HomeMy WebLinkAboutAPPLICATION & DOCS - 14-00073 - 234 S State St Ste B Rigby - Mountain States Cellular - Rigby Sign35 N. tv E.
Rexburg, ID 83440
Sign Permit Applicstion
City of Rexburg
Phone: 208.359.3020
Fax: 208.359.3022
Fixed Signage
P I a nnin gZ o nin g@rexburg. org
www.(exourg.org
Applicant Information
SiteAddres5; Z-3ct s- Srlre SrrSulre"'ia*R't3b.1 '
MailingAddress: tz+e-r, e-rPUoe,eR FeruE. ' city/5tate/zip:
Owner Name: t"n OU VrTArxl 9-fN LAE- * f?r4u
Telephone:Mobile:
Contractor Information
Contractor's Name: LV]-(E StG't{9
Contractor's Address: ? O WOU X(l( C
contractor's Phone: 8oO - l"Zl - bs rb Mobile:
ity/State/Zip:
Efectricaf/Specialty Contractor Information (for powered or tighted signs)
Contractor lnformation
Contractor's Name:LVTrg- StGNe
Contractor's Address:
Contractor's Phone:
Contracto/s Signature:
Sign Information
Sign Area sq ft:
city/st.t"/zip'W?
Date: t-lzo I g
Sign Height (from ground):14 trr
Mobile:
Sign Description:\J\, t 9tc'N
For a Siqn Permit it is mandatory that you have the following information:
1. 2 Sets of elevation drawings of a sign & (plp!_Aotsjtsdjco$g)
2. Drawn to scale with dimensions and comolete construction materials
3. Footings if applicable
4. Engineer stamped if required
FREE STANDING SIGN
. ] PLOT PLAN TO SCALE SHOWING:
i :A) BUILDING LOCATION
i . B) LOT SIZE
WALLSIGNS
\ A) SQ. FOOTAGE OF WALL {thot the sign is on)
\B) EXISTTNG SIGNS &AREA
\c) newsreN &AREA
.:c) NEW S|GN LOCATTON \O) LOClrrON OF S|GN ON WALL
rDlDfMENsroNsrostGNFRoMpRopERTyLrNEs \rt tssrcNLtGHTEol 6fif No(mustmeetstoteelectricol code)
i I E) PARKING LOT ENTRANCES (sign must be in legot zone for lighting ond type) --
I ] F) DISTANCE OF SIGN FROM RIGHT OF WAY
i jG) EXISTING SIGNS LOCATION & AREA
i H) f S SIGN LIGHTED? YES NO (must meet stote electrical code) (sign must be in legol zone for lighting ond Wpe)
Fee: 5100* - S75.0O refundable at time of final inspection and photo of completed sign.
lnithbfu-*An extra 565.00 charge will be applied to any powered or lighted sign.
Initials:4lff *Ehctrical in$pection of sign murt be completed with slgn contractor present to verify listing and labeling within interlor of the si8n.
Signature of Applicant:
Note: This document is for application
^tt.Date: 4zD Ill
anly. (the permit form must be signed by city ofJicials before sign is approved)
See Sign Ordinance 1027 at H\y, ,Jt{l4l{&g1g for regulation information.
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5t.tl.'ciivision f'latns
IJivisiorr of l:ltase
Contf aci gr: Ly!!S*$-iruU
Address: l?tlBqx 30$ lwin Fafis,lp_g$gQ
Phone: 208.733.1 739
Conlact nem€: S|acy Mavencanrp
,{ppraisalValue $lgffJ"g
liy i*itialinr.; r:acn i';e*r, y$Lt agirrlt ir tirr::c ls'ns & eil*dlti'ns:
f)eed or proof of ownership submitted?
Yes )t No-** {Attach copv}
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Xpress Bill Pay - Transaction Details
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XBP Confirmation Number: 3291367
It rransaction oetail ioi pavnreit to atv offi
Transaction Details
,mhW fify of fiexburg
3.5 Atorfhlsf Esst
Rexburg, lD 83440
Page I of I
$-75.00
Account #Item
PZ Sign Deposit
j Transaction Notes: Refund sign deposit - sign completed
Billing Information
NATHAN FULLER
, 83440
STACY@LYTTESTGNS.COM
Transaction Num ber: 2854957 4pTVisa - XXXX-XXXX-XXXX-0640
Status: Refunded
t,{a0 a1,
Original Transaction: 24901889pT :
*"-.;--- *,"_:a;ffi*'-
Quantity tte1n emount
TATAL:
Transaction taken by: y_
vTdS:,TI,r*
Email:srACy@LyrrESrcNS.coM pl!'T"rr
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About Us I Securitv I Jobs I FAe I Contact Us I privacv polcv
O 2003 - 2014 Xpre$s Bilt p&v
https ://www. xpressbillpay. com/common /trans_details.php?trans id:MzAzMzEzNDU
City of Rexburg
Total Amount Due:
Total Payment:
Code: REXBURG_Recpt934 24 )]014_elainem
Receipt#:934
Date:2/24/2014
165.00
r65.00
Page: I of I
Tender Typc / Descrintion Amo!ntCREDIT- Credit Card 165.00
Sub Total:165.00
Fees:
Fee Codcs/Dcscription Amounl
SIGN-PERM- Sign Permit Fee 100.00
SIGN-ELE- Sign Electrical Fee 65.00
Sub Total:165.00
Received By: elainem
Xpress Bill Pay - Transaction Details
Transaction Details
XBP Gonfirmation Number: 169530
*Transaction detail for to City of Rexburg.
iAccount # lltem
! ;PZ Processing FeL i1 i$2S.OO
1 lElectricalPermit ,1 $65.00
Notes: SIGN PERMTT #1+000f0 t7 oC a 7 2? ,fZ t l /V q.t L.tLa_- +tV{l"{-^
Page I ofl
Print - Close
Date:0212012014 - 3:32:54 PM
TATAL: S | 65.AA
Transaction taken by: mariannaBilling lnformation
NATHAN FULLER
,83440
Transaction Number: 24901 889PT
Visa XXXX-XXXX-XXXX-0640
Status:Successfu{
https : //www.xpressbillpay. corn/utils/printerFriendly.php 212012014