HomeMy WebLinkAboutAPPLICATION - 17-00096 - 3650 W Cottonwood Dr - New County SFR Mecho r
a CITY o F Building Safety Department
BUILDING PERMICity RexburgmMURG 35 North
1°C East
CW—
AfflakaltIlIndlyCenantudy Rexburg, Idaho 83440
BUILDING APPLICATION
New SFR Mechanical
176r0flceUseC.
PermitNumbpi: t 1 0009 ', - ,OMechanJC Fee Paid
1. Property Owner
Name: �r�dhftf , ��
Address: 455°1 S �,1 I S+ city:���jdata 'k -State: 10 Zip Code: 83�1Ya
Phone: S,n. 211G Email: Q r ®C�a G6 �lartw�rCehn�
Under Idaho Building Code, u homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #3 and complete the Homeowners Exemption)
9 No, I am working with the homeowner
2. Mechanical Contractor
Business: oon t b U + S�t.icense#: P%/ZS Sri— Exp,: �t
Address: 91'44 t: Via " city, state:,—App, Zip Code:
Phone: °8 »rS 2.1 Em il: Q 445 4"1
c s e- a
ContactJRep. Name: i LPhone: < 5— 7!27,1 Email:
Mechanical ContractorAu6'o, zed Signature:
A copy ofyour state registration/license is required to be on fr(e.lfthis is dliffirst timeyou have done work in the City nfRexburg, please provide
a photo copy ofyour license. Ifyou are unsure lfyour license is onfile, le, please check with the Perinit Technician by calling (208) 372-2341.
3. Project Description sr(L9 t� nwnaci Qy-.
Address: �`J�1 -OR- Lot#:_LBlock#t_ Subdivision: l.O�D'nWo04 Lakej
Description of work: W%y C oyasj r., r tj\
❑ SFR Construction: 3353 sq. ft.
• Feesfornew construction are charged bysquarejbotQge: Up to 1,500sq.ft. = $130 + $65foreach additional 1,000sq.ft. or
portion thereof.
o Up to1,S00sq.ft=$130, Upto2,500sq.f =$195. Up to3,500sgf.=$260. Up to 4,500sq.ft.=$325,etc. ..(i.e.a
home with 3,675 sq. f . will he charged $325)
❑ Number of Fireplaces:
• Note thatfireplaces tire not included in squarefootage costs and will be charged $65per Inspection.
❑ Hydronic Heating: V) g,
Note that hydronicheating isnot IncludedInsquarefootagecostsandwillbechargedandadditional$65+($10x:#of
manifolds/zones)
Applicant's Name (print): Signature:>l II Date: 3
Inspections must be called In before 8 AM an the day the inspection is requested. Inspection requests called In after SAM will be scheduled for the next business day,
Impectien liodine- (208) 372.2344 www.iexburS.org permit Technician -:(208) 372.2341