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Home My WebLink AboutAPPLICATION 2 - 18-00211 - 766 Lodgepole St - Evergreen Park - New RestroomCITY OF RMURG n Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 COMMERCIAL ACCESSORY STRUCTURE 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: ❑ 3 sets of site,plans, drawn to scale ❑ 3 sets of building plans drawn to scale (see box to right) ❑ Include thefollawing 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. ❑ Structural Calculations (see box to right) -stamped by a licensed Engineer Seismic Design Category- D ❑ Digital Plans (PDF Format- can be submitted by USB, CD, or Dropbox) Ground Snow- 50 His. per sq. ft. Roof Snow Load - 35 lbs. per sq. ft. ❑ "Copies of any Contractors' State License if not on file already. Wind Load- 90 MPH Frost Depth - 36" Complete the Following Forms: ❑ Permit Policies Acknowledgment signed. ❑ Property Line form signed by builder. ❑ Building Permit Application signed by a registered General Contractor. ❑ Mechanical Permit Application signed by a registered Mechanical Contractor. ❑ Electrical Permit Application signed by a registered Electrical Contractor. ❑ Plumbing Permit Application signed by a registered Plumbing Contractor. ❑ Subcontractor list completed. ❑ Affidavit of Legal Interest signed by owner, if applicant is not working directly with owner. ❑ Notifications Distribution List, 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 htlR//rexburg org/pages/dgygiopment-code. Inspection autime-(208)302.2344 wwwzexbusgorg Permit Technician -(208)3]2.2341 Revised 10/2016 FO yMaug4,Q CITY OF ° REXBURG PERMIT POLICIES ACKNOWLEDGMENT Building Safety Departmen City of Rexburl 35 North lot Eas Rexburg, Idaho 8344( 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 ❑o APPROVAL OF CONSTRUCTION.Constructlon on any project ran 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 murals Certificate of Occupancy from the Building Department These documents must be signed b the a gn y ppromaniauthorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2167. Even ifyou 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. o SCHEDU LI NG I NSPECTIONS. 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 Ionian following business day. If an inspection is not done, the inspector may require any measures to he taken to allow him to correctly perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been put up, the inspector may require the sheetrock to be removed in order W perform the electrical rough in inspection.) ❑o STAIRWAYS REQUIRED. On jobsites for multi-level buildings the contractor must provide temporary stairs so that workers and inspectors can safely access upper levels of the building. If these stairs are not provided, inspections may mitmlz not becompleted. Extenuating circumstances will need to be approved by the Building Department. DIGITAL AS -BUILT PLANS. A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans. It is the Applicants responsibility to turn in digital copies of the As -Built Plans when the project is completed. No Certificate of maials Occupancy will be issued without these plans, extenuating circumstances will need to bea Department pproved by the Building ❑o OCCUPYI NO A FINISHED BUILDING. No building may he occupied without receiving a signed Certificate of Occupancy. If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may Inaialz be required to vacate. ❑o M AKING KNOWN POLICI ES. 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. The above policies will be enforced to all, regardless if this mrtials information is passed on to them or not Applicant's Name (print): Date: Inspections must becered in before 8AM on tbeday ibetnspection m requested loo rectmn requests called in afters AM will bemh Nulatl krthe neat business day. Inspection Hotline -(20013]2.2344 mww.resbueg.org Permit Technician -108 11...... f ] aemsea 10/2016 Op p8YB4gQ i 6 CITY -OP a REXBURG N— ABm,; wmd)y coB,Bw" PROPERTY LINES Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 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 finding 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 layer 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. d, '&, 'Y1Z /% o•eexeve4 b y CITY O F Building Safety Department REXBURG " BUILDING PERMIT FORM 405 City of Rexburg wa.maaaaata A 35 North let East menrvk F•mlty Communiy Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Accessory structure For Office use Permit Number: _ General Contractor Authorized Signature: r.rrra A copy ofyour state registration/license is required to be oiffle. If this is the rettime Date: a photo copy ofyour license. Ifyo, are unsure fyour license is on file, please heck with the Permit Technician b Calling !Rexburg, please provi Y ng (208) 372-2341. 