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HomeMy WebLinkAboutAPPLICATIONS - 16-00689 - Central Storage - New UnitsCITY OF REXBURG en, Ameriw's FBmi(y Cum munity Building Safety Department Submit By Email City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Property Lines Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these lines in reference to the public right-of-way, other adjoining property lines, the street, other structures and all utility lines. The Developer should find property pins that are still available at the lot in question. If these pins do not exist or have become unrecognizable then a new survey should be performed. Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal descriptions should be checked. The best way to identify property line location is with a land survey. The City of Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not guaranteed for accuracy. If you want to request a copy of your lot, seethe front counter at the Community Development Department. I have read and understand the above requirements. Signature Printer d Name Inspection Hottim - (208) 372.2344 w ,mxburg.oq 1 Date fJ (' � c �-- ��et r f � ►1 71�- a7 CITY OF 1\EXB V RG SubmR By Email Amerimi Fmniiy Community BUILDING APPLICATION Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Permit Type: ❑ New ❑ Remodel ❑ Addition ❑ Basement Finish Fees Paid: ❑ Yes ❑ No 1. -Proper 0yy✓✓ner Name: Il'X1 �ore��@Y1 Address: City: f" 19 � State: � Zip Code -.S34 �� Phone&Type: ablo — 9`%L{c% ❑OfficeKMobile Email: Under Idaho Building Code, a homeowner is allowed to do work on their own home. Are you a homeowner doing work on your own home? []Yes (Skip to #3 and complete the Homeowner's Exemption page) 1 No: I am a contractor working for the homeowner ❑ No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need to submit their own signed applications. 2. Electrical Contractor Name:. Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: ❑ Office ❑ Mobile Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: Date: 3. Project Dg� p�Q n �/ Address: `l '"1' `Y Q46V r -OR- Lot #:_ Block #: _ Subdivision: Check one: ❑ Ingle -family Residence ❑ Multi -family Residence Commercial Check one: ANew Construction* Rem del ❑ Addition [� sement Finish Description of work: New Commercial Work: Contracted amount: $ 1S eoo.00 Calculated Fee (See Below): $ .C)0 ❑ Up to $10,000 = (total cost of system x.02) + $60 0$10,001-$100,000 = ((total cost of system -10,000) x.01) + $260 ❑ Over $100,001= ((total cost of system 100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft ❑ Up to 1,500 Sq. Ft = $130 ❑ 1,501-2,500 Sq. Ft = $195 ❑ 2,501-3,500 Sq. Ft = $260 ❑ 3,501-4,500 Sq. Ft = $325 ❑ Over 4,500 Sq. Ft = $325+(65 x # ofadditional 1,000 Sq. Ft (or portion thereof)) $ New Multi -Family Residential: ❑ Duplex= $260 ❑ Three or more units= $((130 x# of buildings)+(65 x # of units))$ New work on any other residence and Detached Shops:_ (65 + (10 x # ofbranch circuits)) Miscellaneous: ❑ Small Works (work costing less than $200 with no change in service connection)=$10(needs no inspection. ❑ Central Heating/Cooling Systems= $65 ❑ Spas,. Hot Tubs, and Swimming. Pools= $65 ❑ Requested Inspection= $65 ❑ Pumps -Water, Irrigation, Sewage (per motor) = ❑ $65 up to 25HP ❑ $95 26- 200HP ❑ $130 over 200HP ❑Irrigation Machine= $65 for center pivot+ $10 per tower of drive motor $: ❑ Technical Service = $65/hour ❑ Temporary Amusement $65 + $10 per ride, concession, or generator. $ ❑ Plan Check =10% of Contracted Amoun Temporary Construction Services ONLY = $65 200 amp or less One location for less than l ear. APPLICANTS SIGNATURE, CERTIFICATION ANDAUTHORIZATION: Underpenalty, of perjury, l herebycertifythatl have read this application and stam thatthe information herein is correct and I swear that anyinfomtation which mayhereafterbe given byme in hearings before the Planning and Zoning Commission orthe City Council for the City of Rexburg shag be truthful and correct. I agree to complywith all Cityregulations and State laws relatingto the subject matter ofthis application andherebyauthorieed representatives ofthe City to enter upon the above-mentioned property for br speclions purposes. NOTE: The building official may revoke a permit on approval issued under the provisions ofthe 2012 International Code in cases ofanylialse statement ormisrermsemation offact lathe application or on the plans on whichthe permitorappmvalwas based. Permitvoidifnot started within 180 days. Permkvok1 rkstopsforl ys. Applicant's Name (print): fj&- Iffe((I Signature: Ej%&AAtL Date:._ rf I -1b r' Inspections most be Had inbefore SAM on the day the inspection is requested. Inspection requests called inafter8 AM will be scheduled forthe nextbusiness day. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG Amerim's Family Cammanity State of Idaho County o Madison Name City Submit By Email Affidavit of Legal Interest Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 3� Al 3c;),L Address State A. That I am the record owner of the property described on the attached, and I grant my permission to: H.)15 410J 'K1(9by,T1) g3ggc-- Name NC Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this �� -S✓ Af day of 20'z4?_ Sign Subscribed and sworn to before me the day and year first above written. expires: 11, 3'DQd` Inspection Hotflm , (208) 372.2344 w rexburg.org Permit Tecbnieian-(208)372.2341 Revised March, 2016 UQ gBXBV4p CITY OF REXBURG CW— America Family Community Excavation & Earthwork: Concrete: U Ce— Masonry: Roofing: _ Insulation: Drywall: IN l I Painting: IV T\ Floor Coverings: I J \ Plumbing: Heating: IN 1\ Electrical: L+ F �,l e -A( C. Building Safety Department Submit ey Email City of Rexburg 35 North 15L East Rexburg, Idaho 83440 Subcontractor List A Special Construction (Manufacturer or Supplier) Roof Trusses: 5 na Vo—, �V i�J� :It ((� � s J Floor/Ceiling Joists: c o yAc re—+ —r ' I Dor AdSiding/Exterior Trim: AdPa 4:xW O .S Other: Inspection Hotline -(208)372.2344 vnavrexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG N, America's Family Community Building Safety Department Submit BY Email City of Rexburg 35 North In East Rexburg, Idaho 83440 BUSINESS USE SUMMARY The following questions will help speed the review process along. Please take the time to answer all of them. Is this business occupying an existing building? ❑ Yes JoNo Will the business be doing any structural/or remodeling changes to the building? []Yes *0 Any changes to the electrical? []Yes PNO Any changes to the plumbing? ❑Yes %No Any changes to the mechanical system? ❑Yes F Is the business type changing? ❑Yes, it will change to 1�.No Is this business changing ownership? ❑Yes ((No Is the business registered with the City of Rexburg? ❑Yes, License #: *If No, please apply for a business license with the Customer Service Dept Will the business have food preparations? Will there be any cooldng of foods? Will there be any deep fat frying? Will you have food disposal on site? Will there be sumps or floor drains in the facility? Will the business have any chemicals on site? Applicants Signature Phone Date []No []Yes #No []Yes *0 ❑YesfNo []Yes tNo ❑Yes �No ❑Yes fIo I certify that the information that I have provided above is to the best of my knowledge accurate and true. Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 Bureau of Occupational Licenses Department of Self Governing Agencies The penton named has met the requirements for registration and is entitled under the laws and Ones of the State of Idaho to operate as a(ni REGISTERED ENTITY CONTRACTOR BRUCE KARREN CONSTRUCTION INC BRUCE KARREN --4215 E 410 N` RIGBY ID 83442 Tana Co 13 09122f2017 Chief, B.O.L.LL R Number Expires 0 Madison County Parcel Report Parcel Number: RPRXBCA0254820 Primary Owner: CENTRAL STORAGE LLC Secondary Owner: Site Address: 424 Pioneer Rd Rexburg 83440 Mailing Address: 4226 E 400 N RIGBY ID 83442 Acreage: 2.72 GIS Square Feet: 118,425 GIS Acres: 2.719 Total Value: $703,340 Year Inspected: 2011 Last Year Taxes: $12,042.20 Current Taxes: Legal Description: REXBURG CITY ACREAGE TAX 287 Deed Number: 242339 297533 325072 Report generated: 9/28/2016 7:49:59 PM Category TCA Description Acreage 42 1000 Improvements on Land 0.000 Category 21 21 1000 Commercial Lot or Acreage 2.720 Value $481,660 $221,680 Total Value: $703,340 This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. t � i 1 i Category TCA Description Acreage 42 1000 Improvements on Land 0.000 Category 21 21 1000 Commercial Lot or Acreage 2.720 Value $481,660 $221,680 Total Value: $703,340 This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable.