HomeMy WebLinkAboutPA SUMMARY - 19-00567 - 306 N 5200 W - MechanicalApplication
Summary
Application Number: 19-00567
BLD-MECHR - Residential Mechanical Misc.
Received Date: 09/23/2019 306 N 5200 W - Mechanical
Address: 298 N 5200 W
Property Information
306 N 5200 WRP06N39E207501
People Information
Applicant - Spencer Widerburg 306 N 5200 W
sawiderburg@gmail.com Rexburg, ID 83440
Mobile: (208)270-4482
Owner - Spencer Widerburg 306 N 5200 W
sawiderburg@gmail.com Rexburg, ID 83440
Mobile: (208)270-4482
Contractor Information
Mechanical Contractor - Owner Built - Owner Built N/A HVAC (12/31/2020)
Page 1 of 2Print Date: 09/08/2020
Application
Summary
Application Number: 19-00567
BLD-MECHR - Residential Mechanical Misc.
Received Date: 09/23/2019 306 N 5200 W - Mechanical
Address: 298 N 5200 W
Application Information
Detail Description Quantity Value
Additional Inspections Required
HVAC renovationPlease describe the work being done
3,000.00Total cost of work 3,000.00
1.00Number of Furnaces being installed? ($65 per furnace) 1.00
1.00Number of Air Conditioning units being installed? ($65 for 1st
+ $10/additional HVAC equipment)
1.00
0.00Are any gas lines being installed/replaced? No = 0 Yes = 1
($65 for 1st + $10/additional HVAC equipment)
0.00
1.00Number of water heaters being installed/replaced ($65 for
1st + $10/additional HVAC equipment)
1.00
0.00Number of free-standing fireplaces being installed? ($65 for
1st + $10/additional HVAC equipment)
0.00
0.00Number of built-in fireplaces being installed? ($65 for 1st +
$10/additional HVAC equipment)
0.00
0.00Are you installing in-floor heating zones? (hydronic heating)
No = 0 Yes = 1 ($65 for 1st + $10/additional HVAC
equipment)
0.00
0.00Number of other additional HVAC equipment not listed above
($65 for 1st + $10/additional HVAC equipment)
0.00
NBy 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
$120.00Mechanical - Non-Res or General by Cost (BLDMENR@)
$120.00
Payment Information
Payment AmountTender Type Reference InfoPayment Date
09/22/2019 Credit Card $120.00
$120.00
Page 2 of 2Print Date: 09/08/2020