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Home My WebLink AboutAPPLICATION - 17-00205 - 250 W 2nd S - Porter Park - Beehive Pavillion�O PE%B ugC�v C IT Y OF REXBURG America's Family Community PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 The City of Rexburg Building Safety Department is determined to provide excellent customer service. In an effort to help you understand the City of Rexburg Permit Policies, listed below are several policies which you are required to know prior to proceeding with your project. Any construction within the City of Rexburg which requires a permit shall not begin until an approved permit is obtained. If you do not have a Pink Building Permit signed by the Building Inspector, then you do not have an approved permit. K� o Building without the pink building permit signed by the Building Inspector will result in double fees to be J assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City Initials Official may remove the red tag. If the red tag is removed by anyone but a City Official, citations may be issued. No building may be occupied without receiving a signed Certificate of Occupancy. (}� o If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the V/ occupants may be evicted. Initials Scheduling inspections is the responsibility of the applicant and their contractor. Inspections need to be called into the hotline and not to the inspector. Inspections called in later than 8 AM will be scheduled for the following business day. o If an inspection is not done, the inspector may require any measures to be taken to allow him to correctly perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been Initial: put up, the inspector may require the sheetrock to be removed in order to perform the electrical rough in inspection.) Construction on any project can begin ONLY when you have received a Pink Building Permit from the Building Department. Occupancy of any structure can begin ONLY when you have received an official Certificate of Occupancy from the Building Department. These documents must be signed by the appropriate authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2341. �p o Even if you hear from an inspector that'you're good to go', ultimately if you do not have a Building Permit or v Certificate of Occupancy, the above policies will be enforced. Initials It is your responsibility to inform anyone on your project of the above policies. All sub -contractors will be held to this standard with no exceptions. o The above policies will be enforced to all, regardless if this information is passed on to them or not. Initials Applicant's Name (print): Signature: Date: Inspections Must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www,rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 C IT Y OF REXBURG ty Amerfca4 Family Community BUILDING PERMIT FORM 405 Updattd 10/2016 BUILDING APPLICATION Commercial Accessory Structure Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Zoning: Application Fee Paid: O $100 1. Property Owner Name: Cl_Ty of REtrBw26 Address: City: State: Zip Code: Phone: Email: 2. Applicant Name: c -C, b�� ds-te G Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 3. General Contractor Under Idaho Building Code, a registered contractor is required to do construction on a commercial property. Name: Q - L • I� G 4AK I N G • Registration #: Exp.: Address: 1 b0 W • S PC) 5. City: udiktn,N-Pr State: ''t6 Zip Code: 034+0 Phone: Zd$} 656 -r(34¢ Email: Contact/Rep. Name: RuFt2 a Phone: 3S/- 4 F77 Email: b 6ak atr� �c •COIli7 General Contractor Authorized Signatures 0095ig � Date: t64-/ A copy ofyour state registration/license is required to ered to a on the first time you have done work in the City of Rexburg, please provide a photocopy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Structures less than 200 square feet do not need a building permit. Structures 200 square feet or larger need a building permit and must adhere to the setback rules of the zone in which they are built. Address: Project Description: R FX Int CA ILA W • Estimated Total Cost: $ 1161 1o0• �0- • Square Feet of Structure: sn _ sq. ft. • Type of structure: ❑ Deck ❑ Garage/Car port ❑ Shed/Shop ❑ Other: Explain pporo t -l -to N • Check All Included in Scope of Work: 0 Mechanical Work Cost: $ Nit ❑ Electrical Work Cost: $ j"6 ❑ Plumbing Work Cost: $ Wk Note: Any contractors involved will need to fill out their respective application. Building Permit fees for accessory structures are charged based on square footage and the City's estimated valuation. For details on how fees are calculated, contact the Building Department There will also be a plan review fee totaling 10% of the building permit fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print):IJthlft_ D� Signature: zlor_� Date: t i1 Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 C IT Y OF REXB V RG BUILDING PERMIT FORM Z Z O updattd [0120[6 America's Family Community BUILDING APPLICATION Commercial Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Electrical Fees Paid ❑ 1. Property Owner /� Name: arc&XIbVtkG Address: City: State: Zip Code: Phone: Email: 2. Electrical Contractor Under Idaho Building Code, a registeredcontractor must do the work for a Commercial Building. Business: V&-IA6OtJ EUCi State License #: Ele • 3$1X7 Exp.: K)6.s o101ri Address: - Vo'gc 141 City: ' °" "' AeMA State: 'ZD Zip Code: ?xA4_L Phone: oZOR- 340-3tti4 Email:,- El.eA)6,"c k , cot.,-. Contact/Rep. Name: G6e Phone: Email: Electrical Contractor Authorized Signature: Date: `f->'1-1 A copy ofyour state registration/license i. required to If file. If this is thefirst timeyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour li a se is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Descrip(�ion Address: Y62Ce2 PW Description of work: FIOMK ON ❑ Project Cost: $ 1U�1 • Fees for commercial projects are charged by cost: o First $10,000 = 296 + $60. From $10,000 to $100,000 = 1% + $260. Above $100,000 =.5% +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = $310 total • There will also be a plan review fee totaling 10% of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions ofthe 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Signature: Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 ♦4Oe pB%R URc,v v'O CITY OF REXBURG America's Family Community Excavation & Earthwork: Concrete: (*) • t,' g&K SUBCONTRACTOR LIST Masonry: 1 "6" WA-mb Roofing: & N F Insulation: Drywall: Painting: aJ \ R1Nltl"G Floor Coverings: Plumbing: Heating: Electrical: NevSOIJ Fc,gcAe Special Construction (Manufacturer or Supplier) Roof Trusses: �' �' C—a Floor/Ceiling Joists: Becx< / Siding/Exterior Trim: T*G Talm ' D • L-&&Cx Other: Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Inspection Hotline - (208) 372.2344 w .rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 CITY OF REXBURG ro, Americas Family Community Affidavit of Legal Interest Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 State of Idaho County of Madison BEEHNE FEDERAL I, CREDIT UNION . 10b? EZtkP5#N Dn / Po Box ¢a Name A77IJ ; L'jewa- Q(/�ut w Address x-94) r IT C City State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. 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 Z5 day of lA1°e—I L 20 (r-;�- Signatur Subscribed and sworn to before me the day and year first above written. Inspection Hotline - (208) 372.2344 Notary Public of Idaho Residing at: cS UCPa K �r l4y My commission expires: % " 7 ^ XO ..rexburg.arg Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG AmerimS Family Community DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Please provide the names and emails of anyone who should begetting automated updates for this project. Review Notes Name: eml*G 6V/r-/KOk4 Name: 5*17jc 2 Name: gtrAiiZ &A"q Fi nsiI n Name: Inspection Tickets Name: 6&16- C7(/wLoly Name: 5&ve 6ci46t Name: f5(-klp- pit Name: Name: Email: 61-4 VM^0 We heekvte .Ora Email: A W" O"I o Email: b ao,, Email: Email: Email: C ii,%tiL (2- baehtme.o✓Y Email:— Email. mail:—Email: Email: Email: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician- (208) 372.2341 Revised 10/2016