HomeMy WebLinkAboutAPPLICATION - 06-00058 - 995 Barney Dairy Rd - Mechanicalp.2
Feb O1 06 04: 07p ~ , ~,,,,
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BUILDING PERMIT APPLICATION Please ~ .
19-E MAIN, REXBURCr> ID. 83440 If the gores 995 Barney Dalry Rd-Casty Mech.
208-359-3020 X322 ~\ ~, ~, ~~
PARCEL 1V[TMBI/R: ~~~ ~ ~Ll-~~ ` ~ --~- a "'ill provide this for you)
UN1T#~_BLOCg# LOT#
SIJBDNISION:
(Addressing is based on the iofotxttation -must be accurate)
OWNERNAME• C~uari~ Stcidowa.t,, CONTACTPHONE# ~5~ - Ci~2-
PROPERTY ADDRESS: G ~~~~ ~D`~'r d ~5~ -01't2
~'jQ . Cell ( )
PHONE #: Home (I.r~) ~g - I~~ O Work ( )
z CITY:'r-`1=~~-rG.. SiAT Td~ ZIP: $3~f~0
O ~~,~IcR ~IAIi,INC .~DItESS: ~'-`~
EMAIL N\A FAX N ~ iA
APPLICANT (If other than owner)l~ earl, lit ~ c~
Itcant ii other than owner, a statemrnt a>l~nururag appncatt to act as agent for owner must accompany this applieauom.
(App
APPLICANT INFORIvIATION: ADDRESS ~ZG W I~-~h s{ CITY: -1`-d~'~o }.ul ~5
_~ ZIP ~3~-1.02. EMAIL CDnan Mv~ac,@ c~fcvn~ F~X 52c, - 2 i t 5
STATE; _
PHONE r: Home ( ) ~ Woxk ( )52Z ~ ~Z Cell ( )
eO1VT'SACTOR:
CITY STATE ZIP
MAII,ING ADDRESS:
PHONE: Home# Work~#_ - Cell#
EMAIL FAX
How many buildings are located on this property?
Did you recently purchase this property? No Yes (If yes give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of property)
U 1~
FEB 012006
PROPOSED USE:
(i e , 3i~,g1e Family Residence, Multi Fstnily, Aparnnents, Retn~del, Garage, Commercial, Addition, Etc.) gy ,,._-~
v I botchy certify
APPLICANT' S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under prnnlty of pal rY,
drat 1 have read this application and state thatthc information herein is correct and 1 swear that en~ ortaation Which nmay betea#Ter 6e ~~ comply
in hearings beforeaIIam and taloaaws~ ng 'the sub'ece matter of this applit Liao and bereiry authon'zedt repr+esc ffidtiv of the C ry~to enter
with aA City rcgu J rvval issued tinder the
upon the above-mentioned property for inspections proposes. NOTE: The building otfieio] tntty [evoke 0 permit on aPP
provisions of the 2000 Intcmational Code in cases of any false statement or misreptrsentation of Ebel in the application or on the plans oa which the
permit ox a pro was based. Permit void if not started within 280 days. i'ermit void if work stops for ]80 days.
d~~s~ 2 , ~ ~ aim
DATE
srgnanite_or uwtio,i^YY~P""•'
Da you prefer to be contacted by fax, email or phone? Circle One
pypRNIl~iG - BUII~ING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
plan lees are non-refuuda8te and nee psfd in lull st the tlma of appltestion Segtnniag 1aw~ x005-
City of! Rezbntg>s A.ueptaace of the plan re S ~d Pena e~enre vtoid if yon heck does not ekar••
:.~;~ ptumlt Fees are due at time of appltcatioa 8
Feb O1 06 11:26a
p.l
~P1e~Se COlrip~e>re the. eIltire' A,PP~1CafZOI1~. Ifthe question does notappl3r'fili in NA fornon
applfrable
-- N.~~~. Duos ~ ~ dcl~ ~~=ar~ `l57 - o i'? 2 _ -- -
PROPERTY:~.DDRESS. 1q5 ~w - ~ ~~~ir'C` ~~ Perrnit~
SUBDIVISION
Requited! ~ ~ l~l~'C.I~~V~ICAL
Ylechanical Contractor's Name: Conn Tn~_ Business Nar!1e: Conan Heating & Air Cond.
Address 429 W. 18th Street City Idaho Falls Slate =Id Zip 83402
Contact Phone:_ 208 522-3372 _Business Phone: ~ 522-3372
l.•:rriail_ conanhvac@cableone.net
1':~'~._ 208 529-2i i 5
~~ ~
~'Iechanical Estimate S_ (Commercial/_l•~Iulti Family Only)
FL~'TL-RF'S & APPLZ~'v~CFS COL%~iT (S~n~!e Family Dwellin; Onlyj
Air Conditioner ~ SDace Feuer
Bash Fan Vents
Range Hced "vent;
Boiler
Cook Move Ver_ts
Decorati~-e Gas Fizeplaces
Dryer Vents
Evaporative Cooler
-~ ~( Es:~.aust or vent cucts Ill.'Cef~;--`,~ p~-ei,,
~ Fuel (aas) _;;ipinQ fissures or appliar_ce outlets
~_ : unace
FurnaceiAir Conditioner Combo
Heat Pump
Lncinerator
Pool Heater
Heat (Circle all that apply) Gas Oil Coal Freolace Electric
:.r~! t ~.''.3 ter
1~Iechanical Sizing Calculations must be submitted with Plans & ~,pplication
Point of Delivery must be shown on plans.
Sienature of L:cer•se~ Ccr„racror L;c°nse nurroer pa;~
Required!
i ~e Ciro of,~zYO~~rv's ?ermit jee schedzrie rs die same as re^~iired by cne S~at2 or laaro