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Home My WebLink AboutAPPLICATION, BP - 06-00138 - 4584 Timberline Rd - New SFR MechanicalZ ~ O = v ~p ~~ ~~ ~ ~ ~ ~ ~ ~ W ~,p s~ ~ ~ ~ 00 ~ ~ ~c' o a ••c 3 ~ ~ ~ ~~m~ rn 1 f Zn ~~ D o 3 C ~ ~~~ W ~ oo~~s c~ ip ~ 3 (n Z .~p~ p A .~. 3 m v v v m n ~ fD ~ W ~ ~ pt _ ~p = ~ A p. ~ 3 f ~• ~~ W W m . O . Ot p p O ~ m y ~ am fC <D QOi. y m O TI ~1~ ~+ W n ; S ~~ V C n N .C Q. ~~ C N ~ O ~ w ~ O - ~ a q a ~ D O C C p ~ ~ n ~' ~ F O Z <D 0 . . fl' ~ Q O . • ~ a ~ m ~ ,, ' ~ ~ ~ O c ~ ~ ui C ~ to p j N .r W .r p S 'C w O o r W ~ a d ; ~ ~ o ~ y ~~~~. . W s a 3 ~ Q. ~p 3 'O O W ~• ~ ' ~ r D m °~ ~<~a ~ N ~ 3 ~ $' O y + Q' n a m ~ D ~ ~~~ Z -I ' ~ n 3 °' z c~ ~ ~ .~ ~ a md~~Z a = .. ~~S' ~o~Qf m R1 y~ c~i3 m°-' m °~ ~ ~ C O ~, ~ ~ m 'o ~c°i n ~ a1 .+ Q y H n~ N o ~ ~ r p fl. r- `. O p~Q . f ~ W a~ m ~ ( ~ K W : : ~ N fop f~D ~ O ~ ~ y X _ ~ 1p O m d~ $. m ^^ n Y' n~ v 7 C N ~ o° F• ~~ ~ ~ ~ O O S ~~omo ~ m 3~~ M ~ ~. M n 1 D mn m N ~ N c 01 ~~ Ae m ?~ ~ O ~ n ~ ~ Cam = N' 3 aoo ~ ~~ ~ O n ~~ ~ w O mz~ o ~°' C• N ~ ~ ~ O .. C /_~ ^ Z n A a ~ ~ a Z N w iw A ~O m z m C1 z C7 O Z ~ ,, . ~~rp D ~ •' o o ~ m o = p ~ ~~~ z a ~ ~ O 70 C Q° • • ~ ~ n ~ ~ n - i ~ O ~•~~ '" K Z ~ ~ m ~ o ~ ~ ~ 3 ~ sf ~ ~• ~.' c ~~ fD n ~+ ~ W g ~ ~~ v m QV7 ~ ~ • ~ ~ cD 3 fD a tT A w N -~ ~ fll ~ ~ ~~~ c m ~ w i o 3 7 7 w ~ v ~ -o ~ ~ y ~ ~ y ~ ~ ~ C r v a m D G a 2 m n ~_ z n • _CITY OF REXBURG PE] i 06 00~ 38 BUILDING PERMIT APPLICATION Please corn 4584 Timberline Rd-Cnty Mech 19 E MAIN, REXBURG, ID. 83440 If the question 208-3~9-3020 X322 PARCEL NUMBER:_~ ~~ (~(~ ~(, (~~~ ~ (We will provide this for you) SUBDNISION: UNIT# BLOCK# LOT# (Addressing is based on the information -must be accurate) OWNER: ~r~n, ~- gin. ~~~? CONTACT PHONE # ~~.. 3 ~ ~ ' ~ '~ PROPERTY ADDRESS: ~-(~ ~~ I ih'f~er ~ ~Je PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: CITY: STATE: ZIP: EMAIL FAX __ APPLICANT: (If other than owner) ~'~~~ 1,~a,, ~~,~ ~vV fr°eu~; ~ ~ ~; ~' c b n d .1`ic~~sV tip/ (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS ~~cd ~vX I ~ ~ CITY: ~`~ STATE; ]~ ZIP ~3~ EMAIL PHONE #: Home Work FAX Cell (2~3) ~!+'J.) .~J~'`, j Z 0 CONTRACTOR: MAILING ADDRESS:. __ '~~ ~ ~ ~~ ~~~~ PHONE: Home# EMAIL Cell# How many buildings are located on this property? STATE ZIP 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: ~ r j'iGl ~ ~arn;~ y ~'~5r`G~~h t~ `t (i.e., Single Family Residence, Mulh 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 sweaz 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 wmply 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 appligtion or on thg,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. P n 5~=~~ii ~' ~ l17 / rJ b Stgnature of Owner/Applicant DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING -BUILDING PERMIT MUST BE POSTER ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning January I.20©S. City of Reaburg's Acceptance of the plan review fee does not constitute plan approval Work# FAX ~~eaSe COI11plete the eIIt1PC ApphCatlOri~ If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Permit# Required!!! MECHANICAL Mechanical Contractor's Name: ~ ~j/ ~-~t~i~l1-r ~'?j ~ .Business Name: _ Address City State. Contact Phone: Email Business Phone: ( ) Fax Mechanical Estimate $ (CommerciaVMulti Family Only) FIXTURES & APPLL4IVCES COUNT (Single Family Dwelling Only) l Furnace 2... Exhaust or Vent Ducts Furnace/Air Conditioner Combo C Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater other similar vents & ducts: Zip, 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. "' Signature of Licensed Contractor The City of Rexburg s Range Hood Vents Cook Stove Vents ~-- Bath Fan Vents ~~~ License number schedule is the same as ~~/I Z/C~ b Date the State of Idaho