HomeMy WebLinkAboutALL DOCS - 12-00066 - 3rd W 6th S - Ashbury Apartments - Drilling & Blasting82/14/281,2 15:55 288-535-t A79
I
"OPERATIONAL P ERM IT" APPLICATIO N
EAGLE RDCK BLASTING PAGE 81
Phone: 208-359-3O20 x322
Fax: 208-3593024
cdd@rexburg org
APPRoVED:@*o
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Phone #:
s-/-2
o-/2
Ovner: & oe fi+e Doa ,r--= phone
Owner Mailiry Address:
Property Address' € fl -<:ufU 3& orrcr Cefi/Office
Business Name Where Work Will Be Done:
Office Address:
Office Phone Numben Contact Person:
Name of Business:
Address:
Contrct Person: -Ter.n BAreaze-, PHONE NUMBER:
Parade Rorfe /Assem bly Location:
(Map required for Parades)
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slAar J*Zo- /e&.stllrq fr
CITY OF
REXBI.IRG
AMER|CAS FAMILY COMMUN|fY 19 E. Main St.
Rexburg, ldaho 83440
www.rexburo.org
$so.oo FEE
BY:
fre
fra
Name:
APPLICANTS SIGNATURE / DATTItltaltltttlalrlattrl tlllttlrttatrrttlrltllttarf ltlll :llttaa llallllallttlltatatrtttt
A2/1,4/281.2 15:55 288-53s-1 879
Permit #
PLEASE CHECKTH ARE APPLYINGPLtsASE SHECKTHE TYPE OF PERMIT(SI YOU
D Aerosol product manufacturing
List of contents:
D Combustible dust-producing operations
Location:
Type of dust:
n Coveredmallbuildings
Location:
! Cryogenic fluids
Types:
tr Cutting and welding operations
Location:
D Dry Cleaning plants
Location:
Types of Chemicals:
D Exhibits and trade shows
Location:
Type of Fire Extinguishers & Location:
! Explosives
Location: 44 $u.ltr WurA<r
TypeS: 6u-r.uqtoL/ &Fzcs'r u<=
D Fire hydrants and valves
Locations:
Types:
n Flammable and combustible liquids
Types:
n Floor finishing
Types:
D Fruit and crop ripening
Locations:
Types;
D Fumigation and thermal insecticidal
fogging
Locations:
Types:
EAGLE ROCK BLASTING PAGE 82
FOR:
n Haz
Locatio
Tvpes:
rrdous mal
13:
rrials
tr Hig
Locatio
Conten
r-piled stor
l:
tt.
tge
tr Hot
Locatio
Dates E
work oper:
l:
Times of (
tions
peration:
tr HPI
Locatic
lfacilities
t:
n Ind
Locatic
Tvoes:
rstrialover
l:
s
n Lal
Locatic
Type:
ye capacitl
n:
battery systems
n Liq
bui
Locatir
Tvpe:
rid/gas vel
dings
n:
icles/equip, in assembly
trLP
Locatir
Type:
;as transp,
n:
rrtation
DLU
Locatir
rber yards
n:
rlants
DMA
Locatir
;nesium w
n:
rk
D Mir
Locatir
Tvpe:
c. combus
n:
ble storage
Dop
Locatir
Time E
rn burning
n:
Date:
!op
Locatir
Time E
rn flames/t
n:
Date:
rrches
!op
Locatir
rrating amr
nl
sement buildings
2
82/14/28L2 L5:55 248-535-1 879o EAGLE ROCK BLASTING PAGE A3
D 'Operating aviation facilities
Date & Ifimes:
structures, tents, and
compressed gases
n Operating carnivals or fairs
Location:
Dates & Times;
I Organic coatings
D Places of assembly
Location:
Dates & Times:
! Private fire hydrants
Location:
n Pyrotechnic specialeffects material (Fire works)
Location:
D Pyroxylin plastics
tr Refrigeratlon equipment
tr Repair garages/motorfuel dispensing
Location;
I Rooftop heliports
Location:
Building Sofety Deporlmefrt ,,@^civorRexbuts
r:ffi)\1'VirDi(:..,, ^,
www.rexburs.ors '^'tr;,133;1r?;.311i W
$25.00 Fee Paid: Yes/No Petmit Approved: Yes/No
CITY OF
REXBURG
Amei c a\ Family Communi ty
Applicant Information
Application for Demolition
Name
Applicant's Address:/'1 s co 2-*-! N Ciw/ST/Zio: Rr.i:<\p**s -CP ?J*f\ a,_
Business puote: J aB ^? r9 - '( z-'1'2 Cell phone:
Contact Information
3'2c'- YOoJ
Person or Company doing the demolition: O ..r<-9 \/-* ** * 1-
Address: 5-al'< Ciw/ST/Ztp: .1*-^---r
Business Phone:Cellphone: A o8e7o- Sdcj
Demolition Information
Property Owners:
SiteAddress: L*rs; 3 *A cJ
StartDate: {/1\l tZ- completionoute' 6/ tz-f t2-
Summaryofwhatfisbeingdemolisrr.a, ti h> \s. t Q aL. \*c4*
The U.S. Environmental Protection Agency @PA) regulates the abatement and disposal of asbestos-containing materials from any
public or private building involving demolition, renovation, repair, construction, and maintenance activities.
http:/ /deq.idaho.gov/airlprog issues/pollutants/asbestos.cfm
EPA certifies and licenses asbestos-removal contractors, inspects asbestos-abatement pro,ects, and enforces laws regarding the propet
removal and disposal of asbestos-containing materials.
Currently, EPA and DEQ contract rvith Industrial Hygiene Resources in Garden City, Idaho, to regulate asbestos removal and disposal
projects in Idaho.
For more information about asbestos abatement and disposal in ldaho, contact:
Industrial Hygiene Resoutce
206 Murtay St
Garden City ID 83714
208-323-8287
www.industrialhvsieneresources.com
I underctand the EPA requirements regarding asbestos removal and agree to provide information showing
compliance with the Rexburg prior to demolition
JUN 1X- zolz
Signature of Applicant:
to the
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FIRE PERMIT
Billing Information
Kirk Hansen
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BLNR,G City of Rexburg
35 Northlst EastRexburg, lD 83440
208€59-3020
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) Transaction detail for payment to City oinu*ffi Date: 02121 t2012 - 12:1t :i4 pM
Transaction Number: i4336362pTVisa - XXXX-XXXX-XXXX-6160
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