HomeMy WebLinkAboutAPPLICATIONS - 08-00335 - Madison High School�I'L"Y OF IiE4
Vh�
BUILDING PERI\/IIT APPLICATION
19 E N1rNIN, REXBURG,ID. 83440
zoo-�5�-�ozo 7' fN
PARCEL NUMBER:
il
SUBDIVISION:
������S�Y1 iS e on t1_1�as el'arorma�.on- must be- accurate
WNI N4 1
I A L11
A
t)17
2
PROPERTY ADDRESS:—--
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PHONE #: Home Work (
NIad1S0n u�bb
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UNITS�'�- ---- --
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I.OrI'�
CONTACT PHONE #�9__?�0
--3-5��°L Cell 1�51 ? &.0%
Is
AILAII-AN G- ADDitESS: -CITY:
EMAIL F�17
STATE: ZIP:
A.�PLICA1V7: (If other than owner}
A,
(Applicant if other than owner a statement auth
orlzlng applicant to act As agent fo.r owner must accompally this apphcation)
APPLICANT I��:�-{OR-NLkTION: ADDRESS 2 -CITY:
�.�.-��.,�'�
STATE; ZIP
— 11 y 9'0 E 7\1_zA� TL 5P
smw—> FAX S �� �
PHONE #: Home � � � �� � �
Work
CONTRACTOR-.
bZAILING ADDRES
S CITY STATF
ZIP
PHONE: Cell# Work#
EMAIL IDAHO REGISTRATI
How many buffldings are
located on this property?
Fax#
# &EXP. DATE
Did you recently purchase this propertyrP No Yes (if yes givc ownei's name)
Is this a lot splitP NO YES (Please bring copy ofnew lrl desc of pro,
ription
PROPOSED USF,: scm 43
(i.c., S111gle Firnlly Residence, Muitt Family, Apait-mclits, Remodel' , Garage, Commercial, Addition,
tc.)
APPL1C_zkNT`S SIGNATURE TV
haire read th-5CERTIFICATION AND AUTHORIZATION: n d fa I ly '31 1 .1
tl-kqt dae 'fl&-jrmatlon 11c,161 -i"
P an=g bWeaf rhqta�Ry information xvh'ch rnkv herea, t, -)y MF
and Zorling Commissi()1-1 of the C C 7 .11M
to the sub' I i ity Council for the City of Rexburg shall be truffiful and correct, I'lagrec-1- ty regulations and State laws -�-Ig
Je-ct mfttter of tills applicatonand hereby ailthovized representativ-cs of the (,- d rclaL
Aty to enter tipon th..r_
.1 -'he- buildii-ig official q�zzz h - ke a peffrut On approv-al issued under the provisions of the 200.3 f-r�- inspections purposes, NOTE:
0.r niisrepre;sentation of fact
in tic applicati r on the plan on which the permit or approval was based. Pern-ilt vold'
Irk stops for 180 days.
iatur
ton,
Do you ire fes to be contacted by fax, enlail or hotie? C' le
P Irc C
N
WARNING BUILDING PERMIT MUST BE PO'L.
Plan fees afe non-refundable f are paid in `till at the timqk k 1D 21
Ci
g cepta of the
**Bul ding P f - ____,_1r1M11,XPPtr0Va
it Fees- e at time of ap kn A .
o,n** **Bul if youx- check doe
1AM, 1 7z-.� Aoft�011,9^3
A
M
e��Id��g
D
tparfment
City of Rexburg
ianeJih.C�rz�6UgAr9
�uuru-�'�
Phe��' 208.354.?0�0
X46
�ax:208.d59,y��I
ReMOdeling Your BU#&12g1J70Me (need'Estimatc)
0 F
R-EAnURG
SURF.�4C,pSQUAREFOOTr#GF; (Shall iliclu£ie the extenor wall measurements of the buflding)
Firsz Floor Area
Second floor/loft arca
Third 1loarf IoFt _uL-2
Shed or Barn
Water Meter Quantity:
Cnfivush.ed Basement area
------------ 0401
finished basemot area
Garage area
Carpott/Dcck (30" above gradc)A rcn
N
Nil
Water Meter Size:
81a8m*e,s5 Name --
State Z��
Contact 1j.hone: � }
Business Phvnc. (Z
-It C-16)
Exna.Fa,�; ��.�3�i)
E COU7VrAnijc�rrr�-cj
Moth hi lashi,
9 �4r�ac�i�.e
r1
Dishwasher
t7oor Dram'
Garbage nisPos
Hot
[a
ks
(Lavatories, kitchens, far, map)
lINomrn�r�� Plumbing E ate
Requinal
ature Of U
Conuactor
Tub/Showers
.......................
Wa ter Hl"aiiis 0-0
E
vteTt S :t
Ucznse number
SEP 30 200-9,
2- c
Date
4:z
G
OCT, 31, 2008
9,-49AM RJ.,MECHANICAL
Building Safety Department,
City of Rexburg
79LI! Ma1n
Ro- xb yrn Rud
-111
j0Me11h@rexbUrg,crg
!1 i�ii,lefL,1ufu.ofg
+°hvne: P 08.3s9 .��
Rernodeling Your BufldinglI-Iome (need Est:�ate) �
N0. 275
SURFACE SQUARE FOOTAGE: (Shall include the extcsior wall measucemerts of the building)
C I T Y IDV
* �acommunity
f First Floox A ' R MEOW ormnenn arePI—
Sccond floor/loft area Firushcd basement area
Thad floof/10A axe� Gaxacre area
Shed or Barn Carport/Deck (307? above grade)A-rea� _
tMeter Quactity.-
Wate
Required!!!
PLUMBING
Pl=bia,gContractor's Name:
I Addi-ess
Contact Phone: ()
Email
usmess Name:
Business Phone: (meq
Pax q -Q 2 - �,
Fj-X- TU'U' C 0 a w th uc UA w -
or �s
Cloth -es Washing Machine
i'
—�„
Dishwczshet
Floor Drain
Garb,-ge D
Isposal
Ho Lib /'Spa
Sink,
(�rava�oxies, �atchens, bar, mops
I
PIUMbing E€ txanate $ A �' (Comm erci
cd contractor
al OnIY)
ilA
Zip- XgLau�,
Amu
SpHtil-der's
Tub/Showcrs
ToRct/Utinal
Water Heatex
rol
I.icense n=be.r
CITY OF RrABURG
, wkir Igo..
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31.
ZuOB
19 E Moira
Rexburg, 0 83440
Building Safety Department
ilf r r rg
wwyv.r��Xburg,wg
op,7119 �Ahkm — - - -
PROPERTY ADDRESS
SUBDIVISIOA'
pMSE LOT BLOCK
Required!!!
N =CT�1ame:lech al Contmcftor's
-e ddxcss
Contact Phone: (559)
01 I
Rex -burg
Phone.,, 208.359-3020 x326
FOX,' 208-359-3024
F'ermtt#
HA�NICA,L
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NO. 275 PP 3
9
usiness Natnel
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K&A L
CITY 0
RL
uomimmoappmoro-mbft�
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C].tp' State =� 71-n
Business Phone: (ZjO'9) � — ��
32WI12MechanicalEstimate (Commexcial/Multi Famiily Only) s'p`y- wC`� SIG��
FIXTURES & APPLIA.iYCES COiJNT (Single 1['arnilyFu=ace
Furnace/Air Conditioner Conabo
Heat Pump
Air Coaditionep
Evaporative cooler
"nit �Ie��er
.� Space Hcat��•
�� Decorative ga.s-fired appliance
� � Ifl=eraxax System
Boilez
_� T�c���
Hcatet
Fad Gas Pipe Outlets Mcju.din, SM
�.y, Inlet I'iess=e {Metes Supply) PSS
\MCCk'�iCa,-�'
Dw-efflne[]nay)
------ E;i;haust or Vent Ducts
Dt7ex i fs
WERE Range Hood Vents
Cook Stove Vents
Bath Fan Ven ts
bed '
in or future on-ri c. ts
otha sim-ilar vents & ducts$
6
Heat (Circle all that apply) Gas Oil Coal Fizeplace Electric Hpdsonic
P
Requ=e satute ienof Licensed Cioattactur
atute
License number
a
CITY OF REXBURG
Date
I
T,
� I
r7�
�'=C�AiC�!CA_
Building Safety Department
ilf r r rg
wwyv.r��Xburg,wg
op,7119 �Ahkm — - - -
PROPERTY ADDRESS
SUBDIVISIOA'
pMSE LOT BLOCK
Required!!!
N =CT�1ame:lech al Contmcftor's
-e ddxcss
Contact Phone: (559)
01 I
Rex -burg
Phone.,, 208.359-3020 x326
FOX,' 208-359-3024
F'ermtt#
HA�NICA,L
vc,N\
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d
NO. 275 PP 3
9
usiness Natnel
.�
K&A L
CITY 0
RL
uomimmoappmoro-mbft�
Cw
C].tp' State =� 71-n
Business Phone: (ZjO'9) � — ��
32WI12MechanicalEstimate (Commexcial/Multi Famiily Only) s'p`y- wC`� SIG��
FIXTURES & APPLIA.iYCES COiJNT (Single 1['arnilyFu=ace
Furnace/Air Conditioner Conabo
Heat Pump
Air Coaditionep
Evaporative cooler
"nit �Ie��er
.� Space Hcat��•
�� Decorative ga.s-fired appliance
� � Ifl=eraxax System
Boilez
_� T�c���
Hcatet
Fad Gas Pipe Outlets Mcju.din, SM
�.y, Inlet I'iess=e {Metes Supply) PSS
\MCCk'�iCa,-�'
Dw-efflne[]nay)
------ E;i;haust or Vent Ducts
Dt7ex i fs
WERE Range Hood Vents
Cook Stove Vents
Bath Fan Ven ts
bed '
in or future on-ri c. ts
otha sim-ilar vents & ducts$
6
Heat (Circle all that apply) Gas Oil Coal Fizeplace Electric Hpdsonic
P
Requ=e satute ienof Licensed Cioattactur
atute
License number
a
CITY OF REXBURG
Date
I
T,
� I
JaNeil Hansen
From:
Sent:
To:
Subject:
hi JaNell,
Brent McFarland [bmcfarland@JRWA.com],
Thursday, October 30, 2008 41-28 PM
JaNell Hansen
MSD #321 Madison High School
Sorry I missed your cavi this afternoon.-
Electrical- X4,000.000
off
1EE
P(umbing:$2,200,000 VNI me�������}_
.HVAC: $2,700,0007eC v'►,�
��'
n I AIf you need anythin e pleaelsse cntoact me. fill � I ii.� >
f
Sincerely,
Brent
Brent cFarlar)d- -�:
A Ns,,
'ec
p
Ire
C:J
-�1�3irS��.�
-1152 -good Avenue',
S I
U A
Rexburg', Idaho. 8.3-44-0
MA
1
0
I
OCT.27.20a8 1:2 9��� RM MECHANICk�
ilding Uy DepaLrtment
Ci I[ Q1. L U. rig
19 E Main lanellhOrexburg, Qr�' phone: 20�.359.902q x3,26
Rexburg, J� &3.��Q www.rexburg.org F
: 208.359.3024
0
P. ?
Remo defln cr Your Bur�d.lnglHome (need Estimate)
SURFACE SQUA" FOOTAGE,! (ShR2 include the exterjor w -all measureYnents of the buildimOr�
Ritst Floor Ar -ea
U firis
Second floot/loft area... d Basemw.� area
fi�nis�ed baseineat area
Ted floox/joft ��ea Gax�ge area
Shed 0i: Bain Carport/Decd (30"' above wadc)Auc n,
Water Meter Quantity, Water mctcr /i,{,j'fit *4Fler'I'L l+�r7'I ro
Si ib
Re ulte
PLUMBING
Pl-=blng Co-nlncto?s Name:
Address
Contact Phone-. (n&k)
Etmafl
usmess tee:
city 'POW -R -
, �. -,, '�& 4
Busmess Phone,. -(.16T
Fax OA V M --z v
�he�d tut -es
Clothes was�
�7�shw�sbet
Flo or Dry,
..._,�_
Garbage Disposal
Hai Tub/Spa
Sys
OLAV9-tories, kitchens, bar, m,QF)
V Plumb
ing Estimate s
s
NO, 209
(Commerc "al Only)
IMF -
of Licensed Connmctor
Aw
ZIP�}
.z��I�d�t rou
To et
WOF 31 U R G
a.�
WOL 11V-4
Wa x Softener
99t45
License num�r
� l:
mate
I
OCT. 27,
2008
Ir-
1:29PM
RM, -MECHANICAL
i-
^..'Edo"
Building Safety Departirent
C i9y of Rexburg
19 E Main
11
f0f1e11h@reYburg-0rg
ww, ,r r x r
OC4;vER'S KA Nj0,
YROPERTY.I)DRESS
SL'BDIVISiON
PHASE LOT BLOCK
Required!!!
