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HomeMy WebLinkAboutAPPLICATION - 06-00316 - 707 S 5th W - Lawn Sprinklers06/22/2006 15:02 FAx f~002/003 Jun. 22. 2006 1:55PM ~ ! No, 2331 P, 2 c~x~ o~ ~~u~~ 06 00316 ~ `~ BUILDING PERMIT APPLICATION P~C'~6 I9 P/ MAIN. REXBURG, ID. 53440 If the q~ Hyde Park -Sprinkler 20&359-3020X326 PAItCEI- NuMB~R: (We will provide this for pou) SLTEDFVISION: ~v A CK UNIT#~_BLOCK## LOT# Addressin ~s based on the infom~ation -must b® aCCUSate ' CONTACT PHONE # d iu ~ ~ WQSL' _ PROPERTY A]7l7RESS; 7l3'~ ?r' _ •-- _..~ PHONE #: Houle ~~~0)747~1~1/6o Work ( ) Cell~V) •d lv ~~'inltilela~e OWNER MAILING ADDRESS: Us Cl"I'Y: STAT'E:~2IP:~(~ EMAIL F ® - X09 - ~! ~Sa? 5 AP~°L.£C.A.1V7': (!f other than owner) (App]icsnt if orbs= than owaas, s erattmetat authorizing app$caat to act as agent for ownei moat neeompany this applieatioa.) APPLICANT INFORMATIOy: ADDRESS Gay; STATE -,.,Zl~ EMA]I, , F PHONE #; Home ( ) Work ( ) Cell ( ) CD MAILING ADDRESS; '~`~~ w.e6~ b~4/Y-c'~(p-- --CITY.`~L~C,K~JO~- STATE~zrpo~-~ PHONE: Home# Work#?~s-llaa7 Ce1I#_.~~ -~DaB o~ Fax#~~a EMAIL. I~r~a, pt IDAHO REGYSTRATION # & EXPIRATION DATE_SRCb`-3~a? ~ 1~ How many buildings ate located on this propettq~-- /KU /1l ~3- _ Did you recently purchase this property? N Yes (!f yes give vwnei's name) 1 Is t1~ a lot splita©O YES (Please bring copy of sew legal despiptioa, of propGt'ty) PROPOSED USE: _~~lc i R ~ ~' „Q.1trQ Gi (:~(,)~(~] rY\JY~(1LIY1 C~L~'G, ~b ~ I~~[~p ~(~,~ (t.e., Fem~ly Rerideace, ~Iulri Family, Apas~eats, Remodel Gassga, Commercia), r~ddition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTH02tI~ATiON: Vndetpc:adq ofpecjsi~y,1 herby crstity ~~ I haw nzid tFst appli~don and a c6cf chat she iaforrnurinn herds is aorssocc sad I asvcnr shat say iafoaaarioa whiejl n+ny havgfcer be guar by n1/ is heatistpx before she Plarming and Zpnit~ Cosarrrission ar the City Council for t17e City of Recburg xha11 be tsuehFvl and corieep I alW~ to comply with au Ciep a:gulations and Srase mwe rdatis~ to the suDjaCt ntdRer of cfcix applirddnn and hxeby atuhorized :epugmeu[ve~ o! d7e City to rnm °P°j'l the abocarnmtloac proparcy for lagpecdon9 DuspopPo. NOTE; Z'he building offiaal may ie~oke a pBaivL on approval issued under a4a gto~iwoes oFthe 2009 Ttdmptivnal Code in oases of any false s~tanent os Rdtcepusentaoa9 of Fmct i~`he application or en ~e glaaa an whieF~ the p~rar or app:ovd was based. Peernie void if sat scatted wis6irs 1 BO dayo. prsnde add d!'arerk FmpR foe t 80 days r, w n 71 w Y~'1 Ce/Y1Cc ~i_~~(~ s~tut~ of o~ Applicant (~.ha-0 LI= O ~ C D~T~ Do you prefer to be contacted y a~, Email pb ne ixcle One WARNING -BUILDING ST $E P05TED ON CONSTRC7CTION 9ITE! P1aa fie®are aon,refuadable and are paid is full at cbe ehysc vt' application begianiag jam. City of Rexburg's Aecepsaace of the plan raviow fee does sot constitute plea approval +~8ua~din,Q Permic Fees are due at time of application®+ 'c"~'9uildiag Permits are void iS your check does aoe clew 2 06/22/2006 15:03 FAX J•un. 22. 2G06 1:55PM , • No, 2331 ~'~ease cosnpxete the entire Application! If a question does not apply Sll ' NA for non applicable NAME ~$(~ i Q~ ~'d17 PROPERTY ADARES fb Permiit# SUBDIVISION l~ ~ ~ Q '~~ r K Dwc3ling Uniu:~., Parcel Acres: ~d ,w SETBACKS FRONT SIDE, IDE_~1~ $,ACZ~/11~/~ Remodeling Your Building/Home (seed Estimate) ~ N / l~ SURFACE SQUARE.FOOT~1 GE.' (Shall include the egtrGgr wall measurements of the building First Floor Area 1 I ^__ ~lnfinished Basement area Second floor/loft axes Fxoiahed basement ate '11vsd floor/loft area Garage area Shed or Barn __ /tI ~ _ ~ Carpoxti/A®cis (30" above ~ 003/003 P. 3 Water Meter Quantity: 1 ,_ ~ ~ ~ ~ ~• ~~~ . w ~ ~ ~ ~ Water Meer Size• ~ ~~ Requzred~~! PL U11?13l1~G , I r Pltunbing Contractor's ~.~1'aaze; `V ~ „_ Business Name: ` Address ~' ~ Ciry /~(I l~ State 'P Cou~ct Phone; ( ) Business phone: ( ) F.rria;l M ~ ~ Fax N ~ (~- F!X'_J"U COUNT (g~g~ ..moo ~ ~~. Clothes Wask~iug Machias ~ Sprinklers l~(~ A Dishwasher ~ Tub JS],owezs ~O°i D=~ ~_ Toilet/Urinal _NI~ Garbage Di®posal _ N I~- Water Heatez Hot'Itiib/Spa ~'~ Water Softea~ Sinks (Iawatories~ kitchens, bar, mop) Plumbiing Estimate $_ ~I I (~- __' (Commercial Only) Reguircd! Sigs~arura of Liccnscd Concracros I•+.crose number Datc The City of Ae.~bag'r p~n~r~ fae r~hadr~la !r the rrwre ar ngurred by -16s Slwte 6/22/2006 15:02 FAX • ~v~~~s o~ I~.~~'o, I~VC. "Builders ofAmerica" 430 `G1~S2'?fIC~7~'W~~Y26 BLACIC,~'OOx I~D~?fQ 83221 (208)78,5 6337/ rFAX (208)785-1243 Contractors Luense; oiC~ida.net #~E-3327 EI9V 82-OS371S7 Fa~c TO; ,.1ANELL HANSEI`I ~ 001 /003 F'ROM':° CAT HJELM F,~x: 359~302q. PAGES: 3 PHONE: 3593020 'DATE: 6~22r06 RE: METER PERMIT ...1ANELL, HERE IS T~-IE APPLICATION BACK, I THINK ?"HAT 1 HAVE COMPLETED 1T CORRECT'LY, 1F YOU NEED ANYTHING ELSE PLEASE CALL, lV1E. I FILLED IN WHAT I V11'AS ABLE TO LOCATED AND WF-IAT INFORMATION THAT I HAVE AVAILABLE TO ME. HOPE THIS IS ENOUGH. THANKS ~ F'OR ALL YOUR I--IEL,PI