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Home My WebLink AboutAPPLICATION - 18-00122 - 525 S Center St - BYUI - Mini Cell PolesGov sexnoac, 4 CITY OF REXBURG OW Amerim}rumity eommwfry Building Safety Department City of Rexburg 35 North In East Rexburg, Idaho 83440 COMMERCIAL ADDITION 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: 1 set of site) plans for each location (15 total) M P, sets of site pans drawn to scale (see Site Plan Checklist) N/A❑ 3 sets of building plans (see box below to right) - stamped by a licensed professional. Include the following as applicable N/A❑ Foundation Plan, FloorjoistLayouk 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. N/A❑ Electrical panel layout and calculations included with building plans. N/A❑ Exterior Lighting Plan including photometric layout. WAD Structural Calculations (see box below) -stamped by a Seismic Desi n Cateo - D ry licensed Engineer & g g (unless soil evaluation confirms category C) N/Ao Energy Compliance Report: As per the 2012 IECC, a CCIMCheck Ground Snow- 50 Its. per sq. it is required (available online at www.energycodes.eovl Roof Snow Load - 35 lbs. per sq. ft ® Digital Plans (PDF Format - can be submitted by USB, CD, or wind Load - 90 MPH Dropbox) Frost Depth - 36" N/A❑ **Copies of any Contractors' State License if not on file already. Complete the Following Forms ® Permit Policies Acknowledgment signed l0 Property Line form signed ® Building Permit Application signed by a registered General Contractor N/A E3 Mechanical Permit Application signed by a registered Mechanical Contractor ® Electrical Permit Application signed by a licensed Electrical Contractor N/A El Plumbing Permit Application signed by a licensed Plumbing Contractor N/A ❑ Fire Alarm Permit Application (if applicable) signed by a registered professional NIA 13 Fire Sprinkler Permit Application (if applicable) signed by a registered professional N Subcontractor list filled out ® Affidavit of Legal Interest signed by owner ® Notifications Distribution List w Business Use Summary Completed 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 http,//rexburg org/pages/development-code. InspeRlon Hunine-(200)3)2.2344 www.rexburgarg remit Technician -(208)3]2.2341 Revised 10/2016 o acxevq� � 6 cirr OF ° REXBURG r>v Amen.}Finadvrommuniy PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North In 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. ❑ mmiai. 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 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 'a building is occupied without receiving a signed Certificate of Occupancy, citations maybe issued and the occupants may be evicted. Initials 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 he 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 electrical the inspection. (Example: If the eleical rough in inspection is not done and the sheetrock has been ennuis 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 (2 08) 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. Zeftims 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. 9. The above policies will be enforced to all, regardless if this information is passed on to them or not. InRlals Applicant's Name (print): S"Tr- Q"'"o Signature: Date: Inspections mustbe railed N before SAM on the day Me mapeceon M requested Inspection requests rolled In after SAM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.rexburgmg Permit Technician -(208)372.2341 Revised 10/2016 0 CITY OF REXBURG nn,aNmt rnmlty commuiry PROPERTY LINES Building Safety Department City of Rexburg 35 North In 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. — Ar�w J,�J Signature Printed Name Da e Ins ctlon HoWne-(208)3)2.2344 w .rexbur oM Permit Tecbnitlan-(M)372.2341 Re .d 10/2016 4an°"` CITY o P Building Safety Department ". 1�t)ABURG BUILDING PERMIT FORM 203 City of Rexburg av 35 North l51 East amaml Pamiy Commonly Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Addition For Office Use Permit Number. Application Fee: ❑ $100 1. Property Owner Name: Jaduham Yguna University( Address: 525 South Center St city: Rexbura state: ID Zip code: 83460 Phone: (208) 496-2710 Email: 2. Applicant Name: Allied En9lDeeflOq .SeNICeS. IDC. Role: (Owner, Tenant Contractor, etc.) Address: 32 Discovery Dr city: Bozeman State: MT Zip Code; 59718 Phone: (406) 582-0221 Email: .squinn alliadengincoering GrimContact/RepRep. Nam�cott Quinn 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Name: TBD 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 fiie. If this is the first time you have done work in the City of Rexburg, please provide a photo copy ofyour license. if'you are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: 525 South Center St Description of work: Construction of small cell communication equipment Project Description: • Total cost of project- materials and labor: $ 375.000 • Check all that apply: ❑ Mechanical: Cost $ ® Electrical: Cost $ 75.000 ❑ Plumbing: Cost $ ❑ Fire Alarm: Cort $ ❑ Fire Sprinkler: Cort $ Note: Any contractors involved will need to fill out their respective application. • Change of Occupancy? M No ❑ Yes: New occupancy: Building Permit fees 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 reviewfee totaling 10%ofthe building permittee. APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of penury,Ihereby cealfydust l have read this application and state that me Information herein Is correct and I swear mat any Information which may hereafter be given by now In hearing before the Planning and Zoning ComorDelon or the City Council for the City of Rexburg shail bs truthful and correct 1 agree to comply with all City regulations ad State laws misangDo the sublea minter ofmis applicant. and hereby aumorlsed representatives Ofine City to enter upon the abocamennoned property for inspections purpose& NOTE: The building official may revoke a permit an approval Issued under the provisions ofthe 2012 International Code in cases ofany false statement or misrepresentation of had In the