HomeMy WebLinkAboutCertificate of Occupancy
CITY HALL
Inspection Services Div
215 Church Avenue
. PO Box 1130
~ Oshkosh WI
~ 54903-1130
OfHKOfH
ON THE WATEO
City of Oshkosh
Approved:
Issued:
9/15/05
9/16/05
Waukau LLC
100 N. Westhaven Drive
Oshkosh, Wisconsin 54904
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby granted for the 4 unit condo located at 3150 White Tail
Lane, Oshkosh, Wisconsin 54904 as described in Building Permit Application number(s)
110529.
This building is to be used only as a multi-family residence and is located in the R-3,
Multiple Dwelling District.
LIMITATIONS:
Maximum persons and/or living units: Four dwelling units each containing 2 bedrooms.
The "den", which is noted on the approved plans is located towards the road for the
upper two units, can not be used as a bedroom. This is due to the den not meeting
egress requirements.
CONDITIONS:
1) Final grading must be done in accordance with the approved subdivision drainage
plan. This plan is on file in the public works office, 3rd floor of City Hall.
2) Erosion control measures must be maintained until the lawn is established.
Note: Final grade must be a minimum of 6" below all siding.
NOTE:
1) Copies of inspection results are available upon request in room 205, City Hall.
2) Future permits may be required for additional work to your property.
A new Certificate of Occupancy shall be required prior to occupancy, should additional
building(s) be erected, or should any buildings mentioned above be altered or moved.
The use of land, or buildings, shall not be changed until a Certificate of Occupancy is
issued for that occupancy. All conditions noted above must be complied with in order
for this certificate to be valid.
Úl~I{~
Building Systems Inspector
cc: Midwest General Contractors Inc.
~.
Job Address 3150WHITETAILLN
Building Permit Work Card
Permit Number 0110529 Create Date 4/9/04
Owner WAUKAU LLC
Category 130. New Multi-Family
Contractor MIDWEST GENERAL CONTRACTORS iNC
Type. Building
0 Sign
0 Canopy
0 Fenee
0 Raze
Plan L2.23.0404
Zoning
Class of Const: 5Blbc
Size Irreg
Value
$340,000.00
Unfinished/Basement 0 Sq.
-Ft.
Rooms 0 Bedrooms
Finished/Living 0
Sq. Ft.
Garage ~ Sq. Ft.
0 Projection I
Canopies ~ Signs 0
Baths ~
Height ~ Ft.
Stories 2
Foundation. Poured Concrete
0 Concrete Block
0 Fioating Slab
0 Post
0 Pier
0 Treated Wood
0 Other
Occupany Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units ~
# Structures
Use/Nature New 4 Unit Condo I All 2 bedroom units, 2 wi dens. Each with attached 2 car 9arage. . NOTE: The dens
of Work hall not be used for sleepin9 purposes unless compHanee with the egress requirements Is provided. Note:
Occupancy pennits will not be Issued until all of the improvements have been Installed and approved,
inciudlngr stonn water drainage systems and grading.
HVAC Contr
Plumbing Contr
Electric Contr
Inspections:
Date 4/29/05 --'--
Type Insulation
Inspector John Zarate
approved
r'oom""
DatelTime requested:
Access:
4/28/05 02:22 PM
--
Notice Type:
Phone Number: 420-5878 JAY
þPEN 7.5
Ready DatelTime: 4/28/05 02:22 PM Requested By: MIDWEST GENERAL CONTRACTORS INC
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - -- - - - - - - - - - - - - --- - - - - - - - - -------- - - - - - - -------- - --- --- ----
Date 7/19/05 --'-----
Type Final
Inspector Nicole Krahn
approved w/cond.
REQUEST LINE I REQUESTED FINAL FOR OCCUPANCY Compliance statements in the file
DatelTime requested:
Access:
þPEN 7.5
7/18/05 09:17 AM
--
Notice Type: FC
Phone Number: JAY 420.5878
Ready DatelTime: 7/18/05 09:17 AM Requested By: MIDWEST GENERAL CONTRACTORS INC
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- - - - -- - - - - - - ----- -- ---- ---- - - - - - - - - - - - - - ---- ----- - - - - - - -- - - - - - -" - - - - - - ---- - - - - - - - - - - - - - - - - - --
Page 3 of3
Job Address 3150WHITETAILLN
Owner WAUKAU LLC
Building Permit Work Card
Permit Number 0110529 Create Date 4/9/04
Contractor MiDWEST GENERAL CONTRACTORS INC
Category 130 - New Multi-Fåmily
Type . Building
Zoning
0 Sign
0 Canopy
0 Fence
0 Raze
Plan L2-23-0404
Value $340,000.00
Garage -----.2 Sq. Ft.
n Projection I
Class of Const: 5Bibc
Size Irreg
Unfinished/Basement 0 Sq. Finished/Living 0 Sq. Ft.
