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HomeMy WebLinkAboutALL DOCS - 16-00469 - Farm Bureau Insurance Madison County - Sign35N. lnE.a[xavq Rexburg, iD 83440 Sign Permit Application-� ` PlanningZoning®rexburg.org Ci www.rexburg.org City of Rexburg (:rxn m Phone: 208.372.2348 Fax: 208.359.3022 Hotline: 208.372.2344 or Textinspections®rexburg.org Amcrims Family Fixed Signage JUL g 201& Applicant Information Owner Name: Farm Bureau Insurance - Madison County Site Address: 1116 Bond ave, Mailing Address: 1116 Bond Ave, Rexburg City/State/Zip: Rexburg, ID, 83440 Telephone: (208) 3564439 Mobile: Contractor Information Contractor's Name: Sign Pro Email: Andrew@posignpro.com Contractor's Address: 1792 S Yellowstone Hwy City/State/Zip: Idaho Falls, ID 83402 Contractor's Phone: (208) 523.8540 Mobile: (206) 681-7446 Electrical/Specialty Contractor Information (for powered or lighted signs) Contractor Information i Contractors Name: Sign -Works, Inc. UCenSei#- ELE-SC-29265 Exp Date: 3tarrr6 Contractors Address: 1752 S Yellowstone Hwy City/State/Zip: Idaho Falls, ID 83402 Contractor's Phone: (203)523.6540 Email: andrew@gosignpro.com Contractor's Signature: — Datp. Sign information Sign Area sq ft: 63.87 sq ft Sign Height (from ground): 15' Sign Description: Freestanding Monument Sign For a Sign Permit it is mandatory that you have the following information: 1. 2 Sets of elevation drawings of a sign & (plot plots itapplicable 2. Drawn to scale with dimensions and complete construction materials 3. Footings if applicable 4. Engineer stamped if required FREE STANDING SIGN WALL SIGNS PLOT PLAN TO SCALE SHOWING: 7 A) SO, FOOTAGE OF WALL (that the sign is on) A) BUILDING LOCATION B) EXISTING SIGNS & AREA I B) LOT SIZE C) NEW SIGN & AREA _ C) NEW SIGN LOCATION D) LOCATION OF SIGN ON WALL D) DIMENSIONS TO SIGN FROM PROPERTY LINES '.] E) IS SIGN LIGHTED? YES NO (must meetstote electrical code) • E) PARKING LAT ENTRANCES (sign must be in legal zone for lighting and type) C F) DISTANCE OF SIGN FROM RIGHT OF WAY G) EXISTING SIGNS LOCASW & AREA H) IS SIGN LIGHTED? YES NO (must meet state electrical code) (sign must be in legal zone for lighting and type) Fee: $100' - $75.00 refundable at time of final inspection and photo of completed sign. Initials: AP An extra $65.00 charge will be applied to any powered or lighted sign. Initials: AP 'Electrical inspecti n of sign must be completed with sign contractor present to verify listing and labeling within interior of the sign. Signature of Appli nt: Date. -7 Ir I i co Note: This document is for ap kation proposes only. (the legal sign permit form must be signed by city officials before sign is approved) For Sign Ordinance see Chapter 10 of the Development Code at www.rexbure.org for regulation information. 12" Farm Bureau Ins ince: 1116 Bond Ave, Rexburg, ID 83440 m 5/GNPRO 0 Ouff. 'ry r1,0e 800-939-8540 roll free 208-523-8560 phone 208-523.8948 fax 1792 S. Yellowstone Hwy Idaho Falls, 0 83401 www.gp�iynpo.com © Copyright 2016 New Monument Sign T,- Farm Bureau Insurance: 1116 Bond Ave, Rexburg, ID 83440 Current Monument Sign > El Scope of Work: Remove current monument sign Install new monument sign in new to lVn�` 5/GN/'RO 800-939-8540 toll free 28&52"54jYlhon�2t] -523.8948 tax 1792 S. Yellowstone Hwy Idaho Falls, ID 83401 WM goSignp2G4m ll CAL CONTRACTOR0.1 Mc yen COpyfight 2 LICENSE NUMBER 29265 Q� 11STE0 Farm Bureau Insurance: 1116 Bond Ave, Rexburg, ID 83440 5/GNPRL7 Farm 9uroaw INSURANCE l.. .. PO 800.939.8540 toll free 208-523-8540 phone 