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Home My WebLink AboutAPPLICATION - 08-00241 - Legacy Towne Square - Shell Only0 uExsup� r� CITY OF A. o REXBURG CW ' Americas Family Community COMMERCIAL & MULTI FAMILY BUILDING Pl 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 0800241 Legacy Towne Square -Shell Only f r t, PARCEL NUMBER: CA 3(D (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# is based on the intormation - must be CONTACT PHONE # PROPERTY ADDRESS: 3S"'7 IJ_,_'% Y/ PHONE #: Home (Z ) T r/- 3 Uo Work ( ) Cell - OWNER MAILING ADDRESS: �/ x- { ITY: STATE:��ZIP: EMAIL Gyr , fL T (c..•e 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 EMAIL FAX PHONE #: Home ( Work ( Cell ( CONTRACTOR MAILING ADDRESS: 1 ',� !4 of 3 CA-) CITY F--e , r STATE 79 ZIPFI c{ 0 PHONE: Cell# - ZZ7- (YbC� Work# Fax# 3AHO REGISTRATION # & EXP. DATE .w How manv huildinQS are lnrnted nn t nrnnPrf r� Did you recently purchase this property. No Yes (If yes, list previous owner's name) Is this a lot split YES (Please bring copy of new legal description of property) PROPOSED USE: y VA viA7 t 6-r (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) — CIRCLE ONE 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 per ,gn a roval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the application son whi permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. S' ature of Owner DA 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 T anuary 1 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application ** **Building Permits are void if your check does not clear** 2 Building Safety Department City of Rexburg 19 E. Main ionellh@rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OF RBX B URC r CITY O F 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 1 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 • 0 City of Rexburg NAME PROPERTY ADDRESS SUBDIVISION Dwelling Units: SETBACKS FRONT Parcel Acres: I Please Complete the Entire Application! I If the question does not apply fill in NA for non applicable SIDE SIDE BACK Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE.- (Shall include the exterior wall measurements of the building) First Floor Area t Unfinished Basement area / Second floor /loft area 10;V Finished basement area Third floor /loft area ; ¢✓� Garage area /4'r Shed or Barn Carport /Deck (30" above grade)Area Yri Water Meter Quantity: Water Meter Size: RequiredLY PL UMBING Plumbing Contractor's Name: C' /� /c'r -� 1`�'f�l�'sL F f:' Business Name: Address E� % f�� City lA/Yi1%G/1lS% State f AA/1 U Zip 'S Contact Phone: (:I b LEL` - 3 7, 7 :2 -_ Business Phone: 4 sl Email .fl >u'� >) s1 �C�' / i ``CC j,�%. , / � �, Fax O � ° FIXTURE COUNT (including roughed fiutures1 Clothes Washing Machine Dishwasher �Q Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Sprinklers Tub /Showers �20 Toilet /Urinal Water Heater Water Softener Plumbing Estimate $ ' 5 (Commercial Only) ff Req ' 'edl Signature of IJ d r eensed Conyactor License number Date The GJI F Rexburg's permit fee schedule is the same as required by we of Idaho NAME PROPERTY ADDRESS SUBDIVISION Please Complete the Entire Application! If the question does not apply fill in NA for non applicable Permit# Required h!f MECHANICAL Mechanical Contractor's Name /G�f?�lif� , 11, �� , Business Name: t Q L " f��ff 5 Address T State - Zip � City - �/ � J�i�l/Y/CNI�r Contact Phone: ow 69 Business Phone: VVJ 6.2y-- _327 t � Email a :t at e Fax C"l✓ cx��' i�.� Mechanical Estimate $ g6 coo (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) Ga Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Anplication RUC -c- / � j Required! Signature of LicAnsed Contra r License number The City of Rexburg's permit fee schedule is the same as � ate the State of Idaho 5 A16 0 Building Safety Department City of Rexburg 19 E Main lanellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OF gEXe VA U 90 cITy or REXBURG Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE Over 400 amp Service* LOT BLOCK Required!fl ELECTRICAL Electrical Contractor's Name Vr Y 1 K G,1 tj Business Name ylpclm eLEC T 2.1( -- Address I 1 �n, Ci- g T eg City K X$OQG State 1b, Zip jj3� Cell Phone (Zog) _3 - 19 - 10 Business Phone (Zug) 3S6 7 7 3 b Fax ( ) Email Electrical Estimate ( cost of wiring & labor) $ 85 CW .. �b (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) _ Number of meters being installed Up to 200 amp Service* 201 to 400 amp Service* Existing Residential (# of Branch Circuits) Permit# MAY 12 2008 CITY OF REXBURG Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Spa, Hot Tub, Sw immin g 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 Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a� of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. A EXEMPTIONS FROM STATE REGISTRATION 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.htm ❑ 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 certif t hat the above' is true and correct to the best of my knowledge. Print Name 0 L REYI3::g � June 26, 2008 Trent Birch Legacy Towne Square 357 West 4"' South Rexburg, Idaho 83440 C I T Y OF REXBURG America's Fanuly Carnrnunity Your plans for the Legacy Towne Square have been reviewed by all required departments. The status is as follows: Site Plan Review Building Department, Val Christensen - Approved _ Fire Department, Chuck Mickelsen — Revisions are required Planning & Zoning, Gary Leikness — Revisions are required Public Works, John Millar — Revisions are required Building Plan Review Building, Val Christensen — Revisions are required Electrical, Bret Stoddard — Approved Plumbing, Brad Johnson — Approved Planning & Zoning, Gary Leikness — Revisions are required The review action is attached which includes all department reviews. Please address all outstanding items and resubmit. Once all outstanding items have been approved, a building permit for the shell can be issued. If you have questions, please let me know. Sincerely, A �� JaNell Hansen JaNell Hansen Building Safety Coordinator 19 E. Main Rexburg, ID 83440 P. O. Box 280 www.rexburz.org Phone (208) 359.3020 ext.346 Fax (208) 359.3024 .,. 11 . . . !� - .� ^ /- ® ! � . . . . Et" I pwr �:