MEchaz�,cai Confract�r's Name:
Add-tess
Contact Phone.: (96q)
FOY' , X59 � 30024
Pe�t�
_qN.V\, kk ONIIIIIIIIIIIII,
-Business Nie;
Email
od"
M
Mecham'rcal Er,�imare $�CaMrn+ereiajI?qujtj Farni 1%7 nt,tVa
i� FIXTURES & APPLL4NC ES C 0 UN]r
Furnace
Fu:rnAcc/j)d: Conditioner Combo
Heat P-w=p
ZUr C onditi
i€
oxer
�u�po�a�ive Cooler
uIll't Tlevex
,.� Space Hoatet
Decorative gas-fired appli.IxIce
��.
Incinctator system
Boila
�,� Pool Heater
�auxgie ramuy Lwelling Only)
N0. 2Q9
as
�.. ExhRust fl -t Vent Ducts
-�
nryex Vents
-.�—..,, Xange Hood Vents
.�� Cao Stove Vents
.�
Bath fan. Vents
Fuel Gay Pipe Outicts inclading stubbed in or futuxe autlets
�.., Inlet Pressure (2vietex supply) PSI
Heat (Circle all that apply) Oras Oil Coal Fireplace F1ecCtiC
Ober Sinlun Vents & ducts:
Hydronic
Re liired"! SteftAtUrC of Liceflscd ConrracCorC A."IV
ucense number
r
P. 2
CITY op
4NM. l��
3
Date,
6
0
wdr�w
: - 1k, X
19P *ild*ing Safety Depart enT
_U
City of Rexburg
19 F moo
Rexbwg, V 83440
ja n P. re)(bbur ga o
wWw.reiib Loi" g.org
OWNEWS NAME
PROPEWFY ADDRESS
SIiSDIV"ISION
PHASE LOT Br,OCK
Regzziredi!�
Electtical C tae t4X.a
-F 1-1
4L
Phone: ?OS -359-30-6 %,32-6
z 1-1
Fox:208,359.,3 r-9 if
. W 1
4
l3e�-init#,
Name
I
ci,"ry or-
iy Gq)w
Am
min
Address7
A- i,-rte,Cit
Cell Phone
__Business Phone
Tc� L
Electrical Est*
imaite (cost of wixing & jahor) $,q, a�5G�LD (COMMERCIAL
(InwIndes 11-7e caft cfima im-rialitfed regaidlew of giepar
mpphill�g 4 -
TES OF -INS TA LLA TZON
w
(Ne" Residen(P-rJoinciades everything Contained within the -res'dCRti-qJ stfuctut-c- and attachedgar-age -at.
RESIDENTIAL ONLY
0 'Up. to 1,500 siq ft - $72
4101 to 25,00 sq ft - $120
0 *265(11 -to 3 500 sq ft ---$! T_
!%-
68
?-3.301
lw;, ft - $216
13 Ovet +;500 sq ft - V16 plLis $.04/sq ft: Sq ft tota.1
0 ttng
Exis Residential(# of Bnrich Cif 1 $40 _plus $10 ex-C11-cuit:
# of circuits
Fj Multi -Family- OD'ly,:,.# of Units per b
Uil�IrLk_ $120/bldg 4 $60
BLit
17 Services., Alterations
e =, 4-s that requirc utI ctl - 4?ate c
rcl
0 caiporary Constraction Scmj'i:�- 200
C amp 0 -)e 'od not to exceed I year) - $40
Otic location (for a ri
0 Spa, flot'-
fub., Sw1mmtng Pool $40 grounding 'dWhcte applicable
0 E'lectn-c Central Systems Heating atid/or Cribb
P
a.*i
f19 00hex noltart 9j'a m m re"o
d no ad&tiowl �va JTW
$40 E
U Modular, Matiufart4ed or Mobile Home - $50
'Je , $10 per circult
pills
Other TnstA
a_uons ring n-ot specifically covered by
any of the above:
SEP 30 2008
(hin'wries 11ye
fps to ltdgation, Sewqge_): horse 0.Y,clver
Ili 4t4
. r) I B
0 4,U.IT lur
Temporary Amusement/fjjjjjjst�y $40 plus 5,10 per '<,Jc,LP C L
sior, or gen r t .r
a maxn'n of m 111� i -I U
sI)ection Wdi
lusPecaOns cbarge-' at requested M'Te6on rateof $41) peg r.
