HomeMy WebLinkAboutAPPLICATION - 19-00419 - 525 N 5th W - Waste Water Treatment Plant - RestroomY
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Rexburg Building Department
New Multi -Family or Commercial Building Permit Application
APPROVED PLANS MUST BE ON-SITE
I For Office Use (� ,�7� r
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Permit Number: 1-1-Qg�
t1 Zoning: ablic, adl hApplication Fee: ❑ $1000/Building
1. Property Owner /
Name: C r� On k2. �h7ttky //� r
Address: /i/ / S(- I City: i!L(v State: Zip Code:
Phone: 262 $ - 3 r, g - 3 0'4) Email:
2. Applicant
Name: Role: (Owner, Tenant, Contractor, etc.)
Address: City: State: Zip Code:
Phone: Email:
Contact/Rep. Name: Applicant's Signature
3. General Contractor
Under Idaho Building Code, a registered contractor must do the work for a Commercial Building.
Name:_ J9 L Registration #: Exp.:
Address: City: State:J:_0 —Zip Code: _
Phone: Email:
Contact/Rep. Name: Phone: Email:
General 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) 372-2160.
4. Project Description
• Address: t 3,57.y -OR- Lot #: Block #: Subdivision:
• ProjectName: (P Arco zn • Construction Type:_gLoiLL Occupancy Type:
Complete all that apply: (Note: Any contractors involved will need to fill out their respective application.)
Mechanical Cost $ -`
Electrical Cost $ /6� bU 0
Plumbing Cost $ /D) 00b)
Fire Alarm Cost $
Fire Su 2ression Cost $ -"'-
Fire Sprinkler Cost $
TOTAL COST OF PROJECT Materials & Labor
Cost $ sb O()
# of Water Meters:
# of Dumpsters: r
• MFR ONLY Number of Buildings
• Water Meter Size(s):
• Estimated Dumpster Delivery
Date:—/—/
Number of Units per building
• # of Parking Stalls:
• # of Dumpster Pickups/week
1 2 3 4 5
Building Permit fees for commercial construction are charged based on the City's estimated valuation. The application fee applies toward
the fee total. There will also be a plan review fee totaling 10% of the building permit fee.
Names and email addresses of anyone that is expected to submit documents to the city during the construction process.
Name I Oraanization or Comoanv I Email Address
Mechanical Contractor
Electrical Contractor
Plumbing Contractor
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.
Rexburg Building Department Inspection Hotline -(208)372.2344 Address: 31NistE Email:shauna.eaton@rexburg.org Permit Technician -(208)372-2166