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Home My WebLink AboutAPPLICATION - 17-00416 - Walmart - Cell TowerC IT Y OF REXBURG Ani"Ica's Fornlly O mnruniry Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 COMMERCIAL ACCESSORY STRUCTURE APPLICATION CHECKLIST The following items should be completed before you submit your building permit application. *Reasonable accommodations will be made upon request. Submit the Following Documents: ❑ 3 sets of site plans drawn to scale ❑ 3 sets of building plans drawn to scale (see box to right) ❑ Include the following as applicable: Foundation Plan, Floor Joist Layout, Floor Plan, Roof Layout Truss Details, Sectional Views, Front, Back, and Side Elevations, Mechanical Layout, Stair Details, and any details required to illustrate special construction. ❑ Structural Calculations (see box to right) -stamped by a licensed Engineer Seismic Design Category - D ElDigital Plans (PDF Format- can be submitted by USB, CD, or Dropbox) Ground Snow - 50 lbs. per sq. tt.Roof Snow Load - 35 lbs. per sq. ft. ❑ **Copies of any Contractors' State License if not on file already. Wind Load - 90 MPH Frost Depth - 36" Complete the Following Forms: ❑ Permit Policies Acknowledgment signed. ❑ Property Line form signed by builder. ❑ Building Permit Application signed by a registered General Contractor. ❑ Mechanical Permit Application signed by a registered Mechanical Contractor. ❑ Electrical Permit Application signed by a registered Electrical Contractor. ❑ Plumbing Permit Application signed by a registered Plumbing Contractor. ❑ Subcontractor list completed. ❑ Affidavit of Legal interest signed by owner, if applicant is not working directly with owner. ❑ Notifications Distribution List. Subdivisions: If you plan to build in a subdivision please check the Rexburg Development Code for any requirements such as property setbacks, architecture board approval, etc. This information is available at htLp:,/,Irexburg.org/pages-4development-c de. Inspection Hotline- (200) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 C IT Y OF REXBURG. A wertali Family Cmumunity 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. 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 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 In;tials 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. 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. 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 assed on to them or not. initials y •y CONApplicant's Name (print): %AVIIAA6�4_Signature: DateW/7, Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests Nailed in after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexhurg.org Permit Technician - (208) 372.2341 Revised 10/2016 C1 T Y OF ]EURG Building Safety Department City of Rexburg 35 North 1St East 1110 M„” ,nr7lInUniv 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, see the front counter at the Community Development Department. I have read and understand the above requirements. Signature co(/ ��Z�ao Printed Na6e d M Inspection Hotline -(20B) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 ,� gEXatrgr, v C I T Y O F REXBURG 04 Aniarla6 Faindy Co7nmmnity BUILDING PERMIT FORM 4,05 updated 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: ❑ $100 I, Prol r e Name: Address: State: _2ipCade:n' Phonerr•rte�G,, +*� � Email: 2. Appfic nt Name: �� * Rol (Own r, Tenant, Contractor etc.) l Address: City: or ate: Zi Code: Phone: — Email: t e � -OAft w -Op Contact/Rep. Name: 3. General Contractor Under Idaho Building Code, a registered contractor is required to do construction on a commercial property. Name: Registration #: Exp,: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: Date: A copy ofyourstato registration/license is required to be on file. If this is the first time you hove done work in the City of Rexburg, please provide a photo copy ofyour license. /fyou are unsure iyour 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 setbactt rul s of the zone in which they ore built N d Address: �,,� �r C Project Descriptian:r �� a �a• 7� '�'i"f • Estimated Total Cost: $_r dQ A • Square Feet of Structure. sq. ft. • Type of structure: f by ; a. ❑ Deck ❑Garage/Car port ❑Shed/Shop � Other: Explain • Check All Included in Scope of Work: ❑ Mechanical Work Cost: $ ,(Electrical Work Cost: AI� ❑ Plumbing Work Cost: $ Note: Any contractors involved will need to fill out their respective application. Building Permitfees 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 permitfee. APPLICANT'S SIGNATURE, CER'T'IFICATION 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 T 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): *,"afk�oSignature: hate: Inspections must be called in before 8 AM on the day the inspection