4. Project Description Strucatres less than 200 square feet do not need a building permit Structures 200 squarefeet orlarger need a building permit and must adhere to the setbgek rules of the zone in which they are built Address: -L-VIS a- ,_i Project Description: x!0011 • Estimated Total Cost: • Type of structure: • Square Feet sq. ft. Cl Deck ❑Garage/car port ❑Shed/Shop Other: Explain g e4Tfron, is Check All Included in Scope of Work: ❑ �� Mechanical Work Cost: $_ ISEiectrical Work Cost: $_ Ey / Plumbing Work Cost: $_ Note: Any contractors involved will need to fill out their respective application. H onfivg Permitfeesfor accessory structures are charged based m,,AD,,00mge and the City's matimmed voluatlon. For demds on hotels, are caculated, contact the Building Defacement There will also be plan reviewfee totaling 10%ofthe building per onjim,, APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, i hereby certify that I have read MIs application and state that the interaction herein is current and I swear that any information which may hereafter begive0 by me in hearings before the Planning and Zoning Commission or the CRY Council far the Ciryd Rexburg shall be teuthm and correct 1 agree to comply with all City re,dath, V and Stare laws relating to the subject matter of this alneicatlm, and hereby authorized rep warntabous cf the City to enter upon the above- mentioned property for inspections porposes. NOTE: The building official may revoke a permit on appmeniNamed under the provisions of the 2012 International Code on uses of any false statement r misrepresentation offact m She application or on One plane on which the permit or approval was based. Permit void ifnor started within 180 days. Permit said Ifwork ships foe Ise days. Applicant's Name (print): J -o e ( 6- pp rt`� Signature: ifn.ya Date 17y� Inspections must be called in before SAM on the daythe insperoon,svequested. insrace o requmsfall Nin after a AM Inspection Hotline -(200) 372.2344 will be scheduled for Ne morbusiness day. www.reaburg.mg Permit Technician -(208) 372.2341 Application Fee Paid: [1 $100 1. Property Owner Name: C ' a -P "0/ IC e.X'O it ra Address: 0 /3Arc --3 27-0 City; �eY da State: ! Phone: god 59-ze" Zip Code: Uqyo —,or9 Email toe1760 %epcbgrq c. Applicant Name: i}' A Address; Role: (0wner, Tenant, Contractor, etc.) Phone: City: State: Zip Code; Contact/Rep. Name: Email: 3. General Contractor Bnderidaho Building Code, a registered contractor is required to do construction on a commercial property. Name: AOL 8ee14 Address: Registration #: Exp.: Phone: - - City:State: Zip Code: Contact/Rep. Name: _ Email: General Contractor Authorized Signature: r.rrra A copy ofyour state registration/license is required to be oiffle. If this is the rettime Date: a photo copy ofyour license. Ifyo, are unsure fyour license is on file, please heck with the Permit Technician b Calling !Rexburg, please provi Y ng (208) 372-2341. 4. Project Description Strucatres less than 200 square feet do not need a building permit Structures 200 squarefeet orlarger need a building permit and must adhere to the setbgek rules of the zone in which they are built Address: -L-VIS a- ,_i Project Description: x!0011 • Estimated Total Cost: • Type of structure: • Square Feet sq. ft. Cl Deck ❑Garage/car port ❑Shed/Shop Other: Explain g e4Tfron, is Check All Included in Scope of Work: ❑ �� Mechanical Work Cost: $_ ISEiectrical Work Cost: $_ Ey / Plumbing Work Cost: $_ Note: Any contractors involved will need to fill out their respective application. H onfivg Permitfeesfor accessory structures are charged based m,,AD,,00mge and the City's matimmed voluatlon. For demds on hotels, are caculated, contact the Building Defacement There will also be plan reviewfee totaling 10%ofthe building per onjim,, APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, i hereby certify that I have read MIs application and state that the interaction herein is current and I swear that any information which may hereafter begive0 by me in hearings before the Planning and Zoning Commission or the CRY Council far the Ciryd Rexburg shall be teuthm and correct 1 agree to comply with all City re,dath, V and Stare laws relating to the subject matter of this alneicatlm, and hereby authorized rep warntabous cf the City to enter upon the above- mentioned property for inspections porposes. NOTE: The building official may revoke a permit on appmeniNamed under the provisions of the 2012 International Code on uses of any false statement r misrepresentation offact m She application or on One plane on which the permit or approval was based. Permit void ifnor started within 180 days. Permit said Ifwork ships foe Ise days. Applicant's Name (print): J -o e ( 6- pp rt`� Signature: ifn.ya Date 17y� Inspections must be called in before SAM on the daythe insperoon,svequested. insrace o requmsfall Nin after a AM Inspection Hotline -(200) 372.2344 will be scheduled for Ne morbusiness day. www.reaburg.mg Permit Technician -(208) 372.2341 asau CITY o H Building Safety Department o 1�nv Tm RBURG BUILDING PERMIT FORM 220 City of Rexburg ty uee.namfaote Amerimgrwa„g cnmma,dy 35 North 1't East Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Electrical For Office Use Permit Number: Electrical Fees Paid CI 1. Property Owner Name: 1-0 of RexSuN Address: /0 d R v zsrd Phone: City: -A ex State: tV Zip Code: YYa 2. Electrical Contractor Underldaho Building Code, a r1,tered contractormust do the work for a Commerclal Building. Business: Lei 54 ma, . FJ<c}r i e Slate License #: Exp.: Address: City: State: Zip Code: Phone: Contact/Rep. Name: Email: Phone: Email: Electrical Contractor Authorized Signature - Aco PY o h Date: fYourstate reyistm[ion/license isr aired to be onle.lf this is have done work in the City of Rexburg, please provide aphod, mpyofyourlicense, lfyouareunsurefyouflicenseisonfile, pleasecheckwChthe Permit Technicianb cal/i y ng (288) 371-2341. 