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HomeMy WebLinkAboutAPPLICATION, BP - 06-00415 - 3737 Taylor Ln - New SFR MechanicalZ O rn f S O N v v v n n N . '~ ~. n f N io y n (D ~ V 'O N ~ 3 ~ Vj N ~~ ~o n ~ ~ f~ ~ O ~ a n °' ~~ w 0 F m 3 s c m -~ v~;sZ ~~ ~o ~`~~=o _< . ~ ~ N _G F ~ C ~ H f7 f0 S OZ ~ ~ Ol N.' y a ~ N p N ~ ~ ~ ~- O ~ 07 t=/, fSp ~ N N n ~ 7 = 3 0 ~ ~ v m ~ . •c o ° F•4°' 0 ~~~~'~ 'm ~ a n = o zo~~ ~: ~ ~ ~.. W ~ ~ y m ~ ~~~' ~ 3 ~ X ~• ~,a_ ~ ~Q y. ~ ~ ~a~= . C y C I ~ ~ ~ ~ a ~ CY ~. ~ ~ _: ~D ~ ~• ~ .r . m _ , d ~ '~ y n 3 ~ ~ ~ fA ~ IQ ~ ~ ~ O ~ _ Z e D „ „ °~ e~ °- o ~ tN S N C1 e3D N' 'O _ S N ~ W ~ ~ 3 C. 01 ~ lD V~ c to ~ Ct ~•: 3 C ~ ~ C r D cc Q' w ~ < ~ a _ v N ~ ~ °_' o D o ~~~ ~ ~ ~~ ~ -I ~ `~ 'c. m ~ ~' o ~ • 00 ~ 0 Q r- _ 3 ~ K ~ ~ X .~C 3 7 C H .. m ~ 3y~ m z m Z n 2 fD N .-~ n L g m w r z V/ rn v O .. m ~_ O d7 O O Cal c~r~, Y~ ~ R ~ ~C m ~ .~ y ~ ~~/fit a (~ 1n" A .~~ ~ ~ K '~ ~ O 0 ~~ ~~ b ~ c'0 ~. ~ ~ ti. N. `~ W D m n T ° W N Z (/~ m y A N 3~ ~ Z ~ ~ ~ ~ !~ m ?~ ~ M m a ~ 0> of C7 ~ ~ O D ~ ~ 3~m O ~ f D ~ a, ~ ~ v 7 v o~i _ Q b ~ 0 ~ 00 Z z~~' i o z ~ ~ 0 n Z n N T C ~ ~~ Z ~ ~ j 0 Q ~ ~ ` D n f D Z N . ~p ~ ~ O ~ _ 7 p~ m z i g ~ o ~ a ~ ~ ~ ~ n Z N O O ~ e~ a City of Rexburg/ Madis~C'ounty PERMIT # BUILDING PERMIT APPLICATION I' 1~;.~ ~~- E ~~rti 19 E MAIN, REXBURG, ID. 83440 l~. ~i~ ~r~~~~~ta 20$-359-3020 X322 06 00415 PARCEL NUMBER: (we 3737 Taylor Ln- County Mech SUBDIVISION: ~y /~r ~ 1_ s Lcs ~~~~es UNITS (Addressing is based on the information -must be accurate) OWNER: ,~4 cI,1~ D,~Z2•~'1 ~ CONTACT PHONE # oZ O 8 - ~S I ^ ~t`~SOO PROPERTY ADDRESS: ?j~ JAI /Gi y ~~2 L~ ~ ~- ~ex~H ~ w -~~D ~~yyU PHONE #: Home (~,d~j 35I ' ~50() Work (xogl.3.s6 ~,g~ ~U Cell ( ) .~S/ " L~ 54 D OWNER MAILING ADDRESS: ~ 5 N i ~a ~ ~ G/ CITY: /~?c~ STATE: ~'~ZIP:c~'.~ `ry U EMAIL .~~.~ FAX ~ ~ ' 356 ._ ~ ~ ~ G APPLICANT: (If other than owner)_~/~ (Applicant if other than owner, a statement author' 'ng applicant tc APPLICANT INFORMATION: ADDRESS R ~~CON ~`1~~~C~ STATE; ZIP EMAIL_ PHONE #: Home Work ( )_ CONTRACTOR: tpany this application.) MAILING ADDRESS: ~ S./t/' ~ /2t`' G/ CITY~~_ STATE ~%~ ZIP S3 ~f0 PHONE: Home#3S/-clSpL~ Work# 3S6 'b'6Y0 Cell# 3S`l ~ ~ ~~~ EMAIL ,~/,O-}-- FAX How many buildings are located on this property. Did you recently purchase this property? No ~ (If yes give owner's name) ~ t'Zr/G= Is this a lot split? ® YES (Please bring copy of new legal de/scription of property) PROPOSED USE: ,S.'-. ~ /e ~~-~- ~ ~w. ~ s ~ ~ CI < ~C ~ ~ ' (i.e., Single Family Residence, Multi Family, Apartments,lCemodel, 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 con-ect. 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 provision Code i of an false statement or misrepresentation of fact in the application or on th fans on which the permit or approval wag~('>l'~ljl-vgi~ jf n9t~rtgd wi~ 18 days. Permit void if work stops for 180 days. ~J Q ( ~ CC'J/~~ a ~ ~J /\j, /) / ...._.._ ~ / V C.~ s / Signature Owner/Applicant 9~ £ ~ ~~~ D Do you prefer to be contacted by fax, email or honey Cirul WARNING - BUII.DING PE ST BE UCTION Plan fees are non-refundable and are paid in fall at the e f Ii o b u 005. City of Reaburg's Acceptance of the plan review fee do i ~n r~al 2 ~• ~ ~ ~' ~~__"r1~,£`, t'4~Ii1~)~f~~t`. ~~1~` #~i~'t' _'1 ~~~a~§t~.1~i~.3~t~ 3t" ##i<~ +;i~ ;t;~,>> t~r~;tt zi~~~~~% ialt i~3 i~ ~, i~;t- ~~~>~~ ai~'r~~lc.~ii3lc+ t`~ NAME '< ~ O 2 M L PROPERTY DRESS !c. ti ~~ /_ sE ~ ~i ~2 ~~c ~ ~, ,~~ Permit# SUBDIVISION ~; ~„ ~ c, , ~ ~ ~ 3 L~~G MECHANICAL __~~ Mechanical Contractor's Name: ~ / .lam /,~/i~,~- Business Name: ~~un~Tf 2 T . Address ~ ~ • ~o~c b Z ~ City ~~~~~r State ~;~_Zip ~ ~Y~ Contact Phone: Email Mechanical Estimate $ ©S ~ ~ (Commercial/Mnlti Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) ~'" Furnace _~_ Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump t.~- Air Conditioner Evaporative Cooler Unit Heater Space Heater / Decorative gas-fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances _~ Dryer Vents Range Hood Vents Cook Stove Vents .i Bath Fan Vents _~ other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets ~D~°'- ~ 6 So Business Phone: ( ) Fax ~~ ~ y~r! ~ P~ Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) ~~a Oil Coal Fireplace Electric ~~.~t~t~ir5~ci? Sizing Calculations must be submitted with Plans & Application /~ Point of Delivery must be shown on plans. ~~r~~; zr!' i,ica3~~;~~d +~z>»trzu:ior ~~~~ ~ - ~~-06 Li~:~~nse i~~3x»~~:~- Date The City of Rexburg s permit fee schedule is the same as required b1' the State of Idaho 3