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Home My WebLink AboutAPPLICATIONS - 05-00205 - Rexburg LDS Temple - FoundationA R C H I T E C T LJ R A L nexus Date: June 27, 2005 To: Val Christensen City Of Rexburg From: Bob Petroff k1�-f RE: Rexburg Idaho Temple We are sending: Noof copies Description Remarks 4 Bid Pkg. #1— Footing, Foundation, Site utilities and Rough Grading One has wet stamp 3 Bid Pkg. #1 Specifications 2 GeotechnicalReports 2 Structural Calculations I Storm Water Study I FAA Report These are transmitted for: For review approval and building permit for footing & foundations, site utilizes, and rough grading. ArCNlecrwal Neva. Into w. drihnitmim LCOAN 135 Hwlh Main Street. Sle.300 Logan. Utah 84321 T 435 753 2141 F 435 )52 4160 SALT LAKE GTY 2150 Sou0 13W East Ste. 200 Car Lari Clry Utah M106 T 801 924 5000 F 501 924 5C01 PRINCIPALS Raymond 9errver, AIA Dm,d L Cassll. AIA Ji Erdman. AIA Donald Fird,pon. ACHA. AIA Dania N Flokrrer AIA John M Hammond, AIA Brand Hardcaslle, AIA Bruce D Haslem. AIA Thomas 0 Jonden. AIA Stephen G. Petersen. AIA Timothy Thomas. ALA DouglasL Bani AIA Kns B. AIA Mark Davis. AIA Brian Hennessy Lanny B Herron, AIA Sorri Larkin. ALA w Jenrey Thorpe CITY OF REXB UR G ,, PERMIT # �ftw BUILDING PERMIT APPLICATION Please complete the entire Application! 19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable 208-359-3020 X322 PARCEL NUMBER: ( We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) Idaho '1' OWNER: The Church of Jesus Christ of Latter-day Saints CONTACT PHONE # 801-240-2042 PROPERTY ADDRESS: 700 South 200 East, Rexburg, ID 83440 PHONE #: Home ( ) Work ( 801 ) 240-2042 Cell ( 801 ) 518-7796 OWNER MAILING ADDRESS: 50 East North Temple CITY: Salt Lake City STATE: Utah ZIP: 84150 EMAIL martindalevl@ldschurch.org FAX 801-240-1335 APPLICANT: (If other than owner) Architectural Nexus (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS 135 N. Main Street Suite 200 CITY: Logan STATE: Utah ZIP: 84321 EMAIL lherron@archnexus.com FAX 435-752-4160 PHONE #: Home ( Work ( 435 ) 753-2141 Cell ( 435 ) 770-9720 CONTRACTOR: Jacobsen Construction, Inc. c/o Chad Richards MAILING ADDRESS: 3131 W. 2210 S. CITY Salt Lake City STATE Utah ZIP 84119 PHONE: Home # Work # 801-983-5193 Cell # 307-413-2953 EMAIL chad@jacobsenconstruction.com FAX 801-973-7496 How many buildings are located on this property? One Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: Religious Facility (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is convect 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 convect. 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 2000 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. Signature of Owner/Applicant DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning January 1, 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval 3 "Building Permit Fees are du, 'time of application" "Building Permits are v,- " If you check does not clear" Please complete the ehl6re Application! `1� If the question does not apply fill in NA for non applicable NAME Rexburg Idaho Temple PROPERTY ADDRESS 700 S. 200 E. Permit# SUBDIVISION Dwelling Units: N/A Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Second floor/loft area Third floor/loft area_ Shed or Barn Water Meter Count: Required!!! PLUMBING Plumbing Contractor's Name: Address Contact Phone: ( ) Email Unfinished Basement area Finished basement area Garage area Carport/Deck (30" above grade FIXTURE COUNT (includinz rouzhed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal N/A Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) Water Meter Size: Business Name: City State Business Phone: ( ) Fax Plumbing Estimate $ (Commercial Only) Required! Signature of Licensed Contractor The City of Rexburg's Sprinklers N/A Tub/Showers Toilet/Urinal Water Heater Water Softener License number Date schedule is the same asrequired by the State of Idaho Zip 2 Please complete the entir,,.�ppllcation! If the question does apply fill in NA for non applicable NAME Rexburg Idaho Temple PROPERTY ADDRESS 700 S. 200 E. Permit# SUBDIVISION � Required!!! MECHANICAL Mechanical Contractor's Name: _TBD Address Contact Phone: Email Business Name: _City Business Phone: ( Fax Mechanical Estimate $ (Commercial/Multi Family Only) State Zip FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace/Air Conditioner Combo Dryer Vents Heat Pump Range Hood Vents Air Conditioner Cook Stove Vents Evaporative Cooler Bath Fan Vents Unit Heater other similar vents & ducts: Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor Required! License number The City of Rexburg's permit fee schedule is the same as Date the State of Idaho 5 .414 u COMMUNITY DEVELOPMENT CITY OFRLXBURG-MADISON COUNTY s ° REXBURG EMERGENCY SERVICES ,jbILfUCA:S P VOILY CO,Wb1UNl"IY 19 E. Main St. Phone: 208-359-3020 x326 98LfSHE9 Rexburg, Idaho 83440 Fax: 208-359-3024 w .rexbura ora cdd@rexburg.org APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO APPROVED BY: -APPLICANT INFORMATION: BUSINESS NAME: Jacobsen Construction, Inc. OFFICE ADDRESS: 3131 W. 2210 South, Salt Lake City city OFFICE PHONE NUMBER: (801 ) 973-519 $50.00 FEE PAID: YES/NO UT 84119 State Zip CONTACT PERSON: Chad Richards CELL PHONE # (307) 415-2953 -LOCATION OF WORK TO BE DONE: STREET ADDRESS WHERE WORK WILL BE DONE: 700 S. 200 E. BUSINESS NAME WHERE WORK WILL BE DONE: Rexburg LDS Temple DATES FOR WORK TO BE DONE: July 2005 TO Dec 2007 CONTACT PERSON: Sam Moss PHONE NUMBER: (208) 496-2981 CELL # ( 801 ) 560-3952 PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ❑ AUTOMATIC FIRE -EXTINGUISHING SYSTEMS ❑ COMPRESSED GASES ❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ❑ FIRE PUMPS AND RELATED EQUIPMENT ❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ❑ HAZARDOUS MATERIALS ❑ INDUSTRIAL OVENS ❑ LP -GAS ❑ PRIVATE FIRE HYDRANTS ❑ SPRAYING OR DIPPING ❑ STANDPIPE SYSTEMS ❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES APPLICANTS SIGNATURE DATE ........................................................................................... nary: LDS CHURCH TAX ADMIN ,sical: 111 W 7th S ling: 50 EAST NO TEMPLE 22ND FLOOR REF:517-9890 SALT LAKE CITY, UT W #: 315689 307663 307662 306385E 267619 pectlon: 1998 ;Code: 10000 :Amount: $0.00 egory: 81 Acreage: 134.1 AC Value: $0.00 I Area: 3,264,097 sq. ft. jai Desc: N2 NE4; LESS TAX 2 1 31-06-40 1 TAX