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Home My WebLink AboutBP & APPLICATION - 05-00172 - 245 Apache Ave - Mechanical & Plumbing0 u a 4 9 CITY OF' ...................... . REXBURG AN-ILRICA' I'A:MILY (10- VIALHNI I Y Building Permit ISSUED TO:,,: ..... PERMIT #: NAME: Hunter Annette FOR THE CONSTRUCTION OF: Hunter HVAC JOB ADDRESS: 245 Apache Ave GENERAL CONTRACTOR: Rexburg Plumbing 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 06/15/2005 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 NOTICE! 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. Framing i 2. Mechanical PLUMBING rove . � - - - -- -, 1. Final 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 REXB URG • BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 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: /-r'Yt0� {-J e UtA,kOe ? CONTACT PHONE # 55 C / - PROPERTY ADDRESS: 1 L A pn c, p,--u,(2 h u -.. k (o u c PHONE #: Home ( ) 3 5`1 9 W S Work OWNER MAILING ADDRESS: 5 CL V .-P- CITY: EMAIL FAX _ Cell ( ) STATE= ZIP: 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 -4 S CITY: - Re k- -4 Lt-k STATE; Z' p ZIP $ 3f(, ) EMAIL C. ► e s jLns n . FAX PHONE #: Home ( ) Work ( ) Cell ( ) CONTRACTOR MAILING ADDRESS: CITY STATE ZIP PHONE: Home# Work# Cell# EMAIL FAX now many ouuamgs are located on this property'! Did you recently purchase this property. No Yes (If yes give owner's name) Is this a lot split? 0 YES (Please bring copy of new legal description of property) PROPOSED USE: �: F I� - Y (i.e., Single Family Residence, Multi Family, Apartments, Remodel, M 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. . / - - 7 S Signature of Owner /Applicant DATE Do you prefer to be contacted by fax, email o hone ,2 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 "Building Permit Fees are due at time of application" "Building Permits are void if you check does not clear" PERMIT # Please complete the • tire Application! If the question does not apply fill in NA for non applicable Affidavit of Legal Interest State of Idaho County of Madison I, A kL rA. e l+Pe-t Name Address City State Being first duly sworn upon oath, depose and say: 0 (If Applicant is also Owner of Record, skip to B) That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this -2 / day of , 20 5` Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: CITY aF O. R.EXBURG Jill VEW 19 E. Main (PO Box 280) Phone: 208 - 359 -3020 x326 AMERICA'S FAMILY COMMUNITY Rexburg, Idaho 83440 Fax: 208 - 359 -3024 www.rexburg.org comdev(a)rexburg.org Affidavit of Legal Interest State of Idaho County of Madison I, A kL rA. e l+Pe-t Name Address City State Being first duly sworn upon oath, depose and say: 0 (If Applicant is also Owner of Record, skip to B) That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this -2 / day of , 20 5` Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Please complete the entfe Application! 0 - If the uestion does not apply fill in NA for non applicable NAME /-t "*) e_ H e / -�u�.� �' A" PROPERTY ADDRESS 6 -7 gf� Jq p c t c_. [_1� Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Second floor /loft area Third floor /loft area_ Shed or Barn Unfinished Basement area_ Finished basement area_ Garage area Carport/Deck (30" above g )Area Water Meter Count: Water Meter Size: Required!!! PLUMBING Plumbing Contractor's Name: P RY— fg t - P h.,- Business ness Name: k 0 _h � �� l � k Address R L� B k 7 S `1 City ke k L! State ' t) Zip q3 Contact Phone: ( ) 6 S (, _ IR 11 0 Business Phone: ( Email Fax FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher Floor Drain ,T S Garbage Disposal Hot Tub /Spa Sprinklers (Tub ) Showers 1 Toil rinal 1 1n.c�I�i.!"`Y ' - 1 Water Heater Water Softener 1 Sinks J -,, re s ---t . (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) I Signature of Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as required C 1.� cCc�- X- ti Date the State of Idaho C -,s Please complete the entire lication! If the q uestion does Apply fill in NA for non P AP 9 applicable NAME PROPERTY ADDRESS LC.r�ccz,t C L„-- _ Permit# SUBDIVISION Required!!! MECHANICAL Mechanical Contractor's Name: Address? Contact Phone: ( C (, -- 9 - 11 U Email Business Name: _k 't Y_ � T ! u - V,4 - _City State Zip A v Business Phone: ( ) Fax Mechanical Estimate $ 32 00 - (Commercial/Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) (0b X Furnace �4 )( 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) Gas Oil Coal Fireplace Electric Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. I — 4 Vc- . k � 6, U_ nature of Licensed Contractor License number Date Th e City of Rexburg's permit fee schedule is the same as required by the State of Idaho SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: Drywall: t v , 0 C-I c - - u c-+ Painting: Floor Coverings: Plumbing: �. - +t --�-- Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joists: Siding/Exterior Trim: Other: