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HomeMy WebLinkAboutAPPLICATION - 14-00328 - 170 W Main, Rigby - Purple Sage Wellness- RemodelBuilding Safety Departmento•� City of Rexburg " e `' CITV OF REXB 35 N 1=1 E Phone: 208.372.2341 OY — ammios Pomliy Cmnmwriry Rexburg,www.rexburg.org ID 83440 www.rexbur or9 Fax: 208.359.3022 Office Hours: Monday -Friday 8:00=-4:00pm Commercial/Multi Family Pre -Construction Checklist Seismic Design Category — D (unless soil evaluation confirms category C) Ground Snow — 50 lbs. per sq. ft. Roof Snow Load — 35 lbs. pet sq. ft. Wind Load — 90 MPH Prost Depth — 36" The follaunng items shoald be completed he oreyou sahmityour building permit appl'cation. INCOMPLETE APPLICATIONS WH—L NOT BE ACCEPTED. Completion ofa Building PetmitAppitcation. You may print this application from out website www.re�_s--_bn.o oxv of pick up a copy at the City Annex Building (address above). Commercial Pemrits. (the following must be submitted with the Application) ❑ 4 sets of site plans and 3 sets of building plans stamped by a licensed professional ❑ Site plana and hwlding plans in PDF fomi.t must be bmitted after plans have been approved. ❑ Structural Calculations stamped by a licensed Engineer ❑ Energy Compliance Report: As per the 2006 IECC, a Compliance check must be completed and submitted (the comcheck is available online at =.McwSodes.gov). ❑ Page 2 of the Application must include the Idaho Contractor's Registration Number or the exemption form most be completed and s a see Page 10. ❑ Page 5 of the Application must be completed and signed by your Plumber. ❑ Page 6 of the Application must be completed by signed by your Mechanical Conti ctox. ❑ Page 7 of the Application must be completed and signed by your Electrician. ❑ Electrical panel layout and calculations most be included with the building plans. Plans will be teviewed by the electrical inspector prior to issuance of the building permit. ❑ The Electrical application must include engineer stamped drawings for all commercial projects. ❑ Emergency Services Construction Peemit-fox fire related equipment only to be £died opt by the contractor performing the work ❑ Exterior Lighting Plan including photometric layout. The lighting standards are included in this packet. ❑ Property Line form needs to be signed by the builder, see Page 4. Electrical Pemti6 are now issued through the City of Rexburg. See Page 6 of the application. Remodels If you are considering a remodel, a cow of the bid or estimate for the remodel must be submitted with the Permit Application. • 3 set of plans (may need IECC Review) • Additions — Same as new construction olybFenAC, -� A; +p CITY OF RURG Please Complete the Entire Application! Ow - If the question does not apply fJl in NA for non applicable Amedmi fnmify Community COMMERCIAL & MI LTI FAMILY BUILDING PERMIT APPLICATION 35 N 1 E, REXBURG, ID 83440 208-372-2326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: ITNTTtt RT nPWr KAddressing is based ongminn mn�Qn - must be accurate) —CONTtCT I PHONE PHONEPROPERTY ADDRESS: no U!A MQ'ir\ ap P . 1p1 / t. - n OWNER •' ••' �• r\ APPLICANT: (If other than owner) (Applicant if othet than owner, a statement authotning applicant to act m agent for owner most accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP EMAIL FAX PHONE #: Home ( ) Work ( ) Cell ( ) CONTRACTOR c MAILING ADDRESS: PHONE: Cell# Fax# EMAIL IDAHO REGISTRATION # & EXP. are located on Did you recently purchase this property? No 6w yes, list previous owner's name) rl Is this a lot split? jP YES (Please bring copy of new legal description of property) PROPOSED USE: (.e., Single Family Residence, Muln Family, Aletutaeot&4emode arage, Cottanetcial, Addition, Etc.) — CIRCLE ONE APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Undeepemltyofpequ„Iheobycenifydutl have read thu application and natethat the Infomtaeoo herein is conte[ and Iswear doaMy information which may NICE., be given by me in hewin, before the pb” ' and Zawig Cmmtvasim, or the City Coond fo, the City of Rexburg shall be toor ffil aM corner I ages to comply with all Gty. Moot and State hers relating ne at badiog o ttter of this app4caaon t on appby muhomcd reer loft thea of the MY to..t op. the ab000noodened pao,ttt, fee inspections purposes. NOTE: The bwlding official mB oke apettrut on epprovil issued under provisioosoftit,m3In[emauorul CodeN case of any false statemmtaredsrepresentation of feet pphcetion or th Ivis on which the pemdtaapproval was based Permitvoidif not soared within 180 days. Permit votd,fooek stops for 180 days. Signature of Ownu/Applicant DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING -BUILDING PBaMR MUST BE POSTED ON CONSTRUMON SITEI Plan fete are non-refundable and am paid in fin et the tlme of apphtloon Lamson, jvmare t 20y CloIneaRuilMot Pettoc Feetamdue sttimeofapp4atlanUaa aaBuiMmnraiew at dpenn:reata not ere rwWif appmvY 8 yourcheck does vot deerao Building Safety Department aExBUp ° City of Rexburg � s CITY OP ° IDREXBURG 35 g, E Phone: 208.372.2326 Rexburg, D 83"0www.rexburg.org FOx: 208.359.3022 /mariml Pomily CommvNry State of Idaho County - of1Mag'(��\Jn I, _3_1�5�0' \ 0 Name City Affidavit of Legal Interest i1C) \�)o MC'"O Addeess 15)m