HomeMy WebLinkAboutCertificate of Occupacy
CITY HALL
Inspection Services Div
215 Church Avenue
PO Box 1130
~ Oshkosh WI
~ 54903-1130
OfHKOfH
ON THE WATER
City of Oshkosh
Approved:
Issued:
10/17/05
10/17/05
Jakob / Kimberly Iverson
1155 Christian Drive
Oshkosh, Wisconsin 54901
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby granted for the new single family residence located at
2371 Shore PreseNe Drive, Oshkosh, Wisconsin 54904 as described in Building Permit
Application number(s) 113165.
This building is to be used only as a single-family residence and is located in the R-
1 PD, Single Family Residence District with a Planned Development Overlay.
LIMITATIONS:
Maximum persons and/or living units: One living unit
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, 3m 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) A separate permit is required for the change in plans from a screen room to a
sunroom.
2) Copies of inspection results are available upon request in room 205, City Hall.
3) 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.
cc: Executive Homes And Development
Building Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 0113165 Create Date 3/18/05
Owner JAKOB & KIMBERLY IVERSON Contractor EXECUTIVE HOMES AND DEVELOPMENT
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan G1- 013 -0305
Zoning R -1PD Class of Const: VB Size irrg Value $238,100.00
Unfinished /Basement 1534 Sq. Finished/Living 2766 Sq. Ft. Garage 836 Sq. Ft.
Ft.
Rooms 7 Bedrooms 4 Baths 3 0 Projection
Stories 2 Height 31 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ New single family w/ attached garage, driveway as per plans
of Work
HVAC Contr UNKNOWN ? ?? Plumbing Contr UNKNOWN
Electric Contr UNKNOWN ? ? ??
Inspections:
Date 10/17/05 Type Re Final Inspector John Zarate approved w /cond.
A seperate permit is required for the change in plans from a screen room to a sunroom.
Date/Time requested: 10/17/05 12:05 PM Notice Type: Phone Number:
Access:
Ready Datemme: 10/17/05 12:05 PM Requested By: Rick
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Page 5 of 5
Building Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 0113165 Create Date 3/18/05
Owner JAKOB & KIMBERLY IVERSON Contractor EXECUTIVE HOMES AND DEVELOPMENT
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence Q Raze Plan G1- 013 -0305
Zoning R -1PD Class of Const: VB Size irrg Value $238,100.00
Unfinished /Basement 1534 Sq. Finished /Living 2766 Sq. Ft. Garage 836 Sq. Ft.
Ft.
Rooms 7 Bedrooms 4 Baths 3 ® Projection
Stories 2 Height 31 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete Q Floating Slab 0 Pier 0 Other
0 Concrete Block Q Post 0 Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ New single family w/ attached garage, driveway as per plans
of Work
HVAC Contr UNKNOWN ? ?? Plumbing Contr UNKNOWN
Electric Contr UNKNOWN ? ? ??
Inspections:
Date 6/6/05 Type Insulation Inspector John Zarate approved w /cond.
Rick was having the toilet plumbing supply moved on the 2nd floor bath.
DateTme requested: 6/3/05 08:28 AM Notice Type: Phone Number:
Access:
Ready Date/Time: 6/3/05 08:28 AM Requested By: Rick
Q Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 8/11/05 Type Final Inspector John Zarate not approved
Message request (5050) - looking for occupancy inspection Thursday, owners moving in on the week -end. Get "Sunroom" specs for wind
design of "Vents" windows. Kevin asked for the information.
DateTme requested: 8/8/05 09:36 AM Notice Type: FC Phone Number: 378 -4201
Access:
Let Rick know if this is possible.
Ready Date/Time: 8/11/05 07:00 AM Requested By: EXECUTIVE HOMES AND DEVELOPMENT -Rick
Q Reinspect Fee Q Fee Waived ❑ Reinspect Fee Paid
Page 4 of 5
Building Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 0113165 Create Date 3/18/05
Owner JAKOB & KIMBERLY IVERSON Contractor EXECUTIVE HOMES AND DEVELOPMENT
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan G1 -013 -0305
Zoning R -1PD Class of Const: VB Size irrg Value $238,100.00
Unfinished /Basement 1534 Sq. Finished/Living 2766 Sq. Ft. Garage 836 Sq. Ft.
Ft.
Rooms 7 Bedrooms 4 Baths 3 ❑ Projection
Stories 2 Height 31 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ New single family w/ attached garage, driveway as per plans
of Work
HVAC Contr UNKNOWN ? ?? Plumbing Contr UNKNOWN
Electric Contr UNKNOWN ? ? ??
Inspections:
Date 4/25/05 Type Drain Tile Inspector John Zarate approved w /cond.