-Ft.
Rooms -----.2 Bedrooms 0 Baths -------.2
Stories 2
Height -------.2 Ft.
0 Floating Slab
0 Post
Canopies -----.2 Signs 0
Foundation. Poured Concrete
0 Concrete Block
0 Pier
0 Treated Wood
0 Other
Occupany Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units ~
# Structures
Use/Nature New 4 Unit Condo / All 2 bedroom units. 2 w/ dens. Each with attached 2 car garage. . NOTE: The dens
of Work shall not be used for sleeping purposes unless compliance with the egress requirements is provided. Note:
Occupancy permits will not be issued until all of the improvements have been Installed and approved.
includingr storm water drainage systems and grading.
HVACContr
Plumbing Contr
Electric Contr
Inspections:
Date 10/5/04 --'----
Type Foundation Backfill
Inspector Nicole Krahn
no time
rwm",
DatelTime requested:
Access:
~ 02:01 PM
Notice Type:
Phone Number: JERRY 420-2245
f:;ONTACT JERRY. HE WOULD LIKE TO BE PRESENT
Ready DatelTime: 10/1/04 02:01 PM Requested By: MIDWEST GENERAL CONTRACTORS INC
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
- - - - - - - - - - -- ---- -- - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - -- - -- - ----- - - - - - - - --- - - - - - - - - - - - - - - - - - --
Date ~--'----
r"~""
Type Rough In
Inspector Nicole Krahn
approved
DatelTime requested: 4/22/05
Access:
þpen 7-5, wants to be present
Ready DatelTime: 4/26/05 07:00 AM Requested By: MIDWEST GENERAL CONTRACTORS lNG-Jay
0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
09:28AM
Notice Type:
Phone Number: 420-5878
- - - - - - -- - - ------ - - - - - - -- - - - - --- - - - - - - - - - - - - - - - - - - - -- - -- - ---- ------- - - - - - - - -- - --- --- -- - --- - - --
Page 2 of3
Job Address 3150 WHITE TAIL LN
Owner WAUKAU LLC
Building Permit Work Card
Permit Number 0110529 Create Date 4/9/04
Contractor MIDWEST GENERAL CONTRACTORS INC
Category 130. New Multi-Family
Type. Building
0 Sign
0 Canopy
0 Fence
0 Raze
I Plan L2.23-0404
Value $340,000.00
Garage ----.2 Sq. Ft.
0 Projection I
Zoning
Class of Const: 5Bibc
Size Irreg
Unfinished/Basement 0 Sq, Finished/Living 0 Sq. Ft.
-Ft.
Rooms ~ Bedrooms 0 Baths ~
Stories 2
Height ~ Ft.
0 Floating Slab
0 Post
Canopies 0 Signs ~
Foundation. Poured Concrete
0 Concrete Block
0 Pier
0 Treated Wood
0 Other
ccupany Permit Required
Flood Plain No
Height Permit Not Required
# Structures
Park Dedication
Required
# Dwelling Units ~
Use/Nature New 4 Unit Condo / All 2 bedroom units, 2 w/ dens. Each with attached 2 car garage. . NOTE: The dens
of Work, hall not be used for sleeping purposes unless compliance with the egress requirements is provided. Note:
Occupancy permits will not be issued until all of the improvements have been installed and approved,
includingr storm water drainage systems and grading.
