HomeMy WebLinkAboutAPPLICATION - 07-00352 - 305 Oaktrail Dr - MechanicalAUG -03 -2007 FRI 11 56 AN FIRST CALL JEWEL
J 1. 15 2005 2: 21 N
CITY OF REa URG
BUILDING PERMIT APPLICATION Plea
19 F MAIN, REXBUR0, M. 83440 If the
208 -359 - 3020 X322
FAX N0. 12085292793 P. 02
0700352
305 Oaktrail Dr -Air Conditioner
PARCEL NUMBER: � aY!a C�C.k�CA �° ( We will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT#.
(Addressing is based on the information - must be accurate)
CONTACT PHONE #
PROPERTY ADDRESS: �:O'S ��-
PHONE #: Home ( ) Work
OWNER MAILING ADDRESS:
Cell ( )
— CITY: �
EMAIL FAX
(If other than owner) - / al6e= 'j e. [.0
(ApplicatJt if other than owner, a statt:mattt au th g applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS 1 n, C D CITY: S
STATE; T - ZIP - ENIAII. F
PHONE 0: Home ( ) Work 22 2�ell ( )
CDNTRACTQR
MAILING AUDRESS D . &g2 Q9 kD CITY ESTATE / ZIP
PHONE: Home#
EMAIL FAX
How many buildings are lowed 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:
G.e., SIngle Fatally Rmideace, Multi Family, Apartments, Ramodel, Garage, Commercial, Addition, BM )
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of reduryy, I hereby =r* that I
have toad this appikancn and == teal the MfQrrn>mou horaiu b cosmct mpd 1 swoa tbat wy iafa+m cn which way ha eft be given by men h6w1n a before the
PlaardDg and 20lno Cotntniaaion or rho City Cmwil .tbr the City of Rarburg than be m&Ad and corer : agree to comply with alt City tegalatlons and start laws
relating to ft suwm mbar of Shia epplicwion and hamby sueborind repteW0900 of the cny to um upon me abova -mina alod pmpcm for fns o ms Motes
NOTE; Thr buildirtg ofFirW may revoke a permit on appmvd iumd trader tin pravisiatas of the 2000 lataraational Cade in eases of muy £alga 3ftkmxut or
mbreprgattmim of feet in the 4ppRammr or on ilro DJm1f on which tho paidt or approval wan Wed. permit Vold rf .not started within 130 day& Permit void if work
ovs for 180
DATE
6
ow== of 0 er /Applicem
Do you prefer to be contacicd by fax, email or phone? Circle Ono
WARMNG — WMDM Pn?= hMST BE POSTED ON CONSTRUt: ON S1TEt
Pis& ha an nosi�ra trndabla and We paid In !IW at tho time of apyil¢atlon beonWas as m" 1. _Mt
City of %mbuWx Aaeptanm of the plan rovie w fie daft nat eoaalittW Plan appvaral
3
AUG -03 -2007 FRI 11:56 AM FIRST CALL JEWEL FAX N0. 12085292793
.Plea &e vomplete the eqn - re Application! u the q uestion do iot apply fill in NA for non
applicable
P. 03
NAME
PROPERTY ADDRESS Permit#
SUBDIVISION
Requrredlll
Mechatical Contractor's Name: ' , usiness I
Addres
ConW Phone: AL _ 7 7 -- - Business Phone: ( ) `� . -� a --7 7 7 7
Email Fox
Meaharie d E`tlmate S (CommerciaUMuld Family Onbr)
FIXTURES A APPLIANCES COUNT (Single FOR* Dwelling Only)
Furnace Exhaust or Vogt Ducts
Furaace/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
$pace Heater
Decorative gas -fired aypliancc
Incinerator System
Boiler
Pool Heater
Similar fixtaras or Appliances
Fuel Gas Pipe Outle4s including stubbed in or future outlets
Dryer Vents
Rangc Hood Vents
Cook Stove Vents
otbcr similar vents & ducts:
Bath Fan Val
Inlet Pressure (Meter' Supply) PSI
Dent (Circle all that apply) Cas Oil Coal Fireplace qqiiic
Mechanical Slung Calculations must be submitted With Plans & Application
Point of Delivery mtut be shown on plans.
Sip== of Lioansed Ciwi
The City Q AwAn'sP+
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Licamse uambor
idsmWe is she same a
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MECH.A,NI'CAL