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Home My WebLink AboutAPPLICATION - 07-00262 - LDS Church - 345 S 3rd W - MechanicalCITY of REXBUR MECHAATICAL PERMIT APPLICATION Ple 0700262 19 E MAIN, RPMURG, ID. 83440 If th 345 S 3rd W 208 359 -3020 X326 LDS Church- Mechanical Only PARCEL NUMBER: �1 . Wl SLBDIVISION: UNIT# BLOCKO LOT# (Addressing is based on the information - must be accurate) n! ble CONTACT PHONE O PROPERTY ADDRESS: PHONE #: Home ( Work ( Cell ( ) OWNER MAIL ADDRESS: 60E. a.TE(qt e_�fCITY: S.L.C. STATE:LAIZIP: 84115C) EMAIL FAX APPLICANT (If other than owner) RU IMP A - IS�CS � I ' (App)icant if other than owner, a statement g ent authori applicant to act as agent fo owner must accompany this application.) APPLICANT INFORMATION: ADDRESFai lk6 V, l.. - Or. CITY: j ls STATE; ZIP ,5 EMAIL JU,0 FAX &S421/- 73`1 PHONE #; Home ( ) Work 4U) . �2l Cell Z& - / "] CONTRACTOR ffn l 00014" 61 CITY TATE PHONE: Home# 2t�d Z21 20$- �.h'�p- (7 EMAIL &(J �,V' FAX �% - _'5 ?A 3 -1y Inn E C How many buildings are located on this property? Dnf, 7 ini i L Did you recently purchase this property? G Yes Of yes give owner's name) Is this a lot split? /N 6 YES (Please bring copy of new legal description of pro t1W P EXB U R G PROPOSED USE: -// An n4 t rtI J &P U M NI P.1 (i.e., Single Family Residence, Multi Family, Apartmews, .Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGMA , CERTIFICATION AND AUTHORIZATION': under penahy of perjury, I hereby certif that i have read this application and state th a inYorm on 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 City Council f the City of Rexburg shall bo truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter s application and hereby thoriud representatives of the City to enter upon the abowmeotioned property for inspections purposes. NOTE, The building offs ' ay revoke a permit on roval is ed under the provisions of the 2003 International Code in cases of any Use statement or misrepr esemation of fact in the appli On the Plans on whi penpit7;7,,el} yes based. Pe�void if not started within 180 days. Permit void if work stops for 180 days. 05 / ;;;�z � DATE Do y&u prefer to be contacted by frx, email or phon'e?Xircle One WAP—NLNG — BUELDLNG PERMIT MUST BE POSTED ON CONSTRUCTION STfE! Plan fees are non - refundable and are paid in full at the time of application begiuoing Jat!w City of Rexburg's Acceptance of the plan review fee does not constitute plan approval ! r )o" n n, — 4 A Y. L, L . i �nV • 0 Building Safety Department City of Rexburg 19 E Morn ;onellhOrexburg_org Phone: 208.359.3020 426 Rexbura ID 83440 www,rexburg.org Fox: 208.359.3024 ° u .. C ' �e pExe �•kc c :P C I T Y OF REX AmolcO Family Community NAl1E C L V PROPERTY ADDRE SUBDIVISION Permit# Requiredl !! MECHANICAL Mechanical Contractor's . a 1mee:' -.~ Address Za4 Wit; Wes . City. rtij tate Zip_ Cell Phone: A)& 20n - 1 Business Phone: ag '524 -- - 722.4 Fax: (X t 528 -- 13 - 71 _ Email dbAzrziM ^S Mechanical Estimate S _,Ala &P Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. AV; 's pe6nit fee schedrde is the same as required by the State offdaho �► „ - 4 Building Safety Department City of Rexburg 4- 19 E. Moin iOnelh ®rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexbufg.org fax: 208.359.3024 CITY OF RFMURG gmMok Family Community Office Hours: Monday -Friday 8:00am- 4:00pm a✓ Madison County Mechanical Permit Application The following items should be completed before you submit your permit application. CommerclaLResidential Permits: (the following must be submitted with the Application) - Page 3 of the Application must be completed and signed by your M Contactor -Mechanical system sizing and design including_ thews line distribution syst em. Building Inspection Sequence Type of Inspections: For on -site construction, from time to time the building official upon notification from the permit holder or his agent, shall make or cause to be. made any necessary inspections and shall either approve that portion of the construction as completed or shall notify the permit holder or his agent wherein the same fails to comply with this code. I. Mechanical Rough in : Commonly made prior to covering or concealment, before fixtures are set, and prior to framing inspection. 2. Mechanical -Fressgre Test Commonly made with mechanical rough -in inspection. Low pressure: 20# minimum for 20 minutes. 2# system: 60# minimum for 60 minutes. 3. Mechanical Final All systems in place, fixtures set, ready for occupancy. The record shall be maintained by the permit holder until the final inspection has been made and approved. A 24 HOUR notice is required for an inspection request INSPECTION HOTLINE 359- 3020 X345. Your mechanical permit number is required when you call.