HomeMy WebLinkAboutALL DOCS - 13-00327 - 1145 S 2nd E - T-Mobile Antenna Replacementbr\t
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CI'I'Y O'O
REXBURG
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COMMERCIAL & MULTI FAMILY BUILDING PERMIT APPLICATION
35 N 1" E, REXBURG,ID 83440
208-372-2326
PARCEL NUN{BER: RPRxBcA032s815 ( We will provide this for you)
SUBDIVISION:UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
OVNER NAME: see CONTACT PHONE #720-666-4976
PROPERTY ADD
PHONE #: Home Work Cell
OWNER MAILING ADDRESS; 122 KeTT Rd CI@:PA ZIP:15068
EMAIL-FAX
. 11-45 S. 2nd East
APPLICANT: (If other than owner\ 'Justin Hadley on behalf of SBA & Tmobile
(Applicant if other than owner, a statement authorizing applicant to act as ageot for owner must accompany this application.)
APPLICANTINFORMATION: ADDRESS 156s N. Main sr.CJTY: orell
STATE: ur ZIP r3!!r_EMAIL justhadley@gmail . comFA)(
PHONE #: Home Work cen got-592-1,247
0oNTRACTORI rBp
MAILING ADDRESS:
PHONE: Cell#
STATE-ZIP
Work#Fax#
EMAIL IDAHO REGISTRATION # & EXP. DATE
How many buildings are located on this property?
Did you recently purchase this property? El NO fl YES
(If yes, Iist previous
Is this a lot split? E
PROPOSED USE:
ownet's name)
NO tl YES @lease bring copy of new legal description of property)
Wireless Tower Modification - Tmobile swapping out existing antennas
(i.e., Single Family Residence, Multi Family, Apartrnents, Remodel, Garage, Commercial, Addition, Etc)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: u'd".pcnaltyof periuq,,Iherebycertifythatl
have read this application and state that the infomation hetein is conect and I swear that any information which may hereafter be given bv me in hearings before the
Planning and Zoning Commission or the City Council fot the City of Rcxburg shall be truthful and corect. I agree to comply with all City rcgulations md State laws telating
to the subiect matter of this application and hereby authorized representatives of the City to entet upon the above-mentioned propetry for inspections pulposes, NOTE:
The building official may revoke a permit on approval issued under thc provisions of the 2003 International Code in cases ofany false statement ot misrcpresentation of fact
in the appiication or on on which the pcmit or approval Permit void if not startedwithin 180 davs. Pemit void if work stops fot 180 davs
I /2 / 2Or3
Signature of /Applicant DATE
Do 1,6u prcfcr to be contacted br' flax, cmail or phonc?
WANNING - BT'ILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plm fees re non-reindable md tre piid in firn at the time of E plicatiotbegjning1:auary-1,-Wi
City of Rexbutg's Acceprance of the plm reviry fee dae not constirute plm apprcval
ffi 1
13 0032$
T-Mobile Antenna Replacement
08t19/2013
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*fv
Routing:
NA
n Bret Stoddard (Please review by Thursday, August 22)
REV
I Current Status
Please complete the following:
o"{ NA
V n Review Plans
d ! Enter Notes for the applicant under Checklist in the Workflow
I Update result in the Workflow
I Return building plans and this checklist to Amanda Saurey
rt
/V
Please indicate time spent in hrs/min reviewing the plans ' th*h.
Notes: N/n $s.eb,'c.-\'*
1
13 oo32f
T-MobiIe Antenna Replacement
Done
f
/
,E
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/
Routing: Mechanical
Please complete the following:
Dony NA
7 ! Review Plans
Notes:
Jobsite Copy is on conference table
Quinton Owens (Please review by Thursday, August 22)
Current Status
NA
T
T
n Enter Notes for the applicant under Checklist in the Workflow
n Update result in the Workflow
I Return building plan and this check list to Amanda Saurey
08/19t13
O rNspncrroNrrcKnil
Phmb. I
{-l
lnspction Reguesr Rcc'd By L.{-i.+'tt-<,
Inspection Type
Day /Time Req.
Inspector's Report
L'L€.+L.(L{-4 s /-4 tl tu
E Res.O comm.
IDef Dlat^<
INSPECTED TTEMS CONFORM rO nppnovro owcs
fNsPEgoR's ACTTON
dppnoveo
trc.o. (FINAL)
ACNON REQUIRED:
O DTSAPPROVED
NNOTAPPLICABLE
trv ox flN/A
D RNAL
D DID NOTTNSPECT
rilor . g6 6spy Pil - ltlDrcelCopr
CIIY OF REXfiURS
ii:ib,-Tf3seru cr:ere F csft,sr.:.. tJ;01..J5 ;r1
aIF
f,i,,r3,rl F'n'rrs rrd'iff;$, "'
?tt?iiffii*;i iii fr$urr I,EF ,,,-Orrrfiff jJ:rT
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'ir.I' fiA{,t A i{Jrt nAy
ffi City of Rexburg
tal - Buildine Pennit Fee
lPlan Rcvicw Fcc
,rcial - Plan Rcvic*' Fcc
Totrl .A,mountDner
Total Pryment:
Codr: RFXBURG Recpr5l? l8 10 ?013 ftontderlc
Receipt#: 5?2
Date; l0ll8/2013
186.33
tsd.3J
a.B0
32t.21
-100.00
33.00
Sub Tot*l:
286.33
286"33
Pagc: I ofl
28i;3-3 i
&eeoir"cd Byr &ontdc*k
City of Rexburg Receipt#:370
Date:8/161?013
I*...'^ -,- " '--.-"* . .. ..1
I
IL--..-*.--,-*11
^...***". -. i.-* - -* --..******t
,ii.-* *- ' *****' - *-*'" ' .Sub Totrl; I 100.00 1
Total Anount Due:
Tofal Faymert:
Code: R.EIGURG-RecpB?0-16-8 i01 l-anmdas
100.CIo
100"00
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