The URL can be used to link to this page

Home My WebLink AboutAPPLICATIONS 2 - 16-00577 - 117 S 2nd E - Mattson Apts - Bldg B NO 23 UnitsCITY OF REXBURG t» Americas Family Community Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 COMMERCIAL/MULTI-FAMILY APPLICATION CHECKLIST The following items should be completed before you submit your building permit appli( *Reasonable accommodations will be made upon request Complete the Following: in 3 sets of site plans (see Site Plan Checklist on page 2) In 3 sets of building plans (see box below) - stamped by a licensed professional ❑ Electrical panel layout and calculations included with building plans. ❑ Exterior Lighting Plan including photometric layout. �Dyal Plans (PDF Format - can be submitted by USB, CD, or Dropbox) 0/ Structural Calculations (see box below) - stamped by a licensed Engineer ❑ Energy Compliance Report: As per the 2012 IECC, a COMCheck is required (available online at www.energycodes.goov) Permit Policies Acknowledgment signed. (see page 3) Building Permit Application signed by a registered General Contractor. (see page 4) ❑ --Exemptions from State Registration (see page 5) Affidavit of Legal Interest signed. (see page 6) Property Line form signed by builder. (see page 7) ❑Mechanical Permit Application signed by a registered Mechanical Contractor. (see page 8) [:1 Electrical Permit Application signed by a registered Electrical Contractor. (see page 9) ❑ Plumbing Permit Application signed by a registered Plumbing Contractor. (see page 10) ❑ Fire Alarm Permit Application (if applicable) signed by a registered professional. (see page 11) Fire Sprinkler Permit Application (if applicable) signed by a registered professional. (see page 12) Subcontractor list filled out. (see page 13) 0 Commercial Projects: Completed Business Use Summary. (see page 14) SeismicDesignCategory - D (unless soil evaluation confirms category C) Ground Snow 50 lbs. per sq. ft. Roof Snow Load - 35 lbs. per sq. ft Wind Load-- 90 MPH Frost Depth -36 Permit Technician—(208)372.2341 Revised March, 2016 C I 1' OF REXBURG ow Americ A Family Qnnnwnily Submit By Email BUILDING APPLICATION Commercial/Multi-family Residence Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Digital Plans'. Included: '❑ CD ❑ USB [7 Dropbox ❑ Not Included' Permit Number: Permit Type: ❑ New ❑ Remodel D Addition' Deposit Amount: . , 1. Property Owner 'An Name: I<-YP t Address; 51.17 / L� - P y� City: State: 01/- Zip Code:7,xZ' Phone&Type:5G3-2fU-[93') ❑OfficeMMobile Email: °r' k lMa �_U%P3r �m�� 11%inyeS vS. c��w� Under Idaho Building Code, a contractor must do the work for a Commercial Building. 2. Applicant nq j Name: w C- fY la4isvrn Role;Contractor, etc.) 7,r��i02v Address: 4901An. ��D ,(O city: �sIn lar State: -TZip Code: 2 Phone & Type: / lirOfffce ❑ Mobile Email: ot- f 1 nz i l ca'm Contact/Rep. Name dd m •P Phone: Email: 3. Genera}} Contractorf RC Name: �4yr,rczZ'&, Registration.: -G-1331 Exp: Address: 43q W. 7SIC90 S_ City: V Z4`State: SaZ>. Zip Code: 4 3 K SS Phone & Type$ 113'2 TO ❑ Office f@Mobile Email: S s{ re i CJ 1n ti rs cc . co - Contact/Rep. Name:TwSo.. Si-^c� i- Phone: Email: l General Contractor Authorized Signature: -- Date: (b 4. Project Description �S Address: - 6 I S OR- Lot #: _ Block #: _ Subdivision: Type of work: Checkone: 19NewConstruction []Remodel* ❑Addition* Check all that apply: '®'Framing W Mechanical Plumbing R Electrical NOTE: Any sub -contractors involved will need to submit their own signed applications. Description of work: *Total cost of project - materials and labor: $ (used to calculate permit fees) # Of Buildings: r Building 1: Units /A0-" sq. ft Building 2: _Units sq. fL Building 3: Units sq. ft. Additional Buildings: Utility, Misc, Private Garage: sq. fL Storage: sq. ft. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenalty ofperjury, I hereby certifythatl have read this application and state that the information herein is correct and 1 swear thatany information which may hereafterbe given byme in hearings before the Planning and Zoning Commission orthe City Council for the Cityof Rexburg shalibe truthful and correct. I agree to complywith all City regulations and State laws reladngto the subjectmatterofthis application and hereby authorized representatives ofthe 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 rmisrepresentation of fact in the application or on the plans onwhich the permit or approval was based. Permitvoidifnot started within 180 days. Permitvoid ifworkstops for 180 days. LJ�f ' Applicant's Name (print): a: r ( C I ! I -g04 Signature:Date:% /,(1 Inspections must be called in before 8 AM on the day the inspection is requested. inspection requests called in after8 will be scheduled forthe nextbusiness day. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 The City CITY OF REXBURG cW Amedods Family Community Permit Policies Acknowledgement Building Safety Department xburg Building Safety Department is determined to provide excellent customer ser the CIty of Rexburg Permit Policies, listed below are several policies which you are proceeding with your project City of Rexburg 35 North 1st East Rexburg, Idaho 83440 an effort to help you :d to know prior to 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 o Building without the pink building permit signed by the Building Inspector will result in double fees to be assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City In@ials Official may remove the red tag. If the red tag is removed by anyone but a City Official, citations will be issued. No building may be occupied without receiving a signed Certificate of Occupancy. ;10If a building is occupied without receiving a signed Certificate of Occupancy, citations will be issued and the occupants will be evicted. Inhials Calling in 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 n ials put up, the inspector may require the sheetrock be removed in order to perform the electrical rough in inspection.) Any approval for Certificate of Occupancies and Building Permits is only verified through the permit Technician. If an inspector says something like "You're good to go", understand that you still need to receive all relevant documentation from the Permit Technician before you are truly good to go. o Even if you hear from an inspector that'you re good to go', ultimately if you do not have a Building Permit or Certificate of Occupancy, the above policies will be enforced. inRials It is your responsibility to relay this information on to anyone who this would be applicable to for your project. All sub -contractors will he held to this standard with no exceptions. o The above policies will be enforced to all, regardless if you pass this information on to them or not Initials ��! Applicant's Name (print): W4 r C Mat' &r Signature: Ile Date: r��b Inspections must be called in before 8 AMonthe day the inspection is requested. Inspection requests called in after SAM will be scheduled for the rm tbusiness day. Inspection Hotline -(208)372.2344 www.mxburg.org Permit Technician -(208)372.2341 Revised March, 2016 C ITY OF Building Safety Department a REXBURG City of Rexburg CW 35 North 15t East Amenw#Family Community 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 Developers 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, see the front counter at the Community Development Department. I have read and understand the above requirements. /' 4,1 signature fir/ 1nA-1A-o Printed Name Date Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 A;oE p£XBUgUfQ CITY OF Building Safety Department REXBURG City of Rexburg 041 35 North 1st East Americas ramify Community 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 ¢(No Will the business be doing any structural/or remodeling changes to the building? ❑ Yes 460 Any changes to the electrical? ❑ Yes p No Any changes to the plumbing? ❑ Yes XNo Any changes to the mechanical system? ❑ Yes gNo Is the business type changing? ❑ Yes, it will change to AW',--: mPrft �L JAVtsl�iA�_ o No Is this business changing ownership? ❑ Yes WNo Is the business registered with the City of Rexburg? ❑ Yes, License It: 5rNo *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? ❑ Yes MN Will there be any cooking of foods? ❑ Yes "o Will there be any deep fat frying? ❑ Yes 9rNo Will you have food disposal on site? ❑ Yes OrNo Will there be sumps or floor drains in the facility? ❑ Yes qKNo Will the business have any chemicals on site? G /?d n nS S K �° i� es gYes .2 No Applicants Signature Phone Date 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 .rezburg.org Permit Technician -(208)372.2341 Revised March. 2016 CITY o P Building Safety Department REXBCity of Rexburg r>pW 35 North 1st East Americak Family Community Rexburg, Idaho 83440 Affidavit of Legal Interest State of Idaho County of Madison agvaucc city Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) Address 0/� State 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. 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 d41 day of u 20Its DV Signature Subscribed and sworn to before me the day and year first above written. Jennifer Schernecker Notary Public State of Idaho Inspection Hotline -(200) 372.2344 Notary Residing at: ''t;i •,tcEjt�tu€`3i'�xsaty My commission expires: Res¢Ang it. Ptigby. m �pnma5B101t 6➢XPUE5 i. l y�+. w .rexhurg.org Permit Technician -(208)372.2341 Revised March, 2016