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HomeMy WebLinkAboutAPPLICATION - 19-00364 - East Idaho Credit Union - New BuildingUR0 C I TY OF REXBURG Americas Family Community BUSINESS USE SUMMARY Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 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 ❑ No Will the business be doing any structural/or remodeling changes to the building? ❑ Yes d No Any changes to the electrical? ❑ Yes H No Any changes to the plumbing? ❑ Yes V No Any changes to the mechanical system? ❑ Yes of No Is the business type Yes, it changing? ❑ will change to d No Is this business changing ownership? ❑ Yes �No Is the business registered with the City of Rexburg? ❑ Yes, License #: ' -- R ❑ No *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? ❑ Yes �No Will there be any cooking of foods? ❑ Yes I(NO Will there be any deep fat frying? ❑ Yes I/No Will you have food disposal on site? ❑ Yes V/No Will there be sumps or floor drains in the facility? ❑ Yes d Will the business have any chemicals on site? ❑ Yes No �'z^ 7.O f - 3/3 Applicants Signature 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) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised March, 2016 C I TY OF REXBURG America's Family Canmunity PROPERTY LINES Building Safety Department City of Rexburg 35 North 1St 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. Signature Date Printed Name Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 `�µtxevRr,� C IT Y OF REXBURG America's Family Community BUILDING PERMIT FORM 2 0 Updated 03(2017 BUILDING APPLICATION New Commercial Building Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For � illi,_f. Usti p d Permit Number: 1 'QQ 3i0� Zoning: C8(1 (1 Application Fee: ❑ $1000/Building Name: East Idaho Credit Union Address: 865 S. Woodruff Ave. city: Idaho Falls State: I D Zip Code: 83401 Phone: 208-535-3893 Email: ccard;Tve—ll@eastidahocu.org r°l1' lit; 111 Name: SCC Construction Role: (Owner, Tenant, Contractor, etc.) Contractor Address: 5151 W 5000 N city: Rexburg State: ID Zip Code: 83440 Phone: 208-313-4963 Email: Contact/Rep. Name: Shane Webb wnctl 01►^ Under Idaho Building Code, a registered contractor must do the work for, Co erc'aI Building, Name: SCC Construction Registration 9. Exp.: 101m Address: 5151 W 5000 N City: Rexburg State: ID Zip Code: 83440 Phone: 208-313-4963 Email: Contact/Rep. Name: Shane Webb Phone: 208-31 3-4963Email: sccestimateslDagmail.com 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. if you are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. ion • Address: 310 North 2nd Street -OR- Lot #: Block #: Subdivision: • Project Name: EICU New Rexburg Branch • Construction Type: Vb • Occupancy Type: B _ • Square footage: 2,581 • Total cost of project - materials and labor: $ • Check all disciplines that apply: M Mechanical: Cost $ M Electrical: Cost $ ® Plumbing: Cost $ ® Fire Alarm: Cost $ ❑ Fire Sprinkler: Cost $ Note: Any contractors involved will need to fill out their respective application. • # of Water Meters: 1 0 Water Meter Size(s): 0 # of Parking Stalls: 31 • # of Dumpsters: 1 • Estimated Dumpster Delivery • # of Dumpster Pickups/week Date: / / Q 2 3 4 5 • Other Comments (if any): 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 review fee totaling 10% of the building permit 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 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 CITY OF REXBURG CW Anu lu s gantry Cammwrhy Affidavit of Legal Interest State of Idaho County of Madison Name e Address City Being first duly sworn upon oath, depose and say: (if Applicant is also Owner of Record, skip to B) 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: 5 WQ N� P A bfA rtj ID 834q b 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 f l tday of c.1 l+ tje 20 101 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho LH+ M S. strum Residing at: NOTARY PUBLIC - STATE OF II" c�OMMIssl NUMO tGIM My commission expires: 5117 la oa 5� MY COMMISSION WIRES 5-17 2M inspection Hotline - (2W 372.2344 www.rexhurgorg Permit Technician - (208) 372.2341 Revised 10, 2016