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HomeMy WebLinkAboutALL DOCS - 14-00307 - 26 N Center St - Madison Fire Department Apts - Remodel2 0 \ \}\ 0 / } } k Sb/ E « _ ® a / } 0 \ 0 © E )) \ ' } 2 k (};-q \(o / o (DR j { 0 m ! \{ \�} { ! / m 77 -0 J ( E §)mk \ _.rm 2 § , [ _. § 22# \\} `7 \2 _ �4Q: k % CO G CD =i]q /& _. m:,; § \) d C > _ milt' E # m @\!m _ !® m \_\ 2 Cl) M _ 3_ m�mG) 3 {t\ \\k = {!mom r:;m O ®oa)/k \\\ () ( 222 O _.m�§2 !!o ` rMIL / ; k ° k cu [! | VQ qNx Y4pG, 6 CITY OF F �� Please Complete the Entire Application! REXBURG If the question does not apply ft l in NA for non applicable nmeriini £easily Canmuniry COMMERCIAL & MULTI FAMILY BUILDIhIG PERMIT APPLICATION 35 N 1" E, REXBURG, ID 83440 208-372-2326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# PHONE PROPERTY PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: CITY: STATE: ZIP: APPLICANT: (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany dds application) APPLICANT INFORMATION: ADDRESS ,2 Al 7iz z .cr CITY: pHK Ip! STATE; IP ZIP Y/ t^ R!F •ccs �.� �3 Sf //D EMAIrrc FAX" PHONE #: Home ( ) Work ( 35%- 3-70 Cell CONTRACTOR: tet Ff.v L L MAILING ADDRESS: /6 &CX -33'3 CITYjeaS&RA• STATE10ZIP o Yo PHONE: Cell#%0ij6--,R:V- �S7 Work# Fax# EMA&IL/Packtriy eRear&rec .,0 IDA REGISTRATION # & EXP. DATE How many buildings are located on this property? / Did you recently purchase this property? No Yes (If yes, fist previous ovmer's name). Is this a lot split? � YES (Please bring copy of new legal description of property) PROPOSED USE: (1c., Single Family Residence, Motu Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) — CIRCLE ONE APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penvhy ofpegtry, I hereby rerdry, that have cored this apphcatioa and state that the afforoation herein u correct and I awes that any information which may hercaRea be given by me m heavnga before he Planting and Zoning Commiaaion w the Cry Coonal for the Gry of Aeabiug shall be trythful and rosea. 1 agate. to romplywith all City agWatio.s aM Smte laws Narang o the solarel manes of this aEplicar.. and hereby aothodzed reprettntatives of the 011. -1.1 opo. the above-mentioned pmpvry for tateretio.e pnryotta. NOTE: The building official may—oke a pe rhhyriimm��ast—appmvzl issued ondn the pmvlaious of the any lteoauonal Code in cases of any false nuoo ant or misepreaenndon of fact In the ap,lie.r.Ac p e prem[ m approval waa based. Pemut void if not stated within 1sadays. Pemuc void if work amps for 1&I days. signature of Owner/Applicant V DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING-BU6OING PERMIT MUSP BE POSTnt ON CONSTRUCTION SIT@ Pfau fenvrenon-¢(arcane p art paide lull ar Netime olepptieatimbegiminR )an vmf Xpe Gry—.'rdo.1taae ceofrhe plan miewfee daremre—n of iphne heoro ++Building Pemir Ftts artier rt time ofvtm6cvtian� +"Redding Pemia vre vad ifyom eAeok does roe rJmr+c L. Submit by E-mail Building Safety Department 35 N. 1^L E., Rexburg, Id 83440 CRy of Rexburg Phone – (208)359-3020 / Hotline – (208)372-2344 / Fax – (208)359-3022 OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Pemut# !y -W367 carr or REXBURG h_ NnWmk Pomlly (ummuelry ❑ Approved for temporary power ❑ Approved for nerrnam of m.wer Required!!! ELECTRICAL Electrical Contractor's Name I tn, Busines/s Name Address 21 ZZ 4 2,kll W' City �PXbe State -C4, C/PS Cell Phone 3l3 -797/ Business Phone�\1re � Fax Email ('tf'�r��r–� LJ r / (COMMERCIAL/INDUSTRIAL) Total cost of electrical system (Contracted Amount) $ Cie 0 .