HomeMy WebLinkAboutAPPLICATION - 16-00569 - The Medicine Shoppe - ShedCITY OF
REXBURG
America's Family Community PERMIT POLICIES ACKNOWLEDGMENT
Building Safety Department
City of Rexburg
35 North 1St 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.
o APPROVAL OF CONSTRUCTION. 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
in tiais Certificate of Occupancy from the Building Department. These documents must be signed b the a
es
from the City of Rexburg. Any approvals can be verified by calling (208) 372-2167. Even if you hear from ninspectoriatlthat
'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 SCHEDULING INSPECTIONS. 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
initials following business day. If an inspection is not done, the inspector may require any measures to be 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 to perform the electrical rough in inspection.)
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
ais not be completed. 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 Applicant's responsibility to turn in digital copies of the As -Built Plans when the project is completed. No Certificate of
initiais Occupancy will be issued without these plans, extenuating circumstances will need to be approved by the Building
Department.
o OCCUPYING A FINISHED BUILDING. No building may be 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
Initials be required to vacate.
o MAKING KNOWN POLICIES. 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
rials information is passed on to them or not.
Applicant's Name (print): ��-plLc �R�t �- Signature"called
Date: 8
Inspections must be called in before 8 AM on the day the inspection is requested. InspM 11 be scheduled for the next business day.
Inspection Hotline - (208) 372.2344 www.rexburg.org 72.2 41 Revised 10/2016
OF gEXB UQC
C1 TY o F Building Safety Department
RExBuRG City of Rexburg
""
America's Family Community 35 North 1St East
Rexburg, Idaho 83440
PROPERTY LINES
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.
Si nature Valy--X
Printed Name
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician -208
( ) 372.2341 Revised 10/2016
o� �exaupa
U� 7 C1 TY o > Building Safety Department
REXBURGBUILDING PERMIT FORM 4 05 City of Rexburg
clv Updated 03/2018
America's Family Community 35 North 1st East
Rexburg, Idaho 83440
BUILDING APPLICATION
Commercial Accessory Structure
For Office Use
Permit Number: �(p - pr�{(e Zoning:
1. PropeM Owner
Name: 11m,
o�
Address:I(C C&-)
City: M�1►.l S`C-
Phone:
2. ApplicApt
Application Fee Paid: ❑ $100
State: 0' Zip Code: 3li
Email:
Name: (.a AP_t.J( 2_ (moo r_-�'C ?-TIL3(� Role: (Owner, Tenant, Contractor, etc. >YQ�
Address: �6 Z't? ) -Co
Phone: — 3 — /(off p City' �!� g`,� State: _ t L5 Zip Code: _S 3`/ NO
Email: tea. wJb'fZta�.1-C�1 I�Ci�ra�� Ati �p{�
Contact/Rep. Name: lrA LG ��`�
3. General Contractor
Under Idaho Building Code, a registered contractor is required to do construction on a commercial property.
Name: unt- Awt� Cit i� VG
Address:
Registration #:
Phone:
Contact/Rep. Name:
City:
State
Email:
Phone: Email:
Exp.:
_ Zip Code:
General Contractor Authorized Signature:
A co 0 g / q Date:
py fyour state re istration license is required to be on file. If this is t e first time you have done work in the City of Rexburg, please provide
a photo copy ofyour license. Ifyou are unsure ifyour license is an file, plea check with the Permit Technician by calling (208) 372-2341.
4. Project Description
Structures less than 200 square feet do not need a building permit Structures 200 square feet or larger need a building permit and
must adhere to the setback rules of the zone in which they are built.
Address: I lel- l,J • M A , t� -
Project Description:
• Estimated Total Cost: $_ 5 p{Z•j
• Type of structure:
• Square Feet of Structure: Z 130 sq ft
❑ Deck ❑ Garage/Car port Shed/Shop ❑ Other: Explain
• Check All Included in Scope of Work:
❑ Mechanical Work Cost: $ ❑ Electrical Work Cost: $ t
Note: Any contractors involved will need to fill out their respective application. El Plumbing Work Cost: $
Building Permit fees for accessory structures are charged based on square footage and the City's estimated valuation. For details on how fees are calculated,
contact the Building Department. There will also be a plan review fee totaling 10% of the building permit fee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein
is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg
shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the
City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012
International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): -419 C.p wt V-- Signature: i
Date: l i7
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after AM will be scheduled for the next business day.
Inspection Hotline - (208) 372.2344
www.rexburg.org Permit Technician - (208) 372.2341
O4 gBXBU,QG
F� �a CITY o > Building Safety Department
U REXBURG
BUILDING PERMIT FORM220 City of Rexburg
UPd «do3 tote 35 North 1St East
America's Family Community
Rexburg, Idaho 83440
BUILDING APPLICATION
Commercial Electrical
For Office Use
Permit Number:
Electrical Fees Paid ❑
1. Property Owner
Name:
Address:
Phone: City: State: _ Zip Code:
Email:
2. Electrical Contractor
Under Idaho Building Code, a registered contractor must do the work for a Commercial Building.
Business:= State License #:
Address: Exp.:
Phone: City: State: _ Zip Code:
Email:
Contact/Rep. Name: Phone:
Email:
Electrical Contractor Authorized Signature:
A copy ofyour state registration/license is required to be on file. If this is the first timeyou have done work in the Cityof Rexburg, please provide
a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
3. Project Description
Address:
Description of work:
❑ Project Cost: $
Cost of project: Calculation for inspection fee:
If project cost is between $0 to $10,000 then: Cost o
( f project '2%) + $60
If project cost is between $10,001 to $100, 000 then: ((Cost of project - $10, 000) * 1 %) + $260
If project cost isgreater than $100,001 then: Cost o
(( ofproject - $100, 000) * �/z%) + $1160
There will also be a plan review fee totaling 10% of the above fee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein
is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg
shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the
City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012
International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): Signature:
Date:
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day.
Inspection Hotline - (208) 372.2344
www.rexburg.org Permit Technician - (208) 372.2341