HomeMy WebLinkAboutAPPLICATION MECHANICAL - 16-00576 - 117 S 2nd E - Mattson Apts - Bldg A SO 25 UnitsSep. 19. 2011
° REXBURG
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4:31PMOP LEISURE TIME
BUILDING APPLICATION
Mechanical
Buildlo. 9141,ty?._, I_irtment
City of Rexburg
35 North xst East
Rexburg, Idaho 83440
For Office Use
Permit Number: _ Permit Type: ❑ New ❑ Remodel 0 Addition ❑ Basement Finish
Fees Paid: ❑ yes ❑ No
L Property Owner N
1"SdA'pftf2l'MPN� — I a g W
Name:— MW'1""w Frei; I'�
Address:_ I I1 5. t • City:. 1MXI3Ua(n State: Df) Code: 3N�2
_Zip
Phone & Type: AdI 70 – 300(p ❑Office I7 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)
❑ No: I am a contractor working for the homeowner[3 No: This property Is a Multi -family Residence or Commercial Property.
NOTE: Any contractors/sub-contractors Involved will need to submit their own signed applications.
2. Mechanical
!=M
Name: I E 0 Registration #: Exp.;
Address: LUFFF city: _rQ&HQPA-f f S _ State: T, P Zip Code: (
_ELIJD
Phone & Type: – & ) Office ❑ Mobile Email:
Contact/Rep. Name: 144"OV Sl]KLF Phone: Email: SPH (Ot I'IND L Y U
MechanicalContractor Authorized Signature: Date:
3. Projecr Description
Address: OR- Lot #: _ Block #: —Subdivision;
Check one:❑ Single-family Residence[] Multi -family Residence ❑ Commercial
Check one:ONew Construction"❑Remodel OAddition ❑Basement Finish
Description of work:
New Commercial work:Contracted amount: $ Calculated Fee (See Below): $
CUP to $10,000 er (total cost of system x.02) + $60 0$10,001-$100,000 = ((total cost of system -10,000) 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. Ft = $130 ❑ 1,501-2,500 Sq. Ft = $195 ❑ 2,501-3,500 Sq. Ft. = $260 ❑ 3,S01-4,500 Sq. Ft = $325
❑Over 4,500 $9. Ft m$325+(65% # of additional 1,000 Sq. Ft (or orlon thereo ) $
New Multi -Family Residential: 13 Duplex= $260 O Three or more units = $((130
x # of buildin s)+(65 x # of units )$_
New worlc on any other residence and Detached Sha s:=$(65 + (SO x # of HVAC
fixtures)) $
Miscellaneous:❑ Gas Pressure= $65 ❑ Furnace or A/C= $650 water Heaters; $650 Requested Inspection = $65
❑ Gas Line =$65 J�Fireplace/Solid Fuel Burning Unit= $6S D Technical Service= $65/hour
❑ Plan Check =10% of Contracted Amount
+CANT 5 S:GNAT vnc, CER trltAIION AND AUTHORIZATION: Under penaltyofperjury, Iherebyeeltify that I have read this application and state that the information herein
Is correct and I meet 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 complywith all City regulations and state laws relating to the subject matter of this application and hcmbyauthorized representatives ofthe
Clryto enter upon the above-mentioned property for Inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provlsloru of the 2012
International code In eases ofany[else statement or misrepresentation offbet In the opplltab6n or on the plane on which the permit or approval was based, Permavoidifnot
starredwrNlp J0odayt. Permit void Uwork stops rot tan days —�
Applicant's Name (print): signature: ,Date: �1 I
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Inspections must be called in before 8 AM on the day the Inspection is tegvested. Impectlon requests called In after 8 AM will be scheduled for the next business day.
Inspection Hotline -(208)372.2344 www.rexburgorg Pam It Technician -(208)372.2341 Revised March, 2026