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
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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.