HomeMy WebLinkAboutAPPLICATION - 17-00595 - 150 E 1st S - DemolitionC IT Y OF
REXBURG
Amcrk4 Family Community
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DEMOLITION APPLICATION
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use II
Permit Number:
Permit Approved: ❑ Yes ❑ No
$25 Fee Paid: ❑ Yes ❑ No
1. Applicant
Name: -1,3 M ctoz"i7N�rtofi� LNG
Address: ^ (.
City: State: vb Zip Code:
Phone & Type: $ _ -2Nf1 —[]Office XMobile Email:
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2. Demolition Info
Business or Person doing the Demolition: Sit&HjT
AW -19
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Address:
City:
State: Zip Code:
Phone &Type: ❑ Office ❑Mobile
Email:
Contact/Rep. Name:
Phone:
Email:
3. Project Description
Property Owner: LUVWL
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Address: %Sa 9 57"
City:
State: _> Zip Code: $3y17rO
Start Date:
Completion Date:
What is being demolis ed:- golt,
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_[/degidahogov/air/prop issues /pollutants /asbestoscfm
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.industrialhveieneresources.com
1 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.
IPM
Applicant's Name (print)r51&AJA "4AJ /UOUOI lV Signature• Date: I Z - 2Of7
Inspection Hotline -(208)372.2344 wuwv.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016