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HomeMy WebLinkAboutAPPLICATION -19-00256 - 19-00257 - City Well House Buildings - #8-#9CITY OF REXBURG Americas Family Community Building Safety Department City of Rexburg 3S North lst 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 the following 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 lbs. 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 httn://rexburg.org/pages/development-code. ke- cino4e-r ee FnCix� J Boit #iir5> 0 k f-ree5 Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician -208 ( ) 372.2341 Revised 10/2016 of �exsuA� U� ra CITY o F Building Safety Department N REX BURG City of Rexburg Ow 35 North 1St East America's Family Community Rexburg, Idaho 83440 PERMIT POLICIES ACKNOWLEDGMENT 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. 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 tials 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 If a building is occupied without receiving a signed Certificate of Occupancy, citations may be 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 be scheduled for the following business day. n o 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 nitials 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 (208) 372-2341. F_� o Even if you hear from an inspector that'you're good to go', ultimately if you do not have a Building Permit or Y7Certificate of Occupancy, the above policies will be enforced. Initials 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. ( o The above policies will be enforced to all, regardless if this information is passed on to them or not. Initials, Applicant's Name (print): J d Y rT y 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 Revised 10/2016 tiAlgEXE U $ 4 `fe C1 TY o f Building Safety Department V REXBURG City of Rexburg "" 35 North 1St East Americas Family Community 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. ?nature 6— Printed Name Inspection Hotline - (208) 372.2344 www.rexburg.org ,1';711 i D to Permit Technician - (208) 372.2341 Revised 10/2016 o� gExB uRQ C I T Y o f Building Safety Department ° REXBURG BUILDING PERMIT FORM 405 City of Rexburg Cy Upda[ d 10/2016 35 North 1St East America's Family Community Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Accessory Structure For Office Use Permit Number: Zoning: Application Fee Paid: ❑ $100 1. Proper 0}0-F^'ner Name:_+) Y �Rebury Address: eu a_ Z ��f City: JN State: DZip Code: 6.3 'YO Phone: Z-�5- -3?2- -037 % Email: 2. Applicant Name: Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: 3. General Contractor Under Idaho Building Code, a registered contractor is required to do construction on a commercial property. Name: Registration #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to be on file. If this is the first time you have done work in the City of 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. 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: Z Z/`/ V/ /000 S Z -T 3 & -7 /j/ Project Description: e Ou -e-5 • Estimated Total Cost: $ 4 Square Feet of Structure: 6`a s ft. q• • Type of structure: 13,�pJDeck ❑ Garage/Car port ❑ Shed/Shop C1 Other: Explain we �� � / 0 y S e,,-- • Check All Included in Scope of Work: RMechanical Work Cost: $ klectrical Work Cost: $ )(I umbing Work Cost: $ Note: Any contractors involved will need to fill out their respective application. 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. — 1 --41 J -Ni i UKB, ULK i irlLA TIUN 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): k Of, �r�� Signature: Date: j4m Inspections must be called in before 8 AM on the day the inspection is requested. Inspectioequests 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 Og CITY O F REXBURG America's Family Community BUILDING PERMIT FORM 21 Updated 10/2016 BUILDING APPLICATION Commercial Mechanical Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: Mechanical Fees Paid ❑ 1. Property Owner Name: Ci f O �e�6u J / Address: ®� r/7t77� 22— 1140'"t City. d ' State: Zip Code: �3 �"yD Phone: If —37L —Z3 3 % Email: I` oe / y �' /�E�xhurg 2. Mechanical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized Signature: Date: A copy ofyourstate registration/license is required to be on file. If this is the first timeyou have done work in the City of 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 Des�jri tion Address: Z `SPY W /Cot S }� Z 93 F Description of work: G --a5 l'fpo,e/j Cl Project Cost: $ • Fees for commercial projects are charged by cost.- 0 ost.0 First $10,000 = 2 % + $60. From $10,000 to $100,000 = 1 % + $260. Above $100,000 =.5% +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = $310 total ee • 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):y �y Signature: Date: % 7 1Z f 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 CITY OF REXBURG America's Family Community BUILDING PERMIT FORM 2 2 0 Updated 10/2016 BUILDING APPLICATION Commercial Electrical Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: Electrical Fees Paid ❑ 1. Property Owner n Name: C t �y ! kexc ,4 T y Address: 19 1tf c X z k 1) City: eY4 State: Zip Code: /� y Phone: 7-0 F —3'%'Z -Z 33,/ Email: u{ aJ r , 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building, Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: Date: A copy of your state registration/license is required to be on file. If this is the first time you have done work in the City of 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: _22-M V/ (000 S 'i 2-q3 % Al t Description of work: 6-e_n v & f 0q well IG' t1,,JLC ❑ Project Cost: $ • Fees for commercial projects are charged by cost. o First $10,000 = 2 % + $60. From $10,000 to $100,000 = 1 % + $260. Above $100,000 =.5% +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $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 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): lTo-t/ C�—r" Signature: Date: /�7 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 CITY OF REXBURG America's Family Community BUILDING PERMIT FORM 230 Updated 10/2016 BUILDING APPLICATION Commercial Plumbing Building Safety Department City of Rexburg 35 North 15Y East Rexburg, Idaho 83440 For Office Use Permit Number: Plumbing Fees Paid ❑ 1. Propert Owner �+ Name: 7-1 / T /Z,b", I, y P Address: D 60)("7 City: State: Zip Code: D 3 �y U Phone: /10 Phone: -3/ Email w V- 2. 2. Plumbing Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Plumbing Contractor Authorized Signature: Date: A copy ofyourstate registration/license is required to be on file. If this is the first timeyou have done work in the City of 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 1 Address: Z -V i w IaO� S z�3 E 7 y .v Description of work: r—ro0 )' A—©1 ❑ Project Cost: $ • Fees for commercial projects are charged by cost: 0 First $10,000 = 2 % + $60. From $10,000 to $100,000 = 1 % + $260. Above $100,000 =.5% +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $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 of perjury, I hereby certify that 1 have read this application and state that the information herein is correct and 1 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): V O e I v r!!k 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 oQ �Exauq� V� 7 CITY OF Building Safety Department R.EX.BURG City of Rexburg "il 35 North 1St East America's Family Community Rexburg, Idaho 83440 SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: Drywall: Painting: Floor Coverings: Plumbing: Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Siding/Exterior Trim: Other: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician -208 ( ) 372.2341 Revised 10/2016 04 �caxaugc �� ra CI TY OF REXBURG '•<, America's Family Community Affidavit of Legal Interest State of Idaho County of Madison I, Name City Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) Address State Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 A. That I am the record owner of the property described on the attached, and I grant 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 of 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 O� �tEX9 URC ti� �9 CITY O F v REXBuRG -04 Americas Family Community DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 Please provide the names and emails of anyone who should begetting automated updates for this project: Review Notes ot/ Name: To --c Name: Name: Name: Name: Inspection Tickets Name: /¢ Name: Name: Name: Name: Email: I ©e. �q � red 6uYy, or; Email: Email: Email: Email: Email: Email: Email: Email: Email: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016