Stare Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, slip to B) 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 hatmless from any claim or liability resulting from any dispute as to the statements contained herin or as to the ownership of the property which is the subject of the application. Dated this day of 2011_ Sgna u AQ Subscribed and sworn to before me the day and year first above written. V aode� ���ii 100 ����� %-.Y- Notary P c of Idaho %pTAAy.': Residing at 0 My coramai ion expires: / 'pro,. �F nc tOP o" Building Safety Department City of Rexburg 35N Ia E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 Property Lines O`pgxe Vq4, i A CITY OF V Q REXBURG y Amenrds Family Communiry 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 fording 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 Jaye, 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 Printed Name Date Business Application 35 North 1°East Rexburg, ID 83440 Phone. 204.359.3020 Fax:208.359.3022 egaxsvea ti e CRY 04 ° REXBURG Amenroi lamily Cvmmuni p Pleuse take the time to answer all questions so that we can further assist you and yourjaraity Thank You. What type of business will be performed�� rn Will the business have food preparations? Yes_ nom/, No (� Will there be any cooking of foods? Yes_ No_�- Will there be any deep fat flying? Yes_ N04 Will you have food disposal on site? Yes_ No_)� Will there be any maintenance or mechanical work in the building? Yes_ No Will there be sumps or floor drains in the facility? Yes_ No Will the business require more parking? Yes_ No Will the business have any chemicals on site? Yes_ NO---Y-- Is this business occupying an existing building? Yes No Will the business be doing any structural/or remodeling changes to the building? Yes_ No__� Any changes to the electrical? Yes No Any changes to the plumbing? Yes No Is this business planned to be the same with different ownership? Yes_ No Will there be a change of occupancy? Yes Y No tu�n+xe—\ Apphcant Phone "- Date l CodifY that The information That ghave provided above is to the best ojmy knowledge accurate arcQ hus Building Safety Department e 35N NE Phone: 208.372.2326 City Of Rexburg Rk URG Rexburg, ID 83440 x:208.359. Q2 www.rexburg.org OWNER'S NAME PROPERTYADDRESS CIO Permit# SUBDIVISION RequiredW Plumbing o Plumbing Contractor's Name \\ af1C� F n (trd— �"rr/nliness NameV� (�1Q (� \ Address 16 x 9.2 � Q'.� da / City �Yt ✓° State - zip �3Hy3 Cell Phone €rbb7. 3L� :kjq,zL —Business /x)Phone (VW) X13/3— y901/ Fax ( ) Email I'TCtfCI"iC�' N Y/rn7,S t `�6,y)t 'l C�r/1 - (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Cratxacted Amount) $ .2.99D0 (lndudes the rant of matetiah inrtallad orgardkn oftb, party nrpplying at Tbefeer fisted under tbu iarperkon type shall apply to any and allplumborg insWaua r not sleafml# mentioned elremben on this form). I. Up to $10,000 (total cost of yiL=— x 0.02) + 60 = $ ❑ Between $10,001 • $100,000 ( (10-tal cost of svcteen — 10 000) x 0.01) + $260 = $ ❑ Over $100,001 ((total cost of t - 100 nnn.� RESIDENTIAL —��x 0.005) + $1,160 = $ New: Single Fa ofly Dwelling including all buildings with wiring being canstmcted on each m r see definition below) P patty (Based on b'rang spare ❑ Up to 1,500 sq it - $130 ❑ 1,501 to 2,500 sq it - $195 ❑ 2,501 to 3,500 sq ft - $260 ❑ 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq Et $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # f ddin n 1000 sq. Et ox or on 6 fl), New: Muhl-FafrtilyDwelBng (Contractor. only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per budding plus $65 per unit. ($130 x # f buildings) + (465 x # gftin1 ❑ Existing Residence, and Detached Shop: $65 fee plus $10 per fixtute up to the maximum of the coxeespondts sq, ft. of the building ($65 + (410 x_#_of f h ?�� ❑ Gray Water Systems: $130 ❑ Lawn Sprinklers/Backflow Device: $65 ❑ Modular, Manufactured or Mobile Homes: $65 for sewer and water stab connections o Multipurpose Fire Sprinkler and Domestic Water Supply System: $65 fee or $4 per sprinkler head, whichever is greater .Sewer & water ❑ $38 Sewer Line 0$38 Water Line ❑$65 Sewer & Water- if inspected at the same time ❑ $65 Sewer turnaround under house (change from septic he city) MISCELLANEOUS ❑ Plan Check: $65 per hour ❑ Technical Service: $65 per hour ❑ Gas Line: $65 ❑ Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Hydronic Heating: $65 + ($10 x # of manifolds/zones) *Living Space - apace within a dwelling unit intended for human habitation which may reasonably be utilized fox sleeping, eating, cooking, betivng, washing, re att d puq,oses. An unfinished ba einem is considered pact of the living space. Signature of Licensed Contractor License another & Exp. date Date BuildingSafety �`°"°"`� y Department � a nn��..CITY VVI T��rTOTFn�'+ City of Rexburg o: 0 1FD RG 35N NE Phone: 208.372.2341 01,— Rexburg, Rexburg, ID 83440 www.rexburg.org Fax: 206.359.3022 Amedmk ss.R, Cammxniry OWNER'S NAME PROPERTY ADDRESS Pemut# SUBDIVISION PHASE m Requiredffl Mechanical Mechanical Contractor's Name Business Name Cell Phone ( ) Business Phone ( ) Fax ( ) Retail (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Contracted Amount) $i i. (Im.'ludes the zvt ofmatesia4 i,utalledregmdlerr of tbeparty rupphdng it Tbefeer k'}ted under Ibu