is requested. Inspection r[ques[5 [all n after 8 AM will be scheduled for the next business day. Inspection Hotline - (20B) 372.2344 www.rexburg.org Permit Technician - (20B) 372.2341 0-% C IT Y OF REXBURG Amerin6 Family Community BUILDING PERMIT FORM 210 Updated lU/2nlb BUILDING APPLICATION Commercial Mechanical Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: Mechanical Fees Paid ❑ 1. Property Owner Name: Address: City: State: Zip Code:. Phone: Email: 2. Mechanical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to be on file. If this is the/irst time you have clone work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: Description of work: ❑ Project Cost: $ • Fees for commercial projects are charged by cost: 0 First $10,000 = 2% + $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 = $310 total fee • There will also be a plan review fee totaling 10% of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by mein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply withal I City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Signature: Date: Inspections must be called in before SAM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled For the next business day. Inspection Hotline - (208) 372.2344 www.rexburg org Permit Technician - (208) 372.2341 C IT Y OF REXBURG Amrnlca$ lwn:rly Cammimify BUILDING PERMIT FORM Z2O Updared 30/2016 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. Pre: V 0 nor � Rei �i ,� f Name: Address: + City: � ju le State: _ Zip Code: Phone: Email: 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the workfor a Commercial Building. Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to he on file. If this is the first timeyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Projectesboll k4 Address: Pcri / Description of work: V1 { e4 a. �l ca ❑ Project Cost: $ WFLOQ • Fees for commercial projects are charged by cost: 0 First $10,000 = 296 + $60. From $10,000 to $100,000 = 19/0 + $260. Above $100,000 =.5910 +$1,160. i.e. Work costing $15,000 will be charged $260 for the first$10,000 and 1 Ya of the remaining $5,000 = $260 + $50 = $310 total ee • 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 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 mein 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 relatingto 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. 67 (V $4441 -C Applicant's Name (print): gnature, 7 1 Date: Inspections must he called in before 8 AM on the day the inspection is requested. Inspection requestscallein after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburgorg Permit Technician - (208) 372.2341 C I T Y O F REXBURG (isr ;1rne^ C48 FO"Jity C',Orrrrnrrnity BUILDING PERMIT FORM 230 updated 10/2016 BUILDING APPLICATION Commercial Plumbing Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: Plumbing Fees Paid ❑ 1. Property Owner Name: Address: City: State: Zip Code: Phone: Email: 2. Plumbing Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Plumbing Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to be on file. If this is the first time you have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: Description of work: ❑ Project Cost: $ • Fees for commercial projects are charged by cost. o First $10,000 = 2% + $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 = S310 total fee • 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 I have read this application and state that the information herein is correctand I swear thatany information which may hereafter be given by me in hearings before the Planningand 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): 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) 372.1341 J� AFxarfRr,, C I T Y O F r REXBURG .a Aineriuu Family r mrmuinty SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: Drywall: Painting: Floor Coverings: Plumbing: Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Siding/Exterior Trim: Other Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 Inspection Hotline - (208) 372.2344 www,rexburg.org Permit Technician - (200) 372.2341 Revised 10/2016 C I TY TOy�7F�-{� [� Ty V RG Americo Forniiy f;prnr rnipity State of Idaho County of Madison I, Name Affidavit of Legal Interest Address City State 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 15t East Rexburg, Idaho 83440 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 day of 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 C I T Y O F REXBURG ti o AmcTica' Fam ity 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 roject Review Notes Name: Email: Name: Email: Name: Email: Name: Email: Name: Email: Inspection Tickets Name: Email: Name: Email: Name: Email: Name: Email: Name: Email: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016