HomeMy WebLinkAboutAPPLICATION, BP - 06-00377 - 1733 W 4300 S - New SFR MechanicalZ /~ ~ ~ s~ CST
= o p z o C! -1 m O Z y ~ ~ Ao
~ N ~ W ~ `~ y R1 -1 f11 ~ ~
~ m m O .'$ a ,,; ~ ~ ~ m = 171 :; - ,~'°
°D ~ ~ ~ ~ o a ~ C1 p ~ ~ ~ oN'~°~
G ~D ~ ~ ~ ~ t/1 ~ 0
^.~ z "~ O. 3 ~ ~- c ~ -i m a
s c'> r: ~ ~ e~ ~ Z ..
f. c ~ s ~ D 3 ~ •g ~ fR Q' ~ C ~ $ A
v a~~ m ~ 3 ~ .~i• Z ~ ~ ~ FC
arc m n°, m fl'1 ~m c ~ ~ 3 ~ ~
y° ~, v n ~ ~ C a~ ~ V -I `~ J
c ~ ~ v C7 ~ ~ C. ~D ~ ~ W .~'
~ o ~ C O ~~ y~ W ~k
'0 ¢
n ~~ a p ~ ~ ~_ p w
a~ f O Z °'~ ao w
a?~ C ~ ~~ Sa3i O
L
o ~ ~
~ qJ S 'a
3 ro f° S r W ~ Of ~
-1 ~1 ~
a ~ ~ zo ~ oo ~ ~~3a m
~ ~ ~ c V1 c to 7~ %+3 ~
s a ~ -{ ~ a c 'a p W
~ ~. 5 ~ oc•o'7 O
W ~ `
a m Z ~ p " ~ ~ ~
n
Z >> m
O ~ ~ ~~~ ~
~o ~
~o~~c m 171 `~ =oi~ ~ ~+
V
a _ ~\
~~~ W o ~ Z X ~~ c °o ~ T
s m8 = O ~ ~ 3'c ~ ~
°-'30~~ ~ _ Z ado
o e? w C ~ ~ O ff?
x~ a°i c S m 3~ ~D
~. c° n -^ z
a ~
I
m n ~ w N ~ N
y~
_ ~ °~,
~~ ~ ~ ~ ~ m
~
•n ~
m
w a ° ° A
3~m w v~ ~ v v w Z
Z~•n v Z _
~On
W r.
o c
~
.r; ~
v ~
~, o
c
~ C
y '-' c ~ ~
'
~ Z y
3 v
O
'oZy W ~ ~ z
c rh ••
Z~~
~ m
y a
C1 Z N
O ~
a
Ju1.14, 2006 1:23PM No. 2439 P. 2
c~TY o.~ .~E.xBURG 06 00377
MECHANICAL PERMIT APPLICATION Ple; 1733 W 4300 S-Casty Mech
l9 E MAIN, REXBURG, ID, 83440 It t)b~
248-359-3020 X326
PARCEL NUMBER: (We will provide this for you)
SUBDIVISION: ~'.e c~c% ~,,t;Ft~, UNIT# BLOCK# LOT#
(Addressing is based on the information -must be accurate)
°~ ~ I i .~ c G~.r-f-~~J-~~ ~ ( CONTACT PI-ION.E # ,~~~ L - ~ ~~ ~ -
PROPERTY ADDRESS: L `~ ?~ ~ ~,,V ~- 3 ~ ~ ~ ,
PHONE #: Home (~) ~~~-i - ~ ~;S ?~ Work (~ ~_~c c; - :-F~.c :"> Cell ( ) '-
OWNER MAII,INGADDRESS: I ~- 3 ~ V1t, ~ct~ `CITY: - , - STATE:LZIP: `~~~-4 a
EMAIL ~.-I Z • ~'1~ l ~ (C~ (r~ r ~ ,: ~ ?~~ (, ~- d ~S
APPLICCAN7': (If other than owner}
(App[icant if other than owner, a statemetrt authotuirlg
APPLICANT INFORMATION: ADDRESS
CITY:
STATE; ZIP EMAIL pAX
PHONE #: Home
Work ( ) Cell ( )
CONTRACTOR: ~s;ns r'itj,Y
MAILING ADDRESS;
to act as agent for owner mast accompa~
CITY
PHONE: Home# Work# Cell#
EMAIL pAX
STATE ZTP
nvw many vul,tungs are locaTea on fasts properlyY i
Did you recently purchase this property? No Yes (If yes give owner's name)
Is this a lot split? ~ YES (Please bring copy of new legal description of properly)
PROPOSED USE: ~.`~+' b ~ ,c
(i.e., S.irnigle Ftttt~ily Residence, Mtt Family,
Remodel, Garage, Commercial, Addition, fife.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penaity of pogruy, I hereby certify that t har+e