ixrper6on type rha!lappdy to nay and allmeebanira! tmtallahow notr/maftr lly mentioned elremhm m thufarm). ❑ Up to $10,000 (L0101 c9st of U–Stern x 0.02) + 60 = $ ❑ Between $10,001- $1002000 ( (to a7 ca t of Mt –10m�) x 0.01) + $260 = $ ❑ Over $100,001 RESIDENTIAL ( (total m t f�m— 100 ON x 0.005) + $1,160 = $ seer deSnhion D INwg, mcludmg agbuddmgs mth wrrtngberng constructed on each property. (aBased on h'vinng space, ❑ Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 ❑ 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof New Mali-Famil ($325 + ($65 x It f dditinal 1 000 q ft o p A th fl). yl7sunring (Contractors Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per budding plus $65 per unit: 0;13Q X # of bail ggl + (f6s � t s ❑ Existing Residence, Modular, Manufactured or Mobile Homes and Detached Shop: $65 fee plus $10 per **HVAC equipment being installed up to the maximum of the corresponding sq. fic of the building +($10x# ffxn ,ll MISCELLANEOUS 65 ❑ Plan Checic $65 per hour ❑ Technical Service: $65 per hour ❑ Gas Line: $65 ❑ Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Fireplace/Solid Fuel Burning Appliance: $65 per inspection "Citing Space – space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooling, )athing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. '*Examples of HVAC Equipment -furnace replacement, solar, water heater, etc. Signature of Licensed C.I ctot License number & Exp. date Date 35 N. I" E,Rexburg,Id 83440 Buli..ing Safety Departmen. Phone - (208)359-3020 / Hodine - (208)372-2344 / Fax - (208)359-3022 CRy Of RB%burg OWNER'S NAME _ PROPERTY ADDRESS SUBDIVISION CITY OF co. teo REXBURG Amenmi PomBy ummwlry RequiredlY ELECTRICAL Qtke41 St#vFcL Electrical Contractor's Name Sgt it 1 G le dh.l.. Business Name S E= V 1 L -e' I x�-F_ ;Fl�� Address 90 -Fr E. 3l AI City 121 (,taC 5tate� Zip fi35cy� Cel Phone ?,C% ,� 9 -(� L 7 Business Phones Phone ( )) Fax ) Email_ S' Seevi,,, CJecyr tG ✓ %li/art Ca+,.. (COMMERCIAL/INDUSTRIAL) Total cost of electrical system (Contracted Amount) $ F� (Ixcl.der the tort ofmateaa6 ixttalkd reganllw.r of the pmry sxpplyixg id Thefeer hAId.xsIr tbu ixspaasa type rh,11 apply is, axd all elesMralinRallakoso flat cpeafualty mexkoxed eknvhor ox thu font). - Up to $10,000 (t rail r= of system x 0.02) + 60 = $ .L^t .50 't too ❑ Between $10,001- $100,000 ( (total cost of cyst=_10 (mo) x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost of sst -100 000) x 0.005) + $1,160 = $ Small Works (Contractors ONLY): $10 fee for work not exceeding $200 in cost and not involving a change in service connections. Does NOT require inspection. RESIDENTIAL Now, Snrgle Family Dwelling, ineluding all buildings with see definition below) wiring being conetrucred on each property. (aBased on living space, ❑ Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 ❑ 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of del I 1 00Q sq. ft or portion _�e Fl), New: Multi-F—,Yj Dwelfinp (Conti __ Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 per unit 44130 x # of bergs)+ (9'6S+tem) ❑ Existing Residence, Modular, Manufactured of Mobile Homes, and Detached Shop: $65 fee plus $30 per branch circuit, up to the maximum of the corresponding sq. ft. of the building 365 + ($10 x # branch .a a ❑ Central Heating/Cooling Systems: $65 When NOT part of new residential or HVAC permit with no additional Wiring ❑ Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect Ramps-Ipatec, Irrigation, Sewage (each motor) ❑ $65 up to 2514P ❑$95 - 26 to 200HP ❑$130 over 200 HP MISCELLANEOUS ❑ Temporary Construction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 yeat) - $65 ❑ Temporary Amusement: $65 fee plus $10 per ride, concession or generator ❑ Irrigation Machine: $65 for center pivot plus $10 per tower of drive motor ❑ Technical Service: $65 per hour ❑ Plan Check $65 per hour ❑ Requested Inspection: $65 *Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, was cceatioq and saturation purposes. An "finished basement is considered part of the living space. Builaing Safety Department 35 N. 111 E., Re brag, Id 83440 City of Rexburg Phone - (208)359-3020 / Hotline - (208)372-2344 / Fax - (208)359-3022 LOCATION OF WORK TO BE DONE Street Address Where Work Will Be Done: Business Name Where Work Will Be Done: Dates for Work to Be Done: Contact Person: Phone Number: ( 1 To Cell # RequiredIV FIRE SPRINA ER Fite Sprinkler Contractor's Name: Business Name CITY OF REXBURG AmMmi FumllyGmmmuniry Address City State lip Cell Phone ( ) Business Phone ( ) Fax ( 1 (COMMERCIAL/INDUSTRIAL) Total cost of fire sprinkler system (Contracted Amount) (Includes the cost of materials installed regardless of the par_* suppyng it. The feet luted under this inspection Zype shall apply to any and all fire alarm installations not specifically mentioned elsewhere on this form). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ( (—to—W cost of system —10 OOW x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost of system — 100 000) x 0.005) + $1,160 = $ MISCELLANEOUS ❑ Existing Inspection Base: $60 ❑ Re- Inspection: $65 per sip ❑ New construction $1 per sprinkler head ($2,000 maximum) number head Signature of Licensed Contractor License number & exp. date Date Building Safety Department "° Cll'Y OF City of Rexbur a DnvnG 35 N. 1�1 E., Rexburg, Id 83440 9 1��CGt��UUll1\ Phone - (208)359-3020 / Hotline ^ (208)372-2344 / Fu - (208)359-3022 nr n.n;m; a,.urm._i, LOCATION OF WORK TO BE DONE Street Address Where Work Will Be Done: Business Name Where Work Will Be Done: Dates for Work to Be Done: Contact Person: Phone Number: ( 1 RequrredN Fixe Alarm Contractor's Name Business Name To Cell # FIRE ALARM Address City-state-zip- Cell ityStateZipCell Phone ( ) Business Phone ( ) Fax (_ 1 (COMMERCIAL/INDUSTRIAL) Total cost of fire alarm system (Contracted Amount) (Includes the cost of materials installed regardless of the party supplying it The fees fisted under this inspection type shall apply to any and allfire alarm installations not speOcaly ment oned elsewhere on thi form). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑ Between $10,001-$100,000 ( (total cost of system —10 000)x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost of system —100 000) x 0.005) + $1,160 = $ MISCELLANEOUS ❑ Plan Review per Hour: $65 per hour ❑ Re- Inspection: $65 per trip Signature of Licensed Contractor License number & exp. date Date 10 SUBCONTRACTOR LIST Excavation & Masonry: Floor Special Construction (Manufacturer or Supplier) Floor/Ceiling Siding/Exterior EXEMPTIONS FROM STATE REGISTRATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of Yom State registration number or your exemption from the State registration. Please send a copy of your state registration of fill out this form showing Yom exemption and send it with your license renewal or your next permit application. (This list is a sutnaharization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at wwww.ibol idalao go /cont him) ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Conrractofs/Journeyman, 3 Engineers/Surveyots, 19 Public Works Contractors (exempt from fee only registration requited), 26 Plumbing/Plumber, 43 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 5Q Installation of heating, ventilation and air conditioning systems ❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ❑ Employee of a US Government agency (State, City, County, or other municipality) ❑ Public Utility doing construction, maintenance, or development to it own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a project of projects with a total cost less than $2000 ❑ Operation of a farm or ranch of construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ Work in final district for fire prevention purposes tr- Owner who performs work on own property of contracts with a registered contractor to do work as long as the property is not for resale within 12 months �} Owner of lessee of commercial property performing maintenance, repair, alteration of construction on that property ❑ Real estate licensee/property manager acting within Idaho Code ❑ Engaging in the logging industry ❑ Renter working on the property, where they live with the ptoperty owners approval ❑ Construction of a building used for industrial chemical processing per Idaho Code ❑ Construction of a modular building (defined by Idaho Code) to be moved out of state the above information is true and correct to the best of my knowledge. ZSignature (� Date �\� \ � R. &SSL(N Print Name 12 Building Safety Department Cily of Rexburg 35N NE Phone: 208.372.2326 Rexburg, ID 83440 w W.rexburg.org Fax:208.359.3022 oQµxaup� t p r7CITY V�I T��YTOmF R IU3 RG n Amen�ai fnmtty fommuniq Site Plan Checklist Permit Number. Applica' Infor a ton Applicant Q Q (VS1 Phone: FAX: WQ Applicant's Address: l'�Q Mn' City: STi Zip: Project Address: �� Recorded Owner�phone: _ FAX:Recorded Owner Address: 'tom,,'',, Q�,y,,, City: ST: XjS �Zip: hcC�Q Development Information ❑ L Site plan must be drawn to scale, be legible and also be submitted electronically if possible.~ ❑ 2. Adjoining streets labeled. ❑ 3. Right-of-way location and width, curb to curb widths and sidewalk location. ❑ 4. Building location, sq footage and dimensions, with distance to property lines and distances between buildings. ❑ S. Show existing and proposed easements. ❑ 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains). ❑ 7. Proposed utilities including tie in location to existing services and new easements. ❑ 8. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). ❑ 9. Storm drainage plan for parking lot and roof areas, with calculations. ❑ 10. Fire hydrants and fire suppression lines (including tie to City lines). ❑ Sprinkled ❑ Not Sprinkled ❑ 11. Indicate Fire apparatus access. ❑ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers)., ❑ 13. Landscaping (type and total area, including dimensions). ❑ 14. Trash facilities. ❑ 15. North Arrow ❑ 16. Drawing to Scale, including a graphic scale (11 V2 x 17" paper if possible). ❑ 17. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ❑ 18. Legal description of proposed building site included. ❑ 19. Percent of lot covered by building or paving calculated. 1120. Show 10% snow storage area. ❑ 21. Distance of entrances from street comer indicated. ❑ 22. Current Vicinity Map. (81/2 x I 1") at 15'= 300' scale, showing location of the property. ❑ 23. Lighting Plan NOTE: SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. -q� Building Safety Department°. o L City of Rexburg Ji z CITY OF REXBURG 35N I'� E Phone: 208.372.2326Ow — Rexburg, ID 83440 www.rexburg.org Fax:208.359.3022 Arntl'b Anmlly Communiq Business Application Questionaire (fox the purpose of wastewatu tx,,, tier) 1. Type of business or establishment? 