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BP & APPLICATION - 05-00475 - 3951 Spring Creek Dr - New SFR Mechanical
Z . ~ O 2 ~"' ,~ ~ ~ C'1 m W 111 ~o ~ ~ m v ~ .~ ~ ~o~~=~ s co a C -^ m ~ c C C 'O ~ fD ~ -~ Z ~ O1 d d ~ 'O 'O N O ` ~ -~ :: m 111 m _ w a y o ~ ~ a ~ O ~ ~ `°~° ~ O ~ __ ~ °' m n ~ y °~ p Q~ ~ O Z °~ oo~ Q~~c ~ ~ y o ~ ~ C y ~ ~ o ~ ~ m v '-I i- ~~ ~ ~ a ~ ~ v F o ~ ~ ~ ~ o c V~ 3 d < ?+ r Q ~ ~ ~ ti D ~ ~ o m o m 3 ~ W v a~ Z a ~ z ~ ~ n~o,~~z o ~ ~f a m = 111 ~? y ~ y "1 ~ ZA(O S ~1 C C O ~ ~ ~ ~ ~. '~' N. ~ (D ~ ~ v f m a c m _ ~;,~~ o Z o ~~~~g = ~ o ~ . ~, ~ m ~~ '~'. ~ n ~ ~ c ~ a'~ C "1 ~oo~o ~ m ,M~ a ~ p ~o,c~-i m O ... ? Z N ~ 'n~~ ~ m . ~~ w ~ ~o~ c . ~ ~ ~ Z d 3 ~ c .~ ~- w ~ ~ "i ~ ~~'a $ ~ C o~~ '7 ' ,~ O ~ . _a Oft ~=;w ~ _ O o'~.m'~ Z ~~~ g n o O ~ wn~z ~ Qa~ ~ o ~ a~~ w ~ , ~ ~' ~ ~ a,o c m _~ . ~~sw ~ m ~ ~ "" O C7 ~ ~~~ ~ ~ ~,~~3 0 H a~!~w ~~~°. ao ' a ~ `c o a rt ~c' oOD .~ S ~ Q w ~ g v o w a m n d ~ cn o ~ ~' ~ ~ ~ ~ tp ~ ~ p w Q. _ ~ 1 . K w .~- ~ ~ m ~ n . 9 c w ~ (D ~ 3 ~ ~ a, w 3 ~ m C v ~ ~ ~ I~ m _ x m 70 3 ~ ~ A ~_f] ~ ~ v O 3 n ~ ~ y J 0 o~ °~ ~ ~~~ a mn m ~ ~ ~~ y c ~ ~ ~~~ boa ~ '" o ~, a `° ~ _ ~ ~ y . y~ O oD O O ~ ~ ~ w A ~ 0 n ~ y C ~ T ~Z~ ~ w ~ W -a ~ O N ~' ~ 7 O Cm~ ~ ~ c 1~ ^ ZnC~ ~ 3 Q A ~ ~ ~ ~ y `~+ C7 Z N O W C r v z z N m n Z n I~'Y OF REXB URG ~ PERMIT # ~`__, ___ BUILDING PERMIT APPLICATION Please ~ 19 E MAIN, REXBURG, ID. 83440 If the qlr e 208-359-3020 X322 ~~~ ~»~7, 39a 1 tiprin~, Creek Dr-Neel. C'c~. Mich. PARCEL NUMBER: I SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information -must be accurate) CONTACT rHONE # , -~-~ - y ZG L PROPERTY ADDRESS: .~ PHONE #: Home ( ) Work ~ ) Cell ( ) ~ ~~-y3 ~-~ OWNER MAILING ADDRESS: G/3~'GV /fit ~:,, 2/-~ CITY: {~...e STATE:~~ZIP: ~ 3 y/~U EMAIL~e~,e.rr,-es ~7 ~~ yle~a ~~ .3 c1~Ly ~ ~ 7 APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS STATE; ZIP EMAIL PHONE #: Home CONTRACTOR: MAILING ADDRESS: PHONE: Home# EMAIL CITY Work# Cell# ~° <<~ ~ ~7 (D STATE How many buildings are located on this property? J Did you recently purchase this property? ~ Yes (If yes give owner's name) Is this a lot split? ~ YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) ZIP 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/Ap ~~-~/~~ DATE Do you prefer to be cont ed by fax, email p on Circle One FAX Work W ING -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 Reaburg'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** e~1C Melt 1P ~pp 1Ca lOllIf the question doesnot apply fill in NA for non ~~~~~~~ applicable NAME ~~^~C `~ ~~ ~.~f~l`Y'v1 PROPERTY ADDRESS _ ~cj~ S~.~~ '~~, SUBDIVISION ~~~~ C~ Permit# Required!!! MECHANICAL -~ Mechanical Contractor's Name: ire ~ ~,, r~ ~~ r~1C.~ ~~~ZBusiness Name: ~ L`;!(V1~'~ ~'I~ ~ (1 Address ~~~.~`~ C~` ~7~:~Y1 yV\c~ ~^ , City Lr,©{_f~~1C _, ~ ~ ~SState ,1.~ Zip~~~~,'l r Contact Phone: ( ) Business Phone: ( ) ~> ~~- ~, ~ - ~-~~~ ~ .___.r Email~~~I~~ !' ?t~~,~e C'~~ ~.I--~.~r~~ i~ax ,~~~`~=;`ZS~t -L4-~~-~- ~ Mechanical Estimate $ r ~~~ ~ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwe ling 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 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 other similar vents & ducts: Mechanical Sizing Calculations must be submitted with Plans & Application of Delivery must be shown on plans. sed Contractor License number Date Range Hood Vents Cook Stove Vents /~ Bath Fan Vents The City of Rexburg's permit fee schedule is the same as required by the State of Idaho