HomeMy WebLinkAboutCO & DOCS - 04-00346 - Teton Oncology�t CITY OF
n REXBURG
AMERICA'S FAMILY COMMUNITY
Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 IF Fax (208) 359 -3022
0400346
International Building Code :2000
Clinic Outpatient
Type V, 1 Hour
Teton Oncology Medical Services Building
No
Name and Address of Owner: Walker Ray W Etal
1143 Barney Dairy Road
Rexburg, ID 83440
Contractor: J & S Construction Company
Special Conditions:
Occupancy: Institutional, outpatient, ambulatory 5 or more
This Certificate, issued pursuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
vies inspected on the date listed vies found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy vies
classified.
Date C.O. Issued: September 02, 20 }
C.O Issued by:
CERTIFICATE OF OCCUPANCY
i
Building Official
There shall be no further change in the e)asting occupancy classification of the building nor shall any structural changes,
modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved
said future changes.
Water Department• Fire
State of Idaho Electrical Department (2
CITY OF REXBURG
BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID. 83440
208- 359 -3020 X326
PARCEL NUMBER:
0400346
Teton Oncology Center
SUBDIVISION:
W adle -e i- _ ,�" � ' oZ ,UNIT#
BLOCK# RL _LOT #_ oZ_
OWNER: . --D
k� vn
CONTACT PHONE # 3 S7 _ 6 7 80
PROPERTY ADDRESS:
PHONE #: Home ( )
Work ( )_._ Cell(
OWNER MAILING. ADDRESS: ,CITY: Rex- r�y__STATE: /W. ZIP: 83yy0
APPLICANT (If other than owner)
(If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this applicatio n.)
! MAILING ADDRESS OF APPLICANT
_ CITY: STATE;
; PHONE #: Home ( ) _ Work ( )_ _ Cell —ZIP—
CONTRACTOR: r 4 Gorr s?�rv, 4, ? PHONE: Home# 'ar Work #_ 7sy cellk .
MAILING ADDRESS: �739 N. 7 7&0 F-e4s t CITY R,1 _ STATE 1W, ZIP_ 8 3yy�
How many houses are located on this property?_ z ero
Did you recently purchase this property? No Yes If yes give owner's name)_ j�r, ail.`c%Sort
Is this a lot split ?(9 YES (Please bring copy of new legal description of property)
PROPOSED USE: _ /,H; � –Q vtPa -x,e„ t
(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 correct and 1 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 shalt be ,
truthful and correct I agree to comply with all City regulation and State laws relating to the subject matter of this application end
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 plats on which the permit or approval was based. Permit void if not
started within 180 days. Permit v ' if wo s 180 days.
�G
Signature of Owne Applicant — DATE
WARNING – BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION S1TEl
Plan fees are non - refundable and are paid is fuh at the time of opplketion beginning ,ly A L200S.
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
"Building Permit Fees are due at time of appli
"Building Permits are void if you check don not clear"
i
ZO 06980948OZ OO NoiionNISNOO S QNti r Wd 9b:£0 ve- 0Z-13S
NAME _ TETOZ/ OlGoL.OGY Y
PROPERTY ADDRESS _ ..__._....._ Permit#
SUBDIVISION W,41 -k-
Dwelling Units: /Ya — Parcel Acres: _ _L. /;.
Front Footage (if applicable)_ _ _/ I? P
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area 7 -7 `l y � Unfinished Basement area _
Second floor/loft area 5 8g_� Finished basement area -_
Third floor/1oft area �A f� - _ -. Garage area — ff
Shed or Barn _ 9 04' _ Carport/Deck (30" above grade)Area _
Remodel (Need Estimate) S _ iy /,4
PL UMBING
PLUMBERS NAME _ _ ADDRESS
CITY -. __ -._— STATE ZIP_r PHONE (
FIXTURE COUNT
CLOTHES WASHING MACHINE I
DISHWASHER � -
FLOOR DRAIN _ 3
GARBAGE DISPOSAL — D
HOT TUB /SPA — 0
SINKS A
(Lavatories, kitchens, bar, mop)
SPRINKLERSe
TUB /SHOWERS _ _f9
TOILETIURINAL 6 _
WATER HEATER I
WATER SOFTENER
WATER METER COUNT I WATER METER SIZE I
HEAT (Circle all that apply G& Oil Coal Fireplace Electric
Commercial BKildinps do ADartments with 3 or more un its Only
BUILDING ESTIMATE $
PLUMBING ESTIMATE S-8
STORM WATER LENGTH__
FRONT FOOTAGE
STRUCTURES
i DESCRIPTION
j USE
BEDROOMS _—Q CONSTRUCTION �M E
z UNITS O ROOF SLOPE - T vSSG
NON CENSUS�z SANITATIONMETHOD
OCCUPANCYIOAD3 _ HEAT C
! _ ��...
EMITS_ ...._.__.. —.—� - --
FLOOD ZONE �,�,,q.
FENCE TYPE _
SETBACKS --
OCCUPANCY
FRONT / 8 , SIDE 3 SIDE
I
1
i
2
0698bS280L oo NoIlonaisNoo s QNV f Wd 94:£0 d0- 0Z -d3s
4 p6XBUAC
3
4/5/2006
380 Walker Dr.
Rexburg, ID 83440
Re: Building Permit 04 00346
Teton Oncology
Dear Builder/ Owner,
C I T Y OF
REXBUR
America's Family Community
After reviewing your file, it was determined you have not had final approval on
the above permit. It is important that a final fire inspection is completed and approved
before the business can be occupied. If anyone has already moved in then you must get
your final accomplished immediately or there may be consequences. Under limited
conditions a temporary occupancy may be arranged with the building official, but is valid
only for 30 days or, if issued during winter, 30 days after ground thaws for landscaping.
If you have already had a final inspection and did not pass then enclosed is a copy
of the Final Inspection ticket and a list of the item(s) that did not pass the inspection.
Please arrange to have a final fire inspection by calling 716 -1321 so we can clear
your folder and grant you legal occupancy. If you have any questions, please contact me.
Thank you for your cooperation,
Brad Johnson
Fire Inspector
Building Department 19 E. Main Rexburg, ID 83440 P. O. Box 280 www.rexburgore
Phone (208) 359.3020 ext.326 Fax (208) 359.3024
a4 R�sx °Rc
CITY OF
J. REXBU \',
Americas Family Community
April 19, 2006
RE: Building Permit Impact Fees
Teton Oncology #04 00346
Dear`
Upon review of previous building permit fees, it was discovered that our computer
system miscalculated fees for a short period of time.
During that time, you were issued a building permit. Therefore, the fees were
miscalculated. An invoice is enclosed showing the amount you were undercharged.
Please review this information and call if you have any questions. Payments can be
made at City Hall.
We apologize for any inconvenience this has caused. The calculations have been
adjusted to ensure this problem will not happen in the future.
Sincerely,
JaNell Hansen
JaNell Hansen Building Safety Coordinator 19 E. Main Rexburg, ID 83440 P. O. Box 280 ti+nvw.rexbure.or¢
Phone (208) 359.3020 ext.326 Fax (208) 359.3024