Z_ /111 I'm of 4 m"spectiom Adcl-6 'Al ,
J11,qPecH0-n Mre- af $40 ptr hijur-
Z_4 7 1/9y "Pec6on", r-h-arge" reque,,Rted
0%-
�� 10
'd C01_AL1[aC
License nurnber
-Z
Date
T 4-
�7
��o�, ��, 2�Og 9:49A� �� �Lc�A1ICA1
Mechanical,
5998 W. Gowen Rd.
Boise, ID 83709
Ph. 208 / 362-0131
YKI 201 J>62-9�J90
DATE:
10/24/20-0-8-
Inc.
0
FAX COVER SHEET
0
TO: Cit ,Rexbur /gy 0fIm"Niowm0aft"
FAX: 208-369-3024
AT'fN: �assie•Epieks�r�. N s �
at
FROM:
Scott Harris RM Mechanical
208-585=1860
RM JOB#: 08-145 RM JOB Madison High
NAME! School
Cassie,
]Please find attached the., plumbxx��-ui and mechanical permit application a, req redS
Thank you,
Scat H
A C\046eCk 4baQ%b-'AOL. 5e..�tllJ;�vr kNol�amd qq e fbA,% a Rh Qj k
P 1w�:,w1k
!N
a
Building
Safety Department
City of Rexburg
19 E. Mdr,
Rexburg, 18 344
janel�h@rexburg-org
www. rexburg-or,c
Phone: 208, 359.3020
Fox.- 208.359-3024
APPLICATION: "CONSTRUCTION PER? T��
CONSTRUCTION PERMIT +K
$50600
PERMIT APPROVED: YES/ NO
-APPLICANT INFORMATION:
Business lame:
Office Address,:
Office Phone Numbe
Contractor Perfarmin
9 the w OrK:
rl;7
APPROVED BY:
N LAI'
T Y 0 IF
Arne"ca's Family Carnmun'ty
FEE PAID: YES/NO
State
Zip
6 1
Contact Person:
(l G F{ -
-LOCATION OF WORK TO BE DONE.
Street Address Where Work Will Be Done:
Cell Phone # ( ) 2i �1- � � s
I L/CX6 rr`(
Busmess Name Where WorkWi1l Be Done:
D
Dates Four �'orkf o Be Done:�+ttfs —JE To
�. � �
Contact Person:
Phone Number: ceu # � �
PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR:
F1 AUTOMATIC FIRE -EXTINGUISHING SYSTEMS
[J COMPRESSED GASES
0 FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
El FIRE PUMPS AND RELATED EQUIPMENT
[I. FLAMMABLE AND COMMBUSTIBLE LIQUI
[I HAZARDOUS MATERIALS
0 INDUSTRIAL OVENS
71 LP -GAS
c� PRI Ts�
CITY -- -OF REXBURG
Ci S YI R PP
STAN ST
FJ TE M
CTURES, TENTS, AND CANOPIES
7 �it/� 4�
ant's Sig re D to
Sam
LIN
xcavation & Earthwork:
W&M-7
Concretes
N,Mason-ry:
Roofing:
Insulation:
Drywall:
W�
Painting:
Flo -or
Cove -rings:
<�7
�;1
i
IMM
Plumbing:} ,
Heating:
r\
I'v
i
Roof Tnisses:
Flaor/Ceiling jf,)ists:
Siding/ Et xterior Trim:
Other:
'I
SUBCONTRACTOR LIST
Special Construction
(Manufacturer or 5uppher)
Lei
8
.
19
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