2. Will this business bedoing any type of food preparation or cooking? 3. What type of food preparation or cooking will be done? 4. Will there be any deep fat fi*g? Yes No 5. Will the facility have food disposal systems? M 6. Are you a business planning to occupy an existing building? y IL5 or, are you designing a new facility? EM 7. Will your business have chemical storage? Yes No 8. Will this facility operate year round? Yes )�' No 9. Will there be any grease traps or sumps at the facility? Yes No 10. Will there be any types of chemicals used at this facility, other than household cleaning solutions? Yes No 11. Is there any manufacturing of products at this facility? Yes No Applicant Signature Date Commercial Building Application Fwae TM.PrM BuildingAddMS; nb City of Rigby 158 W Fremont Ave Rigby, ID 83442 (208) 745-8111 Leoal Oescr1won: LM Blnrk SuMiivisirxi Size of Parcel: Square Feet Awes Zoning 6Nstrfet: Fidsting Use: W J 4 oa�. Proposetl Use: 1-(- - (}t�IC �(' 0 (g7p`�9y� lo' -Y\ ❑ New ❑ Addition Remodel 0 Repair ❑ Foundation Only 0 Retail i# of units i 0 Office Space (# of units 1 0 Storage 0 other tad esemebl s«l a cege,wa canshucAon te,mwire ioti 6� Sq. A. First Flow Sq. ft, Other Floom —Sq. ft. bacament Total Sq. ft BOR -street Parking spaces #Seat6(cepacdif Type of heaingtAC Subcontractors: PlumbingElecbirian94¢,,.i jgyVyy, and u dl.M is uue arra correct to the best of their lean ll rro(be isresu�et uMnh�l plan arelllonlinancee and lees regulating building Construglwl and acknowledgs only for the wor es that building specifically described: no changes to submitted planpinowed e Of addifional work or struuM areal the City, and that the approied Permit Ikwretl unless submitted separately for review and approval. Cmlaaof681pghney�]\ Uah Ow✓.6lemryr.�,� � i City, BIB, ZIP:'1�Y. ZIP q_C;eIYBuAs:: ► c . Leoal Oescr1won: LM Blnrk SuMiivisirxi Size of Parcel: Square Feet Awes Zoning 6Nstrfet: Fidsting Use: W J 4 oa�. Proposetl Use: 1-(- - (}t�IC �(' 0 (g7p`�9y� lo' -Y\ ❑ New ❑ Addition Remodel 0 Repair ❑ Foundation Only 0 Retail i# of units i 0 Office Space (# of units 1 0 Storage 0 other tad esemebl s«l a cege,wa canshucAon te,mwire ioti 6� Sq. A. First Flow Sq. ft, Other Floom —Sq. ft. bacament Total Sq. ft BOR -street Parking spaces #Seat6(cepacdif Type of heaingtAC Subcontractors: PlumbingElecbirian94¢,,.i jgyVyy, and u dl.M is uue arra correct to the best of their lean ll rro(be isresu�et uMnh�l plan arelllonlinancee and lees regulating building Construglwl and acknowledgs only for the wor es that building specifically described: no changes to submitted planpinowed e Of addifional work or struuM areal the City, and that the approied Permit Ikwretl unless submitted separately for review and approval. Cmlaaof681pghney�]\ Uah Ow✓.6lemryr.�,� � i P.O Box 280 35 North ist East Rexburg, ID 83440 Phone(208)359-3020 Fox (208)359,3022 Emaitiodel@rexburg.org City of Rexburg State of Idaho Grease Traps and Inspections TO ALL: Local Business Owners and Management .., CITY OF RExBURG _ .ow— Aialm4hsal,Gmmwly The City of Rexburg requires that all facilities dealing with any fats, oils, or greases must have grease traps in place in order to stop them from discharging into the city collection system. Fats, oils, and greases cause blockage in private services as well as the public sewer lines and also create a large cost to treat and remove them at the city Wastewater Treatment Plant. The City of Rexburg is currently upgrading its record keeping system in regards to the cleaning of grease traps and stepping up its monitoring to assure compliance. Due to the lack of reporting from some existing businesses and documents not being given to new coming businesses, we are sending this letter out to help businesses and ourselves be on the same page. Please fill out the attached forms. Ane u_ r_..__ , . Inforinatio Fan) and inay 'sr Bard the followingrn e Each business is responsible for the cleaning and reporting of their grease traps to the City of Rexburg. Enclosed is a Grease Trap Cleaning Form. Please make copies of this. The Grease Trap Cleaning Foran is a written record that must be filled out after every grease trap cleaning whether traps are cleaned twice a week, once a week, once a month, etc. At the end of each month the compiled Grease Trap Cleaning Forms need to be mailed to the City of Rexburg. The address for mailing is on the forms. Make sure to make copies for personal records. Also included is a Grease Trap Cleaning Log. Please make copies of this. The Grease Trap Cleaning Log needs to be kept and turned in every six months to the City of Rexburg and a copy kept by the business. This log will keep just the dates cleaned and the name of the company that cleans the traps. The City of Rexburg will do random inspections of facilities to assure that proper cleaning of grease traps have been done and that there is not (%=Mdy any problems with fats, oils, or greases being discharged into the system. If the City has any concerns that proper cleaning and removal