HomeMy WebLinkAboutALL DOCS - 13-00197 - 12 N Center St - T-Mobile Cell Tower - Replace AntennasCITY OF
Please Complete the Entire Application!
If the question does not apply fill in NA fot non applicableREXBIJRG
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Americab F am ily Commu ni ty
COMMERCIAL & MULTI FAMILY BUILDING PERMIT APPLICATION
35 N 1" E, REXBURG,ID 83440
208-372-2326 6 Tcilooc
PARCEL NUMBER:\7e will provide this for you)
SUBDIMSION:UNIT# BLOCK# LOT#
is based on the information - must be accurate
How many buildings are located on this property?
Did you recendy putchase this property? El NO
(If yes, list pfevious ownef's name)
Is this a lot split?.E NO E \aES (Please bring copy of new legal descdption of properry)
PROPOSED USE:
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Gange, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: underpenaltyof perjury, Iherebycertifythatl
have read this application and state that the infomation herein is correct md I srver that any information which may hereafter be given by me in herings befote the
Planning and Zoning Comission or the City Council for the City of Rexburg shall be truthful md cotrect. I agree to comply with all City regulations and State larvs relating
to the subject matter of this
The building officia.l
ication and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE:
a permit on approval issued under the prol'isions of the 2003 International Code in cases of any false statement or misrepresentation of fact
in the application
E YES
Signature of Owner/Applicant DATE
Do you prefer to be contacted by f^*,@^Jlrlrphone?
waiNrNc-ffotNc pERMrr MUsr BE posrED oN coNsrRUcrIoNsrrE!
Plan fees are non-refundable md are paid in full at the time of application be ginning leauzrya2@5
City ofRexburg's Acceptance ofthe plan teview fee does not constitute plan approval
CONTACT PHONE #
PROPERTY ADDRESS:
PHONE #: Home
owNER MATLTNG ADDRESS: P0 P|v 290 CrT:y: fte{Btlttt, STATF.: u) Zrp: t?4(g
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authodzing appl-icant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDF{ESS 14 W. @f7 T\I PD'T'€4WITYI &.TPEK
STATE 144*74, zrc tqtl'W EMArr l2ac&lblc46€o{ezdr}rdftflrr.\ 5ol.sl6../clt0
PHONE #: Home
MATLTNG ADDRESS: Po Po,r r/t, CrT1y__aO9€ce__sr711p._:4T__nrpg4nl_
PHoNE: cetr# E0 [E80,3t7< work# 8A1,5j0.377{ Fax#_
EMATT, rDAHo REGTSTRATToN # & Exp. oma tZz-bo, Xft*6 rchtftt
Rocky Schutjer < rocky@ ragedevelopment.com >
Tuesday, May 28,2013 10:45 AM
amandas@rexburg.org
5101403D Rexburg City - TMOBILE
Rocky SchutierJ.
From:
Sent:
To:
Subject:
Amanda,
Thanksforyourtimeonthephone. lamsendingviaovernightmailacheckintheamountofS2Og.33tocovertheBp
feeforthissite. Onceyoureceiveandissuethepermit,ifyoucouldsendmeascannedsoftcopyandputthehardcopy
in the mail that would be awesome. The hard copy can be sent to the address below -
T-Mobile
Attn: Rocky Schutjer
121W. Election Road, Suite 330
Draper, Utah 84020
Please also include a receipt for the fees paid (including SlOO deposit).
Thanks for your help!
Rocky Schutier
RAGE Development LLC
rock]'@ragedevelopment. com
Phone - 801.860.0086
Routing:
Please complete the following:
Done NA
Notes:
13 00197
T-Mobile Cell Tower - Antenna Replacement
Quinton Owens (Please review by Thursday, May 23)
Current Status
NA
I
T
DOY
F
/
t
{
/
/
I Review Plans
r Enter Notes for the applicant under Checklist in the Workflow
I Update result in the Workflow
! Return building plan and this check list to Amanda Saurey
0sl16l13
13 00197
T-Mobile CeII Tower - Antenna Replacement
5/16t2013
Routing: Electrical
,"r{
V Bret Stoddard (Please review by Thursday, May 23)
Current Status
Please complete the following:
D* NA
Y I Review Plans
I
V U Enter Notes for the applicant under Checklist in the Workflow
n Update result in the Workflow
n Return building plans and this checklist to Amanda Saurey
Please indicate time spent in hrs/min reviewing the plans: \-t(2'-
Notes: \\f N S-. \\{uu x U*ev\bs.
Plans are on conference table
NA
T
REV
n
{
{
TNSPECTTON TTCKE|
Bldg.F
Req. By
Dare ?-3o -/ 3'-'--VET--Phone No. f,dh#-rdB3
troieuTtTlbb.ik=-W rvnteL,, pennir No. lO Oft)Q?r'-lvvtJatt
eddress I? I,/, l,j(/nlTt
lnspeclionfyp F/lr,4t_.
Day /Time Req.
Inspector's Report O Res.\ comm.
INsPECTEDrrEMscoxFffi trY Dtt nN/lNsPgoR's ACnoN
2fleeYnoveo
nc.o. (F|NAL)
ACTTON REQUTRED:
I DISAPPROVED
NNOTAPPLICABLE
f}RNAI
D DID NOI INSPECT
Rec'l Acknowledged
Wli. . Oticc Cop,F.rtR.c(n3 lblof . Job Copt Fil-h$.cbtCoe,
Ptrone No. ;:'---...-_
ennit No a-- e -Address* l.;
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i City ofRexburg Receipt#: 173
Date:5/16€013
Sub Totd:
TdrlAuoutllue:
TotalPqmelt:
Code: REXBURG_Rccptl73_16_5 2013 aoaodas
100.00
100.00
Pegcr I of IReceivedBy: ,-udas
)"City ofRexburg Rece[t#: 195
Date:5/30/2013
iewFee
tRcview Fce
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TohlAuorrtlhc:
TotelPrynctt:
Codc: REXBURG_Itecptl95_30_5 2Oll_aadas
209^St
20933
l3sl97
kceivedBy: n4drs Pegc I of I