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Home My WebLink AboutAPPLICATION - 17-00628 - 220 E 2nd N - RemodelCITY or REXBURG CW Amerirds rvmily Cmnmonify 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. M( o Building without the pink building permit signed by the Building Inspector will result in double fees to be 1 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 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. 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 passed on to them or not. Initials Applicant's Name (print): —&A 1 MITI � .(L Signature: ) Dz, . N 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 busines>, iay. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10, )16 C IT Y OF REXBURG CI. Arnerkai Family Canmunity Building Safety Department -- City of Rexburg 35 North 1st East Rexburg, Idaho 83440 COMMERCIAL REMODEL/TENANT IMPROVEMENT 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: El 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. ❑ Electrical panel layout and calculations included with building plans. ❑ Exterior Lighting Plan including photometric layout. 13 ❑ r ❑ **Copies of any Contractors' State License if not on file already. Complete the Following Forms ❑ Permit Policies Acknowledgment signed ❑ Building Permit Application signed by a registered General Contractor R Me etet {.l_nl + �I o ..,:« n., n,...«;,.,, .. ,.nom - ..,. ter, , ZJj' G � Gl,.]GU L,GI. L, ,,. (•I lVI3'CT FSI'CUr 1 ❑ Plumbing Permit Application signed by a licensed Plumbing Contractor ❑Fire Alarm Permit Application (if applicable) signed by a registered professional ❑ Fire Sprinkler Permit Application (if applicable) signed by a registered professional ✓❑ Subcontractor list filled out �❑ Affidavit of Legal Interest signed by owner ❑ Not#fie-ations-DistrtbttttMrtist— ❑ Business Use Summary Completed 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 http://rexburg.org/12ages/development-code. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG America', Fmnily funnnunity Building Safety Department BUILDING PERMIT FORM 201 City of Rexburg °p°°"°'°/ °'° 35 North 1st East BUILDING APPLICATION Commercial Remodel Rexburg, Idaho 83440 For Office Use Permit Number: Application Fee: ❑ $100 1. Property Owner Name: EddT= ( rI)'A"fca\ QfG ' til ) Address: 4 31q � `Lbh M City: V A64 State: �l Zip Code: VLA12 Phone: ? Y{ d I t0� �tl5,7 'Entail: LyyZrA)fua • (LM 2. Applicant t Name: MacI,� �.�` 6q Role: (Owner, Tenant, Contractor, etc.) I-DNU(hf Address: ��jlp� �1�2C City: d ra_ State:'_ Zip Code: Phone: EmErxM�> Contact/Rep. Name: General Contractor Under ldaho Building Code, a registered contractor must do the work for a Commercial Building, Name: Registration #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: Date: A copy ofyourstate registration/license is required to be 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. 4. Project Description Address: 1a( Lm\ t) i 434W) Description of Work: Project Description: • Total cost of project- materials and labor: $ 2cti • 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? ❑ No Ryes: New occupancy: 4(c CL9 � Building Permit fees for 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 permitfee. APPLICANTS 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 1 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. 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 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. Permitvoidifnot started within 180 days. Permit void if work stops for 180 days. (` Applicant's Name (print): (&A UY/1l 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 b teduled for the next business day. Inspection Hotline - (208) 372.2344 www,rexburg.org Permit Technician - (208) 372.2341 ASOQ yEXBUgC,O clTr OF REXBURG civ Amerimi Family Community BUILDING PERMIT FORM 230 uoa.ed to/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: -VA kkrl 7 1 t -i Address: rc1 /L 116 F_ %fedi PJ City: R glQT State:._ Zip Code: g ,AZZ UA Phone: 11(AMF)i Email:J mm0f nuxi.Locri 2. Plumbing Contractor Under Idaho Building Code, a registered contractor must dote r for a Commercial Building. f� 11 ;_ Business: e ! �a�a Ca��s PjJ O'Nh CO %State License #: Exp.: 12!- 31 Address: $5 1l A) Fl 44- P L City: 06110 14 state: =I zip Code: R 3 q6 ( Phone: 208— Email: 1 4et. F Plum!2ejr cam Qp(, o.vl Contact/Rep. Name: t\- 6th foe 0 Phone: ZtGSS 50-3zlll Email: 7X i'- P(iJ.•n�rr'D4QI cow( Plumbing Contractor Authorized Signature: 4 G4 7Z4r� Date: I —a—! J A copy ofyour state registration/license is required to be on file. If this is the first ti eyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ffyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: ILID E ryl Lacw�L2CXf� (r i 43L1t�v Description of work: �Annlr1ratrfi Wroject Cost: $ �) -,Ay- • Feesfor commercial projects are charged by cost. 0 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 196 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 ofperjury, 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 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 may revoke a permit on approval issued under the provisions of the 2012 International Code in cases ofany false statement or misrepresentation of fad in the application or on the plans on which the permit or approval was based. Permitvoldifnot started within 1BO days. Permit void if work stops for 180 days. Applicant's Name (print): !I UV 1(iNi-7 Signature: Date: An, 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 Submit by E-mail 35 North I1f East Rexburg, ID 83440 Affidavit of Legal Interest City of Rexburg State of Idaho County of Madison I, ALO Name IZe-CJ' tn^n City Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3022 10-2(06 10ztoa 5 600 Address adaKD State CITY OF REXBURG Americo', F=ity Community 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��e property described on the attached and I grant my permission to: Nammee rPdi�Lf.�l ALd AddAress 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 —T SPG ttqday of O'G 20� Signature Subscribed and sworn to before me the day and year first above written. i No . • u Lc of Idaho "p r Residing at:� My commission expires: 122.1 AMANDA BARGIS 11 --------- - J] NOTARY PUBLIC STATE OF IDAHO