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HomeMy WebLinkAboutAPPLICATION, BP - 06-00491 - 2712 Diamond H Ln - New SFR MechanicalZ 0 1 0 m 0 F,°Z0 j3 D n o 0 0 fD S ° c ° v m <° 3 v y CL �. 3 m v r. a3 co 0 0 F = CD C ' ^'c° m n C !0 00 C S9 n �, V c 3 ° m S n CD d y O. c v c 0 f �? O 0 O j d ° S O c m v < F CD � 7 S o s O d CD cn CL 3 v CD .w p of 3 O O' CD d 3 a m w w 51- s Z 7 v m 0 0 m C 3 N Z 0 C) fl? m O O' N CD p_ C N 0 (D ° m °- o ; d N N N w w c� D i �.v U m 0 �. 7 0 O 0 0 0 N O N Q a �a C) m z m X 0 O z X n P cn T C 3 C- 0 00 g X m N N _0 N O 7 Q 2 r u O L7 CA O 7 X m v 0 m X �k C 1] n to 0 .1 C� orl� D C M ) m n ,i O = 0 0 o -j S Z y A W= o 10 " — N $ C)�<D � CD m M o � t 9 cG O ic m < ° � tD CL CD N 3 X n O D . O CD_ •g IQ N C 7 Q 'C O � C CIa2 322 m y 7 1 ° 3 t4 D' d m O. .. Im m z w OO O Ct ' z 0 M = N! o S S) O O � o W Q. v CL 0 m = Z c = d! 002 c� m y (DD 3 O z O0 °' CD CL 3 � f S y D) = v n CD CD ? a W y v c.���D (n W y F q 3 CL tC Ot = 7 V O. N -o ( W D cc C ���a �. 0 a v y CD a ',�°'0 0 m� O Z W � 3 7 la 0 Z N n O c O F h 7 O 0 v Q S O CD 0 k �CD o / z Y/ w o 3 � C y CD °, C . O 5 3y� m C) m z m X 0 O z X n P cn T C 3 C- 0 00 g X m N N _0 N O 7 Q 2 r u O L7 CA O 7 X m v 0 m X �k C 1] n to 0 .1 C� orl� D C M ) m n ,i O Z y A w " — ° v m go m T m v a ° � � s n O D . O CD_ 7 C1 7 O 7 Q O CIa2 322 m y 7 1 ° 3 0 d m m z w OO n = 3 � o W z- m 0-10 m = Z c = .! c� m y c C O0 w 3 s = v a mo tG � � N �' O y A pm� 7 C m �. m z 0 0 Q Z W la 0 Z N c O A C City , f Rexburg/ Madisowounty BUILDING PERMIT APPLICATION please 0600491 19 E MAIN, REXBURG, ID. 83440 r the q 208 - 359 -3020 X322 2712 Diamond H Ln -Cnty Mech PARCEL NUMBER: ( _ SUBDIVISION: S4 7, l� 6A e e UNIT# BLOCK# LOT # / / (Addressing is based on the information - must be accurate) OWNER: ,41 u�✓ Ili cc n e, PHONE # 8©/ PROPERTY ADDRESS: cP 712 //i /s //-/, PHONE #: Home (,1) 1 '�'7 Work /( ) Cell (9 OWNER MAILING ADDRESS: e 2 4� CITY: — STATE: 6// " /2_ EMAIL FAX APPLICANT (If other than owner) L ioe! (Applicant if other than owner, a statement authorizing a licant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS /moo .rJ 3CZV4,/ CITY: STATE; L d Al o ZIP e5 3 Y}'o EMAIL FAX PHONE #: Home Vg} Work (ze6) .3S / /SS'y Cell (z�) 3?o - -3110 CONTRACTOR MAILING ADDRESS: CITY ATE_Z;0 ZIP c PHONE: Home# L - -.6 Yh Nork# 3 57 13`.50 Cell# X90 -31 i EMAIL FAX How many buildings are located on this property?, Did you recently purchase this property? No es yes give owner's name) d� /� e Aee,6 Is this a lot split? gC, ) YES (Please bring copy of new legal description of property) PROPOSED USE: � 5,.�, . /L (i.e., Single Family Residence, Multi Family, cS i dsvc � Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION Under penalty of perjury, l hereby certify that 1 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 hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and comet 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 which the permit or approval was based. Permit void if not started within 180 days. Permit void ifwork stops for 180 days. Signature of Owner/ plicant� — DATE Do you prefer to be contacted by fax, ema' or hon �irele 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 Januarp 1. 2005. City of Rexburg's Acceptance of the plan review he does not constitute plan approval. 4 . Vlca Co Inplete tits° ell t Wit. pplic" , it thi , 1)1)1y till iia NA for uoji NAME 7 Q,r hf LAI - Permit# PROPERTY ADDRE S htZy f� SUBDIVISION 12,r Ae_c.0 equire . r MECHANICAL Mechanical Contractor's Name: a /2t'� ���5/` / / Business Name: �,) / T llr_4,i Address _� ��/O r- A-< i AvJee. City .,, 1 State L Zip���� Contact Phone: (a6g ) 5 - Jj /S_ Business Phone: ( ) Ste 31s Email 4,A Fax /f A Mechanical Estimate $ (Commercial/Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace _� Exhaust or Vent Ducts _ Furnace /Air Conditioner Combo Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater 19 Decorative gas -fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances _ Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI other similar vents & ducts: Heat (Circle all that apply) Oil Coal Firr lac Electric � ��4 "(!► " ���` z `1 fl Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Range Hood Vents Cook Stove Vents A -)L— Bath Fan Vents N3gnature c>i 1Jct_msrd Contractor License nuniber Date I The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 3 10/03/2006 11:06 jj � 5 BRYCE PAGE 01 pi col7 lplete the entire Al P&Atj - [f'the. questioa does z1ot AP01Y sill ill NA for 4011 �p�lic.bie �� _ 1 NA � ' H Lv. Permit+*! PROPERTY ADDR � SMDAgSION Re quired! ! MECHANICAL )ieohmicaal C ot's Natee: ► J] Hunzl aN 1l1�le' 7 Addrcs>r— Co:ntoct Phone: (e ) / — BU&M Phou s= (249 V-S - Email 49 Modumkml Esssthw*0 bt - (CasmmeexbsMIN F*ndty 4*) PEaURM & APPLUNYC ' sCOVNT Fom Dw*g%g OW F I x or Vent Ducu _ FunwWAJr Condhionar Casaba ..,. K V Va Vonts �. Heat Pp Ream+ Hood Vents!• Air Conditiosarc k Stove Vws Evapor+have Cooler Breath Fan, van Unit Hagar odw ss aar vents & ducts: _ Spew Healer D000rsdve fee -$toy agplim+cc Iaaitmwor snrtm Boiler Pool HOW Similar flxtvrsa or Appli wjm FW au pipe Osxtlats including in or Si UM outlem Mier prmmse Odd" Supply) psi Had Circle &H that 1 Oil Coal Elm"k , p l; , � 1Viec�uuoicvl Side B Calcukdow moat he AUbndttmd MM Ple & Application Point of DoWelry mueest be shown on pb x. Signs c�fi,ie nsad C:i a ;fir Li ense number Uele Requ nd! sphowe fa dot epee ar mp&vd by As $we