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HomeMy WebLinkAboutAPPLICATION - 17-00553 - 490 Pioneer Rd - Village Apartments #9305 - A/C Change OutSep 08 17 10:32a Alpine Heating Air <0.Y.%auap qo ro - C17Y 01 REXBURG civ MierunY Atmify Cnmmunily BUILDING APPLICATION Mechanical 2085520594 p.1 Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 For Office::Use` I: Permit Number. (}"6©563 PermltType-'❑New ❑Remodel ❑Additloh ❑BasementFinish. Fees Paid , #Yes ❑ No 1. Property 1e Name: ; r/,,�f Address: e o City: State: �%� Ztp Code: 1�� Phone &T %/%a'/Q Office ❑Mobile Email: Under Idaho Building Code, a 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 Homeowner's Exemption: page) filo: I am a contractor working for the homeowner ❑ No: This property is a Multi -family Residence or Commercial Property. NnTE: Any cnotracmrs/snh-centractms Involved will need to submit theh-own signed applications. 2. Meehan]]ca Contractor / 1 Re istration #: �V�C 3 zS g Exp,: Address: / % EaA_ Il C4: ami o State: .27 /D Zip Code: 8 0 2 Phone &Type) -15 5 2_ /Office ❑Mobile Email: Contact/Rep. Name: — �jPhone::I Email: Mechanical Contractor Authorized.Signature- Date; 3. Project Description Address: -OR- Lot #: _ Block #: —Subdivision: Check one: ❑ Single-family Residence Multi -family Residence ❑ Commercial Check one: ❑ New struction" ❑ emodel ❑ Addition O Basement Finish Description of work; Co 0� X 8 New Commercial Work: Contracted amount: $ Calculated Fee (See Below): $ ❑ Up to $10,000 = (total cost of system x.02) + $60 ❑ $10,0014100,000 = ((total cost of system -10,00D) x.01) + $260 ❑ Over $100,001 = ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work:_ Sq. Ft. ❑,Up to 1,500 Sq. FL = $130 ❑ 1,501-2,500 Sq. Ft. = $195 ❑ 2,501-3,500 Sq. Ft. = $260 ❑ 3,501-4,500 Sq. Ft. = $325 ❑ Over 4,500 Sq. Ft.= $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ New Multi-Fainily Residential: ❑ Duplex = $260 ❑ Three or more units= $((130 x # of buildings) +(85 x # of units))$_ New work on any other residence and D tached Shops: = M65 + (10 x # of HVAC fixtures)) Miscellaneous: ❑ Gas Pressure = $65 Furnace o A/C $65 ❑ Water Heater = $65 ❑ Requested Inspection= $65 ❑ Gas Line = $65 ❑ Fireplace/Sot Fuel Burning Unit= $65 ❑ Technical Service= $65/hour ❑ Plan Check =10% of Contracted Amount APPLICANT'S SIGN ATUPC, CERTIFICATION AND AUTHORI2AT:ON: Under penalty of perjury, l hereby certify that I have read this application and state thatthe information herein isc rreetand 1 swear that any Information which may hereafte^be givenby me in hearings before the Planning and Zoning Commission orthe City Council for the CityofRexburg shall be truthful and correct I agree to comply with all City regulations and State laws relating to the subject matter of this appRcatlon and hereby authorized representatives of the City to enter upon the above-mentioned property for Inspections purposes. NOTE: The building official may revoke a permiton approval Issued under the provisions ofthe 2012 Intematinnal Code in ries of anylalte 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. Perm'it�void if�workstnps four 1880 days. Applicant's Name (print); G �i� AiSplrXrRS9r� Signatur�o .�a` ��aa��SCX�IILLate: a i Inspections must be called in before SAM on the day the Inspection is requested. Inspection requests called in after 8 AM will he scheduled for the next busieess day. Inspection Hotlire-(208)372.2344 www.rexhurg.arg Permit Techol clan -(208)372.2341 Revised March, 2DI5 %08- (-;Izs5- �;li .17,