HomeMy WebLinkAboutAPPLICATION - 266 Mohawk - Short Term Rental1,XB"; G
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APPLICATION FOR SHORT-TERM RENTAL REGISTRATION
No person shall maintain or operate any short-term rental within the corporate limits of the City of Rexburg without first
obtaining a Certificate of Registration from the City of Rexburg and paying a general fee. Certificates of Registration shall be
issued to each applicant complying with all applicable state laws and city ordinances.
GENERAL INFORMATION
APPLICATION PURPOSE New Short Term Rental _Renewal _Other Change
NAME OF OWNER
v
DRIVERS LICENSE #
NATURE OF BUSINESS _Bed and Breakfast Inn !! Boarding House _Short Term Rental (See Ordinance 1177 for details)
A City Registration, Building Permit and review is required for Neighborhood Compatibility for Parking, Screening, Lighting and
Landscaping to be approved by staff.
FEES - $100.00 INITIAL REGISTRATION FEE $25.00 RENEWAL FEE (per year)
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APPLICANT'S DRIVERS LICENSE NO.
NAME OF OWNER/APPLICANT
Address
NAME OF F
Address
CONTACT" INFORMATION
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_Phone
Email
_ Phone 4_a____ 5`v_�j,,l/i
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AFTER HOURS EMERGENCY CONTACT /%�%`Phone Jl�/
Address
y�JSITE DESCRIPTION
PHYSICAL BUSINESS ADDRESS 26 6
MAILING ADDRESS ' � / Au USINESS PHONE I
SIGNAGE: Applicants wanting a sign must apply for a sign permit. Applications can be obtained from City Hall or at
www.rexburg.org.
PARKING INFORMATION
Number of Rental Units Number of Potential Tenants Number of Parking Spaces
Location of Parking
PARKING REQUIREMENT APPROVAL: Date Obtained (Short Term Rentals including Boarding House and
Bed and Breakfast require two on-site parking spaces for Owner/Manager plus one on-site parking space per bedroom being
rented. No on -street parking allowed.)
SAFETY INFORMATION
FIRE EXTINGUISHERS: Does each unit have at least one 51b. A.B.C. fire extinguisher that shall be kept charged and ready to
use in an accessible location known to all occupants on the premises?'9Yes _No
Note: Minimum standards for each apartment require a 2A -1013C wall mounted fire extinguisher with monthly inspections.
SMOKE DETECTORS: Are there smoke detectors in each unit? l%Yes _No
ENTRY & EXIT: Does the main entry door swing out and have a minimum 36" width and 80" height? Yes _No
Note: Apartment entry doors will swing in to the apartment. Commercial doors, based on occupancy capacity, may need to
swing out for public safety.
HANDICAP ACCESSIBLE: Are all entries, exits, and restrooms handicap accessible? _Yes _No
Note: Residential restrooms are not accessible to the public. Commercial buildings may have accessible restrooms.
LIFE SAFETY INSPECTION: Has the property for which this permit is being sought been inspected for Life Safety
Compliance? (Ordinance 851) _Yes _No
Note: You can contact the Building Department to verify if this location has had a life safety inspection by the City of Rexburg.
IMPORTANT: Incomplete or incorrect applications may result in delay or refusal of issuance of Certificate of Registration.
Except where otherwise provided, the certificate year/term shall run from January 1 st until December 31St of the same year.
The certificate must l e -F newed y rly and h applicabte.fees paid yearly.
AS APPLICANT, 1 01 DECLARE UNDER PENALTY OF PERJURY
UNDER IDAHO STATE LAW THAT ALL I F RM ION GIVEN IS TRUE A CO RECT, AND I UNDERSTAND THAT
ALL INFORMATION GIVEN IS SUfJ�CT TO V I IC T ON.
SIGNATURE OF APPLICANT DATEZ14 2
PLEASE ENCLOSE A CHECK FOR ALL APPLICABLE FEES MADE PAYABLE TO THE CITY OF REXBURG.
OFFICE DISE ONLY . APPROVAL CHECKLIST"— PLEASE jAfITjAI
1T DIAIC DEPT 2"1(),V;'NG DEPT,