or Vent Ducts
Furnace/Air Conditioner Combo ~_ Dryer Vents "
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Range Hood Vents
Cook Stove Vents
~', T Bath Fan Vents
~_ other similar vents & ducts:
W ~-~~~ ~~~j~~v-~~ .
Similar fixtures or Appliances
--~.-
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) ~ Oil Coal Fireplace Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
~~.~~~ ~ l~-31~~s
Si~n~itur~, of l,ice;nsed C~nd-actor License number Date
Required?
The Ciry of Rexburg s permit fee schedule is the same as required by the State of Idaho
oF~exe~Qc
~,~ id C[TY O F
v
° Z R.EXBURG
~,,,
America's Fbmrly Community
October 9, 2006
To Whom It May Concern:
In regards to the Final Inspection for the Bell home on 1767 W 4300 S Rexburg, Idaho,
Permit number OS-00427, there has been no request from Mr. Bell or the Mechanical
contractor for a final Mechanical Inspection. I researched my calendar from 1 June 2006
to the day of the fire (September 29, 2006) and found no request for myself or Quinton
Owens, who inspects while I am gone. The permit folder has one inspection ticket for the
rough Mechanical Inspection and Gas line pressure check which were completed on
February 27, 2006. A note was put at the bottom of the ticket stating the furnace was not
installed.
Sincerely,
Jon Berry
Building/Mechanical Inspector
Jon Berry Building/Mechanical Inspector 19 E. Mafn I~exbu~g, ID 83440 P. O. Bax 280
Phone (208) 359.3020 ext. 323 Fax (208) 359.3022
jonb@rexburg.org avivu!mxbu~g.org