HomeMy WebLinkAboutALL DOCS - 12-00447 & 12-00448 - BYUI Benson Greenhouse Addition & Site Plan.iir,,nt
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Piease Complete the Entire Application!
If the question does not apply fiIl in NA for non applicable
35 N 1* E, REXBURG,ID
208-372-2326
83440
PARCE,L NUMBER:( We will provide this for you)
UNIT#-BLOCK# LOT#SUBDIVISION:
is based on the information - must be accurate
CONTACT PHONE # ?.
PROPE,RTY ADDRESS:
PHoNE#:Home &iq 4%-1t!5 rwork 1tA6 a1.*"?lA3 crnl )
o\XAIER MAILING ADDRESS , 1 qag, P\* d l,!n,\ j$rTY lU u,'ry srATE:J,r../zw, #3 '/ jJ
APPLICANT, (If other than owner
(Applicant if othet than owner, a statement authorizing applicant to act as ageit for owner must accompany this application.)
APPLICANTINFORMATIoN: ADDRESS E4i f S,
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PHONE #: Home ( )\)rork &tts) v4 / - 68:-T c.u €Jl ? f,s -J frfs
MAILING ADDRESS:CITY-STATE ZIP
PHONE: Cell#!7ork#
EMAIT TDAHO REGISTRATION # & EXP. DATE
How many buildings are located on this properry?
Did you recently purchase this property?SA yes (If yes,list previous owner's name)
Is this a lot.pUtffd YES (Please bring copy of new legaldescription of properry)
PROPOSED USE:
(i.e., Single Family Residence, Multi Family, Apartments,l, Garage, Commercial, Addition, Etc.) - CIRCLE ONE
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenartyorpetjury,rherebycertif thatrhave read this appl.ication ald state that the infomation herein is cor-rect and I swear that my infomation which may hereaftet be given by me in hearings before the
lj m,",nl,i""Xg^i,"*:::::":li:_.;?^!.,y:_i^l::9.,.1,o "r*:il** 'ha[ be truthiur md co.ect. I "g,.. io .o-pry*th al city tegulations md State laws relatingto the subiect matter of this application md hereby authorized representatives of the City to enter upon the ,bolr.--..tiorii property foi ;nslections purposes.
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}:l**tf,| :11t1 Tt t-t],"-o: " o.T1,,"i rnnt""1 issued un&r the.provisions of the 2003 International code in cases of my ialse .t^t -..t o, -ii.p'resentation of factin the application or on the plms on which the pemit oq approval wasn Pe,Igit void if not started vithin 180 days. pemit void if work stops for 1t0 days.
of Owner/Applicant
prefer to be contacted by
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DATESignatute
Do you phohe? Circle One
Building Sofety Depqrtmenl
Phone: 208.372.2326
Fox: 208.359.3022
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Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
That I am the record o.wner of the rlrorlerrv descrihe,That I am the record owr]er of the properry described on the attached, and I grant mpermission n, "lErf tVriEr,y ,€ (^,254 t'fie S;r; H;;' _-'&/t Grr',A.
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Affidavit of Legal Interest
State of Idaho
Counw of Madison
\ L.LlAu-e; N. AN>€EleN Wo krpTF*LL
Name Address
IDE*c:
State
Name
to submit the accompanying application pertaining to that properry.
B. I agree to indemnift, defend and hold Rexburg City and its employees harmless from any
claim or liabiJiry 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.
Dated this ?^.[day of oqooe-20J2-__
subscribed and sworn to before me the day and year first above written.
Signature
Residing at: 5ZS ) . CQx,tfra:rP 16Zrt /2EX6O^6
My commission expires: A Ptfzl
Building Sofety Depqrlment
www.rexaurg.org
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
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Busines s Application Questi on^rre
(for the purpose of wasrewater permitting)
2.
1.
$7ill this business be doing any rype of food preparation or cooking?
Type of business or establishment?
3.What type of food preparatton or.cooking will be done?
7.
B.
9.
10.
4.
5,
6.
\Will there be any deep fat frying? Yes X No
\)7ill the fac;rJtq have food disposal systems?
Are you a business planning to occupy an existing building?{..
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or> ^re 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
Will there be any grease traps or sumps at the facility? yes X No
\Will there be any types of chemicals used at this facility, other than household
cleaning solutions? Yes X No
1'1. Is there any manufacturing of products at this faciltty? yes _ No Y
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Date
Building Sofefy Depqrtment
City of Rexburg
Phone: 208.372.2326
Fax: 208.359.3022
Application Information
Applicant: Jr.if Nr<-{:** phone: *p!:l4i:di13_FAx,
REX]}URG
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\ rn t r ! ca's li;t tiib, ( lo t i tr iyt;i 1.,
35 N l"E
Rexburg, D 83440
Site Plan Checklist
www.rexburg.org
Permit Number:
Recorded Owner: BYl,l - LI a h" phone: 'LDt- 2-0-i *L [ ]A FAX:
RecordedOwnerAddress: qc,0 g.?L,.,,/"i P!"r1tr{/,! Ciry' pr"}",,-5 Sf, f.f Zip, Vq,-1,g0
Development Information
l. 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.
El 5. Show existing and proposed easements.
Ef 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains).
E l. Proposed utilities including tie in location to existing services and new easements.
tr S- 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 to. Fire hydrants and fire suppression lines (including tie to city lines).
