The URL can be used to link to this page

Home My WebLink AboutAPPLICATION - 07-00060 - 1322 S 2nd E - Fireplace%meb 20 07 02:20p Myron Creager 1TY OF REXBURG UILDING PERMIT AP .fLICATION 1.9 E MAIN, REXBURG, ID. 83440 208 - 359 - 3020X322•• :,�; 070060 P led , 1322 S 2nd E- Mechanical If thI PARCEL NUMBER ( We will provide this for SUBDIVISION: UNIT# BLOCK (Addressing is based on the information - must be accurate) v Vii OWNER: Z y l - 3, ,,- a 9 CONTACT PHONE # 7-5 -2 .s� z PROPERTY ADDRESS: 9 3 ;2- 2 S , 2, a 1 F, PHONE #: Home - o �2— Work OWNER MAILING ADDRESS: EMAIL FAX, �l Cell ( ) Yw1 3YS� CITY: STATE: APPLIC'A1V� (If other than owner) C ?� ter- l`' (Applicant if other than owner, a statement authorizing applicant to.act as agent fof owner must accompany this application.) APPLICANT INFORMATION: ADDRESS ' S'• `�Pllvr��7`�, -• Ul CITY: �4 t < = 1, -g STATE; -� 1 ZIP a7 EMAIL FAX � SW - - � PHONE #: Horne ( Work ( Cell ( CONTRACTOR �:✓ . 7`-, ��3�, - s MAILING ADDRESS: < �I'.Pl '5 �I CITY �' 1, STATE S ZIP �lyo PHONE: Home# Work# �js ° �'� Cell# , AX 7 3 1' 3 S`d` How many buildings are located on this 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: (Le., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Cottmtercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION Under penalty of perjury, I hereby certify that 1 have read this application and state that the information herein is correct and i swear that any info'rnalion which may herealler 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. 1 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 2000Intemational 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_ Signature of Owner /Applic DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BMDING PERMrr MUST BE POSTED ON CONSTRUCTION SITU! Plan fees are non - refundable and are paid in full at the time of application beginning 1, City of Reaburg's Acceptance of the plan review fee does not constitute plan approval . - .Offi� 0 1 ' 3 Feb 20 07 02:21 p Myron Creager 208- 356 -3988 p.2 Flease complete the enfire Applicatio n ! . If the question does not apply fill In °A for non applicable NAME / 7 jc • •- r PROPERTY ADDRESS / 3� 5' -0� ^ °� Permit# SUBDIVISION R equired!! ! MECHANICAL Mechanical Contractor's Name Name: Address 5 , Zip i�� {d Contact Phone: ( ) Business Phone: Email Fax Mechanical Estimate $ (Commercial/Multi Family Only) FEKMRES & APPLIANCES 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 Z _ Fuel (gas) piping fixtures or appliance outlets Furnace Furnace /Air Conditioner Combo Heat Pump Incinerator Pool Heater Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Space Heater Unit Heater Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of jcensed Contractor License namber Date Required! - ,, The City of Rexburg's permit fee schedule is the same as required by the State of Idaho