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Home My WebLink AboutBP, CO & APP - 06-00281 & 282 - Henry's Fork Plaza - Bldg #11 - Site PlangEXBUR v e fv CITY OF • • N REX uil _c, 1 e 'l NFD � e Americas Family Community Permit � Y ISSUED TO: PERMIT #: 0600282 NAME: Stevens J Bart FOR THE CONSTRUCTION OF: Henry's Fork Plaza Bldg #11 JOB ADDRESS: GENERAL CONTRACTOR: Stevens Construction 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 by the Building Inspector. �. Date Approved Issued By Cp I 19 / DC'_0 1 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 O' �' 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 aooroval. INSPECTION CARD BUILDING rlatta Annmvorl 1. Layout 2. Footing 3. Foundation 4. Framing 5. Insulation 6. Drywall 7. Sidewalk 8. Final 9. Mechanical OTHER Date Approved 1. Fire Department Fina PLUMBING nn +e A.,..— —A 1. Sewer Service Conn 2. Water Service ConnE 3. Rough -In 4. Ground Rough -In 5. Final 24 Hour Notice and Permit Number required to make inspection appointments For Inspections Call 359 -3020 option 2 A CERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL & PLUMBING INSPECTION • • ��ArXBUR� C[TY O F Certificate of Occupancy ° REX13 City of Rexburg A;nericai Family Community Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 0600282 International Building Code 2006 589 S. Yellowstone Hwy #1101 Commercial Type V, non -rated Henry's Fork Plaza Bldg #11 No Name and Address of Owner: Stevens J Bart 210 Nez Perce Rexburg, ID 83440 Contractor: Stevens Construction Special Conditions: Occupancy: Business - office, professional or service transactions 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 was inspected on the date listed was found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. Date C.O. Issued: February 03, 2010 (02:27PM) C.O Issued by: — c Building Official There shall be no further change in the existing 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. Plumbing Inspe or: Fire Inspector: Electrical Inspector: P &Z Administrator CITY OF KEXB URG • BUILDING PERMIT APPLICATION Please c 06 00281 & 06 00282 208 -359-3020 32 BURG, ID. 83440 If the quest Henry's Fork Plaza B I d g s #11 PARCEL NUMB R `f �D 3j1 `) LEO 1 (we- SUBDIVISION: -, 4; s ra k PLAZA UNIT# BLOCK# L LOT# I l is based on the Information - must be accurate) 1/0/ .b / / IJOL Ci&tJ j CONTACT PHONE # PROPERTY ADDRESS: 551 K l to -j.57 PHONE #: Home ( ) 353 o 7 3 1 �- Work ( ) Cell ( ) 70 73 j - OWNER MAILING ADDRESS: 4 LL &K Z_ Pe.ne CITY: hK 1.3,JK9 STATE - ZIP: &34 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 EMAIL FAX PHONE #: Home ( ) Work ( ) Cell ( CONTRACTOR MAILING ADDRESS: (� LG /1.`u- iuZt 4u f CITY Aji STATE ZIP S3440 PHONE: Home# "Z3 �� Work# Cell# T / Fax# EMAIL IDAHO REGISTRATION # & EXPIRATION DATE _ How many buildings are located on this property ? 0 Did you recently purchase this property? No es f If yes give owner's name) �z:Tbj1 1 c/ To 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 penalt of perjur I hereb certify 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 approval issued under the provisions of the 2003 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. Signature of Owner /Applicant 0 Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CO Plan fees are non - refundable and are paid in full at the time of applicatio a ping 7anuary 1.2005. City of Rexburg's Acceptance of the plan review fee does not con Ian�v� **Building Permit Fees are due at time of application** **Building Permits ar i youPc'herck dos not clea CITY OF REXBURG 1 2 gEXB c . 4 � r C O F � � ° REX `. BUILDING SAFETY DEPARTMENT r 19 E. Main (PO Box 280) Phone: 208- 359 -3020 x326 Americas Family Community Rexburg, Idaho 83440 Fax: 208 - 359 -3024 BsNeo e www.rexburg.or ianellh a rexburg. rgrg Affidavit of Legal Interest State of Idaho County of Madison I, 12T scjJ , alt) A, ` CWCE' !ry Name Address T City 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 C P— day of �yry f- 3 20 6 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: 3 Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME _ J�j� PROPERTY ADD SS LZ S 14tl' Permit# SUBDIVISION A-' 1 /JI 2A Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area qca y Unfinished Basement area Second floor /loft area !i' Finished basement area Third floor /loft area Garage area S or Barn L Carport /Deck (30" above grade)Area Water Meter Quantity: Water Meter Size: Requiredffl PLUMBING Plumbing Contractor's Name: d- 1 % 4 '' 1 ' r�' `�1 I Business Name: 4 6 A"A Address :766 IJ UeAC4 7b-Ar City &154; State Zip 9 Contact Phone: ( ) Business Phone: ( ) J S & - � 7 7 L6' Email F FIXTURE COUNT (tnclu&Qg toughed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal ll Hot Tub /Spa c� Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ [ f _1 b e (Commercial Only) / o 5 Requiredr Signature of Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as required Water Heater Water Softener 11xW the State of Idaho Sprinklers qq Tub /Showers v Toilet /Urinal 4 06/08/2006 14 FAX r� 001 JUn, 0, zuu0 i , u0rivi No. 1151 F. 3 Pleme cOm lete the ent� A licationf if s umewn �• an y app Noubk P PP q �� NAME 1 6 ,4,tr jr& " PROPERTYADDRESS RCS H,p /.los�5?n.�:E Permit# SUBpMSION AX &AZA ARequ&cdV1 MECH9..IVICAZ Mech=ca1 Conrtactoes Name• & , J Address - 7 6 6 A) I d Ia. , eAg: CiLy. Co=ct Phone: ( ) B usiness Phone: ( Name: ) _ Is`;6- 8? 740 F Mechanical Estimate $ _ICL (Commercial /Mul i Fatuity OWy) FnrMRES &APPLf"CRS COUNT r_Rbgle Famr7pDweJBgg O"J7) Furnace Exhaust or Vent Duets *�- Furnace /Air Conditioner Combo Heat Pump Air Condttionex Evaparattve Cooler Unit 'Heater Space Heater Decorative gas -fired appliance Incinerator System $oiler Pool Heater Dryer Vents Range Hood Vents Cook Stove Vents _ Bath Fan Vents O ther sme vents & ducts: Fuel Gas Pipe Outlets including stubbed in or fature outlets Inlet Pzessuxc (Metes Supply) PST Heat (Circle All that apply) Gas Oil Coal Fireplace F.lectdc Hydronic 777 %!M M OM T i. f ol JT 4 710 11 i_ ! :7 ,T-I[,c_ ,-= Requ1tedl Skean of Liueosod Gmtcaetoz License numbft The OV of Rex rprymfr fm jrhe k rr t& ra w ar r Ar Stak 5 Please complete the enti *Application! If the question doest apply fill in NA for non applicable NAME 4.0tt if & `61;J PROPERTY ADDRESS Permit# SUBDIVISION 1 E:v "4zi� i oiU PL AZA Required!fl MECHANICAL Mechanical Contractor's Name: p Business Name: Rim') wrDt 6 6 !` Address 76, � A) �r to ;a �:� City JI 0-- e -L State TA") Zip S 3 qti Contact Phone: ( ) Business Phone: Email Fax Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Dryer Vents 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 other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Point of Defive1y must be shown on t)l Required! Signature of Licensed Contractor The Range Hood Vents Cook Stove Vents _� Bath Fan Vents License number schedule is the same as Date the State of Idaho 5 Building Safety Department City of Rexburg 19 E Main janellh @rexburg.org Phone: 20R 3.59.3020 x326 Rexburg, ID 83440 www.rexburg.org F XR CITY OIL RMURG America' Family Community OWNER'S NAME '= rfi1�� /��_� 0600282 PROPERTYADDRESS '65 ,� � i1 Henry's Fork Plaza Bldg # 11 SUBDIVISION PHASE LOT BLOCK RequiredMf ELECTRICAL Electrical Contractor's Name G "t�� Business Name Address 1W� �a,�� City State Zip Cell Phone ( ) COQ5�- /'� Business Phone ) ` 7 9 Fax e Email Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Existing Residential (# of Branch Circuits) 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 Wiring & 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. Signature of Licensed Contractor License number Date The sch edule is the same as required by the State of Idaho �� gEXB URC 1� CITY OF 0 1�V1 \ BUILDING SAFETY DEPARTMENT 1W1 s� B V 1� 19 E. Main St. Phone: 208- 359 -3020 x326 'B Americas Family Community Rexburg, Idaho 83440 Fax: 208- 359 -3024 www.rexburg.or janellh@rexburg.or¢ APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO APPROVED BY: BUSINESS NAME: ze OFFICE ADDRESS: City ' State Zip OFFICE PHONE NUMBER: ( 6 ) 3S� -7 3 f �, CONTACT PERSON: &2-r TG�.��•J3 CELL PHONE # W6 ) 76 q 7 3 /a - LOCATION OF WORK TO BE DONE: STREET ADDRESS WHERE WORK WILL BE DONE: 1 gd1dc.JS7p. jc 9 1 /01 4 1 BUSINESS NAME WHERE WORK WILL BE DONE: Cff-IC€ DATES FOR WORK TO BE DONE: _kA A Ic TO CONTACT PERSON: 0raT A7 PHONE NUMBER: (A�b_) 3 IP -11 i.. CELL # (ate) 7f) j' - 7 3 1 a PLEASE CHECK THE TYPE OF PERMITS) 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 DA G SUBCONTRACTOR LIST 0 Excavation & Earthwork: Z A W 4 A 0,r rZ Concrete: kaet i N t'e Masonry: TG-1 A'1AS e , -j R- j Drywall: d eq w i { 4 Y Painting: Floor Coverings: A Plumbing: hK6",e(, 'i �7�. �1 ri•� Heating: �x(tYeG, Electrical: Q e •` Special Construction (Manufacturer or Supplier) Roof Trusses: 6 me fi Floor /Ceiling Joi Siding /Exterior Trim: 14A40 i /' L,4 : 0 0 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 certify that the above information is true and correct to the best of my knowledge. 06 Signature Date Print Name O4 gixB u U � CITY*F REX I s BUILDING SAFETY DEPARTMENT Americas Family Community 19 E. Main (PO Box 280) Phone: 208 - 359 -3020 x326 Rexburg, Idaho 83440 Fax: 208 - 359 -3024 www.rexburq.orq ianeIIh(&rexburg.org Site Plan Checklist Permit Number: Application Information Applicant: BAZE �S�Ei Phone: 16 f 731 FAX: 3 3 - - ,� Applicant's Address: )10 A'er, Pe---tt City: ST: XZo Zip: &3 Project Address: 'a S L{e l r °� c Recorded Owner: �4#VIE Phone: Recorded Owner Address: Development Information City: FAX: ST: Zip: ❑ 1. Site plan must be drawn to scale, be legible and also be submitted electronically if possible. ❑ 2. Adjoining streets labeled. ❑ 3. Right -of -way location and width, curb to curb widths and sidewalk location. ❑ 4. Building location, sq footage and dimensions, with distance to property lines and distances between buildings. ❑ 5. Show existing and proposed easements. ❑ 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains). ❑ 7. Proposed utilities including tie in location to existing services and new easements. ❑ 8. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). ❑ 9. Storm drainage plan for parking lot and roof areas, with calculations. ❑ 10. Fire hydrants and fire suppression lines (including tie to City lines). ❑ Sprinkled CE"Not Sprinkled ❑ 11. Indicate Fire apparatus access. ❑ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers). ❑ 13. Landscaping (type and total area, including dimensions). ❑ 14. Trash facilities. ❑ 15. North Arrow ❑ 16. Drawing to Scale, including a graphic scale (11 '/2 x 17" paper if possible). ❑ 17. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ❑ 18. Legal description of proposed building site included. ❑ 19. Percent of lot covered by building or paving calculated. ❑ 20. Show 10% snow storage area. ❑ 21. Distance of entrances from street corner indicated. ❑ 22. Current Vicinity Map. (81/2 x 11 ") at 1" = 300' scale, showing location of the property. ❑ 23. Lighting Plan NOTE: SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. "E'