HVAC Contr
Plumbing Contr
Electric Contr
Inspections:
Date ~ --=----- Type Foundation Backfill
r~' ~,,= , -" ~ ~
DatelTime requested: 9/24/04
Access:
Inspector Nicole Krahn
no time
03:59 PM
Notice Type:
Phone Number: Mike or Tom 231.1667
Ready DatelTime: 9/24/04 04:00 PM Requested By: JOHN SKOTZKE CONCRETE CONST
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
---------------------------------------------------------------------------------------------
Date ~ -'--- Type Foundation Backfill
r~o ~'"'~ , """" ~, ,~~
DatelTime requested: 9/28/04 07:08 AM
Access:
Inspector Nicole Krahn
cancelled
Notice Type:
Phone Number: MIKE OR TOM 231.1667
Ready DatelTime: 9/28/04 03:30 PM Requested By: JOHN SKOTZKE CONCRETE CONST
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- - - - - - - - - - - - -- - - - - - --- - - - - - - - - ----- - - - - - - - - - - - - - - - - ----- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - --.
Page 1 of3
.- Job Address 3150 WHITE TAIL LN
Owner WAUKAU LLC
Electric Permit Work Card
Permit Number 112836 Create Date 03/01/2005
Contractor CUMINGS ELECTRIC INC
Category 631 - ResldentiahNew Multi-Family Wiring
Service b New
Volts 120/240
0 ChangeO Temp 0 N/A
I Type 0 Overhead
0 Underground. N/A
Circuits
Fixtures
Amps
400
Switches 0
Receptacles 0
$12,000.00
Fee
$204.00 D
Value
Appliances
Use/Nature
ofWork
Unit/Wiring fornew4 unit
Inspections:
Date 03/21/2005
Type Service
Inspector Kevin Benner
approved
REQUEST LINE
Faxed and Mailed to WPS 3/21/05
DatelTime requested: 03/17/2005 01:13 PM
Access:
Notice Type:
Phone Number: NOT GIVEN
Ready DatelTime: 03/17/2005 01 :13 PM Requested by:
--
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC
-----------------------------------------------------------------------------------.
Date 03/18/2005 Type
["~'."OO '"
DatelTime requested: 03/22/2005 07:33 AM
Access:
Service
Inspector Jon Fischer
approved
Notice Type:
Phone Number:
Ready Date/Time: 03/22/2005 07:33 AM Requested by:
--
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
---- --- --- --- ----- - --------- ----- ------------ - -------------- ----------------------_.
Electric Permit Work Card
. Job Address 3150 WHITE TAIL LN
Owner WAUKAU LLC
Permit Number 112836 Create Date 03/01/2005
Contractor CUMINGS ELECTRIC INC
Category 631 - Residential-New Multi-Family Wiring
Service b New .0 ChangeO Temp 0 N/A I Type 0 Overhead
Volts 120/240 Circuits 0
Amps 400 Switches 0
0 Underground . N/A
Fixtures 0
Receptacles 0
Value $12,000.00
Fee
$204.00
D
Appliances
Use/Nature
of Work
Unit/Wiring fornew4 unit
Inspections:
Date 04/14/2005 Type Rough In
I~~~ CO",
DatelTime requested: 04/14/2005 06:46 AM
Access:
Inspector Kevin Benner
approved
Notice Type:
Phone Number: NOT GIVEN
Ready DatelTime: 04/14/200506:46 AM Requested by:
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC
------------------------------------------------------------------------------------
Inspector Kevin Benner
Date
Type Final
I~OO'~ ""'
DatelTime requested: 07/19/2005 10:20 AM
Access:
Notice Type:
Phone Number: NOT GIVEN
Ready DatelTime: 07/19/200510:20AM Requested by:
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC
------------------------------------------------------------------------------------
Electric Permit Work Card
-Job Address 3150 WHITE TAIL LN
Permit Number 112836 Create Date 03/01/2005
Contractor CUMINGS ELECTRIC INC
Owner WAUKAU LLC
Category 631 - Residentiål-New Multi-Family Wiring
Service b New .0 ChangeO Temp 0 N/A I Type 0 Overhead
Volts 120/240 Circuits 0
0 Underground. N/A
Fixtures
Amps
400
Switches
Receptacles 0
$12,000.00
Fee
$204.00 D
Value
Appliances
Use/Nature
of Work
Unit/Wiring for new 4 unit
Inspections:
Date 09/15/2005
Type Final
Inspector Adam Krause
approved
I"'~""'=
DatelTime requested: 09/09/2005
Access:
01:39 PM
Notice Type:
Phone Number: 420-5878
Ready DatelTime: 09/09/2005 01 :39 PM Requested by:
--
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
MIDWEST JAY
-----------------------------------------------------------------------------------.
