HomeMy WebLinkAboutAPPLICATION 2 - 16-00047 - 134 & 145 E Main St - Courthouse Security Upgrades - Phase 1a�at'Rc
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BUILDING PERMIT FORINT
Updated 1012016
Building Safety Department
City of Rexburg
35 North 1st East
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Rexburg, Idaho $3440
BUILDING APPLICATION
Commercial remodel
For Office Use
Permit Number: Application Fee: i7 $100
1. Property Owner
Name: Madison CouEly
Address: 134 E. Main. St. City: Rexburg state: ID Zip Code: 83440
Phone: 208.359.6244. Email: kmuir@co.madison.id.us
2. Applicant
Name: Madison County Role: (Owner, Tenant, Contractor, etc.) Owner
Address: 134 E. Main St. city; Rexburg States ID Zip Code: 83440
Phone: 208.359.6244 Email: krnuir@_co.madisonJd.us
Contact/Rep. Name: Kim Muir
3. General Contractor
Under Idaho Building Code, a registered contractor must do the work for a Commercial Building.
Name, Alan. Clark Construction Registration #: r%l�C� "37741 Exp.: 0
Address: 7057 North 5th East city: Idaho Falls State; ID Zip Code: 13401
Phone: 208.681.1255 Email: alanclarki@mnafl.com
Contact/Rep. Name: Alan Clark Phone: 208.681.1255 Email: alanclarkj@gm-ail.com
General Contractor Authorized Signature. Date:
A copy ofyour state registrationflicense is required to be ori file. if this is the first time you have done work in the City of Rexburg, please provide
a photo copy ofyour license. lfyou are unsure ifyour license is on file, please clleck with the Permit Technician by calling (208) 372-2341.
4. Project Description
Address: 159 E. Main St.
Description of Work: Access control upgrade, security renovations to doors, walls & windows.
Project Description:
•
Total cost of project - materials and labor. $ 148,800.00
• Check all that apply:
❑ Mechanical: Cost $ ❑ Electrical: Cost $ ❑ Plumbing: Cost $
❑ Fire Alarm: Cost $ ❑ Fire Sprinkler: Cost $
Note. Any contractors involved will need to fill out their respective application.
Change of Occupancy? N No ❑ Yes: New occupancy:
Building Permit fees far commercial construction are charged based on square footage and the city's estimated valuation. The
application fee applies toward the fee total, 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: lander penaity of perjury, I hereby certify that I have read this application and state that the information herein
Is correct and[ swear thatany information which may hereafter he 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: 1 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 mayrevGke a permit on approval issued tinder the provisions ofthe 2012
International Code in cases ofany False statement or misrepresentation of fact in rhe application or on the plans on which the permit or approval was based. Per"tvoid ifnot
started within 180 days. Permit void if workstops for 180 days,
Applicant's Name (print):
Signature:
Date:
Inspections must be called in before SAM on the day the inspection is requested. Inspection requests called in after SAM will be scheduled for the next business day.
Inspection Hotline—(208)372.2344 www.rexburgorg Permit Technician—(208) 372.2341