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Home My WebLink AboutAPPLICATIONS, BP - 07-00402 - Madison Gymnastics - Tenant FinishIQ r CITY 0 F • • REX ul in ` !A Americas Family Community 9 Permit SUED TO: PERMIT #: 0700402 NAME: Design Development Llc FOR THE CONSTRUCTION OF: Gymnastics JOB ADDRESS: 301 Dividend Dr GENERAL CONTRACTOR: Design Development This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on the Building Permit Application as approved bythe Building Inspector. ate Approved 09/07/2007 Issued Building Inspector THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY 1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of on the premises during construction. the building beyond the point indicated NOTICE t 2) The permit will become null and void in the event of any deviation from the in each successive inspection without ■ accepted drawings. approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered without approval. INSPECTION CARD BUILDING nafa Annrnvn.! F l:. :Fram:in:g 2. Insulation 3. Drywall 4. Sidewalk 5. Final ELECTRICAL Date proved 1. Rough -In 2. Final OTHER Date Approved 1. Fire Department Fine 1 1 PLUMBING na +a Annr^% eA 1. Sewer Service Conn 2. Water Service Conne 3. Rough -In 4. Final 24 Hour Notice and Permit Number required to make inspection appointments For Inspections Call 359 -3020 option 2 ACERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL & PLUMBING INSPECTION J `CITY OF KEXBURG • 0A0 402 BUILDING PERMIT APPLICATION Ple,' Madison Gwnnastics- Tenant Finish )n! 19 E MAIN, REXBURG, ID. 83440 Y 208 - 359 -3020 X326 9/2-307 n PARCEL NUMBER:_ (We will provide this for you) SUBDIVISION: MIRLII>G- RlA 1m q / UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) 'Z A I n t ,I, A r M i h "W1V _v_tc 1VYUVJ_ 1: U tr"A at yq uLr_i9 /_JyNkEkT1 CONTACT PHONE # 76 f - 3 PROPERTY ADDRESS: -3 O I 101 a ( d r -4 fi b K • PFX 37-1 (? fir .1 8' 9 tl n PHONE #: Home (&P,) 4 S 8 - `� 4 /S2 Work �$) 'l10f 3 Cell W) & ?— , q�/,� 3 ' OWNER MAILING ADDRESS: 6 a o X 13 1 CITY: '??J P_ STATE:XV ZIP: - EMAIL FAX APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP PHONE #: Home ( EMAIL FAX Work ( Cell ( ) CONTRACTOR MAILING ADDRESS: - PO sO )t 1 3 — CITY STATE ld- ZIP 4 0 3q,5 PHONE: Cell# 70 9 - Work# ? ® `i - 1 - 2 Fax# � '- 4f* EMAIL IDAHO REGISTRATION # & EXP. DATE k6- a a 8S� `��7Ib9 How manv buildings are located on this ntnnet -hT? Did you recently purchase this property 60 Yes (If yes give owner's name) Is this a lot split? W YES (Please bring copy of new legal description of property) PROPOSED USE: _6 A\ !& !6± T✓Iq, 2 L iu �tr t 6 ti g V 44 N, 146 -t L (i.e., Single Family Residence, Multi Family, Apartments, emodel, (lrage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereb certif that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful 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 appro al issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the applica on > ti n which the per iit o� based. Permit void if not started within 180 days. Permit void if work stops for 180 days. / -7 a / aad 7 Do you prefer to be contacted by fax, email or phone? Circle One IE (C, U WARNING — BUILDING PERMIT MUST BE POSTED ON C P y Plan fees are non - refundable and are paid in full at the time of applicati fining Tanuarvl, 2005. City of Rexburg's Acceptance of the plan review fee es not co plan **Building p Permit Fees are due at time of application** **Building Permits a o f o c es CITY OF REXBURG 2 BuilAg Safety Department City of Rexburg 19 E. Main janellh@rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 ® CITY OF REXBURG Americas Family Community � Affidavit of Legal Interest State of Idaho County of Madison I, Name City Address State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. 