HomeMy WebLinkAboutAPPLICATIONS - 08-00386 - 5572 E 3000 N - New SFR MechanicalCity of Rexburgl Madisowounty PERMIT #
BUILDING PERMIT APPLICATION i' l 4 t 131; {` t 1 r il 3; 1 ik:A H o _,
19 E MAIN, REXBURG, )D. 83440 = ,� f 06L
208- 359 -3020 X322
PARCEL NUMBER: ( We will provide this for you)
SUBDIVISION: _ UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
OWNER: CONTACT PHONE #
PROPERTY ADDRESS: 5-512 TODD A / Suom, 20 & 833
PHONE #: Home (� 5�5�' s a Work Pm) 7oq- 7 33,/ Cell � 70� y3 y3
OWNER MAILING ADDRESS: 1 /'max 96 R CITY: 7� fay STATE: -T d ZIP: 83-161
EMAIL Atielarl @ &P,�Lg nef FAX a70S 4-5�k- -10-3
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE; ZIP EMAIL,
PHONE #: Horne (
CITY:
FAX
Work ( ) Cell ( )
CONTRACTOR L O �
MAILING ADDRESS: k 6o x 29A CITY - Te 6 STATE 3�5
PHONE: Home #� Work# Ie- Cell#
EMAIL ',,m,,/,J 5L6 03 ?
How many buildings are located on this property? d
Did you recently purchase this property? No Yes (If yes give owner's name
Is this a lot split? (@O YES (Please bring copy of new legal description of property)
PROPOSED USE.- C;;,o% Jp&w, 4 f es, dm ez
(i.e., Single Family Residence, ulti Family" Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION Under penalty of perjury, 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 uuthful 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 approval issued under the provisions of the 2000 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. Permit void if work
stops for 180 days.
Signature of pp ]cant DATE
Do you prefe to be contacted by fax, email o
]( Circle One
WARNING — BUILDING PERLST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non- refundable and are paid in full at the time of application beginning Januarp 1. 2005.
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval.
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NAME 1 2,4 td C J ►9-12 /
PROPERTY�AI DRESS �5 Q4 u9� (� �� Permit#
SUBDIVISION
.hired .1. 1
MECHANICAL
Mechanical Contractor's Name: C — Business Name:
Address _R /'c x 3G 9 7e X�� ; City 7f ,r t7 Y� Zip s/
Contact Phone: ak`3) q s Business Phone: ( ) ( - 1 13 -1.3 R72 2� 5 1
Email /cr/ta� rl1if %1rh,f Fax
Mechanical Estimate $ / Zj. 7 6 (Commercial/Multi Family Only)
FIXTURES & APPLL41VCES COUNT (Single Family Dwell' Only)
Furnace X� 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
Similar fixtures or Appliances
_ Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Oil Coal lr ace lectric
other similar vents & ducts:
±1
Mechanical Sizing Calculations must be submitted with Plans & Application
Point of Delivery must be shown on plans.
Dryer Vents
1 Range Hood Vents
Cook Stove Vents
Bath Fan Vents
7'l5 OF°
Date
I The City of Rexburg 's permit fee schedule is the same as required by the State of Idaho
• FROM J. P. Barne •
'1'IIREE ACRE PARCEL
FAX N0. : 2085258582 • May. 17 2006 01:41PM P2
A PARCEL OF LAND LOCATED IN THE SOUTHEAST QUARTER OF
SECTION 6, TOWNSHIP 6 NORTH, RANGE 41 EAST, BOSIE .MERIDIAN,
MADISON COUNTY, IDAHO;
BEGINNING AT A POINT ON THE SECTION LINE THAT IS 232.14 FEET
S89 0 44'00 "E OF THE SOUTH QUARTER CORNER OF SAID SECTION 6
AND RUNNING THENCE NWO 16'00 "E 528.00 FEET; THENCE
S89 0 44'00 "E 247.76 FEET TO A FENCE LINE PROJEC'T'ED; THENCE
ALONG SAID FENCE LINE S00 10'00 "W 528.00 FEET TO THE SEC "PION
TINE; THENCE ALONG SAID SECTION LINE N89 °44'00 "W 247.76 PEF'T
TO THE POINT' OF BEGINNING. CONTAINS 3.0 ACRES, SU131 ECT TO THE
COUNTY ROAD RIGHT OF WAY.
THIRTEEN ACRE PARCEL
A PARCEL OF LAND LOCATED IN THE SOUTHEAST QUARTER OF
SECTION 6, TOWNSHIP 6 NORTH, RANGE 41 EAST, BOSIF MERIDIAN,
MADISON COC]NTY, IDAHO
BEGINNING A THE SOITTH QUARTER CORNER OF SAID SECTION 6 AND
RUNNING THENCE ALONG SAID SECTION LINE S89 °44'00 "E 232.14
FEET. THENCE N00° 16'00 "E 528.00 FEET; THENCE S89044100-1,-
247.76 FEET; THENCE N41 "4811 "E 15.56 FEET TO AN IRON ROD WITH
YELLOW CAP, SAID POINT IS ON A CROP LINE; THENCE ALONG SAID
CROP LINE THE FOLLOWING FIVE (5) COURSES, N37 °15'14 "E 72.78
FEET TO AN IRON ROD WITH YELLOW CAP; THENCE N41 °04' 14"F
95.13 FEET TO AN IRON ROD WITH YELLOW CAP; THENCE
N40 ° 00'18 "E 92.86 FEET TO AN IRON ROD WITH YELLOW CAP;
THENCE N31 ° 02'33 "E 179.60 FEET; THENCE N26 °36'36 "F 116.91
FEET, THENCE N31 °37'36 "E 172.30 FELT. THENCE N89 0 44'00 "W
906.64 FEET TO THE QUARTER SECTION LINE; THENCE ALONG
SAID QUARTER SECTION LINE, S00 °3653" E 1147,54 FEET TO THE
POINT OF BEGINNING. CONTAINS 13.0 ACRES, SUBJECT TO THE COUNTY
ROAD RIGHT OF WAY.
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