HomeMy WebLinkAboutAPPLICATION & CHECKLISTS - 12-00439 & 12-00440 - BYUI Academic Bldg & Site Plan.;.1:.,,t
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ID 8344035 N 1" E, REXBURG,
208-372-2326
PARCEL NUMBER:
SUBDIMSION:
(We will provide this for you)
UNIT# BLOCK# LOT#
Addressins is based on the information - must be accurate
CONTACT PHONE # ?,
PROPE,RTY ADDRESS:
PHONE #: Home elq 444-1 t t3 work g.aq 41*"?ll3 cenl )
o\xrNER MATLTNG ADDRESS , 4 qa s , pk gt # l,te,$ i$trv, ib *h1 sr,\Tn: j d/ ztp:
nwm Wu,' *S{& bV u i ef'npAx_
APPLICANT (f other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as ageit for o*rr., *rr", "..o..rpany this application.)
PHONE #: Home ( )$rork fig.i) 74t - 6tri.7 c.n€)i "j FS -#f W
MAILING ADDRESS:
PHONE: Cell#
CITY-STATE-ZIP
E,MAIT, IDAHO REGISTRATION # & EXP. DATE
How many buildings are located on this properry?
Did you recendy purchase this property?Sp yes Qf yes, list previous owner,s name)
Is this a lot split{$9 YES (Please bring copy of new legal of properry)
PROPOSED USE,:
(i.e., Single Family Residence, Multi Family, Aparrmenrs,odel, Garage, Commercial, Addition, Etc.) - CIRCI.E ONE
The building official may revoke a pemit on approval issued under the provisions of th. 2003 Int matlord coa. ir ca..;;aif;j] ;#;;H;;tation of fact^- ---L:_L -r- - _in the application or on the plms on which the permit alryo b3ed. Per"qrit void if not started within 180 days. pemit void if work stops for lg0 days.
Signature of Owner,/Applicant
Do you prefer to be contacted by
t& t t / zolZ-
DATE
WARNING\-UUILUING PERMTT MUST BE POSTED ON CONSTRUCTION SITE!Plo fees ce non-refrrodable and re paid il full at the time of application be girnnrglrjglrryJre
. . * Cltyjrf Rexburg's Accepralce of the plm review fee does not consrituie ptm ipproval
-
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenaltyorpeluryrherebycerti!,tlatrhave read this application md state that the infomation herein is conect and I swear that my information which may hereafter be given by me in herings before thePlming md Zoning Commission or tle city Comc.il for the City of Rexburg shall be truthirl md conect. I agree io comply with all City regulations md State laws re.latingto the ilbject matter of this application md hereby authorized representatives-of the City to enter upon the aboie-mentiorijprop..ty ro, inslections purposes. NoTE:
**Building Pemit Fees ue due at rime of .pplicariont* *iBuilding Pmits are void if you lieck does not clead+
Building Sofety Depqrfment
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Affidavit of Legal fnterest
State of Idaho
County of Madison
Wo krW[]\LL
Address
IDE-lc;,
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
A. That I am the record o of the property de_scribed on the attached, and I grant
permission to:
to submit the accompanying application pertaining to rhat properry.
B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any
claim or iiability resulting from any dispute as to the statements contained herin or as to the
ownership of the property which is the subject of the application.
-1 IDated thts hm* dav of o4ats@-20 t2-
Subscribed and swom to before me the day and vear first above written.
a-i';y ilt
etq/4?-
R_}ixl3{_l-t{G
www.rexburg.org
I, LMAe*z<, N. dxrflz<etJ
Name
'+1EY+^)s-{r1 ,City
Gr /,.', AQ
Signarure
My commission expires: A Pt/21
Building Sofety Deporlmenl
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Business Application Questionaire
(for the purpose of wastewater permitting)
1_Type of business or establishment?
www.rexburg.org
REXE{TIG
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ri rrerrrels Iltni l ;- Oo n m u*t i it'
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2. Will this businesste doing any rype of food preparation or cooking?
To"
3.What type of food prepar^tJon or cooking will be done?
4.
5.
6.
Will there be any deep fat frying? Yes X No
Will the faciJity have food disposal sysrems?
