HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00241 - Walmart Subway - Tenant FinishZ
~
o =
-i
~ m m
n W ~
c ~
rn
^.~ Z
~ Z ~ -I ~ D
s o
~ n ~
D C
~
0 o m .D ~- o
-
-C ~
° m m ~
a m v ~
c Z
~
a ~ (p (D
II
N
'
°
v
~
~ °
-^_ ~N m m
o
~ ~ n 0
= 3 ~ -o f7 /~
m m t° o C
m ~ ° ~
N
~
m O
~ ~
a
o =
°
` O _
-
~ O Z
~? o o ~
- ,'D
n ~ ~
~ _ ~ C
~ ~ m
-o s o fA
m
~ ° I-
~ ~ ~
co ~ ~
o s ~
v
3
~ .~
^ r
°'~ ~ ~ D
,~
n ~ ~ -I
° o ~ o m
3 W o
~
~ ~
a ~ Z D
~
z
o -~
~ ~ ~ g z D =
~~~~~ ~ m
3 ~ S ~ O
m °-' w a ~ 1
~ Z n ~ T 7'1
0 0 ~ ~ ~
N m -
o- n
r
o ~
a ~ N o m D
-'~ v
~ ~ ~ Qo m
mss=
~~
~
o _
Z
~ ~
_~ o
~ ~,
~
m d n 0 O
~ m ~ ~ n
~
o~o
F g m
o
o
_
a n
7
m
.A.
0
v
_ v
r.
N ~
N
0
o~
~~
~ m z
~s ~
~
~ z ~
~
W ~; ~ ~ -~ m
,
~
Q M ~ -. ~ 2
m
cn
~~x~.
M~~.
~ ~ o
~
C y
~ ~ t O
Z "
"
Q
c
~ X y
~
~ Z
_I
~
-~ m
cD
_~
~ ~
D
~ 'a ~' ~ n m
.a e ~ ~ -
-1
'~
~~ A ~ O cn
3 n M Z 3
y ~ C S N
v O O O
~ ~
O (n
-moo ~ ~ m
~7 C
s
p N ~~
O
C ~'
(D ~
~
<
O
O = O ~ ~
Q. c n Q p ~
~ y S 3
y _
~
~
~ N .~.-
S 'C ,,,,, A S ~
~ ~ N ~ ~ ~
~ -+; m
~. (j ~ 3'
Q ~ ~ O
3~~~
~~,~:~
~~o~
_
~
_
~<~~
~
.
O Q.~~ W
~~~
.+ ~ O g
~~~ v
n~ ~
~
~ `~ a
m
~~ ~ ~
o~
C pj ~
Ul
f1 (') fQ
.Zl
O ~
Z
.
C) .
3 O m N
~
N S Q
x " ° m
~ ~ o
~.cQ ~
7 C y
Q
~ ~
_
.
O O S
~_~
m
_~
~#
a~a~ ~ c~o
~m
,~
~
C o ~'~~
~ 3 ,t>'~
a
~z~a,~°
o ~_
O r
~~ m
~ ...
~J
r ~'
s
z
cO ~.
~ ~
~'
~'
---
mm o ---
i'w iv ,o ~~rn cn p i
w rv ~~I Z
~A S o N IT ~;~'~ iT~ ~TI~~ _
_
i
' ~
w1 m
~° ~ ~
~ ~ '° m m
~ I i D ~ Tom! m;r;
v ~
s~~T
m
n va
~ ~'~~ i~
i
~ !c~~ I ~
~ ~,a
m ~m ~ ~;~,,oo,
;
~
~ O
o m
v
c~
~~~
o
~D.m
= ~
~ i j(n~~' p
~m I
~ n~i ~m .i
i3
~
~_' S'°-!~ Imo;
~ C7
--~
~
m ~
-° ~
0 ~ i m i ~ ~
~
? ~ ~ i ~
~~ i I I ~ i ~ cn ~ ;
j
~ i~ ~
O
W 00
ZA„ C7
m m '"'
~Z
~ ~
o~
i~ ~m ~
r'
I~ j ~ ;
' i
Z
~'o° W ~~~ •~ ~ o'ni c I~ i 0 ~ ~ ~ n
~ m ~ ~ o f ~ ~~ = ~ ~ i
v Z c
~ a
~ ~` Z ' ~ ~ ~
m
g o
N `?
