HomeMy WebLinkAboutCO'S & APPLICATION - 01-00030 - Dr Grant Davis Medical Office - New Building9
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CITY OF REXBURqi
APPLICATION FOR PLUMeIN t PERMIT
OWNER
ni�me � r�arr]„^� .i, -: c. FEES
Address
Tel, l f
Lot 131k. Add.
/% RLUMBER
Name�+fifrtt�J 1� .,;.n
Address A*! r �q� f`�`.. 1 ,f (�.
j6
Tel.
NATURE OF INSTALLATION
Use
Rc)Ljgh Plumbing
Fixtures
COmpiele
Bath Tubs
Showers
Launciry gays
Wash Basin
�ilc p Sinks
Kitcktem Sitrtka
�Iccr Drain
Drinking Fountains
Water Softeners
Septic Tank
Water Piping
Sewer
_1 � DESCRIPTION OF WORK
Dish Washinq Mach.
Clothes Washer
P I }
Um ing Po rrfl it k L I I
Sewer Inspection■
Inspection of Pipe
In of 1
Mures■■.}
------------
TOTAL
Received: Date V rl)
By
INSPECTOWS RE -CORD'
W
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f��nmTPT�1 IMP i�.
OCCIT,PANCY
0f
Department of Building Inspection
Building Permit No.
Building Street Address:
Building Owner:
Contractor:
R-oi-og-oi
30 Madison Professional Park
(Address Correction)
Dr.. Grant Davis
Vince Whitehead.
Description of building or portion of building for which this certificate is
issued.0
:
Occupancy:
T63s
Office Building
FULL
Ce-rt7[icaLe, issue3 Tiursualit to the reqw"rements aSec�7on I09 of t � TT-Mifnym��
c�ri7�lesi7k�te o� 7ss��ance: t1lis ��u�lo7�r� nY-r-Glat �n�-�-�„�� ..-� tt�� 1���as ins�a�cteb oil i�je t�ate liste6
cod e for t�je fro
was cfassif.jeb,
Date:
--�._v...v .,. .,�..�� ��u, u,v■� uj GrJU uv�►�.U1Yie L�JG��
.. ��.s f aun�l to be �� come{�ance W��� tbe. reaMrements of t e
urJ ani 07V7SIon n f o�cu�a�.c� ��c� t�je use �oY �v�j�c� ��e PYOPOSeb occupgnc
May 8, 2002
C. 0. Issucd by:
Building] Oficial
There shall be no future change in te exis t g occupancy classification of the bwMing, rior sh,a11
any structu.raj changes, xnad!fications additions be made to the building or any poruon th0f
wntil the Building Official has reviewed and approved said future changes.
City of Rexburg
Department of Building Inspection
Building Permit No.
Building Street Address:
Building Owner:
Contractor:
R-oi-oq-ot
30 Madison Professional Plaza
Dr. Grant Davis
Vince Whitehead
Description of building or portion of building for which this certificate is
issued:
Occupancy:
RAI
Full
I u:uie� 7ssueo rs�ant to tJje recjrtirements o f Section rog o f t�je U741 f onM Bwo'l"140
C06e'certi� f ies thc�t� at t�e tirne o f issuaHce� this &ui[aing or that port'
on -0. t(�e bui[am9 that
was inspected ox te nate Irstea was f Duna to be in com�(iance rvit�j t6e, requirements o f t�je
code for t�je croup dna division o f occupahev� dna the use for W�jich the prroposeb occu�ancr�
was c�assi f iea.
Date:
March 1, 2002
C.O. Issued by:
BuildJug official
There shall be no future change in the emsf1T'9'0ccupancy classification of the building nor shall
any structural changes, modifications or additions be made to the b i ding or ani portion thereof
until. the Building- Official has-hreviewed and appro�ed sand fiuture. cha,rnR
Fire Department C-�
We for Department
REQUEST FOR A CONDTTIONAL BU ING PE,T
FOR PARTIAL BUILDING CONSTRGCTION
TO: Building Official for the City of Rexburg
Pursuant to the provisions of e �Jnifvrgn Building Cade, the under��ped requests that a
building permit be issued dor:
Permit for foobngs and foundation only on medical building.
Acknowledgment is made that the plans for the complex are not complete and that final
approval of the building Will not be given until the final Wans have been aDnrnved. We.
recognize that proceeding nth partial cvnstruc
Architect/Owner with theire being no assurance
entire building or structure will be granted.
We further absolve the City
for the issuance of a partial
��on at this time �s entirely at the risk of the
that the final Certificate of Occupancy for the
of Rexburg and officers and em lo thereo�; of a11 respvnsibility
permit and further agree that any work performed under this nermit
will be removed or otherwise corrected to be in accard with the requirements of the final
approved plans when a permit for the entire building or structure is finally granted,
Dated this 2 1 "day of August, 2 00 1.
Approved by
HE
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2.
3.
4
CITY OF KXB.URG ADDRESS FORA/I
(Choose either la or lb)
Date* �
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SUBD--MS0N
a. Block I
h. Lot
CITY BLOCK
Lot
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ASSIGNED ADDRESS
ADDITIONEIL INFORMATION
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