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HomeMy WebLinkAboutBP & APPLICATION - 06-00191 - 6740 W 5000 N - New SFR Mechanicalz .~ -~ ~ ~ m m W 70 c ~ rn v _ ~ ..~ ~ o m n s D ~ ooovS3 '~ o na~v'a m O ~ °: a a: 3 m g~~f ~ -I W o0 . ~ _~ ~y~ y -am ~ m ~ d N ~ ~ ~='~ ~ n ~ d ~~~ c ~ ~ __ ~ °' ~ w ~ m ~ a a ~ G O f w O S~ 3 Z ~ 7 ~' ~ N LG C ~ ~ d -o ~ o (/~ m '~ 0 1"' ~ S S 5 v o ~ x ~ ~ _ c ~ Ul D. ~ ~ < ~ r . a ~ ~ ~ D ~ ~ o m v a m -' z D ~ z 47 v v ~ = Z ~, o ~ m ~ ~ ~ ~ o ~ ~ ~' ~ C N O 1 1 ~ .' y N D. „ ,~ o ~ m a o m ~~,~ o O Z ~~ ceg ~ ~ ~ p d ~ C ~ = o' m ~ . ~ n n o f a d C '~ ~oo ~ m ~, M K a Q D mn m S v a !A m T ~ ~°a ~, m W 3 A m y y~ ~ O 0000 n ~ ~T ~ yTC ;fl gy W ~ - p z y C~ ~ Z N j' ~ O ~m~ ~ 3 c !~ ~^ znn 7 ~ a ~ ~ ~ N n Z N ~O v ~~~-~ ~~: ~, ~ z _~ w W `~ ~' ~ ° "~ ' , ~ 3 .,a r: ~ ~ fa ~ ~ ~~ ~ Q 3 a ~ c . a ~~~ ' C C O ~ '' c'i ~; ~ = e~ ~ . o' '. .. wc'~~s ~o~,~ a ~ ~ ~ O y w ~ ~ ' °o ;; Q W Q. C ~ ~ ~ ~ ~ ^y ~ ~ ~ V _~ ~ ~ y ~ C ~ ~3 . a~~~ 0o y ~~3a C d! ~ ~t r: a ac~W W ~aoa o ' w ~ ..m °_' o o ~~~ C'1 3 ~ ; F 3 , ~ ~ C O. n ~ ~• 3 n A tC -~ ~ a=c ~ `° ° .: m ~ d . 9c~n °~ a °1• , C ""' ~ ~ N m z m C7 Z 70 O m O Z ~ S3 . ~rrp ~ ~ o ° ; +y -i m ~ ~ ,~ m °D rn o ~ =, ~ O ai, ~ p4yoti Z ~' ~ ~ ~ ~ C ~ j~ n m ~ h- ~ ~ 0 C ~ ~ •4 ~ " m ~ ~ o ~ 3 ~ / ~ I~ _ ~ ~ ~ ~ ~ o CT O O Z C7 rt ~ ~+ ~ g ~ ~~ v m ~ ~~ ~ 1~ CJ~ ? W N -~ T ~ ~ t~ ~ o~i w n~i > > > d ~ ~ ~ ~' y y ~p ~ z 7 c r ~_ 2 D C a Z y 1M n ~_ O Z n -. ~ • CITY OF REXB URG PERT BUILDING PERMIT APPLICATION Please coml D6 OD 191 208-3519- 020 X3 BURG, ID. 83440 If the question do 6740 W 5040 N-Cnty McCh 2 ~ ~~ PARCEL NUMBER: ~~ ~ ~ ~ %~ ~ ~ (We will ~.._... ___ ____ _ _ _ , SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information -must be accurate) OWNER: ~;~'-~,> "~~~~f~`~~ ~,~,~ CONTACT PHONE # '~~~~1- `~ ~ ~~ '~ ~. PROPERTY ADDRESS:~~~ ~~ ~ ~~~ (~'~; ~ ~~~~Ut,~V~ ~~ ~ ~~~ PHONE #: Home (:)'~~~1- ~~(~? Work Cell OWNER MAILING ADDRESS: ~~:~~~ ~~~ ~~;~~~CITY: ~ C ~ u,~` STATE: ~ ~~ ZIP:~~~~ EMAIL~~ jS~~'dC~~V~`°~FAX YIC~I'1-~' APPLICANT: (If other than owner) ~~~`}^~~~ ~~ QW ~~e=~- (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS STATE; CITY: ZIP EMAIL PHONE #: Home Work Cell ( ) _ ----- CONTRACTOR: C~V~ Yl`~~~- MAILING ADDRESS: CITY STATE ZIP PHONE: Home# Work# Cell# EMAIL FAX How many buildings are located on this property? ~ Did you recently purchase this property? No es (If yes give owner's name) U O t~~ ,~3rrtc~ c~G(,W Is this a lot split? YES (Please bring copy of new legal description of property) PROPOSED USE: ~~~ ~ ~~~'~ ~~~~ ~ ~~ ~ ~~~~~-~ ~~' (i.e., Single Family Residence, Multi Family, Apart ents, 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 heazings 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 whi/c~ the it or approval was based. Pernit void if not stazled within 180 days. Permit void if work stops for 180 days. ~` ~ ~ / , / ~~~ Si ature of r pplicant DATE FAX Do you prefer fo be contacted by fax, email or phone? 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 January 1. 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval Please complete the enti~Application! If the question doe apply fill in NA for non applicable NAME ~ ~~ PROPERT ` ~ D S Permit# SUBDIVISION ~` ~ Required!!! MECHANICAL Mechanical Contractor's Name: ~~~`~,~~ Business Name: Address Contact Phone: Email City State Zip Business Phone Fax Mechanical Estimate $ (CommerciaUMulti Family Only) FIX URES & APPLL4NCES COUNT (Single Family Dwelling Only) ~ Furnace ~ Exhaust or Vent Ducts k1 ~ Furnace/Air Conditioner Combo ~ Dryer Vents ~-" Heat Pump ~'~ l`1 Air Conditioner ~ ©~ Evaporative Cooler .gyp Unit Heate~ ~ ~ ~~~~`-' Ml ~~ Space Heat ~~ Decorative gas-fired appliance `~ C Incinerator System ~`~ ~~ Boiler I1 l~ Pool Heater ~~ `~~ Similar fixtures or Appliances Range Hood Vents ~ ~ Cook Stove Vents -~ Bath Fan Vents b~ /C~ other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets `~ G~1 Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas; Oil Coal Fireplace Electric ~,,Q,p~aen~~' 2 ~° t+twS Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ., Sig a e of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho