HomeMy WebLinkAboutALL DOCS - 13-00109 - 36 E Main - Dish Network - Signn Permit Applicolion
35 N. lsrE. plonningZoning@rexburg.org
rRexburg, lD 83440 www.rexburg.org
City of Rexburg
Phone: 208.359.3020
Fqx: 208.359.3022
qhii;c,Fixed Signage . .,
"Dt.th l"]{"lE-;n F*'Applicant Info4mation 4/Owner Name:
Site Address:
Mailing Address:
Telephone:
Contractor Information
Ef ectricaf/specialty contractor Informatio n (for powered or righted signs)Contractor I nformation
Contractor's Name:
Contractor's Address:
Contractor's Phone:
Contractor/s Signature:
Sign Information
Sign Area sq ft:
Sign Description:
City/State/Zip:
For a sisn Permit it is mandatorv that you have the foilowing information:
I.
t2,
3.
4.
2 Sets of elevation drawings of a sign & (plplplglri|_sppllstte)
Drawn to scale with dimensions and complete construction materialsFootings if applicable
Engineer stamped if required
FREE STANDING SIGN WAtt SIGNS! PLor PLAN To SCALE sHowlNG: ! A) se. FoorAGE oF wALL (thot the sign is on)Ll A) BUILDING LOCATION Ll B) EX;ST;NG stGNS & AREA! B) LOT SIZE ! c) NEW SIGN & AREA! C) NEW SIGN LOCATION 3 D) LOCATTON oF S;GN ON WALLu D) DlMENsloNs ro slGN FRoM PRoPERW LINES n E) ls slGN LTGHTED? yEs No (must meet stote erectrical code)! E) PARKTNG LOT ENTRANCES (sign must be in legol zone for tighting and type)! F) DTSTANCE OF S|GN FROM RTGHT OF WAy
! G) EX|ST|NG STGNS LOCATTON & AREA
u H) ls slGN LIGHTED? YEs No (must meet stote electricol code) (sign must be in legol zone for tighting and type)
Feer $100* - $zs.oo refundable at time of final inspection and photo of completed sign.,4
Initials: I L *An extra g65.00 charge wiil be appried to any powered or righted sign.
Initials:{L-*Electrical inspection of sign must be sign contractor present to verify listing and labeling within interior of the sign,
Signature of Applicant:Date: 3'/q' R
Note: This document is for ap"plicati proposes onry. (the legal sign permit form must be signed by city officials before sign is opproved)n Ordinance 1027 at www.rexburg.ors for regulation information.
c I'l'Y o F
35 N. lsrE. PlonningZoning@rexburg.org
Rexburg. lD 83440 www.rexburg.org
Applicant Information
Owner Name:/"1,'ilorrurJ
Site Address:
Mailing Address:
Telephone:
Contractor Information
Contractor's Name:
Contractor's Address:
Contractor's Phone:
Contractor/s Signature:
Sign Information
\q
City/State/Zip:
City/State/Zip:
Mobile:
Ef ectrical/specialty contractor Information (for powered or tighted signs)
Contractor I nformation
Contractor's Name:
Contractor's Address:
Contractor's Phone:
City/State/Zip:
Mobile:
Date:
Sign Permil Applicqlion
City of Rexburg
Phone: 208.359.3020
Fox: 208.359.3022
Fixed Signage \:S\ \ 1.-1P 1y-sr \(
REXBURG
A me i cals Fa m ily Communie
Sign Area sq ft:/"il f/ r,l, Je-Sign Height (/rom
Sign Description:
For a Sisn Permit it is mandatorv that you have the following information:
L 2 Sets of elevation drawings of a sign A @UplglLt|_SpplS9bl9)2. Drawn to scale with dimensions and complete construction materials
3. Footings if applicable
4. Engineer stamped if required
FREE STANDING SIGN
t] PLOT PLAN TO SCALE SHOWING:
! A) BUtLDtNG LOCATION
I B) LOT S|ZE
! c) NEW StGN LOCATTON
s
wArr srcNs
! A) se. FoorAGE oF wALL (thot tnCiidnjj
n B) EX|STING STGNS & AREA
|] c) NEW S|GN & AREA
n D) LOCATTON OF S|GN ON WALL
n D) DIMENSIONS TO SIGN FROM PROPERTY LINES ! E) lS SIGN LIGHTED? YES NO (must meet stote electricol code)
n E) PARKING LOT ENTRANCES (sign must be in legol zone for tighting and type)
t] F) DISTANCE OF SIGN FROM RIGHT OF WAY
n G) EX|ST|NG STGNS LOCATTON & AREA
! H) lS SIGN LIGHTED? YES NO (must meet stote electrical code) (sign must be in legol zone for tighting ond type)
Fee: St00* - $75.00 refundable at time of final inspection and photo of completed sign.
Initials:_*An extra 565.00 charge will be applied to any powered or lighted sign.
I nitials:_*Electrical inspection of sign completed sign contractor present to verify listing and labeling within interior of the signf
Signature of
//
Date: / ^,
proposes only. (the legal sign permit form must be signed by city officiats before sign is opproved)
APR 17 il3
Note: This document is for
See Sign Ordinance 1027 at www.rexburq,org for regulation information,
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
J c,tiarr lqi5[rrr.(-ru DATE
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DH APPROVAL
Rc-aLrcc,ra ,ID CC APPROVAL
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CITY OF
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DESCRIPTION ACCT#AGCT DESCRIPTION AMOUNT
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L8' 2-70-oo "/9,''o
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CLAIMANT OR HIS AGENT SIGN HERE
@) Yxu-uR: citvorRexbury O
v Department of Community Development Receipt Number:
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
Payer/Payeii
13 00109 RPRRXBI03€ Sign Deposit
13 00109 RPRRXBl038 Sign Permit
13 00109 RPRRXB1038 Permit - Electrical
$75.00 $75.00 $0.00
$25.00 $25.00 $0.00
$65.00 $65.00 $0.00
totat: g165P6
GHECK 999 $ 165.00
Total: $165.00
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genpmtrreceipts Page 1 of 1