3. Project Description II Address: %L6 lochZ We— Description ofwork:=1 [eofrir ( ❑ Project Cost: $ % 47 APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, I hereby certify Mal i M1ave read MIs apPliaHon and mate Mat [he information herein Is surmm and I swear that any information which may hereafter be given by mein hearings before 6. Planning and Zoning Commission or the City Control for the City offt-mrg ONE be truffind and mfrea IaMe to comply vath all CRY regulations and State laws relating to Use subject matter of this aPPI madden and hereby entombed representadves of the City no enter upon the above-mentioned property for ine amens purposes NOTE The International Code in tales ofany false amtement or misrepresentationeb...Dag oft on the pinsd may on v,,,,the pe t an approval issued under [hepmvisions ofMe2oII started variant 180 days. Permk void Repok stops for 180 days.offettin the application or an the Alanson whichtM1e permit orapproval was based Permitvoid if nm Applicant's Name (print); Ta -e e� Signature: / ty Date: NTS S Inspeaiemust he called in before B AM on he day the its inspettion Hotline-- (208) 3)3.3344 pection I- maturated. ap urated. IneNen requests called in after AM will be scheduled for the uest business day. www.rtab rrg.org Perini[ Tecbnidan-2oe139J nal Q YHV ueC CITY OF Building Safety Department RVVRG BUILDING PERMIT FORM 2 30 City of Rexburg nod.naavaar' ti 35 North fat East AmanmtRmMH cpnmrramy Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Plumbing For Office Use Permit Number Plumbing Fees Paid. 1. Proper typ Her �i NameAddre: CIF O 7 �.e, lj µ Phones_ O /fe7C 2$0 cry: Rexbut-gState: Zip Code: $JL/YO Email: 2. Plumbing Contractor Underldaho Building Codes a registered contractor mustdo the work fora Commercial Building. Business: �ard5ri V/u r"hM4 Address: i State License k: Exp.: Phone: City: State: Zip Code: Contact/Rep. Name: Phone: y Email: Plumbing Contractor Authorized Signature: A copy oJyoursiote registmtion/license is required to he onlle lfthis is thefirst time Date: 0 photo copy ofyate regi0se.1 ouareeI, r -q f you have done work in the city of Rexburg, please pros JY f"O"1cense is 00114 please check with the permit Technician by Calling (208) 372-2341. 3. Project Description Address: 966 Lo at 14 - Description Description of work:�j )xe ❑ Project Cost: $ % 70 D - is APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenaltyotperlury,lherebycertlfythaH have read thisappliptionantl state thatthe Nformatlon herein correct and l swear that any Information which may hereafter be given by mein hearings before am Planning and Zoning Commission or the City Council forom City of Rexburg shall be truthibl and correct Iwee to wmpiy wich all City regulations and Syme laws dialog to the 'child matter orchis application and hereby authorized representatives ofthe Citymenteropon theabove-mentionetlpropmry for inspectionapurposes. NOTE: The building official may revoke a permit ore approval issued under thepred,n m ofthe 2012 Intenmtiorml Code in rases many false smtement m e isrepresentatlan of fart in the application or on the plans on which the permit or approval was based. Permitvoid if no[ started within 100 days. P-mdtvoid ifwmk stppsmr 18o days Applicant's Name (print): J04 %rrotiv Si nature: ��2y�/� T g Date: Y`—`I`-`-` lesP@dPeamust becalled mbefore BAM on the daythe inspectlon is requested. inspection requesm called in after RAM will be mhednled for the ne rthromess day. Inspection Hotline -608)3]2.2344 www.m bur&mg Perms[ Technician - (2081 3 72.23m °e s8 aU�C CITY OF ° RMURG Ammwi FNly Community SUBCONTRACTOR LIST Excavation &Earthwork: U L— OEC Concrete: OL 4 PSK Masonry: Roofing: e� K Insulation: Drywall: l% L/'i ack Painting: /%L 6,C -J Floor Coverings: Plumbing: /4" /tY �y ft,I Heating: "�� Le -1'51,a L"/L'c T✓'ic Electrical:_ Lett54 hnan Special Construction C I/ (Manufacturer or Supplier) Roof Trusses: Sn a 'p- k i'y e r 4-v- 55 Floor/Ceiling Joists: = Siding/Exterior Trim: _HAro i P& n k Building Safety Department City of Rexburg 35 North V East Rexburg, Idaho 83440 Inspection Hotline -(208)302.2344 www.rexburgorg Femot Technidan-208]372.2341 ( PaWsed 10/2016 o4 vsiaugc, w° b CITY OF ' REXBURG OW — AmenmPawry Com ,, DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 Please provide the names and emails of anyone who should begetting automated updates for this project: Review Notes Name:.D-Gli (--re y I Name: Name: Inspection Tickets Name: 6e , ma. Name: J -6 e,( 6-r!4 Name: Name: inSPednn Hotline -(208)372.2344 w .rexburg.og Email:1609, 4�° �eXhY� orq Email: Email: Email: Email:lJ lImi, Q dib rk Go w. r xb Y Email 106 17 E2 a UR 0rq Email: Email: Petmit Technic -(208)372.2341 Re Sed 10/2016