HomeMy WebLinkAboutAPPLICATION, BP - 06-00505 - 532 Linden Ave - FireplaceZ
O
m
c s
n
C C 'd N fD
n'
v =�
N j Q N
^co m n
C N n �
� o
c 3
v m
�Oo
�o
_ 3
CD N N
0 3
d c
n O
o
s
E <D
3 <
Cr
co �
0
o d
N �
CD
S C
N <
CD 0
a
o
CD
� o
U m
S r Z
a 0 CD o
Q
� E. o
N N d
c 7 N
CD
cc z0� v
N N
CL N p CD
o a o
v d m
= 3 0
m * ' a
0 p f ? v
N O N
�a
N
T
ic
C
m
X
K
Z
r
v_
r
m
a
2
F
Z
_N
m
W
C
CL
3
N
.
CD
O
N
o v
i
ID
0,73
$
�"(
�9
(o�_.
°
0
Z
CD
.9 CD y
K y
Q
,►
'a O m C
C7 M9 C• —7
g) C
177
0
CD
0 ) 02
.°.
(n 0 ?
a) 0 C,0
�_
V 06 Co CD
CD
0
N
O
Q
C 0
CL CD 06
O
Z
0
K N 3 y
C1
Cl
c o )
CD
CD S
=•C> M 7
a�!� 0
_
to
�d3� CL
O W
CL
°
°�
�
CD N
K
0 a .°. to
Ot n
s
(BCD
Z
Ot
^^
1/
a
n d 6
v
01
N
A ACC
O
�
0
3 O CD
0
O ' sc
X CD .�.
K
-0
�.to 2
7009
C
CL °-' °,
1
O O z
3 y CD
O
M
z
m
0
O
z
X
n
i
c
O
3
0
CD
cn
TI
0
n
CD
C,
X
m
n
z
X
C
n
z
O
CJ1
w
N
r
Q
CD
7
CD
0
N
0
sU
C-
0
W
g
X
m
W
N
r
7
C2
CD
D
CD
7.
u
c
cn
0
0
CD
Cn
CD
CO
0 m
c 3
_•
Ch
CA
C
v
O
•
C:)
C:)
(on
C:)
Ln
9
a
c n
h-
b, o
o
� A
i
c0 �.
ti• orl�
z
CA
m 0
m
°
0
Z
0
177
Q° m '—'
V
CD
0 )
=
�_
cv�
3 22 m
0
N
CD
N 3
Q
O
Z
w 0O
Cl
ID •:
T
W
G) -1
o
r
°
°�
0
' a
°
z
yT2
S
Z
z
v
N
° �
O
�
0 T 0
0
7
O m �
CD
C
n Z
N
O
0
a
12 06 12:36p Myron Creager
208 - 356 -3988 p.1
CITY OF REXB URG
BUILDING PERMIT APPLICATION Plea; 0600505 Imo!
19 EMAIN, REXBURG, ID. 83440 If the c 532 Linden - Mechanical lble
208 -359 -3020 X322
PARCEL NUMBER : O PaW O(O ( we will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT
(Addressing is based on the information - must be accurate)
CONTACT PHONE
PROPERTY ADDRESS:
Cell ( )
OWNER MAILING ADDRESS: 3 G CITY: STATE: Z - ZIP:
PHONE #: Home OLI-) bi5; Work
EMAIL
FAX
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant o .act as agent for owner , must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE; L ZIP ?,J %i e% EMAIL FAX j - ✓�8
PHONE #: Horne ( ) Work ( ) 3 5� —�` Cell ( )
CONTRACTOR
MAILING ADDRESS: - C �U, CITY &.rc ,I 1 STATE ZIP Yy
PHONE: Home# Work# Cell#
EMAIL FAX _ 366 1 6 ` ✓ y5�
How many buildings are located on bins property`?
Did you recently purchase this property? No Yes (If yes give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalty of perjur I hereby certify that I
have read this application and state that the information herein is correct and I swear that arty information which may hereafter be given by mein hearings before the
Planning and Zoning Comrncasion orthe City Council for the City of Rexburg shall be truthful and correct. I agree to comply withal] 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. IMe 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 application on plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work;
stops for 184 days.
i
Signature of Owner /Applic DATE
Do you prefer to be contacted by fax, email or phone? Circle One
WARNING —BUILDING PERMIT MUST BE POSTED ON CONSTRUCUON SITE*_
Plan fees are non - refundable and are paid in full at the tinte of applicatign bekinni>Ilg' l: 2005.
City of Rexburg's Acceptance of the plan review fee does not coiistittiA plan 9' 1� rpval
f) - 3
.4 �
Oct 12 06 12:36p Myron Creager
cOMD 'Aetc the Ci a Appi±icatio- Q
npplicanle
NAME
PROPERTY ADDRESS
SUBDIVISION
208 - 356 -3988 p.2
If the question. d9not apply fill in IOTA for non
Permit#
equine !1 ! MECHANICAL
Mechanical Contractor's Name: 4 � .r&,_ Business Name: C,rra,.- b, r ,,�
Address �AfI j 1 City Agzro,vg State zi
jy
Contact Phone: Business Phone: ( )
Email Fax 351o 39,E
Mechanical Estimate S (Commercial/Multi Family Only)
FDC UkES & APFLIANCES COUNT (Single Family Dwelling Only)
Air Conditioner
Bath Fan Vents
Range Hood Vents
Boiler
Cook Stove Vents
Decorative Gas Fireplaces
Dryer Vents
Evaporative Cooler
Exhaust or vent ducts
Fuel (gas) piping fixtures or appliance outlets
Furnace ,
Furnace /Air Conditioner Combo
Heat Pump
Incinerator
Pool Heater
Heat (Circle all that apply) Gas Oil
�
- (V Da
Co Fireplace Electric
Space Heater
Unit Heater
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Sint nwrc or Licensed Contractor License number Date
Required!
The 'City of Rexburg permit fee schedule is the same as required by 4he State, o_fIdaho
- S
.6 `s