Rid( was onsite and will make sure the bleeder tile near the front of the house is cleaned out.
Date/Time requested: 4/25/05 01:19 PM Notice Type: Phone Number: 585 -9218
Access:
Ready Date/Time: 4/25/05 01:19 PM Requested By: Rausch Plmb
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 5/27/05 • Type Rough In Inspector John Zarate approved w /cond.
REQUEST LINE / RICK WOULD LIKE TO BE PRESENT AND WANTS INSPECTION ON FRIDAY, CALL TO ADVISE. Seal holes and
penetrations on exterior walls, 1 x around fireplace plastic, water supply out of bedroom retum.
Date/Time requested: 5/25/05 02:41 PM Notice Type: Phone Number: RICK 378 -4201
Access:
OPEN
Ready DateTme: • Requested By: EXECUTIVE HOMES AND DEVELOPMENT
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Page 3 of 5
Building Permit Work Card t
Job Address 2371 SHORE PRESERVE DR Permit Number 0113165 Create Date 3/18/05
Owner JAKOB & KIMBERLY IVERSON Contractor EXECUTIVE HOMES AND DEVELOPMENT
Category 110 - New Single Family
Type • Building Q Sign Q Canopy 0 Fence 0 Raze Plan G1- 013 -0305
Zoning R -1PD Class of Contt: VB Size irrg Value $238,100.00
Unfinished/Basement 1534 Sq. Finished /Living 2766 Sq. Ft. Garage 836 Sq. Ft.
Ft.
Rooms 7 Bedrooms 4 Baths 3 ❑ Projection
Stories 2 Height 31 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete 0 Floating Slab Q Pier Q Other
Q Concrete Block 0 Post Q Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ New single family w/ attached garage, driveway as per plans
of Work
HVAC Contr UNKNOWN ? ?? Plumbing Contr UNKNOWN
Electric Contr UNKNOWN ? ? ??
Inspections:
Date 4/15/05 Type Foundation Backfill Inspector John Zarate not approved
Foundation jumps exceed 4' - 0"
Date/Time requested: 4/15/05 09:16 AM Notice Type: Phone Number: 378 -4201
Access:
Ready Date/Time: 4/15/05 09:16 AM Requested By: Rick
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 4/20/05 • Type Re Foundation Inspector John Zarate approved w /cond.
Footing appears to have been installed as I could see that there was some new foundation, however the footing was not visible to to cave
in from last nights rain.
DateTme requested: 4/19/05 03:00 PM Notice Type: Phone Number: 378 -4201
Access:
Ready Date/Time: 4/20/05 07:01 AM Requested By: Rick
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Page 2 of 5
Building Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 0113165 Create Date 3/18/05 ,
` `"
Owner JAKOB & KIMBERLY IVERSON Contractor EXECUTIVE HOMES AND DEVELOPMENT
Category 110 - New Single Family 1
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan G1- 013 -0305
Zoning R -1PD Class of Const: VB Size irrg Value $238,100.00
Unfinished /Basement 1534 Sq. Finished/Living 2766 Sq. Ft. Garage 836 Sq. Ft.
Ft.
Rooms 7 Bedrooms 4 Baths 3 0 Projection
Stories 2 Height 31 Ft. Canopies 0 Signs 0
Foundation 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ New single family w/ attached garage, driveway as per plans
of Work
HVAC Contr UNKNOWN ? ?? Plumbing Contr UNKNOWN
Electric Contr UNKNOWN ? ? ??
Inspections:
Date 3/31/05 • Type Footings Inspector John Zarate cancelled
REQUEST LINE / WOULD LIKE 2:30 PM INSPECTION
Date/Time requested: 3/30/05 01:31 PM Notice Type: Phone Number: DAN 427 -5220
Access:
Ready Date/Time: Requested By: EARTH WORKS
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 4/1/05 • Type Footings Inspector John Zarate approved w /cond.
REQUEST LINE / READY ABOUT 12 FRIDAY, HE WILL CALL TO VERIFY IN THE AM. Hole was dug but forms were not in place. Soil
appeared ok.
Date/Time requested: 3/31/05 12:43 PM Notice Type: Phone Number: 788 -5773
Access:
Ready Date/Time: 4/1/05 12:00 PM Requested By: unknown
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Page 1 of 5
Electric Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 113502 Create Date 03/24/2005
Owner NORTHSHORE REAL ESTATE DEVELOPME Contractor HARTJES ELECTRIC LLC
Category 611 - Residential -New Single Family Wiring
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground • N/A
Volts 120 / 240 Circuits 35 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $194.00 ❑ Value $10,000.00
Appliances Range, dishwasher, Fumace, Garbage Disposal, Dryer, NC
Use /Nature NSFR/ New residential wiring
of Work
Inspections:
Date 08/12/2005 Type Note Inspector Kevin Benner not approved
REQUEST LINE / ISSUES NOTED HAVE BEEN TAKEN CARE OF, ERIC IS THE CONTACT PERSON
Discussed the violations from the with Eric from the E.C.
