HomeMy WebLinkAboutAPPLICATIONS, BP - 06-00540 - 9169 S Snake River Rd - New SFR MechanicalZ
O
m
Cl)
f Z 1
0
0 CD
CD
ET F
N j
c (C)
0
c
w
m
CD
0
0
m
0
7
s
CD
N CD
CL
0
0
N
C
0
m
0
c
3
CD q
0
x
N
S
N
Q
0
0
0
0)
CD
CL
°1 0 = s Z
CD N 0
, 'g 0
N N N _d F
C 7 N
Z 00
N N CD
CD
d O N, O fD
F 2 (D
0 7 - N ( N (D
N o 7
0)
= 3 0
0
0 S w
N 0 0
N .�. d
d
O
m
z
m
n
O
z
X
n
I
C-
0
g
X
m
ti
rn
U)
cn
v
CD
N
CD
CL
W
O
0
CD
7
m
v
CA
CA
C
v
O
m
X
O
C:)
C:)
(on
-p
C:)
m x
v Q+
n
y
E n
c A
s 1 )
c0 �.
o
m n
0
_
p
�o,
_
CO)
�_
N CD
CD -► ,
W CD 010
.
m
y�
N
c'n CD
m
o '
�Z (D .
a
cc O a
CAD
0) d
CD
{Q
S
S
CD CO)
0
C
CL
a ..=
7
7
:. N CD CL
O
'a O C
CO)
N 3
Q
CD
-1 C ` a
0)
0)
0 2 )
m
w00
M T
CD C �*
N n Z
CD
c
Ot O C
O
z =
=
'o
y
fQ
o
0
T C
W
CD 3 O w
CL CD CL
z
D
o
y 55
G
C7
i
-0 p ID
i�
Z
O CD ? 3
(D
7
y Sl
1
E
- 3
mz o o
� 0 C
G
d
f Z
Q Ct CD <D
O
C )
c
CL
C
y
C
O C 3
— C
W
CL
Q.
C CD S.
a
z 0 -- �_ � ^
d \I
eo<wa
m
�
oa0to
v
°'
a
o
o
C CD
N
—I
�0
K CL
m
0
a
C
F
=cM
CL
v_
x
e'D o
�.
3 C CA
CO)
C °► °,
c .*
'
CD
m
y
O
m
z
m
n
O
z
X
n
I
C-
0
g
X
m
ti
rn
U)
cn
v
CD
N
CD
CL
W
O
0
CD
7
m
v
CA
CA
C
v
O
m
X
O
C:)
C:)
(on
-p
C:)
m x
v Q+
n
y
E n
c A
s 1 )
c0 �.
o
m n
0
CO)
"
N
.
m
y�
o
N
m
go a m T
MOn
CAD
0) d
CD
S
S
S
0
C
7
7
7
O
z m
y
N 3
Q
01
0)
0)
z
w00
M T
CD C �*
o
c
Z
0
z =
=
y
fQ
r
0
T C
W
Q
S
G
N
i
-0 p ID
i�
Z
(D
7
mz o o
� 0 C
G
d
f Z
O
C )
c
z 0 -- �_ � ^
d \I
N
N
�0
a
City of Rexburgl Madisowounty
1600540
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG ID. 83440 li� x„ , 9169 S Snake River Rd -Cnty Mech d-
208-359-3020 X322 �/ /
PARCEL NUMBER: �" � U��� ( We will provide this for you)
SUBDIVISION: UNIT# BLOCK#
LOT#
(Addressing is based on the information - must be accurate)
CONTACT PHONE #
PROPERTY ADDRESS:
PHONE #: Home (�,�) �f c� �� I Work ( ) ` - Cell ( ) - 1- 31 1 ,2 - 5
OWNER MAILING ADDRESS: &,( CITY: 4y 7 o STATE.
EMAIL
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE; ZIP,
PHONE #: Home (
EMAIL
FAX
Work ( ) Cell (
CONTRACTOR:
MAILING ADDRESS: CITYQ C STATE
PHONE: Home# cam. L Work# I ? ?) - °Cell# 7
EMAIL FAX
How many buildings are located on this
I
Did you recently chase this property? N Yes (If yes give owner's name) .)Z V y' j r
Is this a lot split. N YES (Please bring copy of new legal descrip!a y of property)
PROPOSED USE: % Y\' / ^
(i.e., Single Family Residence, Multi Family, Ap ents, Remodel, 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 hearings before the
Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. 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 if work
stops for 180 days. le
111 / 091/
Signature of Owner /Applicant DATE
Igo you prefer to be contacted by fax, email or phone? Circle 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 January 1. 200S.
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval.
CITY:
2
coillplotl 01i." 4 116 t t: ,A1) 1)1 1lV,it :i{ 1. 1? fl+oeul ;Ipply 'lilt Ill i , t II I i10 31
NAME
PROPERTY ADDRESS < 1 Permit#
SUBDIVISION
MECHANICAL
Mechanical Contractor's Name: 1 Vl.c 4 Y� B ;e Name:
Address Ci 9, ANl'1110i y State TD Zips'
Contact Phone: Business Phone:
Email
Fax
Mechanical Estimate S - UY[r)- VO (Commercial/Multi Family Only)
FEUY U +>i< 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
Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
other similar vents & ducts:
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply)ee�7Oil Coal ( �..'.,., Electric
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Lli�a'335;; 31L3i31ii? "1'
a� ✓
Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
Range Hood Vents
Cook Stove Vents
,, �Bath Fan Vents
3