of grease in the traps has not been met, or if a business fails to comply by not sending in the cleaning forms and logs, we will have to take action to assure that requirements are met. We hope that we can assist you if you have any questions, so feel free to call us at (208)359- 3035. Ask for Donna, Jade, or Ron. P.S. Several businesses that have been outstanding in sending us the proper information in the past will get this letter also. We want to thank you for your efforts to help us create a quality Pretreatment Program. Thank You, Wastewater Treatment Plant FOAM A BUSINESS INFORMATION FORM Name of Business: r O Address ofBusiness: Mailing Address: Contact: Phone Number: _ aa 0' 41, Qty} 2nd Contact: Phone Number: Does your business work with any Fats, Oils, or Greases? Yes _ No Do you have grease traps rmtendy at your facility? yes _ No How regularly do you have your grease traps cleaned? Please Return to the City of Rebn City Hall C/O Waste Water Department P. O Box 280 Aexbueg, ID 83440 Form A (Continued) BUSINESS INFORMATION FORM (Fill Out If Applicable) I. On the liner below, please describe the location ofyourgFeme !rapt and whether or not tby are imide or outride yourf-hty. Location of Grease Traps: 2. On the fines below, please describe the one and sive ofgrease trapsyou use atyourfadhty to the best ofyour knowledge. Type and Size: The City of Rexburg Grease Trap / Receptacle To the CITY OF REXBURG: Cleaning Form On this date: Grease trap Location (Month) (Day) (,,�) (Restaurant Name and Address) Cleaned by: (Person on Persons Involved from Restaurant) Spent oils and/or grease hauled away by: (Company who does the Clsau Or stored until: then hauled away me (Month/Day/Year) (Month/Day/Year) I certify under penalty of law that I have personally examined and am familiar with the information submitted herein, and based on my inquiry of those individuals immediately responsible for obtaining the information, I believe the submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment See 18 U.S.C. 1001 and 33 U.S.C. 1319. (Penalties under these statues may include fines up to $10,000 and/or maximum imprisonment of between 6 months and 6 years) (Manager or Owner, Fust and Iasi Name) (Date) (Address and Phone Number) Please Mail To; City Hall C/O Waste Water Department P.O Box 280 Rexburg, ID 83440 Grease Trap /Receptacle Cleaning Log Six Month List (Name of Restaurant) This form is to be filled not each time that the grease trap is cleaned by the person who cleaned the ttaps/receptacles. Then, every six months it is to be send into the following address. City Hall C/O Waste Water Department P.O. Box 280 Rexburg, ID 83440 Date Trap/Receptacle Cleaned Person overseeing it from restaurant NOTE: Of filled before end of six months; just stat on new copy like this and send both at due date) Grease Trap/Interceptor Information For the City ofRexburg Introduction Oil, grease, and solid wastes that are discharged into the sanitary sewer by commercial or industrial users can cause a number of problems in the sewer system. Grease and o$ have poor solubility and tend to separate from the aqueous phase. Although this characteristic is advantageous in facilitation, the separation of oils and grease in pretreatment devices such as grease traps and interceptors, it complicates the transportation of wastes in the sewer and can complicate treatment and disposal at the wastewater treatment plant. Oil and grease in wastewater from food service facilities can result in decreased carrying capacity of sewers due to congealed, cooled grease which coats the inside of the pipes. Once a pipe becomes constricted, the potential for a stoppage increases. Stoppages can and will eventually cause sanitary sewer overflows. In order to ensure efficient sewage treatment, protect the sewer system, and protect public health, the City of Rexburg has established the following requirements for businesses in reference to the City's sewer use ordinance #800 and the code of federal regulations, 46cfr-part 136 pretreatment rules and guidelines. General Requirements A. Any type of business where oil and grease may be discharged into a public sewer shall have aninterceptor/trap. B. Each interceptor or trap shall be installed and connected so that, at all times, it is easily accessible for inspection, cleaning, and removal of grease and other material. Interceptors or traps must be installed outside of the building and shall be constricted in a manner so as to exclude the entrance of surface water or groundwater. C. The interceptor or trap shall be situated on the user's premises. D. Buildings remodeled for use requiring interceptors/traps shall be subject to these regulations. E. Waste discharges from fixtures, including but not limited to, scullery sinks, pot and pan sinks, mop sinks, soup kettles and floor drains, shall be drained into the sanitary sewer through an interceptor/trap. Toilets, urinals, dishwashers, and other similar fixtures shall not drain through the interceptor/trap. F. Interceptors and traps shall be maintained in efficient operating conditions. They are to be cleaned regularly as deemed necessary by the business or Industrial Waste Inspector. The use of chemicals, bacteria, or other agents to dissolve grease or otherwise clean grease interceptors/traps is specifically prohibited. No such grease shall be introduced into any drainage piping or public or private sewer. G. The size of a grease interceptor/trap most be installed at a capacity of 1,500 gallons. H. A record of grease trap cleating or copies of grease interceptor servicing most be maintained and be available for inspection by the City's representative. PP over Grease Tran Design 1. Inlet Pipe: Where oils and greases enter into the grease trap. 2. V Chamber: Oils and greases will float to the top and be trapped from going out the discharge pipe. 3. 