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HomeMy WebLinkAboutAPPLICATION - 18-00421 - 111 W 7th S Apt. 11 & 12 - BYU-I Enclose StairwayCI'I'Y ()F ;-. ---- I{EXBURG'' -tu**. ."*" rlnr/cai .f i:nrii;, {,\tmw wti ly Building S*f'*ty Department City nf Rexburg 35 North lst [ast l(*xbu rg; Iclair u lJ3 4 4'0 c$MMARilIAI" ItIiftdstlHir,/'tr'liNANT IR{pn$VHpItiH?" AI}pt,ICATION t${HCKLIST 'l'hc follawing items shaa:lcl b* cornpl*ted bef,qlrs y*u strbruit your huikling permit applicatign. 'tlleasonabl e acc*rnnrodatious will he ruade ui)on request. $uhmit the Follawing I)*cumcnts: n il s*ts of huilding; plilns * stampcd by a ljce nseil professinnirl. lnclude the Ji:ilor.,ving as applicable nI'oundrstit''ltt]',l,un,I;,loorlaistl',{ty()ur,I;'Iau.l!|un, ,l3'in'tr|ir'rri.s',Medluttit:tllI,tlyt''ltlt,-{rdit,i€r{Ii1^'.,antlan,ydetuiIsre:qltired n illet:trit:sl panel layout und culculations inclutlttl with l:rri/din3; plnrus'. n l|xtcrior l,i,qhring Flun irtt:ltxlirt14 1thtrt*merrir: |ny*ut" t"l ,StluctLrral Calculafjons {il'applicahlej * slarri;:erd by;i Iicrnse d }ingin*e r e- t;igital Plans (PDil l:*or"mnt * rarr i;e subnritted i:y t.ISI:i, CD, or ilrophoxl n **Cr;;:itts nf an3r flonl"r'acl.ors'$f;rl.s l,icensfl if not. on iii* illreacly. Complete the Fallowing F*rms y'{'ermir Policies Ackuowler.lgment sigue cl / Huitrting Pel'mit Applicnlion sigrretl by a register"erd fien*ral Cuntr^ar:tor n Metrhanical Pe rmil Appliration signed by a rogistorcd Mcchanical Contractor il Hlectrical Peir"mit Application signed by a licen.sod ilcctrir:al []ontrurctor n Itlunti:inp; Fermit Applicatio* si;i;rrerci hy a liccnsed Plunrbing Coufrattor il Firc Alnrm Perniil Application lif applicalilerJ sig:recl by a l"cgisfered prol"essional n ilire SJ:rinkler' [)et:mit AJ:rplir:ation [if applii:ablrlj sip;ned hy a registr.rreil profession;rl u/"Suhcontractor list l'illed *ut n /ffidnvir of l,eg;ll lntsrest signnrl iry *wnu. rir./N otifi ca ti ons ll ist ribu fi on List ro/ Ilr.rsiness IIse $urumary ConrJ:lete.d Subdivisiotrs: If you platt lr: build irr a subcliyisir:rn pbase ch$ck fh{i Roxburg Devoln6rnrent Code {trr any reqrtir*ure nts stich ns prt4lrrty se th*cks, archit*c[r"rrcr hoarcl approvai, etc. 'l'hi.r infonrati*rr is nvailahls at lj$S#*.j*,*jii:Sllt$J|ilj;$;1gjtl*vr:lltli*r*rt*crlS*. I rr..,;,,-,-i.r,. rr I i,,r l,,rf: - I 2(l t) ij'.i, 2.\'l l !vwR'.IrJlrtr f$,org I eIi1rt l(rfirrilrir') - {;i'\liJ 372.:?:}.1 I Ilcv)$*d I {) /;li).1.{' (;rT]"(,I REX$I.IRG (.tgi -----"-*_--, I *rr:riirrk litmily {ontrrriry, Fluikl ing Sat'ety llep*rtment City of Rexburg .:i5 N*rtir I'tr }lastllgxaM;T ff *il{}ffi $,{cKH ilwtg$$Hbi$t Il*xhurg, ldaho 8344i) j 'l'lre (litv al licxburg I i"irulrrstatrd the. City rrf llcxiiur;', 'vou'r* 6*od frtl')r( c(i, ruced Ltr Iollowirrg4 husin r"*;s da,y. li' ;n r.r'nll<uls and irtsper:trr's nrrti.rtlrr.rnlp|tltt:tI.{:ixieltruatingrirctrntshlnctlsrvi|littl*:dtobcapprovtltlhythtl {)r:cupaucv l.)*1:ilrl.rrrcl l." buildinl; is or:r:u1.rird rv.ithou l. Llr: rcqriilrd l"n vilcltr!^ {.:lll'is?