lead this application and state that the information herein is correct and I swear that nay information which may hereafter be given by me in hearings befom the Planning
aad Zonstg Cattunission or the City Council for the City of R~ttmrg shall bo truthfal and comet. I agttc to connpiy with art Cyty regulations errd Steve laws relating to rho
subject motto of this application and hereby autborixed repeCSCpfadve3 Of the City to deter upon the above-merrtiomed property for iespections proposes. N01E: The
building otBeial may revolve a permit on approval issued under the provisions of the 2003 facemational Code in cases of any false statement
the aPPlie~ plans oa which the pem-it or approval was based. Penoit void if not started within l80 days. ~ 18~ da~
~~'^ ~J
Signature of Owner/Applicant ~ ~
Do you prefer to be t,;ontac~cod by fax,, email nr~~~~le~ Circle One JUL ~ 6 ?.~6
WARNING - BUII.DING PE ~u3T SE POSTED ON CONSTRU 1TE.
Plan fen are non-refundable and are paid in fall at the time of application been n~
CitT of 1.tettburg'e Acceptance of the plan review fee does not constitute p n
OF REXBURG
Jul. 14. 2006 1:24PM
No. 2439 P. 3
r •
Please complete the entire Application! lt~ gpest~ aoes sot apply su ~d NA tar and app~ahle
NAME ` ~~'1 ~.~~ .~.
`~ N;(I
P120P1;RTY AllDRE55 1 ~- ~~~,~,- -~-~~, ~ ~a . l~E X 1~.~.1 ~ Permit#
SLTBDMSION ~.tl.cc.,/ T?~.:~-k--t-Y~
Required!!!
MECI~ANICAL
Mechanical Contractor's Name: ~ ~~ ; ~,.~~ ~ (--r-, f ~ Business Name: ~ ),~
Address ~ ~~- ~~~ l+~. ~f--~,~~ ~ ~ City ~ ~~ , , ~ State ~ ~ ~( ZiP~~ u
ContactPhone:(za~) ~3<~y~_~~_ry,~" Business Phone:( C
Email _L,a 2 e ~~ i I ~ ~~ (;l ~-{ ytif ~; i . ~~r~ ~ ~ Fa~~3~-t~-- ~ ~_, ~-- ,
- ~~
Mechanical Estimate $ (CommerciaUMulti Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwellin Only)
1 Pomace ~ ` ~ Exhaust or Vent Ducts
Fumace/Air Conditioner Combo
Heat Pump
l Air Conditioner
Evaporative Coolez~
Unit I-Teeter
Space Heater
~- Decorative gas-feed appliance
Incinerator System
Boiler
Pool Heater
~.-~. ~I,.,~,~
Signature of Licensed Contractor
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 Hydronic
Mechanical Sizing. Calculations must be submitted with Plans 8t Aonbcation
Point of Delivery must be shown on llflans.
The Ciy of'Rexburg's
Dryer Vents
_~ Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents ~ ducts:
~~_~ ~
License number
schedule is the same as
~ ~~~~ a
Date
the State orldaho