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HomeMy WebLinkAboutAPPLICATION, MISC DOCS - 08-00582 - 2396 Robison Dr - Cnty MechWV - City of Rexburgl Madisorpounty BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 -359 -3020 X322 PERMIT # Q Please eornplete the eiitlre Application. If the cltl ,-Stlon d -Des not apply fill in NA for n%on appfi"ble PARCEL NUMBER: ( We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) CONTACT PHONE # Z5 - 5 ti 51 PROPERTY ADDRESS 23C -1U "nson pc- PHONE #: Home (gp@ 35 } L1 Work ( ) Cell ( ) OWNER MAILING ADDRESS: EMAIL CITY: FAX STATE: ZIP: APPLICANT (If other than (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS JD C) . &7C { _ CITY: U LDn STATE; I (- �a M ZIP EMAIL PHONE #: Home ( Work ( 3 3 Cell wl CONTRACTOR MAILING ADDRESS: CITY ( I L O7n STATE_La_ZIP� L Sq PHONE: Home# EMAIL Work# � - Cell# adb - jb'Ct -- CJCJ 3k FAX X 1 3 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, 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 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 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 Owner /Applicant DATE Igo you prefer to be contacted by fax, email or phone? Circle One WARNING — 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. FAX F4 ! 4 Please complete the entire App)1e tj;on! If th.e cju.estiDn &eS n,ot 2pp4y tilt fi3 NA f0T tA4311 NAME PROPERTY ADDRESS SUBDIVISION t A 0W D r. Permit# equine MECHANICAL - NA Mechanical Contractor's Name: Business Name: f) 1a j mun6 l AeL ni L " ". Address ►� f `EC) 4 ) 53 City an State Zip Contact Phone: ( -W) 5 ?q - q9 59 Business Phone: (.Zy) S2 2 ° } Email & 0mnn[1 ii e _Ana ,nc - !� (��°u)Q. Fax �( 533 -JG Mechanical Estimate $ 10. 000. or) (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) �_ Furnace *_ 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 _ I Dryer Vents �_ Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: —L— 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 Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Sid nature of Lk:ensed Contractor License number equ rad! Date i The City of Rexburg s permit fee schedule is the same as required by the State of Idaho P 18440 MUENCH JEFFREY R E 1.30 RPO N39E1 59.32 RP06N39E117586 RIGBY HAROLD L ETUX 78.91 W 2000 N RPO6N39E119283 RIGBY HAROLD LUCAS 7.26 3 0 m m RPOSNRS0010010 BILLINGSLEY DOUGLAS ETUX 1.17 2478 Robison Dr • RPOSNRS0020010 COVRIG DAN & VICKI TRUSTEES 1.12 RPOSNRS0020010 RPOSNRS0020020 RPOSNRS0020030 LIVING TRUST PEREZ JOSE LUIS ETAL PEREZ JOSE LUIS ETAL 1.12 1.19 1.21 RPOSNRS0020010 COVRIG DAN & VICKI 1.12 2358 Robison Dr 2428 Robison Dr 0 2396 Robison Dr • Robison Dr RPOSNRSOOOROAD RPOSNRS0020040 PEREZ JOSE LUIS ETAL 1.29 2318 Robison Dr • RPOSNRS0020050 PEREZ JOSE LUIS ETAL 1.37 2272 Robison Dr • RPOSNRS0020060 OSWALD LIISA MAE 1.39 RPOSNRS0020060 OSWALD ROBERT MICHAEL 1.39 2232 Robison Dr • 2477 Robison Dr 2441 Robison Dr • RPOSNRS0030010 RPOSNRS0030020 LAIRD RYAN D ETUX SHATZER MICHAEL ETUX 1.31 1.32 2405 Robison Dr 2373 Robison Dr RPOSNRS0030040 ZIMMERMAN AARON 1.31 RPOSNRS0030030 RPOSNRS0030040 ZANKIE PETER ETUX ZIMMERMAN JILL 1.32 1.31 2335 Robison Dr • RPOSNRS0030050 SCHWAB TRAVIS P ETUX 1.26 2275 Robison Di 2221 Robison Dr • 2269 Robison Dr • • RPOSNRS0030060 RPOSNRS0030070 RPOSNRS0030080 CAMPBELL RONALD R TEEPLES TYRELL ETUX FRANSEN MARK ETUX 1.16 1.12 1.13 RP06N39E1 RP06N39E142401 PALMER DUSTIN ETUX R BISON FERRIS & SONS INC REYNOLDS PROPERTIES LLC I 1.23 15.67 59.35