Jul 19 05 08:24a
DON HAANEN
920-497-5007
p.l
Buildings, HVAC Compliance Statement SBD-9720
This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical
designer) observing construction of projects within buildings with total areas exceeding 50,000 cubic feet or greater and
bleachers (Çomm 50.10/Comm 61.50). Failure to submit this form may result in penames as specified in Comm
50.26/Comm 61.23 andlor local ordinances.
General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of
altered existing buildings, submit this completed and signed form to:
. The municipal building inspection office and
. Safety and Buildings, 10541N Ranch Road, Hayward. WI 54843
Personal information you provide may be used for seconda¡y purposes ¡Privacy Law, s. 15.04 (1)(m)].
1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter.
Transaction ID Number 980845
Site Number 669115
Site location (number & street) 3150 WHITETALE
0 City 0 Village 0 Town Of
OSHKOSH
County of
WINNEBAGO
2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additional pages if necessary).
Check those which apply: 0 Building Object 10# 934240
0 Lighting Object 10#
0 Partial Completion
0 HVAC Object 10#
Description of Portion Completed
A) 0 Statement of Substantial Compliance
To the best of my knowledge" belief, and based on onsite observation, construction of the following building andlor HVAC
Items applicable to this project have been completed In subs"'ntial compliance with the approved plans and specifications.
0 BUILDING/LIGHTING ITEMS
1. Structural system including submittal and erection of all building
components (trusses. precast, metal building, elc.)
2. Fire protection systems (sprinklers, alarms, smoke detectors)
designed" installed, and tested (including forward flow on back flow
dSllices) by appropriately registered professionals,
3, Sheft and s"'irway enclosure
4, Exits including exit and directional lights
5. Fire-resistive construction, enclosure of hazards, fire walls, labeled
doors, crass of construction, fire stopped penetrations
6. Sanitation system (toiiets. sinks, drinking facilities)
7. Barrier-frea including Gomm 18 elevators and lifts
8. Energy envelope requirements
g. All conditions of building pian approval and applicable variances
The following Items are not in compliance and must be addressed:
1 O. Exterior lighting & control requirements
11. Interior rlQhting & control requirements
12. All conditions of lighting plan approval
and applicable variances
0 HVAC ITEMS
1. HVAC system including finai test
2. All conditions of HVAC plan approval
and applicable variances
B) 0 Statement of Noncompliance
Due to the following listed violations, this project is not ready for occupancy:
C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.)
V) 0 Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
0 Building 0 HVAC 0 Ughting DON HAANEN
Name (please print or type)
Customer 10# 649536 Signature
:,:"- -"í---"",)-".~ie\ 7/18/2005
~~..----,-'<> ,/ ,\, ~~^f'--.
920497-5007
Phone #
SBO-9720 (R.OII2003)
--.._-~---------'
,,'. ',..,::,:t,:~,;i';,~":':,:,:,:"";"""",,, ,..:',,';. 'T"
"::>,,,,';:¡¡;}.;i:;<:t~úUciiIÏØ~,'HVAC.CompliariC" $tatement . , .
:i-h¡;; ~ išieQ¡;if~ti~~tì;ìJ!~bYÎh~$J~~~~81.(IirChiiá enginaer;HVAC designer 'or elac:,.c¡:: .:"
'. desig'rier) 'ob~rViiig~~n~tn:.lèliö;, of.projed:íi"fth¡n buildings willi tot8I_8$ 5:0,000 cubÎc feet or $r:eeter and ble;;~:";-',,
(Comm SO,101C0rtjrÎ'I"e.1."~)" 'Faaura to submit this torm may ",suit In penalties as $sIec:med in COmm 5O,26ICc~"'" ~. ,~:'
and/or local oråinanci::>:"', ' ,
General. 'InstiVcti~~s: ~r to the initial OCCIJPancy of 'new buildings or additiÖ11s and. the final occupancy ç,
altered exi..ting 'buildings, 'submit, this oornpleted and signod form to:
, , . The muniCipal building inspection office iDSi.
. Safety and Buildings,10541N Ranch Rœd Hayward. W¡:54843
PetS"""! informallon rou provide may be ùsed fe, ""condary purposes [Privac.y Low. s. ",04 '(')(m) .,. .
