HomeMy WebLinkAboutAPPLICATION - 17-00664 - 44 S Center - Commercial Remodel (Roof Only)CITY OF
REXBURG
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Amerlcai 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
a roved ermit.
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 Official may remove the red
Initials 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.
0 If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants
may be evicted.
Initials
A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans.
It is the Applicant's responsibility to turn in digital copies of the As -Built Plans when the project is completed. No
Certificate of Occupancy will be issued without these plans.
Ini[Ia IS
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 Required inspections can he found on the inspection sequence page in this packet 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 sheeirock has been put up, the inspector may require the sheetrock to
Initials 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.
o A verbal approval does not constitute approval of these documents. Ultimately if you do not have a Building Permit or
Certificate of Occupancy, the above policies will be enforced. These documents must be signed by the appropriate
Initials authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2341.
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 afterEl AM will be scheduled for the next business day.
Inspection Hotline -(208)372.2344 anvvrexburg.org Permit Technician -(208)372.2341 Revised 2/2017
C IT Y OF
REXBURG
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America's Family community
BUILDING PERMIT FORM
201
Uptlatetl 10/2016
BUILDING APPLICATION
Commercial Remodel
Building Safety Department
City of Rexburg
35 North 1%t East
Rexburg, Idaho 83440
For Office Use L
Permit Number: 1 1 - 00 L l Application Fee: Cd $100
1. Property 0,j net /1
Name: K, Crnfoe><
Address:y�Cetnlcy Si- City: 20Xbarg State: SD Zip Code: 83y9`0
Phone: tog -7o5 -B0 IQ Email:' 2oibg i w�att.enVIA
2.Applican
Name: k Croc,+ Role: ner Tenant, Contractor, etc.)
e
Address: Sa w.City: State: Zip Code:
Phone: Email:
Contact/Rep. Name:
3. General Contractor
Under Idaho BuildingFode, a re�ist�red contractor must do the work for a Commercial Building.
Name=,�t,��- Laa7r Tr e,: )1 t7 �lf Registration #: CE -t 53000 Exp.:
Address: la City: Por>�e 'D State: /U— Zip Co e:
Phone: �/ N- Email: -T/ev /Ahrlw/SdIR—
Contact/Rep. Name: Phone: 2453-x' 17z Email
General 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.
4. Project Description
Address:
Description of Work: 1 fh_c� i` Yi'P�.1q�o fy p j�l� )
Project Description: U
• Total cost of project- materials and labor: $�W
• 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 ❑ Yes: New occupancy:
Building Pennitfees 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 permit fee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, l 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 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 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: 10-30-17
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requ [scalledlu er 8 AMwillbescl vied-fortLe next business day.
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
Bureau of Occupational Licenses
bepartment of Seif Governing Agencies .
he person named has met the requirements for registration and is
ejititled.uNer the laws, and Is. of the State of Idaho to operate as sin)
REGISTEREDENTITY CONTRACTOR
STRAIGHT LINE ROOFING LLC
' TYLER NICHOLS
- 2180 DOUGLAS
POCATELLO ID 83201
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Tana Cory RPE. -46300 07128/2018
Chief, B.O.i, Number Expireh