~
0 - _ -
I
~ Z
~ -_
~
O ~ - - - -
- - ---
-- --
- -- ---: Z
1 rn
pr{ o
0 ~
3 ~
~
.~.
'
~ m
~
' I v
, G7
Znn -o
o j Q ~ .
_.
D
'b J -
~ - -- _ m
~ ~ ~ i
D
~ m !m i<
~~
CITY OF
RExBUR~
AMERICA5 FAMILY CO1vLMUNITY
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
05 00241
International Building Code 2003
530 N 2nd E
Business
Type II, 1 Hour, non-combustible
Walmart Subway
No
Silvertree Builders Inc
Business, professional or service, restaurants less than 50
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
vies inspected on the date listed v-es found to be in compliance v-ith the requirements ofthe code
for the group and division of occupancy and the use for ttihich the proposed occupancy vies
classified.
Date C.O. Issued: October 28, 5 11:40 M)
C.O Issued by:
_____ _ - __Building_O_ff_icial _____
There shall be no further change in the e~asting occupancy classification of the building nor shall any structural changes,
modifications or additions be made to-the building or any portion thereof until the Building Official has reviewed and approved
said future changes.
Water Departmen • Fire
State of Idaho Electrical Department (208-356-4830): ~'
CERTIFICATE OF OCCUPANCY
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
CITY OF REXB URG , PERMIT #
BUILDING PERMIT APPLICATION Please complete the entire Application!
19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable
208-359-3020 X322
PARCEL NUMBER: (We will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information -must be accurate)
see ~a ~ Ca-^tiPge
OWNER: ( WaI wear-F- ~ 5 ~.,gway CONTACT PHONE # 3~~-- ya 17
PROPERTY ADDRESS: c~D N ~~
PHONE #: Home
Work
OWNER MAILING ADDRESS:
EMAIL
FAX
Cell
CITY: u,r STATE:Sd ZIP: g3`~`lU
APPLICANT: (If other than owner) S' 1 V eJ ~T ~ e I~u`~ lde /S ~l v~~ 'I 'r'~ 7 5~'
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS /(75'.~ c.~ ! yam- IV CITY: j2e~C,~i yc~o~
STATE; ~~- ZIP ~3YYa EMAIL ~S~C~ ~~c!a . 1•t•~~FAX \1
PHONE #: Home (zg~ ~`'6 - 53 3q Work ( ) X35 ~ -a yaa Cell ( ) ~ 9D -5 3 3 ~
CONTRACTOR: 5.) ~''`~ree g ~1vI evs ~~ ~ .
MAILING ADDRESS: 005 W iy?~'- ~ CITY ~ 511 rt,v~ STATE ~ ZIP
PHONE: Home# ~~~ 533 Work# ~,;6 ~~Y~oCell# 39'0-5',37
EMAIL S4~ee ~ Tc~~ . ,~. FAX (o5b - D ypa
How many buildings are located on this property?
Did you recently purchase this property`?~O Yes (If yes give owner's name)
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I
have read this application and state that the information herein is correct and I sweaz that any information which may hereafter be given by me in heazings before the
Planning and Zoning Commission or the City Council for the City of Rexburg shall be tmthful and correct. I agree to comply with all City regulations and State laws
relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes.
NOTE: The building official may revoke a permit on approval issued under the provisions of the 2000 International Code in cases of any false statement or
misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work
stops for 180 days.
i
of
L~ ~s i~
DATE
Do you prefer to be contacted by fax, email or phone? Circle One
WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE:
Plan fees are non-refundable and are paid in full at the time of application beginning January 1.2005.
