HomeMy WebLinkAboutAPPLICATION - 17-00737 - 50 College Ave - The BasementCITY OF
REXBURG
cy�
Ameriwd 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
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
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.
Initi s
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
ni aIs 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.
Initia
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):GV,,e_ SiU Signatur , Date:`
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requestcall natter 8 AM will be scheduled for the next business day.
Inspection Hotline -(208)372.2344 www.rexburg.org Permit Tec nician-(208)372.2341 Revised 10/2016
CITY OF
REXBURG
cU+
Americas Family Community
BUILDING PERMIT FORM ZO2
"dau 10/2016
BUILDING APPLICATION
Commercial Tenant Improvement
Building Safety Department
City of Rexburg
35 North 18t East
Rexburg, Idaho 83440
For Office Use�"
Permit Number: Application Fee: ❑ $100
1. Prope�owner �.
Name: -ef-N --L ✓—NLS-eyl yy6
Address: Co /9LF City: gt�6 t tom. State: 7W Zip Code:
Phone: -26 Email:
2. Applicant
Name: � S
N�!"tte V� tj�. Ro • (Owner, Tenant, Contractor, etc.)
Address: 3�1 City: h� State: �� Zip Code: o'>,
Phone: 2� 64rC/— .� � Em Il:
Contact/Rep. Name:
3. General Contractor
Under Idaho 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: 5-0 a ue�= A -VP_
Description of Work: /it- --,I !�% —' �1! rM t�lu t �OS7� lI t f✓ux �Y
Project Description: v0
• Total cost of project -materials and labor: $ q00.
• 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 es: New occupancy:
Building Permitfees 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.
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 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 ofthe 2012
International Code in cases of any false statement or misrepresentation of fact in the applicatiolans 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):y vt.S w1 Signatur
Inspections must be called in before 8 AM on the day the inspection is requested. Inspecti
Inspection Hotline - (208) 372.2344 www.rexburg.org
Date: // — ar7 —/ 7
8 AM will be scheduled for the nextbusiness day.
Permit Technician - (288) 372.2341