HomeMy WebLinkAboutPA SUMMARY - 20-00085 - Ballard - 134 N 4th W - Short Term RentalC I T Y 0 P
REXBURG
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Registration No,
Fee: Paid
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 &k\ '1-)�G ac, ��� s (JC1'l�l lCoVA
DRIVERS LICENSE # LA 2 n 589 0K
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 - XJ1175.00 INITIAL REGISTRATIONFEE _ $100.00 RENEWAL FEE (per year)
PHYSICAL BUSINESS ADDRESS
ZONING DESIGNATION
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SITE DESCRIPTION
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MAILING ADDRESS 3RoL1 1n) • 2000 0 . P-70614!3 BUSINESS PHONE 209, Zq3. 20L
As the applicant, I have checked with a Mortgage Planner for the changes of use for this property. X Yes _ No 0
I have checked the owner's insurance to make sure the owner is properly insured for this use.)( Yes No
I have checked my Home Owner's Association to make sure the covenants allow short-term rentals. KYes No N4
SIGNAGE: Applicants wanting a sign must apply for a sign permit. Applications can be obtained from City Hall or at
www.rexburg.org.
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CONTACT FORMATION
APPLICANT'S DRIVERS LICENSE NO. I-A.2O5
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NAME OF OWNER/�ArPPLICA�N�T1
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Phone 20$''2_0 3.20 y 9
Address 3p O� W •
NAME OF PROPERTY OWNER
Address M01 W •
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2000
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Phone 201-ZLA3 - ZCIyB
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AFTER HOURS EMERGENCY CONTACT KeA:TO V1 0 11 a V -d
Address �j ce(4 V 1v S4—
Phone Q?09) 27 D • 6 OZO
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PHYSICAL BUSINESS ADDRESS
ZONING DESIGNATION
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SITE DESCRIPTION
u I
LA
MAILING ADDRESS 3RoL1 1n) • 2000 0 . P-70614!3 BUSINESS PHONE 209, Zq3. 20L
As the applicant, I have checked with a Mortgage Planner for the changes of use for this property. X Yes _ No 0
I have checked the owner's insurance to make sure the owner is properly insured for this use.)( Yes No
I have checked my Home Owner's Association to make sure the covenants allow short-term rentals. KYes No N4
SIGNAGE: Applicants wanting a sign must apply for a sign permit. Applications can be obtained from City Hall or at
www.rexburg.org.
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PARKING INFORMATION
Number of Rental Units I Number of Potential Tenants - (:�— Number of Parking Spaces q -f-
Location of Parking 0IV S in -
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? &Yes _No
Note: Minimum standards for each apartment require a 2A-10BC wall mounted fire extinguisher with monthly inspections.
SMOKE DETECTORS: Are there smoke detectors in each unit? X Yes No
ENTRY & EXIT: Does the main entry door swing out and have a minimum 36" width and 80" height? X 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 Z( 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 sc until December 3151 of the same year.
The certificate must be renewed yearly and the applica le fees must be paid yearlyP)40RE
AS APPLICANT, I Duel L. SC( �itf UNDER PENALTY OF PERJURY
UNDER IDAHO STATE LAW THAT ALL INFORMATION GIVEN IS TRUE AND CORRECT, AND I UNDERSTAND THAT
ALL INFORMATION GIVEN IS SUBJnCC TO VERIFICATION.
SIGNATURE OF APPLICANT "AkCfA�A DATE 2" ) <
*PLEASE ENCLOSE A CHECK FOR ALL APPLICABLE FEES MADE PAYABLE TO THE CITY OF REXBURG.
OFFICE USE ONLY - APPROVAL CHECKLIST— PLEASE INI17AL
TO0__BULDING DEPT ,_ ____ZONiNC, DEPT. .__. _ ..` (�� DEPT _ _._ CIT;' CLERK „CCO,&IPLIANC:E OFFICER