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: 3 F HANSEN 208 - 745 -8792 p,2 ' NO. + /4Z Please complete the • App hcati NAME dre • on. If umtion does not apply fill in NA for non appy mhk lJlC � 1 �' � {�� j 6LOA�it� -iA PROPERTY �-- ADD SS �p 10t y t W Lc S US SUBDIVISION E Penm�t# I to k- Dwelling Units: g w & vt K-� Acres.. SETBACKS E-1 r 5 { FRONT SIDS Q SIDE J"' BACK S Remodeling ynurBruldinglHOMC need Estimate) $ s SURFACE SQUARE FOOTAGE. (Shall include the exterior wall measurements of the building) First Floor Arca Unfinished Basement arcs Second floor /loft area Finished basement area Third floor /loft wen Garage area Shed or Barn Carport/Deck (3(" above grade).Area Water Meter Quantity Water Meter Size: rf PLUMBING Pk=bing Contractor's Nat Contact Phone: ( ) 5 a 1 " a �DcjQ Business Phone: Name: kadrMLY blampi I Clothes Washing Machine Dishwasher —4— Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Water Softener Phmnbing Estimate $ _Ao 1 iD (ColwWrcial only} sig�u� of " C I.icease n m�ber Dare Tbr 1 :!�Y of F g's P=nkke m&dwk & the =we. rTw& ad h the Slab of U.5. ! _ Sprinklers Tub /Showers _ Toilet /Urinal 2— w ater Heater 9 08/24/2007 09:19 1 -208- 745 -0817 HIGH COUNTRY PAGE Aug. 24. 2007 9:0 0 0 No. 4743 P. 202 Plem e mplM the ensure Appf cation'. if the quem inn nose W* a in rye, ibr =m PROPERTY ADDRESS 30 f a fi X, Permit# SUBDIVISION IKE 4L Requindlll MEC114NI Mechanical Contractn es Name usiaess Name: Address +� , e City Stage Zip contact Phone: ) T r — 1 W7� jBusiness Phone: Mechanical Estimate $. 1 � �C)� ' (C0mm®rci21jMv1U Fates Only) FLUVRES & A'.�'.I.X�NCES COUNT ~ Family DwcMW Q*) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Heat Pump Air Coratiamet .._._ Evapomtive Goalet Unit Hear Space Heatiet Decorative gas -fired appliance Incincxator System Boiler ,.„_,_,_,,, Pool Haatcr Fuel Gas Pipe Outlets including stubbed is at futute outlets Inlet Pressure Metet Supply) PSI other similar vents & ducts- Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydwnic Mecbauical Siaim Cakuladow moat be sub ni u d Magh fjM & A �QUIt nos must be shown gn b s �� 7 ° t f co�ftoA r L4cem M=hw Doe �. up1FSpr -LACA ',C M7d?,% r tn-C-L! .,TAJO-ly OWam'1 pwAwfm zht& i- 4 96 SAP* Ofj&Ge Dryer Vests Range Hood Vents Cook Stow Vents Hsth Fan Vents 0 5 Please complete the enti #Application! if the question does lot apply fill in NA for non applicable //�� '• /n� NAME IOF6 S,. K 10 1FQ S7Gt9,0 yu PROPERTY ADDRESS 30 ( -G (9 td 6 Z Permit# SUBDIVISION Requwedffl MECHANICAL Mechanical Contractor's Name: f �n Lusiness Name: F Address City State Zip Contact Phone: ( ) 7 6 9 1 4 4PS ^Z) Business Phone: ( ) Email Fax -1 AfD - 09 t - I Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Requiredi Signature of licensed Contractor License number The City of Kexbury's betmit fee schedule is the same as Date the State of Idaho 5 Building Safety Department 0 gEXBUR City of Rexburg x 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fox: 208.359.3024 CITY O F REX 04% America's Family Community OWNER'S NAME C 01P 'r PROPERTY ADD SS �� ✓l 0 L�hJt'� E A0 �� Permit# SUBDIVISION � ��$ {� PHASE o9 LOT �_ BLOCK Requiredffl ELECTRICAL Electrical Contractor's Nam &A -K�� "TfL�S myK Zasiness Nam 7f .i� Addres C��Q Ci i t �-i�u1 �. State .Z Zip '�tc floS Cell Phone �. 5�i - 1 99 .es Business Phone ) 5 2.$ ?Z970 Fax a Email 0.