1. PROJECT INFORMATION: Please fill in the following with information from your plan approval ie:",',
íransaC1Ìon 10 Number / (](, ~ fJdJ- ",
Site Number t "'7 It ~
Site le<;¡!Ilion (number & street) J I ~ ~ '[2..41£4(" 1311<. ,
-""0 City 0 Village 0 Townor ç£tI~ County of V-/II~
2. PURPOSE OF THIS STATEMENT: (Check Box A, B. C. or 0 to indicate purpo,e and complete any O\C~~
appliœÞle b"",es and information. AttaCh addition~ pages ij neceS$êlf)I,)
Check those whic;l\ apply: t:I Building Ot/jecqO # t:I HVAC Objea 10 # c¡ 'i" 3 7 ~, ,-,
E:J Lig/'iting OÞjea 10 1:
Q Partial Completion
D~sc:riøéon at Porton Comglstud
A) ri'Statement of Substantl¡¡' Compliance
, To 111<> Dest of my knowlOðge. belief. iiftd I>2sed on on,,;1e observatioo. conSlIIJaion of me following bull';;". "n~¡o: ",";',.".,:,
iloms :lPØlIc:lble 10 !hi:< proj«! h..~ Þeen completed in suÞstannal compliance wiIt1'¡'e BPOtQvsd plans and
speclficallo"".
a BUILDING/LIGHTING ITEMS
,. SW<:\U~ °Y""'" Including SUÞn,i\t81 ano "'C'JOn 01 .unu,"',", _~O'\.n,"
(ltuSSes, prec:".. me"'¡ building. .".)
2, Fite groledion -)'$-- (.gnn~"rs, alarms. sm"". ee:""",rsJ cni!:fled,
",>",n.d. and "',..., linclucHng -~ ft"" O" ..c' 'ow :!e.ic.'1 :>y
.oo~y ",ç..œre. orol...lOna's
Z, SPlaflancl...¡.....yenclœuno
4, ""'.. indu<11n9 ."':>I'd dire<:!ion;¡lli!:fl""
~. Fi.......il0V8 cons"",,"on, onel..",. of n::cores. ft.. ,.."°. ,a.eloe (jeCr.. e..5O
CT =~n. ft... OfCOPtØ gtn-.ons "
6. S.n!œ~OI\ S)'$",m (t,de.., sinkS, drinlling fad:,.e.)
7, Ba<riQo--f..e"'dLldinOComm1Sele\'a"",.""'if:s ."
8. ~nOf\ )' on_go feCO;"""""'" . ,
9, All c:onOlOOI1$ Oloulld"'9 1"01\ .~o'o"" and .gøl~':;'.~l. "",iOn...
The following it8n'l$ at!> not in complianee and must b<! addressed;
/
to. ".:onol :i~n.r-Ç & COllOQ> 'O<"""'.r::
". In:onc: :i,~t'"S & eontrel '00;;"':" -,.,'"
12, ..it;:onc"",nsetli¡;hjngO1anD:'-:,;,
and ."cii""", _eno."".
C "VA!; IrEMS
" "VAC sys:em indUCing final ,."
2. All eondiûons of :eVAC pian o.;::s'i:: :,:',
acelica". """ance.
-~_."..-.. ,n.
B) D Statement of Noncornpli¡¡nc;c
Due 10 the toIIowin; li:steð Violations, \IIis prajet:l is net re2c!y fur OCCUpllncy:
C) a supervising Professional Withdr;¡wn From Project (UseAorSabOve to indicate pmjectst¡:"S.5:" ö-" ",".; ,
0) E:J ProjeCt Abandoned '
3. SU;:>ERVISING PROFESSIONAL. SIGN~e FQR:
~ Building [?'HVAC t:] lighlin9 yðllt t..~ ~
N.....(¡>I_e ø~n'... )
Phone nu"",.r Lt')o - 7J-1- CUSIOmer 10"'" {¡,1',).¡tl Sign""".
, '
~rt
sa:>-O7:0 (R,0I1:002>
23
i>"d
OGS9-Bi>¿-OG6
ssaH a~~s~..I:J
II
ûate , l{24lo5-__.
~ ¿ Ar---
eBS:O! SO i>G unr
1
Job Address 3150 WHITE TAIL LN
HVAC Permit Work Card
Permit Number
~ Create Date 10/26/2004
Owner
WAUKAU LLC
Contractor BREWER HEATING
Category 512 -Ind. & Comm-Both
Plan L2-23-Q404
Fuel ~'~ 1';1 Electric I ~ ~ Value
System PI New 0 Replace n Other
~ Forced Air 1 U Radiant I U Steam I ~ NC I U Vent
U Electric I U Hot Water I U Suppl. I U Con, Burner 1
$16,000,00
1
1
Chimney Type KJ Chimney A () Chimney B . Direct Vent () Not Applicable
Heat Loss . As Approved 0 Existing () Not Applicable I Value
BTU Rate . As Per Plan () Variable 0 Other I Value
UselNature
of Work
Unit I Install HVAC systmes as per State Transaction 10# 1065802
Inspections:
Date 7/19/05
Type Final
Inspector Nicole Krahn
not approved
No inspection request received,
DatelTime requested:
07/19/200501:15 PM
Notice Type: FC
Phone Number:
Access:
Ready DatelTime: 07/19/2005 01:15 PM
Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- -- -- - - - - - - ---- - - - - - - -- -- - - - - - --- - - - - - - - - - - - - ---- - - - - - - - - - - - - ------- --- - - - - - - - - - - - - - - - - - - - --
Date 7/21/05
Type Final
Inspector Nicole Krahn
approved w/cond.
ay with Midwest dropped off the signed correction notice noting that the violations were corrected. No re-inspection was
equired per the policy. Compliance statements in the file,
DatelTime requested:
07/21/2005 07:07 AM
Notice Type:
Phone Number:
Access:
Ready DatelTime: 07/21/2005 07:07 AM
Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- - - - - - - - -- - - - - - - - ---- - - - - - - - - ---- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ---- - - ---- - - - - - - - --
Job Address 3150 WHITE TAIL LN
Owner WAUKAU LLC .
Category 440 - Industrial-Interior
Bathtub 4 . Shower
Whirlpool ~ Floor Drain
Lavatory ~ Lndry Tray
Toilet ~ Disposal
Res. Sink ~ Dishwasher
Bar Sink ~ Sump Pump
Water Heater ~ Classrm Sink
Site Drain 0 Breakrm Sink
Roof Drain ~ Ejector/Grind
Misc. 0
Fixtures
Plumbing Permit Work Card
Permit Number 110994 Create Date 10/08/2004
Contractor WATTERS PLUMBING
Plan C6-123-0904-P Value $17,980.00
~ Water Sollner 0 Wait. St. ~ Shamp Sink ~ Coffee Maker 0
~ Local Waste 0 Ice Chest ~ FlrlWst Sink ~ Int Grease Trap ~
~ Clothes Wshr 0 Exam Sink ~ Catch Basin 0 Ext Grease Trap ~
~ Bidet 0 Sculry Sink ~ Wash Ftn 0 RPZValve ~
~ Beer Tap 0 Hand Sink ~ Urinal 0 Eye Wash Statn ~
~ Lab Sink 0 Plaster Sink ~ Standp Rec ~ Wtr Sewer Mtrs 0
~ Sterilizer 0 Surgeons Sink ~ Ice Maker ~ Deduct Meters ~
~ DipWell 0 F Prep Sink ~ Gar Drain ~ Wtr Usage Mtrs 0
~ Drink Ftn 0 Serv Sink ~ Soda Disp ~
Use/Nature
of Work
4 UNIT
Material
Type
II
0
0
0
0
0
0
0
0
0
0
Size
Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Type Under9round
0
0
0
0
0
Inspector WJ (Chip) Callies
no time
Date
I~ ",00= , ~,." ".00
Date/Time requested: 10/18/04 10:00 AM
Notice Type:
Telephone Number:
JAMIE 733-8125
Access:
Ready DatelTime: 10/18/04 12:00 PM Requested By: WATTERS PLUMBING
0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
- - - - - - --- - - -- - - - - - - - - - - - - - - - - - - - ----- - - - -- - - - - - -- -- - - - - - - - - -- - - -- - - - - - - - - - - - - - - - - - - - - ---- - - - --- - - - - - - - ---
