HomeMy WebLinkAboutPA SUMMARY - 20-00067 - Madison Memorial CHPApplication
Summary
Application Number: 20-00067
BLD-MECHC - Commercial Mechanical Misc.
Received Date: 02/11/2020 Madison Memorial CHP
Address: 450 E Main St
Property Information
450 E Main St J. EARL GARNER ADDITIONRPR0MMH0000010
People Information
Applicant - Mountain West Mechanical 2336 W 5200S
brian@mwmdirect.com Rexburg, ID 83440
Mobile: 2083904239
Owner - Madison Memorial Hospital 450 E Main St
wade.bowman@mmhnet.org Rexburg, ID 8440
Mobile: 2083596514
Contractor Information
Mechanical Contractor - Mountain West Mechanical HVC-C-1637 (12/31/2020)
admin@mwmdirect.com 2336 W 5200 S
Rexburg, ID 83440Work: 208-356-0370
Mobile: 208-390-4201
Page 1 of 2Print Date: 02/11/2020
Application
Summary
Application Number: 20-00067
BLD-MECHC - Commercial Mechanical Misc.
Received Date: 02/11/2020 Madison Memorial CHP
Address: 450 E Main St
Application Information
Detail Description Quantity Value
Additional Inspections Required
CHP InstallPlease describe the work being done
150,000.00Total cost of work 150,000.00
Number of Furnaces being installed? ($65 per furnace) 0.00
Number of Air Conditioning units being installed? ($65 for 1st
+ $10/additional HVAC equipment)
0.00
1.00Are any gas lines being installed/replaced? No = 0 Yes = 1
($65 for 1st + $10/additional HVAC equipment)
1.00
Number of water heaters being installed/replaced ($65 for
1st + $10/additional HVAC equipment)
0.00
Number of free-standing fireplaces being installed? ($65 for
1st + $10/additional HVAC equipment)
0.00
Number of built-in fireplaces being installed? ($65 for 1st +
$10/additional HVAC equipment)
0.00
Are you installing in-floor heating zones? (hydronic heating)
No = 0 Yes = 1 ($65 for 1st + $10/additional HVAC
equipment)
0.00
8.00Number of other additional HVAC equipment not listed above
($65 for 1st + $10/additional HVAC equipment)
8.00
YBy checking this box, I acknowledge the requirement for
contractors to be registered with the State and/or claim
exemption from this requirement as a homeowner working
on my own home.
Comments
Fee Information
Fee Code & Description Amount
$1,410.00Mechanical - Non-Res or General by Cost (BLDMENR@)
$0.00Mechanical - Per Service (BLDMEWRK)
$1,410.00
Payment Information
Payment AmountTender Type Reference InfoPayment Date
Page 2 of 2Print Date: 02/11/2020