208.523.8948 fax 1192 S. Yellowstone Hwy Idaho Falls, ID 83401 www.goignpromm MEMBER MEMBEfi ELECTRICAL CONTRACTOR Q J �C� Copyright 2016 LICENSE NUMBER 29265 mho j CLAW FORM VENDOR # VENDOR NAME 2nd LINE NAME ADDRESS CITY, STATE, ZIP �oe ncr' CITY OF REXBURG America's Family Community 's�eo 51 CVL PYc DATE DH APPROVAL CC APPROVAL 313(I2017 DESCRIPTION ACCT# ACCT DESCRIPTION AMOUNT t�ov�c�I gLe,P� 4n �Ilz�tc�, s'� Li 1-7 , `-- 41t141t . CLAIMANT OR HIS AGENT SIGN HERE Xpress Bill Pay - Payment Processing ci„ or REXBURG XBP Confirmation Number: 19227278 https://wwwvgressbillpay.com/common/payment_process.php City of Rexburg 35 N tat East I PO Box 280 Rexburg, ID 83440 208-359-3020 ub@mxburg.org Transaction detail for payment to City of Rexburg. Date: 07/07/2016 - 4:42:51 PM Transaction Number: 53920442PT Visa — XXXX-XXXX-XXXX-5813 Status: Successful Account# 16-00469 Notes: Permit 16-00469 Permit 16-00469 Notes: Permit 16-00469 16-00469 Notes: Permit 16-00469 Billing Information Sign Pro Sign Pro Idaho Falls, ID 83402 208-523-8540 andrew@gosignpro.com Item PZ Sign Deposit Electrical Permit PZSIGN- Sign Permit Revenue Quantity Item Amount 1 $75.00 1 $65.00 1 $25.00 TOTAL: $165.00 Transaction taken by: natalie 1 of 1 7/7/2016 4:42 PM Transaction Details CI I Or REXBURG XBP Confirmation Number: 28428452 City of Rexburg 35 N 1st East I PO Box 280 Rexburg, ID 83440 t Transaction detail for payment to City of Rexburg. Date: 04/06/2017 -11:30:48 AM Transaction Number: 66503613PT Visa — XXXX-XXXX-XXXX-5813 Status: Refunded Account# Item 16-00469 PZ Sign Deposit Transaction Notes: SIGN PASSED INSPECTION PERMIT 16-00469 Billing Information Sign Pro Sign Pro Idaho Falls, ID 83402 208-523-8540 andrew@gosignpro.com Quantity Item Amount 1 $-75.00 TOTAL: $-75.010 J Transaction taken by: amandaw Email: andrew@gosignpro.com Xpress Bill Pay - Payment Processing µiSipiC circ or REXBURG A:..nru� thm�i.',,i•C'ammvrcrtr XBP Confirmation Number: 19227278 https://www.xgressbillpay.com/common/payment_irocess.php City of Rexburg 35 N 1st East I PO Box 280 Rexburg, ID 83440 208-359-3020 ub@rexburg.org Transaction detail for payment to City of Rexburg. Date: 07/07/2016 - 4:42:51 PM Transaction Number: 53920442PT Visa — XXXX-XXXX-XXXX-5813 Status: Successful Account# 16-00469 Notes: Permit 16-00469 Permit 16-00469 Notes: Permit 16-00469 16-00469 Notes: Permit 16-00469 Billing Information Sign Pro Sign Pro Idaho Falls, ID 83402 208-523-8540 andrew@gosignpro.com Item PZ Sign Deposit Electrical Permit PZSIGN- Sign Permit Revenue Quantity Item Amount 1 $75.00 1 $65.00 1 $25.00 TOTAL: $165.00 Transaction taken by: natalie 1 of 1 7/7/2016 4:42 PM CITY REXBURG I�w Americas Family Community Community Development Department PO Box 280 Date: 07 16 Rexburg, ID 83440 5149 Receipt #: 51a9 Phone (208)359-3020 1 Fax (208)359-3022 Inspection Hotline (208)372-2344 PAYMENT IN FORMATION PROJECT DETAILS PERNIFT DETAILS Paid By: Sign Pro Project: Farts Bureau Insurance Permit #: 16-00469 Tender Type: CREDIT Madison County - Sign Permit Type: SIGN Reference/ Check #: Address: 1116 Bond Ave FEE CODE FEE CODE DESCRIPTION SIGN -DEP Sign Permit Deposit 2822000 PZSD 75.00 SIGN-ELE Sign Electrical Fee 2832213 ELP 65.00 SIGN -PERM Sign Permit Fee 2832320 PZSIGN 25.00 Please contact the Building Department at (208)372-2341 for further questions about this receipt 24 Hour Notice for inspections Call inspection hotline at (208)372-2344 ***Credit card payments are accepted, but are subject to a 3% convenience fee on payment amounts over $500*** 1