-4—lvw" ele-t-t-,sQ ,C,�: --r - V'` ` -fi6 v` 7k, Electrical Estimate ( cost of wiring &labor 8 (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFVVSTAL.LATI0N (1VewResideadal srrcludes everything contained within the resideadal structure and attachedgamge at the same itme) Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Existing Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and /or Cooling ( when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cost of Wiling & Labor. $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. mA-f 07 License number Date The City of Bexbutg x p ermit fee schedule is the same as required by the State N SUBCONTRACTOR LIST Excavation & Is Masonry: Insulation: Adt) 0, 64 E I L &4�`fc c7 1 -( .Ske AJ Z. ,fn P—l-/ 014&L Painting: Floor Coverings: a Aq Electrical: Q�uas l EZ - E ej 4AI— L C E5, Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joists: Siding /Exterior Other: 8 EXEMPTAkS FROM STATE REASTRATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at www.ibol.idaho.gov /cont.httn ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors /journeyman, 12 Engineers /Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing /Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ❑ Employee of a US Government agency (State, City, County, or other municipality) ❑ Public Utility doing construction, maintenance, or development to its own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a project or projects with a total cost less than $2000 ❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ Work in rural districts for fire prevention purposes ❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months ❑ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ❑ Real estate licensee /property manager acting within Idaho Code ❑ Engaging in the logging industry ❑ Renter working on the property where they live with the property owners approval ❑ Construction of a building used for industrial chemical processing per Idaho Code ❑ Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify that the above information is true and correct to the best of my knowledge. Signature Print Name Date E • 0 JaNell Hansen From: Richard Horner Sent: Friday, August 24, 2007 2:26 PM To: JaNell Hansen Subject: RE: Madison Gymnastics I understand that auto repair is going into that same building, if just for gymnastics, then use that number. Richard R. Horner Chief Financial Officer City of Rexburg PO Box 280 (12 N. Center) Rexburg, Idaho 83440 208 - 359 -3020 x327 richard(abrexburg.org From: JaNell Hansen Sent: Friday, August 24, 2007 11:30 AM To: Richard Horner Subject: RE: Madison Gymnastics Why auto repair? JaNell Hansen Building Safety Coordinator Phone: (208) 359 -3020 ext. 326 Fax: (208) 359 -3024 Email: janellh cr rexburg oar �, o• +, C I T Y O F v � REXBURG ' Amc ricers Family Community From: Richard Horner Sent: Friday, August 24, 2007 10:50 AM To: JaNell Hansen Subject: RE: Madison Gymnastics I would do 30 (health club) for the gymnastics and 20 for the auto repair. Richard R. Horner Chief Financial Officer City of Rexburg PO Box 280 (12 N. Center) Rexburg, Idaho 83440 208 - 359 -3020 x327 richardO)rexbu rg. org From: JaNell Hansen Sent: Friday, August 24, 2007 9:41 AM 1 To: Richard Horner Subject: Madison Gymnastics Richard, Madison Gymnastics is moving into a new building out by Artco. What category would they fall under for the street impact fee? JaNell Hansen Building Safety Coordinator Phone: (208) 359 -3020 ext. 326 Fax: (208) 359 -3024 Email: ianellh(a)rexburg.org, C I T Y O F JAG (W Arneriwr Farnii'y Community