HomeMy WebLinkAboutAPPLICATIONS, BP - 07-00495 - Yates Cabinets - Mechanical�l
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Permit
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&SUED TO:
PERMIT #: 0700495
NAME: Mike Wood Heating & Cooling
FOR THE CONSTRUCTION OF: Yates Cabinets - Mechanical JOB ADDRESS: 4028 S 2000 W
GENERAL CONTRACTOR: Mike Wood Heating & Cooling
This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the
City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations
of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on
the Building Permit Application as approved by the Building Inspector.
Date Approved Issued B
Building Inspector
THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE
THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY
1) A complete set of approved drawings along with the permit must be kept
No work shall be done on any part of
on the premises during construction,
the building beyond the point indicated
N O T
I C
E 2) The permit will become null and void in the event of any deviation from the
in each successive inspection without
■ accepted drawings.
approval. No structural framework of
3) No foundation, structural, electrical, nor plumbing work shall be concealed
any underground work shall be covered
without approval.
INSPECTION CARD
BUILDING
Date Approved
1. Mechanical Pressure
2. Mechanical Final Ins
24 Hour Notice
and Permit Number required
to make inspection appointments
For Inspections Call 359 -3020 option 2
ACERTIFICATE OF OCCUPANCY CAN NOT
BE ISSUED PRIOR TO FINAL ELECTRICAL
& PLUMBING INSPECTION
CITY OF REXBURG
MECHANICAL PERMIT APPLICATION Please c 07 00495
19 E MAIN, REXBURG, ID. 83440 If the quest
208- 359 -3020 X326 Yates Cabinets- Mechanical
PARCEL NUMBER: `���� �1 V '� (w ., .... .
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
OWNER: 0 6 L„c q I/ ; CONTACT PHONE # 3 6_ a
PROPERTY ADDRESS: 6- 0
PHONE #: Home ( ) Work ( ) Cell ( )
OWNER MAILING ADDRESS: -S A CITY: 441C STATE:LZIP: ff]3 91
EMAIL FAX
APPLICANT (If other than owner) 1?1 l pt e i&6
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS a v K v'k /idle CITY:
STATE; 10_ ZIP ; Jtg EMAIL /
PHONE #: Home (
Work (
11
CONTRACTOR
MAILING ADDRESS: CITY STATE ZIP
PHONE: Home# Work# Cell#
EMAIL FAX
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:
(i.e., Single Family Residence, Multi Family, Apartments, Remodel,
Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalt of perjur 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 approv ' sued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in
the application o�41ans on whit p it or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days.
fature of Owner /Ap
l/ -�' / (-)7
DATE
you prefer to be contacted by fax, email or phone? Circle One
' — 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. 2005.
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
Building Safety Department
City of Rexburg
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OF gkXBU/tC
A .
CITY OF
REXBURG
America's Family Community
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required!!!
MECHANICAL
Mechanical Contractor's Name: Allele, —Lf/,r.,JA Business Name: 0 1tke tf_1j .Y e� �
Address � City .
State Zip C y�
Cell Phone: ( ) � 1 _ � `� � Business Phone: ( )
Fax: ( )
Mechanical Estimate $ r hM (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace Exhaust or Vent Ducts
Furnace /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
y / 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
Si€
Email
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho