HomeMy WebLinkAboutAPPLICATION - 08-00512 - Madison County Solid Waste - Furnace ReplacementO
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BU ILDINCt PERMIT APPLICATION PEE 0800512 t
19 E MAIN, REXBTURCI, ID, 83440 .If ti
208- 359- 3020X322 Madison County Solid Waste
PARCEL NUMBER:
SUBDIVISION:
(Addressing is based on the i0ormation - must be accurate)
PROPERTY ADDRES
PHONE #
PHONE A Home ( ) Worts ) Cell ( ) J
OWNER MAILING ADDRESS: CITY: SPATE; ZIP:
EMAIL FAX
A'PLICAIVT (If other than owner)
(Applicant if other them owner, a statement aurhorMng mppileant to aei as again for owner must accompany this application.)
APPLICA-NLT INFORMATION: ADDRESS 1 (Y, CITY: �S
STATE; ZIP EMAIL FAX
PHONE #: Home ( ) Work ( ) ffL22--_77 7 Ca14 )
CONTRACTOR
A/fAZ[.ING ADDRESS:
Furnace Replacement
CITY y STATE,/ ,ZIP
PHONE: Home# Work#,2a— =Call#
EMAIL FAX -
,How many buildings are located on this property?
Did you recently purchase this properry? No Ycs (If yes give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description ofpropeM)
PROPOSED USE;
(i,a., Rile Family Rmidence, Multi Famlly, Apartments, Ramodel, Garage, Commercial, Addition, Etc.)
Do you prefer to be contacted by fax, email or phone? Circle One
WARNING— RU1LDING PEANnT MD9T BE PASTED ON CONSTRUCUON S7E1
Pfau fee pre uoa.raAwdable and are paid In tltll at the time of apptie dOn begittain8 >lanr SFY 4 2003
City of Ite:hnrg +a Acceptance of the plat rnriew fee dos not coaadtute plot approval
APPLICANT T' S SIGNATURE, CERTI FICATIOiN AN'D AUTHORIZATI ()N: Gn der peeal ty of peedum l hcmby cff* that l
have ivad this application and stale thatthc infonuadon hwoiv is cmraat and 1 3wo+7 that soy information which witybarra8tr be given by me in hiwinp before the
Platming sad Zoning Comnn 53ion orthc City C 0LmW fw tiltr City efRexbi4S sbsll be trmhflrl and mrmct I agree to comply with all Chy regulations and Start: laws
toludag to thv tubjpat r0elter of fltie appliostion and hereby awhorizad,erre= &es of the City to enter upon the above- meationod propetsy for h ypecdow ptapoees.
NOTE; The building effichd may revoke a permit oa approval issued under rho prmplu s of the 2000 ii5 malonel Cddo in cases of say Use stalamcnt or
rnisreprmmration offwr.la the application or on tho pleas onwhich thepermit orapproval Was Wed. Fermis Void ifx1 nwud within 190 day:. Permit void ifwork
stop for 190 days. ,
Slgnanae Owper /.�i t DATE
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Please complete t entire Application! H the question ees not ap ply nU In NA for non
applicable Pp Y
NAME
PROPERTY ADDRESS Permit#
SUBDIVISION
Requiredl !!
MECHANICAL
Mechanical Contractor's Name: _��1 z � Business Name;
Address - PD 02 qZ(2 „ City Lie.56tate 7" Zip�3
Contact Phone; a - 2 Business phone: ( )
Email
Fax
Mechanical Estimate 3 (CemmereiallMulti Family Only)
FIXTURES & APPJ.UMCES COUNT (Single Family Dwelling Only)
✓ Fumace Exhaust or Vent Ducts
Furnacc/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas =fired appliance
Incinerator System
i
Bog"
Pool Heater
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fats Vents
other similar vents & ducts,
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gras Oil Coal Fireplace Electric
Mechanical Suing Calculations must he submitted with Plans & Application
Point of Delivery must be shown on plans,
Sfgnature of Liconsed Contr tar License number Date
Required:
The City of Rabwg's permit fee schedule is the same as required by the Stare ofldnho
JaNell Hansen
From:
Richard Horner
Sent:
Tuesday, October 21, 2008 2:21 PM
To:
JaNell Hansen
Subject:
RE: 530 Airport Rd
Charge the County.
From: JaNell Hansen
Sent: Monday, October 20, 2008 3:41 PM
To: Richard Horner
Subject: 530 Airport Rd
Richard,
First Call Jewel submitted an application for a furnace replacement at the Madison County Solid Waste at 530 Airport Rd.
GIS shows this is owned by the City. Do I charge them for permit fees? The permit fee would be $137.
Thanks,
JaNell Hansen
Building Safety Coordinator
Phone: 208.359.3020 ext 346
Fax: 208.359.3024
C I Ty
Aanencals Faindy
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