application or on the plans on which me permit or approval was hued Permit cold if cot aboard within 180 days Permit void Ifwork stops for 180 days. Applicant's Name (print): S�Tro,ses, I Signature: -.O- zr Date: 3IL/Ir Inspections most be called In before 8 AM on me day me Inspection Is requested. Inspection requests called In after 8 A win be scheduled forme ne#business day. Inspection Hotline -(208) 372.2344 www.warb ax-roz Permit Technklsn-(208) 372.2341 n°"xa°4p r: I TY OF Building Safety Department 1UXIURG' BUILDING PERMIT FO City of Rexburg ° m a° ° ^ 35 North lr East Amarima rnmibcamm"nIy Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Electrical For Office Use Permit Number: Electrical Pees Paid ❑ 1. Property Owner Name; Brigham Young University (Idaho) Address: 525 South Center St City: Rexburg State: ID Zip Code: 83460 Phone: (208) 496-2710 Email: 2. Electrical Contractor Underldaho Building Code, a registered contractor must do the work for a Commercial Building. Business: TBD State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: Date: A copy ofyourstate registration/license is required to be on file. if this is the first time you have done wark in the City of Rexburg, please provide a photo copy ofyour license. lfyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 3722341. 3. Project Description Address: 525 South Center St Description ofwork: Construction Of Small Cell communication equipment ❑ Project Cost: $ 75,000 • Feesfor commercialproyecfs are charged by cost- o Fimt$10,000=296+$60. From $10,000 Go$100,000=196+$260. Above $100,000 =,595 41,160. i.e. Work costing $15000 will be charged $260for thefirst$10,000 and 1%ofthe remaining $5000= $260,• $50= $310 total fee • There will also be a plan review fee totaling 10%of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperlury, l hereby certify that I have read this application and sere that the information herein W correct and I swear Nrany, Information "I& may hereafter be given by me In hearings before the Planning and Zoning Commission or the City Council for the City ofRexbmg shall be truthfuland rvrrect I .,as to comply with all City reguhtiom and State laws relating to the subject matter ofthk application and hereby authorized representatives ofthe City to enter upon the aboon,mentmeed property for Inspections purposes. NOIR: The building oiNtlal may revoke permit on approval issued under an, prevision of the 2012 International Code in cnitariany false statementor misrepresentation often Inthe application Cron no plans on which the permit manicured was based Permitedd ❑not started within 1R0 days Permit void Swan, shape for 180 days. Applicants Name (print): Seo'cT QwbvN Signature: Date: 31;1I6 Inspections must be called In before SAM on the day the luspertion is requested. Inspection requests called In after 8 AM will be scheduled for the next business day. Inspection Hotline - floe] 372.2344 www.rexburg.org Permit Technician -(208) 372.2341 0 CITY OF ° REX'W ti Amerim3 &milt' Cwnmuniy SUBCONTRACTOR LIST Excavation & Earthwork All Subcontractors TBD Masonry: Roofing: Insulation: Drywall: Painting: Floor Coverings: Plumbing: Heating: Electrical: Special Construction (Manufacturer or Supplier) Floor/Ceiling Joists: Siding/Exterior Other: Building Safety Department City of Rexburg 35 North 1PI East Rexbur&Idaho 83440 ImpeNon Hotline -(208)3R.03µ Permit Technlclan-(208)372.2341 Revled 10/2816 ;oa PBxxVPC, Q nnTTCVvI TnnY�O7'Pt)n l�VRG ti Ameruo} Family Community State of Idaho County of Madison I, Name Affidavit of Legal Interest FooR 4LDAIOC Building Safety Department City of Rexburg 35 North I� East Rexburg, Idaho 83440 city Being first duly sworn upon oath, (If Applicant Is also Owner of R A. That I am the record owner of Brant 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 harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this day r� Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: lmpeMon Hodine-(208)372,2344 wwwsexWgo,g Permmlff chnldan - (208) 372.2341 RWd10, 2016 CITY o e Building Safety Department RMURe City of Rexburg G 35 North Pt East Rexburg, Idaho 83440 DISTRIBUTION LIST Please provide the names and emails ofanyone who should begetting automated updates for this project: Review Notes Name: Todd Daoust Name: Yvonne Autry Name: Cliff Hieb Name: Scott Quinn Name: Inspection Tickets Name: Todd Daoust Name: Yvonne Autry Name: Cliff Hieb Name: Scott Quinn Name: Email: tdaoustodigitalskylines.com Email: yvonne.autry@verizonwireless.com Email: Clifford.HiebJr@VerizonWireless.com Email: squinn@alliedengineering.com Email: Email: tdaoust@digitalskylines.com Email: yvonne.autry@vedzonwireless.com Email: Clifford.HiebJr@VerizonWireless.com Email: squlnn@allledengineerinq.com Email: TmpeNon Hotline -(208)372.2344 NI ItTe@MCWn-(208)372.2341 ReMsd10/2016 M1 <*"'°•a CITY OF Building Safety Department o REXBURG City of Rexburg e,,, 35 North 1't East enmrmi lmmrycen,n.my Rexburg, Idaho 53440 BUSINESS USE SUMMARY The following questions will help speed the review process along. Please take the time to answer all of them. Is this business occupying an existing building? ❑ Yes 50 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? n Yes ® No Any changes to the mechanical system? ❑ Yes M No Is the business type changing? ❑ Yes, it will change to R No Is this business changing ownership? ❑ Yes M No Is the business registered with the City of Rexburg? o Yes, License H: N/A ❑ No *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? ❑ Yes 0o No Will there be any cooking of foods? ❑ Yes N No Will there be any deep fat frying? ❑ Yes ® No Will you have food disposal on site? ❑ Yes R No Will there be sumps or floor drains in the facility? ❑ Yes ®No Will the business have any chemicals on site? ❑ Yes ® No Applicants Signature g64-Sgz-oaa 1 :5/ Th 6 - Phone Date I certify that the information that I have provided above is to the best of my knowledge accurate and true. Inspection Hotline -(208)3]2.2344 w mxbm,o, Permit Technician -(208)3)2.2341 Revised March, 2016