HomeMy WebLinkAboutAPPLICATION - 07-00425 - 389 Partridge Ln - New SFR MechanicalMar. 4. 2005 2:47PM
C=OFRMURG
BUILDING PERM[T APPLICATION
19 E MAIN, REXBURG, ID. 83440
208 -359- 3020 X325
0 Mo.0495 P. 2
Plei 0700425
If the 1 3 89 Partridge Ln- Sponenburgh
PARCEL NUMBER:
SUBDIVISION:
VNIT# BLOCK# LOT#
OWNER �3rro,c - ` k yL \ C nPylbwraan CONTACT PHONE #
PROPERTY ADDRESS:
PHONE #: Home ( ) Work ( ) Cell (
OWNER MAILING ADDRESS: CITY: STATE: ZIP:
APPLICANT (If other than owner)
(If applicant if other than owner, a statement
MAILING ADDRESS OF APPLICANT
applicant to act as agent for owner most accompany this application.)
Lk W W . 1,S � h S( CITY: - MAcLh FA 1 s STATE; .=d ZIP 8s4o Z
PHONE #: Home ( ) Work ( ) 52.2 Cell ( )
CONTRACTOR: 6A (01 X�1 PHONE: Home# Work# Cell#
MAILING ADDRESS:
How many houses arc located an this property ?,
CITY STATE ZIP
Did you remitly 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 FamBy Residence, Multi Family, Apertmcnts, Remodcl, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION Under penalty of penury, I hereby
certify that t have read this application and state that the information herein is correct and I swear that any information which may
hereafter be given by them bearip before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be
wthfU and correct I agree to comply with all City regulations and State laws relating to the subject matter of this application and
hereby mttborized represmadves of the City to enter upon the above- mernioned property for inspcctions purposes. NOTE. The
building official may revoke a permit on approval issued under the proviso of the 2004 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. Permk;void if work stops for I80 days.
Sigrtanne
X / d1
DATE
WARNING — BUU.DXNG PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees are not- reiltndabk and are paid in fu fl at the time of application beginning Jdnnsry 1.28!15.
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
"BaLlding Permit .Fees are due at time of application"
"Building Permits are void if you check does not clear"
Feb. 8. 2006 1:58PM � • No. 1624 P. 5
Please co mplete the entire Application! If the question does not apply ful in NA for non
applicable
• r1
NAME f `' TEst 1.
PROPERTY ADDRESS .38 A 1 P °rrni :Y
5UPDIVISI+Oi!
R equired!*'!
•
Mechanical Contractor's Name: o ylay) e> Busi `tame:
Address �2G �� "� _ City t r;lrt v kc� 5 State Zip $3�(� Z
Contact Phone: ( ) oZL�Y ` 522 X3`12 Business Phone: ( )
Email Fax 1 52c1 - i 5
le^ n3ic�I s#'::nate (C"omme -le l u°t: Family
F'=UAES a A?PLL4J lt;ZS COUjYT fSbigle .Family D-Ne ?ling OHiy)
_ Furnace _�_ E :_haust ;;r ivrtt D�:cts
Furnace Air Conditioner Combo a Drier Vents
Heat P 1 'mange Hood � m s
Air Conditioner Cook Stove Vents
Evaporative Cooler Y Bath Fan Vents
Unit Heater other similar vents & ducts:
Space Heater
Decorative gas -fired appliance w �-
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric
M �C N L
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery mast be shown on plans.
•
Signature of Licensed Contractor
The
HVC-C - l6 2- 9I-s0LO-)
Lkense nwnber Date
's permit fee schedule is the same as required by the State of Idaho
04: 16p
2007 2:27P'v1
8. 2006 1:58PM
Sep 07 07
Sep. 7.
Feb
40
0 No. 4829 P. 2
No. 162 4 P. 5
Please Complete the entire Application! if the question does not apply M in I NA for aoo
applicable
NAO� !, +T
PROPERTY ADDRESS Pwr -'
SUBDIVISION
Mechanical Contra N=e: Q . >n hem 3me mess Nwe!
Address 47A W. �J SINIA City ��Crin u k�,�ls State d Zip $3 Z
Contact Phone: ( ) -QCy2' 522. - 33`2'L. Business phone: ( )
Email Fax 52Gi -2 1 S
i'ila:aanicsi �9f`.r s3s 3 (Co��xrw_�n;:i F3�h Oe3y;
=URES ct APPLMNCE'S CVWVT J&xgle Famdy zfiweflsmg Oyes ty>
Furnace /Air Conduoner Combo a Lrjer /eau
1 - : eat ?ego
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
'Iacirieitor System
Boiler
Pool Hear,:
3 R_rge Hood 'v e - m
Cook stove Vents
7 Bath Fan Vents
other similar yews & ducts:
Similar fixnrres or Appliances
-_ Frei Gas ripe Otrde-s ineiudiug in or future outle•.s
laIet Fressuse (Meter Sttaply) PSI
Heat (Circle all that a_nnly) Gas Oil Coal Fireplac° Elecaic
Mccb2mical Suing Calculations must, be submitted with Plans & Application
Point of Delivery must be Shown on plane.
Utll - ti 913010
Sipanm of Lkewod Contractor Date
p.2
7 Cl of Rairarg's permit fes schedule ;r the,ame w rapa-ed by the Swe of Ida w I