HomeMy WebLinkAboutBP & APPLICATION - 06-00221 - 3571 W Hwy 33 - New SFR Mechanicalz
0
"'~
rn
^..~
o ~ ~ ~ D
n
c c ~ ~ ~ 3
~ aa~~~
°v °«a~3 m
~01F.y~
< f . m
N fA ~ ~ H ~
~ N ~ C N
a~~
'__ ~ a
d~a
a o,
n
~ oo~'
~ a y
O ~ ppp~
~ ~ 7
C ~Q
m ~'
F °~ m
~' a ~
d -
c v' 3
a'
o ~
~ ~
~~=moo
~o~~f
.a
~o,Nsx
~ C ~ y
ZncG ~'
y y ~ N
dom. fq p
£ cCi ~ a pCp
C C 3
y N fp~p NS ~
~ '^ N $ 3
~ ~ .~.. 7
a m ~ .~
n p 'e ? d
<~~d~
~, g ~ ~.
a
x
rn
W
v
z
G1
3
z
0
-I
W
m
0
n
c
m
v
_ ~ ~°~nz
Vs
~ ~..,~-
~
~
'~ ~ c
O~
°'~
3
~
70
~ ~ ~ ~,a
m ~
~
_
~ ~
o .
~
3 a '. _
~ . c
~ m ~
.
C 'a O ~ C
~ ~ a
~~~
m ~
o 3
W .
~~~°
m ~ ~ ~ ~
~
~ ~ca~
'aa~~
~
~ ow~`°
c ~
Z a~°o
~ ~ ~ ~
~ ~ _
W ~; ~ 0~1
_• ~
o
H ~.~;~
~ K ~ Q
'a a
'
=
~' a
D
~
W eo~~a
m y ~ o ~:~
v W ,~ °' "
!7
^~ 3 C O.
~ ~ W
a o ~3~
"~ a
~
S
m ~
W ~,~~'
C ~
~+..
r
~ ~ S =
K ~
_
Z ~
^
YI ~+. ~ 3
~ ~ ~
'
V' fl. ~ ~
O "~
'
~
m ~
m
z
m
C1
z
~.
c
7~
m
n
Z
70
C
n
z
W
~_
w
W
n
W
v
m
N
N
z
W
cc
co
C
v
..
.o
m
3
0
rn
0
0
N
N
+yza C~Tt.
OA
~~
a
m°
.~
,~
p8~°~
a
$ A
3 ~~ a
~,` K
0
3 ~
~ /'1
c~0
~ ~
~.
~• ~
~ ~
D ~ w ro ~ N
mm
y A o
~
o ~ ~ ~ ~ m
w ~ ~ ~'
~ a ~ ~
S
s
m n
~
pe C ~t
~mn ~
w ~ .~ . i
o
> i
o
> ~
goy
~ m
y ,~
~~ ~ n
w n
~ n
w Z
3
Z ~ ~ ~ Z O
~ ~ y ~ C
~ O n p
j
W '"
7: ~ ~ ' ~ 0
Zen CEO Cl C y ~ ~ z
C ~ ~
m
n ~ ~ N O
~
~ g ' ~' ~ o
t7 Z N <
~
~ a
~ ~ •
CITY OF REXBURG o6 00221
MECHANICAL PERMIT APPLICATION Please 3571 W H 33-CCIt Mech
19 E MAIN, REXBURG, ID. 83440 If the que ~ ~/
208-359-3020 X326
PARCEL NUMBER:~~ ~~DIv ~j~cG 2-~ ~~(~ (We will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information -must be accurate)
CONTACT PHONE # t~~~y'r~`
PROPERTY ADDRESS: ~3~7~ Gtr
PHONE #: Home ~g)~35~ (~~ y'y' Work
OWNER MAILING ADDRESS: ~ ~-`7 GZ/ y~~ CITY:
EMAIL
FAX
Cel} 3%3~/3~3J
~~TSTAT~ ~.... ZIP:~~-al/
APPLICANT: (If other than owner)
(Applicant if other than owner, a statement authoriztng a plicant to a as age r owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS ~~SS~ ~/,S/Y CITY: ~~
STATE; ZIP ~3 ~~2 EMAIL
FAX
PHONE #: Home ~ 7~~ 7 ~ Work ~~ Cell ~o - ~~~~
CONTRACTOR:
MAILING ADDRESS: ~9'~~ ~ ~~~ ~(/ CITY ~ STATE~ZIP
PHONE: Home# Work#7/LS=70~ Cell#
~~
EMAIL FAX ~y<S'-7~~~
How many buildings are located on this property?
Did you recently purchase this property? No 'e~i(If yes give owner's name) ;%~~ ~,~j~,,.~-
Is this a lot spliti~ YES (Please bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family Re
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 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 2003 International Code in cases of any false statement or misrepresentation of fact in
the aBplic"fifytrlr or ons on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days.
of
.S ~ ~ ~ d` ~
DATE
Do you prefer to be`Eontacted 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
c ~
Please complete the entire Application! If the question goes not apply fin in NA for non applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required!!!
MECHANICAL
Mechanical Contractor's Name: Q ~. c ~~ ~ Business Name: ~alfs,K 1 1K+•+~ay +..4 1 ~}~a~
Address 3`~'3°I L' ~~{o iU City R; ~ ~,,, State~a Zip_~~~2
Contact Phone: (aU$) 7 ~l$~ 7 n 2 ( Business Phone: (ao $) 7 ys_ 7 o x
Email
Fax ~ O ~' - -T y S"_ ~ 3 Z al
Mechanical Estimate $ (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwellin nly) ~~~;~1
Furnace xhaust or Vent Ducts ~ ~j_~~j
Furnace/Air Conditioner Combo ~ Dryer Vents ~C ,
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
~_ Similar fixtures or Appliances W ~,~ ~ ~~ ~w~e ' S
~_ 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
Point of Delivery must be shown on plans.
~ys$
Si tore icens o tractor License number
-5~~~
Date
Range Hood Vents
Cook Stove Vents
~ Bath Fan Vents