HomeMy WebLinkAboutAPPLICATION - 17-00594 - 120 S 2nd E - DemolitionCITY OF
1EXBVRG Submit By Email
cy.
Amnlmi family Community
DEMOLITION APPLICATION
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use L 1
Number: r �� 5>9 T
Permit
Permit Approved: 0 Yes O No
$25 Fee Paid: ❑ Yes ❑ No
1. Applicant
Name: .3 -SM Ccf�rcrwrharl�•nl:GAfe
Address: Jay 'f1+-eda sr 'zZ5,
City: ✓*xi?iufC> State:1!2 Zip Code: t;HVIYO.
Phone&Type: 2,arr-&<99 ❑OfficeoPobile Email: _1�jIAA &PSNG a 6.ttr4c ,
2. Demolition Info
Business or Person doing the Demolition: 3T ",&'
Lit-
Address:
City: State: Zip Code:
Phone&Type: ❑ Office ❑Mobile
Email:
Contact/Rep. Name:
Phone: Email:
3. Project Description
Property Owner:�it_etrZ+J9yit7 r�2o�pn_"&-s
Address:5
City a4--waSha=0 State: Zip Code: W3/5,eO
Start Date �_� �r�'�9
_j�_
Completion Date:
What is being demolished:
The U.S. Environmental Protection Agency (EPA) regulates the abatement and disposal of asbestos -containing materials from any
public or private building involving demolition, renovation, repair, construction, and maintenance
activities. http://dea,idaho.gov/airiprog issues /pollutants /asbestos.cfm
EPA certifies and licenses asbestos -removal contractors, inspects asbestos -abatement projects, and enforces laws regarding the
proper removal and disposal of asbestos -containing materials.
Currently, EPA and DEQ contract with 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 Idaho, contact:
Industrial Hygiene Resource
206 Murray St
Garden City ID 83714
208-323-8287
www.industrialhygieneresources.com
I understand the EPA requirements regarding asbestos removal and agree to provide information showing
compliance with the regulations to the City of Rexburg prior to demolition.
Applicant's Name (print): ./vN'k-rHQ AC ✓ /diignature• Dater/2o1'�
Inspection Hotline -(208)372.2344 vnm%v.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016