`b (711111,411 1h, -v ofwak.1' inrmlled regard4u aftbe pony mppyimg it. Tlu jeer 40ed mndsr thu icaaftom ypn rball apply h, grey a n1o11,&1,,1noaallakort. .1,Pv,frrally eamsoeedslnuhen oo fi jo ). cr Up to $10,000 (total cost of syr x 0.02) + 60 = $ Between $10,001- $100,000 ( (total cost of system -10 0001 x 0.01) + $260 = $ ❑ Over $100,001 ( (hotal cost of ryst–100,QQQ) 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 New: Single Family Dwelling, including all buildings witb wiring being committed on each property. ("Based on living space, see definition below) ❑ Up to 1,500 sq h- $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 additional 1 000 sQ h portion tbereofl). New: Multi -Family Dwelling (Comracton Only) ❑ Duplex Apartment $260 ❑ Three or more multi family amts: $130 per building plus $65 per out: f81 i0 a # f huldit ) + ([S65 x # of toriti) Existing Residence, Modular, Manufactured of Mobile Homes, and Detached Shop: $65 fee plus $10 per branch circuit, up to the max mum of the corresponding sq. ft. of the building ($65 + (410 # b h t 0 ❑ Central Heating/Cooling Systems: $65 When NOT put of new residential o - Wiring HVAC permit with no additional ❑ Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect Pumps -Water, Irrigation, Sewage (each motor) ❑ $65 up to 25HP ❑$95 – 26 to 200HP x$130 over 200 HP MISCELLANEOUS ❑ Temporary Construction Services ONLY: 200 amp of less, one location (for a period not to exceed 1 year) - $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 hop ❑ Plan Checic $65 per hour ❑ Requested Inspection: $65 'Living Space – space within a dwelling amt intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, batfii' g thing, recreation, and sanitation purposes. An unfinished basement is considered put of the living space. �`�%% (!-7375(, 7-/- z5=a — Signanrre of Licensed Contnetor License number & exp. date pare—� ,, CITY nF Building Safety Departmentn��� iimmn 35 N. 11 E, Rexburg,VRG Id 83450 City of Rexburg 1� Phone by E-m-711one - (20R)IS9_3090 / 9,,1— -• OW12oaaa / roe- mumu', v»o IQ` mnoiaa¢� nityvmmw(ry OWNER'SNAME Ci44: e114 �/�_dU3d� PROPERTY ADDRESS 7/ A :r el Permit# Water Meter Quantity: **************Water Meter Size: Required.!! 1 I Plumbing I/ Plumbing Contractor's Namn e 14le. - UJJ ll4%W .� 7B�usiness Name 'T)1ay APbAJ Address �J ll�lr-I StrooN• city IC�xstate Zip Cell Phone Zoe - 313 --3 ?;518 Business Phone Fax Emad Af-,'//,'G %Z Ox� 9a'✓fct Cdw, (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Comrseval Amonvt) $ (laeludes the roet ofmatenaG installed regardless of the party ncpp[ymg it The fees listed under this nupection type shall apply to any and a/(plumbiag nooniivue, sot speofi,ally meadnmdedevhere as daft.). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ( (total costo£ system -10000) x 0.01) + $260 = $ ❑ Over $100,001 ((total cost of system - 100 000) x 0.005) + $1,160 = $ RESIDENTIAL New: Single Family Dwelling, including all buildings will, wiring being constructed on each property. (*Based on living space, see definition below) ❑ Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq £t - $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 additional 1,000 q h portion thereof)). New: Multi -Family Dwelling (Conisation Only) ❑ Duplex Apartment $260 ❑ Three or more multi family units: $130 per building plus $65 per unit: ($130 x # of building4 ++ 165 x # of units) ❑ Existing Residence, and Detached Shop: $65 fee plus $10 per fixture up to the maximum of the corresponding sq. ft. of the building ($65 + (810 x # of fixtures)) ❑ Gray Water Systems: $130 ❑ Lawn Sprinklers/Backflow Device: $65 ❑ Moduhu, Manufactured or Mobile Homes: $65 for sewet and water stub connections ❑ Multipurpose Fire Sprinkler and Domestic Water Supply System: $65 fee or $4 per sprinkler head, whichever is greater Sewer & Water ❑ $38 Sewn Line ❑$38 Water Line 0$65 Sewer & Water- if inspected at the same time ❑ $65 Sewn turnaround under house (change from septic to 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 - space widen a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered pan of the living space. 44 -C-=> PLS -c- //6Zz ® l Signature of Licensed Connacmr License number & Exp. date Date