City of Regburg's Acceptance of the plan review fee does not constitute plan approval
3
d~~"~`"~d CI~
R~BLIR~
~~.~~ AMERICA'S FAMILY CQMMUM`(Y
Affidavit of Legal Interest
State of Idaho
County of Madison
I,
Name
Address
City State
Being first duly sworn upon oath, depose and say:
A.
(If Applicant is also Owner of Record, skip to B)
That I am the record owner of the property described on the attached, and I grant my
permission to:
Name
Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any
claim or liability resulting from any dispute as to the statements contained herin or as to
the ownership of the property which is the subject of the application.
Dated this day of , 20
Signature
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
2
**Building Permit Fees a ue at time of application** **Building Permits o~d if you check does not clear**
Please complete the~tire Application!
If the question does not apply fill in NA for non applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
SETBACKS
FRONT
Parcel Acres:
SIDE SIDE
BACK
Permit#
Remodeling Your Building/Home (need Estimate) $ `'a5, 6l~
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area
Second floor/loft area
Third floor/loft area
Shed or Barn
Unfinished Basement area
Finished basement area
Garage area
Carport/Deck (30" above grade)Area
Water Meter Count:
Water Meter Size:
Required!!!
PLUMBING ~,;.~ ~ y,,~
Plumbing Contractor s Name: ~ Ko~,/Q-l !~ ~ yQ-~ f~ ~~ Business Name:
Address City State
Contact Phone: ( ) Business Phone: ( )
Email
FIXTURE COUNT (including roughed fixtures)
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub/Spa
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $ ~, 6~ (Commercial Only)
Required! Signature of Licensed Contractor License number
The City of Rexburg's permit fee schedule is the same as
Zip,
Date
the State of Idaho
Fax
Sprinklers
Tub/Showers
Toilet/Urinal
Water Heater
Water Softener
4
Please complete the ere Application! If the question d~not apply fill in NA for non
applicable
NAME
PROPERTY ADDRESS Permit#
SUBDIVISION
Required!!! MECHANICAL
Mechanical Contractor's Name: 1 V ~ Business Name:
Address City State
Contact Phone: ( ) Business Phone: ( )
Email Fax
Mechanical Estimate $
FIXTURES & APPLL4NCES COUNT (Single
Furnace
Furnace/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Heater
Similar fixtures or Appliances
Fuel Gas Pipe Outlets including stubbed in or
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal
Zip
Family Only)
Dwelling Only)
Exhaust or Vent Ducts
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
outlets
Electric
Mechanical Sizing Calculations m st be submitted with Plans & Application
Point of Delive must be shown on plans.
Signature of Licensed Contractor Lic~ise number Date
Required!
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
5
•
~~'°`~ CITY OF
REXBLIR~
R'~iq~~~ AMERICA'S FAMILY C(3MNlUt~tl'(Y
APPROVED BY:
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT #:_
PERMIT APPROVED: YES/ NO
-APPLICANT INFORMATION:
BUSINESS NAME:
OFFICE ADDRESS:
$50.00 FEE PAID: YES/NO
city
OFFICE PHONE NUMBER:
CONTACT PERSON:
State
CELL PHONE #
-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE:
BUSINESS NAME WHERE WORK WILL BE DONE: _
DATES FOR WORK TO BE DONE:
CONTACT PERSON:
PHONE NUMBER: ( )
CELL #
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
^ AUTOMATIC FIRE-EXTINGUISHING SYSTEMS
^ COMPRESSED GASES
^ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
^ FIRE PUMPS AND RELATED EQUIPMENT
^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS
^ HAZARDOUS MATERIALS
^ INDUSTRIAL OVENS
^ LP-GAS
^ PRIVATE FIRE HYDRANTS
^ SPRAYING OR DIPPING
^ STANDPIPE SYSTEMS
^ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES
APPLICANTS SIGNATURE DATE
Zip
TO
6
~ ~
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete:
Masonry:
Roofing:
Insulation:
Drywall:
Painting:
Floor
Coverings:
Plumbing:
Heating:
Electrical:
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor/Ceiling Joists:
Siding/Exterior Trim:
Other:
7