2nd Chamber: Where wastewater drains oat of the chamber. 4. Access Ports: Two separate fids that allow for cleaning or viewing of the chambers. 5. Baffle: A divider between the chambers used to keep the oils and greases from moving into the discharge. 6. Discharge Pipe: A 90 degree angled pipe used where water drains into system. A designed grease trap or sump will hold at least 1,500 gallons and contains two chambers. The water enters the trap through a drain or a pipe and goes into the first chamber. The oils and/or grease will float and be captured in the top half of the chamber. Any grit will sink to the bottom. The baffle prevents greases or oils from escaping into the discharge pipe. The discharge of the trap needs to have a 90 degree bend to prevent carry over. Design Standards for structures less than 25,000 square feet, Note: Please see Rexbures Development Code for design standards for strarmers over 25,000 square feet, or for developments located in the Neighborhood Business District or Central Business District zones. Please demonstrate how your project meets the folim.g r gtticements Developments with facade over 40 feet in linear length shall incorporate wall projections or recesses a minimum of 3 foot depth and a mutit own of 8 contiguous feet within each 40 feet of facade length and shall extend over 20 percent of the facade. All sides of a structure dearly visible from a public street shall be so treated. Developments shall use animating features such as arcades, display windows, entry areas, or awnings along at least 60 percent of the facade. v— Where principal buildings contain additional, separately owned stores, which occupy less than twenty-five thousand (25,000) square feet of gross Boor area, with separate, exterior customer entrances: a. The street level facade of such stores shall be transparent between the height of three feet and eight feet above the walkway grade for no less than 60 percent of the horizontal length of the building facade of such additional stores. b. Windows shall be recessed and should include visually prominent sills, shutters, or other such forms of fuming. Building facades shall include a repeating pattern that shall include no less than three of the dements listed below. At least one of theses elements shall repeat horizontally. All elements shall repeat at intervals of no more that thirty (30) feet, either horizontally or vertically. -Color change -Texture change -Material module change -Expression of architectural or structural bay through a change in plane no less than 12 inches in width, such as an offset, reveal, or projecting rib. Roof lines shall be varied with a change in height every 100lineat feet in the building length. Parapets, mansard roofs, gable roofs, hip roofs, or dormers shall be used to conceal Bat roofs and roof top equipment from public view. Alternating lengths and designs may be acceptable and can be addressed during the preliminary development plan. Predominant exterior building materials shall be high quality materials. These include, without ]mutation: -Brick -Wood -Sandstone -Other native stone -Tinted, textured, concrete masonry on, Facade colors shall be low reflectance, subtle, neutral, or earth tone colors. The use of high intensity colors, metallic colors, black or fluorescent colors is prohibited. Building trim and accent areas may feature brighter colors, including primary colors. Neon tubing shall not be an acceptable feature for trim or accent. Predominant exterior building materials as well as accents shall not include the following: -Smooth-faced concrete block -Tilt -up concrete panels without mitigating surface treatment -Pre-fabricated steel panels Each principal building on a site shall have dearly defined, highly visible customer entrances featuring no less than three of the following: -canopies or porticos -overhangs -recesses/projections -arcades -raised corniced parapets over the door -peaked roof forms -arches -outdoor patios -display windows -architectural details such as the work and moldings which are integrated into the building stmcture and design -integral planters or wing walls that incorporate landscape areas and/or places for sitting No more that 60 percent of the off-street parking area for the entire property shall be located between the front facade within the front yard of the principal building(s) and the primary abutting street unless the principal building(s) and/or parking lots are screened from view by out -lot development (such as restaurants) and additional tree plantings and/or berms. Parking shall be located to the rear of the building or screened so that it does not