HomeMy WebLinkAboutALL DOCUMENTS - 16-00081 - 450 E Main - Madison Memorial Hospital RemodelCertificate of Occupancy
City of Rexburg
Department of Community Development
35 N. 1st E. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
Building Permit No:
Applicable Addition of Code:
Site Address:
Use and Occupancy:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
16-00081
IBC/IRC 2009
450 E Main
I-2 - Hospital
N/A
Madison Memorial Hospital
450 E MAIN ST
Rexburg, ID 83440
JRW CONSTRUCTION MANAGEMENT, INC
This Certificate, issued persuant to the requirements of Section 109 of the International Building
Code, certifies that, at the time of issuance, this building or that portion of the building that was
inspected on the date listed was found to be in compliance with the requirements of the code for the
group and division of occupancy and the use for which the proposed occupancy was classified.
Date C.O. Issued: _____ / _______ / ______
C.O. Issued by: __________________________ Building Inspector: __________________________
There shall be no further change in the existing 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.
Mechanical Inspector: Fire Alarm:
Plumbing Inspector: Fire Dept./Sprinkler:
Electrical Inspector: P&Z/Public Works:
7 29 16
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Submission Date 2016-02-17 12:47:25
Owner's Name Madison Memorial Hospital
Property Address Street Address: 450 E Main
City: Rexburg
State / Province: Idaho
Postal / Zip Code: 83440
Country: United States
Primary Phone (208) 3596900
Primary Phone Type Office Phone
Owner E-mail wade.Bowman@mmhnet.org
Applicant's Name Johnny Watson
Applicant Address Street Address: 1152 Bond Ave
City: Rexburg
State / Province: Idaho
Postal / Zip Code: 83440
Country: United States
Primary Number (208) 3902667
Primary Phone Type Cell Phone
Applicant E-mail jwatson@jrwa.com
Contractor's Name Johnny Watson
Contractor Address Street Address: 1152 Bond Ave
Street Address Line 2: 1152 Bond Ave
City: Rexburg
State / Province: Idaho
Postal / Zip Code: 83440
Country: United States
Primary Number (208) 3902667
Primary Phone Type Cell Phone
Contractor E-mail jwatson@jrwa.com
License number and Exp.
Date
RCE-11454 01/24/17
How many buildings are on
this property?
1
Did you recently purchase
this property?
No
Is this a split lot?No
Are you adding square
footage?
No
Commercial & Multifamily Building Permit Application
What is the contracted
amount for the work?
$180,000
Proposed Use Minor Remodel
Are you replacing everything
like for like?
No
Upload Plans as a PDF 641 - A1.1 MFP A1.1 (1).pdf
Signature of Owner/Applicant Johnny Watson
Date 02-17-2016
Preferred method of contact Primary Phone
Signature Johnny WAtson
Date 02-17-2016
Do you have a business
license
Yes
Do you know your electrical
contractor?
No
Do you know your plumbing
contractor?
No
Do you know your
mechanical contractor?
No
Do you know your fire
sprinkler contractor?
No
Do you know your fire Alarm
contractor?
No
Do you know any of your
subcontractors?
No
Signature Johnny Watson
Date 02-17-2016