Are you a business planning to occupy an existing building?5.| \,-
or, are you designing a new faciJity?Y{J
\Will your business have chemical storage? Yes X No
Will this facility operate year round? Yes ,X No
\X/ill there be any grease traps or sumps at the faciliry? Yes X No
tWiil there be any t1pes of chemicals used at this faciltty, other than household
cleaning solutions? Yes X No _
'11. Is there any manufacturing of products at this facility? Yes _ No X
r0- l- l'L
7.
B.
9.
10.
Date
Building Sofely Depqrfmenl
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
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35N I,JE
Rexburg, lD 83440
.A
B
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www.rexburg.org
Site Plan Checklist Permit Number:
Application Information
eipticant: Jr iT Nt{{>*r^ Phone: *ri-.r*t- e grS FAX:
Applicant'sAddress: {ttt € (,.iri,l" Jr' ,{-,io City: St".C ST: H*l Zip: t4lD}
Project Address:
Recorded Owner: BVtl - | ,.1 o ho Phone: L?t- V,0t*&6,4 FAX:
Recorded Owner Address: I t:City: 'Fz;L*r5 ST: t.f Zip: V34LA
Development Information
1. Site plan must be drawn to scale, be legible and also be submitted electronically if possible.
2. Adjoining streets labeled.
3. Right-of-way location and width, curb to curb widths and sidewalk location.
4. Building location, sq footage and dimensions, with distance to property lines and distances
between buildings.
B 5. Show existing and proposed easements.
EI 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains).
8 l. Proposed utilities including tie in location to existing services and new easements.
tr g. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins).
4 g. Storm drainage plan for parking lot and roof areas, with calculations.
E 10. Fire hydrants and fire suppression lines (including tie to City lines).
*I Sprinkled tr Not Sprinkled
EI I 1. Indicate Fire apparatus access.
I tZ. Parking (including parking lot, drainage uurows, dimension of lot, distance befween rows, and total
numbers).
R 13. Landscaping (type and total area, including dimensions).
& ru. Trash facilities.
EI 15. North Arrow
Ef 16. Drawing to Scale, including a graphic scale (l I Yzx l'1" paper if possible).
F 17. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.)
tr 18. Legal description of proposed building site included.
tr 19. Percent of lot covered by building or paving calculated.
tr 20. Show 10% snow storage area.
R2l. Distance of entrances from street corner indicated.
9 22. Current Vicinity Map. (81/2 x 11') at l" :300' scale, showing location of the property.
-W23. Lighting Plan
GNOTE. SITE PLANS MUST BE COMPLETE AND SUBMITTED FoR REVIEw BEFoRE THE PRoJECT wILL BE
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PLACED ON THE PLANNING & ZONING ECBNOA.€
Business Applicolion crl-y oF
REXBURG
35 North Ist Eost
Rexburg, lD 83440
Phone: 208.3593A20
Fox: 248.359.3022
neJ
,* t t ri ta\ Fit triiy (or r mnt it1'
Please take the time to answer all questions so that we can further sssist you and your facility Thank Yon-
What type of business will be performed
Will the business have food preparations?
Will there be any cooking of foods?
Will there be any deep fat fr:nng?
Will you have food disposal on site?
Will there be any maintenance or mechanical work in the building?
Will there be sumps or floor drains in the facility?
Will the business require more parking?
Will the business have any chemicals on site?
Is this business occupying an existing building?
Will the business be doing any skuctural/or remodeling changes to the building?
Any changes to the electrical?
Any changes to the plumbing?
Is this business planned to be the same with different ownership?
Will there be a change of occupancy?
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Applicants Signature Phone
Yes t"" No
Yes L;'
Yes vu
No
No
Yes l"/ No
Yes No /
Y", &""io
Yes No
Y", y'No
Yes No
Yes No
Yes
L/
L,/'
Yes
Yes
Yes
No tz-
t /'^
No
Nof
Not {
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I Certify that The information that I have provided aboVi is tu the best of my knowledge accurate and true.
Bui ing Sofety Deporlme
35N /'tE
Rexburg, lD 83440 www.rexDurg.org
City of Rexburg
Phone: 208.372.2326
Fax: 208.359.3422
REXBIIRG
Re m o de /zng Yo z r,R z z7dng,/tVo m e (ne e d total c ons tructio ns e stimate, exc luding f ire,
electrical, plumbing, and Mechanicalvaluationr) $ tt t,r].I; ,,]"{,
ReszVentzT/
SURFACE SQUARE FOOTAGE: (Shall include the exreriorwall measurements of the building)
Fint Floor At
"_Unfinished
Basement area
Second floor/loftarea Finished basement area
Third floor/loft area Gange area
Shed orBam CarpoilDeck (30" above grade)Area
Conmercza/
C-onstructionType: l\ F OccupancyT)rper A)
SURFACE SQUARE FOOTAGE: (Shall include the exter"iorwall measurements of the building)
NewC.onstructionsq.ft. lk.*, i"bLt' :,i
C-,ommercialRemodel sq.ft. *.il sS
C-ommercial Addition sq. ft. i \ I d}l --
IJtiliry Misc. Private Garage sq. ft.
Storage sq. ft,
l,/z/tz: Fam zl/.fizg /e,ftz de n t tTo zs z'ng
sq. ft. per unit
lv{anager Unit sq. ft.
NA
I
REV
n
\DoneW
12 00439
BYU-I Academic Building - Site Plan
rclUsl12
Routing: Revisions
Natalie Powell (Please review by Friday, October 12)
Current Status
Please complete the following:
Dpne NA
A" f Review Plans
It"
P I Enter Notes for the applicant under Submittals
I
F n Update status in the Approvals tab
I
M I Return Site Plan & this checklist to Amanda Saurey
I
Please indicate time spent in hrs/min reviewing the plans:
Notes:
L2 00439 & 12 0044r
BYU-I Agriscience Academic & Large Animal Bldg -
Site Plan
r0l05l12
Routing:
Done
T
AP
{
Done NA
{!
ntr
(r
l
x
Notes:
Dale Pickering (Please review by Thursday, Oct 1 I )
Current Status
Please complete the following:
{
{
NA
!
REV
I
Review Plans
Red Lines? (Amanda will transfer to all copies)
Enter Notes for the applicant under Submittals
Update status in the Approvals tab
Return site plan to Amanda Saurey
12 00439 & 12 0044r
BYU-I Agriscience Academrc &Large Animal Bldg -
Site Plan
rclusl12
Joel Gray (Please review by Friday, October 12)
Current Status
Please complete the following:
Routing:
NA
T
AP REV
TT
NA
n
!
T
!
Notes:
Done
K
Done
K
X
ts'g
Review Plans
Enter Notes for the applicant under Submittals
Update status in the Approvals tab
Return Site Plan to Amanda Saurey
12 00440
BYU-I Agriscience Academic Building
Routing:
Done NA
*t I Don Allen (Please review by Friday, October 12)
AP - REV
,{ J Current Status
Please complete the following:
Done - NA
,{ r Review Plans
,t n Enter Notes for the applicant under Submittals
I Update status in the Approvals tab
n Return building plan to Amanda Saurey
r0t05120r2
@
,{
r
Please indicate time spent in hrs/min reviewing the plans: //2--
Notes:
12 00439 & 12 0044r
BYU-I Agriscience Academic &Large Animal Bldgs -
Site Plan
rcl0sl12
Routing:
Done
n Keith Davidson (Please review by Friday, October 12)
Please check the following and provide calculations if fee is required:
Yes N^/
I d Front Footage Water Fees
Front Footage Sewer Fees
Storm water Fees
Other
n Return checklist to Amanda Saurey
Notes:
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Routing:
12 00440
BYU-I Agriscience Academic Bldg
r010512012
Bret Stoddard (Please review by Friday, October 19)
Current Status
AP
T
Please complete the following:
oo{ NA
V n Review Plans
V n Enter Notes for the applicant under Submittals
X Update status in the Approvals tab
t Return building plan to Amanda Saurey
E
il
Please indicate time spent in hrs/min reviewing the plans: 6W
NotesrRe$,&lAN