Plumbing Permit Work Card
Job Address 3150 WHITE TAIL LN Permit Number 110994 Create Date 10/08/2004
Owner WAUKAU LLC Contractor WATTERS PLUMBING
Category 440 - Industrial-Interior Plan C6-123-0904-P Value $17,980.00
Bathtub 4 Shower 4 Water Sollner 0 Wai!.S!. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool ~ Floor Drain ~ Local Waste 0 Ice Chest ~ FlrlWst Sink 0 Int Grease Trap ~
Lavatory 12 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin ~ Ext Grease Trap ~
Toilet ~ Disposal ~ Bidet 0 Sculry Sink ~ Wash Ftn ~ RPZ Valve ~
Res. Sink 4 Dishwasher 4 Beer Tap 0 Hand Sink ~ Urinal ~ Eye Wash Statn ~
Bar Sink ~ Sump Pump ~ Lab Sink 0 Plaster Sink ~ Standp Rec ~ Wtr Sewer Mtrs ~
Water Heater 4 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 4 Deduct Meters ~
0 Breakrm Sink 0 Dip Well 0 F Prep Sink ~ ~ Wtr Usage Mtrs ~
~ Ejector/Grind ~ Drink Ftn 0 Serv Sink ~ ~
~
Gar Drain
Soda Disp
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
4 UNIT
Size
Material
Type
II
0
0
0
0
0
Conn.Type
Sanitary Sewer
Storm Sewer
0
0
0
0
0
Water Service
Type Rough In
0
0
0
0
0
Inspector WJ (Chip) Callies
no time
Date
I-'"'
DatelTime requested:
3/23/05 03:25 PM
Notice Type:
Telephone Number:
920-733-8125
Access:
Ready Date/Time: 3/24/05 08:00 AM Requested By: WATTERS PLUMBING-Jamie
0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
-- - - - - - --- - - - - - - - - - - - -- - - ---- -- - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - -- - - - --- -- - - - - - - - - - - - - - - --- - - -- - - ---
Job Address 3150WHITETAILLN
Owner WAUKAU LLC .
Category 440 - Industrial-Interior
Bathtub ~ . Shower
Whirlpool ~ Floor Drain
Lavatory ~ Lndry Tray
Toilet ~ Disposal
Res. Sink ~ Dishwasher
Bar Sink ~ Sump Pump
Water Heater ~ Classrm Sink
Site Drain ~ Breakrm Sink
Roof Drain ~ Ejector/Grind
Misc. ~
Fixtures
Plumbing Permit Work Card
Permit Number 110994 Create Date 10/08/2004
Contractor WATTERS PLUMBING
Plan C6-123-09O4-P Value $17,980.00
~ Water Sollner 0 Wai!.S!. ~ Shamp Sink ~ Coffee Maker 0
~ Local Waste 0 Ice Chest ~ FlrlWst Sink ~ Int Grease Trap ~
~ Clothes Wshr 0 Exam Sink ~ Catch Basin 0 Ext Grease Trap 0
~ Bidet 0 Sculry Sink ~ Wash Ftn 0 RPZValve 0
~ BeerTap 0 Hand Sink ~ Urinal ~ Eye Wash Statn ~
~ Lab Sink 0 Plaster Sink ~ Standp Rec ~ Wtr Sewer Mtrs ~
~ Sterilizer 0 Surgeons Sink ~ Ice Maker ~ Deduct Meters ~
~ DipWell 0 F Prep Sink ~ Gar Drain 0 Wtr Usage Mtrs 0
~ Drink Ftn 0 Serv Sink ~ Soda Disp 0
4 UNIT
Use/Nature
of Work
Size
Sanitary Sewer
Storm Sewer
Water Service
Material
Type
Conn.Type
II
0
0
0
0
0
0
0
0
0
0
Date 7/18/05
r~o ",wm
Type Final
Date/Time requested:
7/18/05 07:59AM
Inspector Rich Wood
approved
Notice Type:
Telephone Number:
JAMIE 733-8125
Access:
~ONTACT JAY 420-5878
Ready Date/Time: 7/18/05 11:00 AM Requested By: WATTERS PLUMBING
0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
-- -------- - -- - - - -- - - - - - ----- - - - - - -- - - - - - - ---- - - - - - - - - - - -- --- -- - - ----- - - - - - - - - - - - - - - - - --- - - - - - - - ---- - - - ---