5I Sprinkled E Not Sprinkled
EI ll. lndicate Fire apparatus access.
tt tZ. Parking (including parking lot, drainage ,urows, dimension of lot, distance between rows. and total
numbers).
I 13. Landscaping (type and total area, including dimensions).
X 14. Trash facilities.
EI 15. North Arrow
Er 16. Drawing to Scale, including a graphic scale (1 | yzx 17" paper if possible).
F 17. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.)
U 18. Legal description of proposed building site included.
n 19. Percent of lot covered by building or paving calculated.
D 20. Show 10% snow storage area.
Rzl. Distance of entrances from street corner indicated.
9 ZZ- Current Vicinity Map. (81/2 x 1 l') at l" :300' scale, showing location of the property.
-{.23. Lighting plan
ENOTE' SITE PLANS MUST BE COMPLETE AND SUBMITTED FoR REVIEw BEFoRE THE PRoJECT wILL BE
PLACED ON THE PLANNING & ZONING AGENDA. €
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Business
35 North I't Eost
l?exburg, lD 83440
Appficotion ctt-y of
Phone: 208.i59.3020
Fox: 208.359.3022
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.'tt:ttritc s i:ttrtiily ( onmturlity
Please take the time to answer all questions so that we ean further assist you and your facility Thank you.
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 f.ying?
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 structurallor 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?
Yes A'' No
Yes 1,"/ No
Yes /' No
Yes {,/No
Yes
Yes
Yes
l,."io
Not'
No
t'NoYes
Yes No
Yes No
Yes No lz-
NoYes
Yes Nof
Yes No u<-
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Building Sofety Depqrfment
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Remode/zng fozr&zzTdzng/tTome (needrohl constnrcrions esrimare, excluding fire,
electrical, plumbing, and Mechanical valuationt S h t ll]&: _;
RNXBURG35N l,tF
Rexburg, ID 8344A www,rexburg.org
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SURFACE SQUARE FOOTAGE :
Fint Floor Area
Third floor/loft area
Shed orBam
(Shall include the exteriorwall measuremenrs of the building)
Unfinished Basemenr area
Finished basement area
Garage area
Gryon/Deck (30" above grade)Area
./-.tLOmmerczal
Construction Type: II I\ OccupancyTyp., A 5
SURFACE SQUARE FOOTAGE: (Shall include the exteriorwall measuremenrs of the building)
New C-onstruction sq. n. lh. * , th* S j
Cnmmercial Remodel sq. ft.4- fr,' s/
C-ommercialAddfuionsq.fr I\Id rf
Utiliry Misc. Private Garage sq. ft,
Storage sq. ft,
l,/u /tz: Fam ih/fzzg b Stzde n t tTo zs z'n6,
sq. ft. per unit
I\{anager Unit sq. ft.
t2 00449, t2 00449, t2 00450
BYU-r Benson Greenhouse, Storage & Flammable Storage
t0/10/2012
Routing: Volume 2
NA
n
Done
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#
DoY
V
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Bret Stoddard (Please review by Friday, October l9)
Current Status
Please complete the following:
NA
! Review Plans
fl Enter Notes for the applicant under Submittals
I Update status in the Approvals tab
! Return building plan to Amanda Saurey
Y
Please indicate time spent in hrs/min reviewing the plans: It/t- ttns
Notes:fl/t
t2 004490 t2 00449 & t2 00450
BYU-I Greenhouse, Storage & Flammable Stg Bldgs -
Routing:
Done
"^/I Y Keith Davidson (Please review by Friday, october 19)
Please check the following and provide calculations if fee is required:
Yes Nyf
I V Front Footage Water Fees
I { Front Footage Sewer Fees
Storm water Fees
Other
Return checklist to Amanda Saurev
Notes:
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r0lrut12
t2 00447
BYU-I Greenhouse, Storage & Flammable Stg - Site Plan
rutrut12
Routing: Revisions
Natalie Powell (Please review by Friday, October 19)
Current Status
Please complete the following:
NA
T
REV
n
\Dgner'
.AP
XLt
Doae NA
F r Review Plans
lJ r$- ! Enter Notes for the applicant under Submittals
1
\--z TTV, n Update status in the Approvals tab
V X Return Site Plan & this checklist to Amanda Saurey
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Please indicate time spent in hrs/min reviewing the plans: L hflf I nS
Notes:
12 00447
BYU-I Greenhouse, Storage & Flammable Stg -
Site Plan
rutrut12
Routing:
Done NA
E-- I Dale Pickering (Please review by Thursday, Oct 18)
AP REV
E-- I Current Status
Please complete the following:
Done NA
R.- n Review Plans
U E-*- Red Lines? (Amanda will transfer to all copies)
E--" n Enter Notes for the applicant under Submittals
n- n Update status in the Approvals tab
tr- n Return site plan to Amanda Saurey
Notes:
12 00447
BYU-I Greenhouse, Storage & Flammable Stg -
Site Plan
r0lr0l12
Routing:
Doge NA
!./ Try. n Joel Gray (Please review by Friday, October 19)
AP REV
Af, K f Current Status
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Please complete the following:
Done NA
S n Review Plans
qr
Wn
}\*.
Enter Notes for the applicant under Submittals
Update status in the Approvals tab
Return Site Plan to Amanda Saurev
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Notes:
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