dominate the sovetscape. Fences, hedges, berms and landscaping shall be used to screen parking areas. When large parking lots are necessary, increase the landscaping to screen the lot and divide the lot into smaller components. Landscape islands must be provided in the interior of large lots. These may double as snow storage areas in the winter months. The minimum setback for any building facade shall be in accordance with the requirements for all Commercial zones, except Community Business Center. Where the facade faces adjacent residential uses an earthen berm shall be installed, no less than 6 feet in height, containing at a minimum, a double row of evergreen or deciduous trees planted at intervals of 15 feet on center. Additional landscaping may be required by the Planning Commission to effectively buffer adjacent land use as deemed appropriate. Any and all additional landscape requirements of all the Commercial zones, except Central Business District, shall apply. Areas for outdoor storage, truck parking, trash collection or compaction, loading, or other such uses shall not be visible from public or private rights-of-way. No areas for outdoor storage, trash collection or compaction, loading, or other such uses shall be located within 20 feet of any public thoroughfare of street, public sidewalk, or internal pedestrian way. Loading docks, truck puking, outdoor storage, utility meters, HVAC equipment, trash dumpsters, trash compaction, and other service functions shall be incorporated into the overall design of the building and the landscaping so that the visual and acoustic impacts of these functions are fully contained and out of view from adjacent properties and public streets, and no attention is attracted to the functions by the use of screening materials that are different from or inferior to the principal materials of the building and landscape. Non -enclosed areas for the storage and sale of seasonal inventory shall be permanently defined and screened with walls and/or fences. Materials, colors, and designs of screening walls and/or fences and the cover shall conform to those used as predominant materials and colors of the building, If such areas are to be covered, then the covering shall conform to those used as predominant materials and colors on the buildings. Temporary sales/displays, such as Christmas trees, landscape materials, and fireworks, shall follow all outdoor requirements for all the Commercial zones, except Community Business Center, as described in the Development Code. Location and time/duration of such sales/displays shall be reviewed and approved by the Community Development Director or appointed designee. Sidewalks at least six (6) feet in width shall be provided along all sides of the lot that abut a public ox private right- of-way, excluding interstates. The Planning Commission may waive this requirement as pact of i development agreement. Continuous internal pedestrian walkways sidewalk or right -of --way to the principal 'no less than five (5) feet in width, shall be provided from the public customer entrance of all principal buildings on the site. At a minimum, walkways shall connect focal points of pedestrian activity such as, but not limited m, transit stops,bs, benches, street crossings, budding and store entry points, and shall feature adjoining landscaped areas that include trees, shm flower beds, ground coves, or other such materials to no less than 50 percent of their length. Sidewalks, no less than five (5) feet in width, shall be provided along the full length of the building along any facade featuring a customer entrance, and along any facade abutting public parking areas. Such sidewalks shall be located at least six (6) feet from the facade of the building to provide planting beds for foundation landscaping, except where features such as arcades or entryways are part of the facade. Internal pedestrian walkways provided in conformance with Subsection b above, shall provide weather protection features such as awnings or arcades within thirty (30) feet of all customer entrances, constructed parallel to the facade of the building. This is not intended to extend into the driving aisles or parking areas. All internal pedestrian walkways shall be distinguished from driving surfaces through the use of durable, low maintenance surface materials such as pavers, bricks, or scored concrete to enhance pedestrian safety and comfort, as well as the attractiveness of the walkways. Signs shall be installed to designate pedestrian walkways. Each commercial establishment subject to these standards shall contribute to the establishment or enhancement of pedestrian and public spaces by providing at least two (2) of the following: patio/seating area, pedestrian plaza with benches, transportation center, window shopping walkways, outdoor play area, kiosk area, water Feature, dock tower, steeple, or other such deliberately shaped area and/or a focal feature of amenity that, in the judgment of the Planning Commission, adequately enhances such Community and public spaces. Any such areas shall have direct access to the public sidewalk network and such features shall not be constructed of materials that are inferior to the principal materials of the building and landscape.