*urr.ilsporrsihilitvtr:irlfi:rrrranyol)0o|}\r{)irprojectof|ltt-:abuvil iirfirrrrratian is p;rsscd {}11 to lhtj*i of r)ol. ,)rrt*,JHd4ppl icant's I\;,rmr {prirrt} :}*_ Sigualru'e: ll:ri.r{xliDlrs trt:st h* ':allrxl in }r,:lur,: * A14 dn iJ1f, rJirt llt(j i}isiriicti{r}r i: re(lriestr'1. Jlljllrr{ll Atl wtlJ bir sch*:lulrrrl llrr tirq ttr)xl:hnsit|fss .la\ \1, rvv\,, fi) x | ) ri r'!:, + ft ) 37?.?34.r Itr\,i1r(,,1 I ll,/;:rl I 6 {:tI'Y ()F ::REXBTTRG (,\i****"-- -- rtnsriiai iralil}' {.:lmm wtity Ba;lx,rllNfi fiilltMIT F#ltM | "jffiltr,:::r1,1..lr::tld | #v * I ffi uilding $x{bty f)*;:ix r"frn*n{. {Jity *f Rexi:ulg ;$5 Nclrth l jit llilst llexburg,l*aho fi3440 Ht.;x 1,3:jXN{; A$}}}LI fi A'1"} ilN {,irn r r* sr'*:;* J Sleni # #*l sign;,rriircr JPW\ k"t - Daft: i'1i1ylJ1d;]1s}}i]i]ij{!li:;rt<1lt..;|td,lrs;rtuiititlt,cll1ittls|i;i:al)ldirrllii*rflA|'dwillilts{Jl{]ij|lli:iifl]Il *:;"{-liiii.: iirrl llrlrmi{ 1i,1umlr*r:Applir:;rlittn Fner tl $ 1Oil r.li Fi;lnrt: ArltJrcss l:thr.lnr.:: St;rtc: ,:, rliirit il I{lttttt:r r I q t(.J AcitJlr:ss: lllrr>rr cr {}:lr tilr:tl llep" l'larnc: 0il {,ontrac 5t;:tn; :til;l frwd:fi?r"fi?r.r,$f r,f* tls wnrAfrrr rx {)nrnm*rtinl ftuilding I'i;lrili:I Arirl rr,lss I.'honc: $ta le {)o*tilr:t1l{tp N;lnro {i r: rr *ra} tlu n trnr:lur Au I h u rriz*cl Si grrat ure tst fili,,'){.{r{{, I {,1'.rr }r,i \tt"tt,ttti 'lt {;ri1'rr | 'r I ti pi:t.t(tt i:itp.i,;st' j'tstlt"' t:t:0,tt. 1j .,,]i:iit itftt t8;:atrt: ij ltt.ttit'll,' r'r,,r'. ,.1:.', ,r ',:,itir tlt': l"tr't{ril'l't:t:l'*tit:itti !s.V r:*lliitl; lil.}u}::17t"2:i':t'l l, I r . r'r,rl l" r:rl r lfn#w^l**lt* llt fu,Pl;l t -,,,^*,7/r,nfd 1.1 i.; ll;a /i|si iirrrrl yul it(t\','t ,Jt.ult. wurk ir: iJkr 1-ilu IJ iirt:bur!J,l)lrYir|1 IrI(rt t\drlr*rsr i)*rr-:r'iptiorr of Wulk I rrtjltt I)*lscriptiort: Ch*clr ilii thilt ;,1p1:lyr l',,1 r:e:hanical: (lrir;t $l-i lr lc r:t ric l l : {l ost $1) ftlunrliiug: tlust $ illrt: Alnrrn: Cost $ili lfirr: SipL'ixklcr {lot;i: $ l',1 ul.r,r:,4 ny L("rr) { r'i,u'{ ilr': (ilraugr: ot ()c:cuparrcy plrt rt:vi*** ibt t.otcslitt,tl I ().itt af tltt huiidin.ts ptnttit.ftr, t_l u] irrv*ivgti ir;i1l ltnril tr.r iiil *irl tht:ir rt:ll1:l'rr:tit'<: rr1t1:iit:;tiir.:tt, t-Y{io Yes: N*w oi:(riirir*{iv: ,'\1r1;1rr ;,rrri's N;,rult: Iprintl : www.rrrburli.sr ji IrrililiI liiilIirlix ct,Y ()$ Mxntrnc Aw:rica's 1 tmtibr dJumn um ily Building Saf'ety Department City of F{exburg ItS North l jst [ast Rexbnrg,ldaho 8:J440 SUI}CONTRACTOR LIST ilxcavation Ctxcre le : &Earthworu, Nla - .-.-. -- * * -* . Masonry:No.- llor;fing: Irr.c rrl;l lirJrr ; Iirffi Itainting; li'klol' Coveringsr \ lin;rtins: fJX - - llle,:tr:ical;S* - *. Plu:nbing:\)a" $pecial Construction . \ x {Manufacturer or SuPPlier) Itoof 'l'rursses; ilo*r/Ceiling Iois ls; a*\X- Sidi ng/lixtelior'l'rim: {r\-- 0ther: In5f+,ri:lrfr IIollrrrr - I2()ll) .a1 2,)..<4,1 wbav.r{i th u f$, s }: f;l'clrnit lirchniliar - {;l0BJ 37?.?34 1 Revisr:rl Li)/lli)1.6 c l'I'Y () li ---.,-----------ITEXBURG tu-^** rtnruricai lirni&, fi smwwity Building $af'ety Department Cily of l{exburg 35 North l.st East Rexhnrg,Idahn 8:i44.0 NI$TRIBUTION I,TST I'leuse provide the names nnrl emuils ol'unyane wha shoultl be getting automated updat:ss {or this project: Revicw Notes Nirrnu: Name: Namc: Namg: Nanru: Nilrner: Narnro: Nirme: Name: Nirrrre: Inspection Tiskets Hrnail: Imail: Email; Hmail: Hr:nail: fimail: Irnail: Email; Hmail: Ilnrail: wwt,rethurg,org i'df mit l'ddr ni.irI - [)l0lil] 372.234 I t{cvisrxi :1.0/2t}1/i