Eric Called 8/12/5, 3:32 PM and stated the violations are corrected except the rear room
enclosure that we presently did not agree if this is a room.
Approved for temporary occupancy
The State agrees that this is a room. E.C. & G.C. Notified
Date/Time requested: 08/12/2005 03:35 PM Notice Type: FC Phone Number: NOT GIVEN
Access:
Ready Date/Time: 08/12/2005 03:35 PM Requested by: HARTJES ELECTRIC LLC
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 10/17/2005 Type Inspector John Zarate approved w /cond.
Sunroom will be covered under a seperate permit. Electrical wiring in the sunroom will be completed with the
sunroom.
DateTme requested: 10/17/2005 12:04 PM Notice Type: Phone Number:
Access:
Ready DateTme: 10/17/2005 12:04 PM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 113502 Create Date 03/24/2005
Owner NORTHSHORE REAL ESTATE DEVELOPME Contractor HARTJES ELECTRIC LLC
Category 611 - Residential -New Single Family Wiring
Service Q New Q Change 0 Temp • N/A Type 0 Overhead 0 Underground • N/A
Volts 120 / 240 Circuits 35 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $194.00 ❑ Value $10,000.00
Appliances Range, dishwasher, Fumace, Garbage Disposal, Dryer, A/C
Use /Nature NSFR/ New residential wiring
of Work
Inspections:
Date 05/27/2005 Type Rough In Inspector Kevin Benner approved
REQUEST LINE / WOULD LIKE INSPECTION TOMORROW
Note to check on the final for a romex connector on the fireplace.
Discussed with Rick from the G.C. to call for and inspection when the heat mats are installed in the master
bath.
Date/Time requested: 05/26/2005 01:09 PM Notice Type: Phone Number: ERIC 851 -0220
Access:
CONTACT ERIC, HE WOULD LIKE TO BE PRESENT
Ready Date/Time: 05/26/2005 01:09 PM Requested by: HARTJES ELECTRIC LLC
Q Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date Type Final Inspector Kevin Benner
Request Line - please notify Eric if there are any violations
Date/Time requested: 08/10/2005 08:45 AM Notice Type: Phone Number: 920 -851 -0220
Access:
Open
Ready Date/Time: 08/10/2005 08:45 AM Requested by: HARTJES ELECTRIC LLC -Eric
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 113502 Create Date 03/24/2005
Owner NORTHSHORE REAL ESTATE DEVELOPME Contractor HARTJES ELECTRIC LLC
Category 611 - Residential -New Single Family Wiring
Service p New Q Change 0 Temp • N/A Type 0 Overhead Q Underground • N/A
Volts 120 / 240 Circuits 35 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $194.00 ❑ Value $10,000.00
Appliances Range, dishwasher, Fumace, Garbage Disposal, Dryer, A/C
Use /Nature NSFR/ New residential wiring
of Work
Inspections:
Date 04/18/2005 Type Service Inspector Jon Fischer not approved
REQUEST LINE
cound not see ground rods. I left sicker on meter socket
Date/Time requested: 04 /15/2005 11:48 AM Notice Type: Phone Number: ERIC 920 -851 -0220
Access:
Ready Date/Time: 04 /15/2005 11:48 AM Requested by: HARTJES ELECTRIC LLC
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 05/04/2005 Type Re Service Inspector Kevin Benner approved
Request Line - moved ground rods so there wouldn't be a problem.
Faxed to WPS 5/4/5, Mailed 5/16/5
Date/Time requested: 05/04/2005 08:00 AM Notice Type: Phone Number: 851 -0220
Access:
Ready Date/Time: 05/04/2005 08:00 AM Requested by: HARTJES ELECTRIC LLC -Derek
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
HVAC Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 113944 Create Date 03/24/2005
Owner NORTHSHORE REAL ESTATE DEVELOP! Contractor BERKEN HEATING & COOLING INC
Category 502 - Residential -Both Plan
Fuel Gas 1 I ( Oil [✓ Electric 1 Solar I I Solid Value $12,000.00
System n New n Replace 1 n Other
Forced Air I IJ Radiant ❑ Steam 1 t A/C 11 Vent
❑ Electric u Hot Water U Suppl. u Con. Bumer
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss • As Approved 0 Existing O Not Applicable I Value 0
BTU Rate • As Per Plan (3 Variable 0 Other Value
Use /Nature NSFR/ HVAC systems for New single family w/ attached garage.
of Work
Inspections:
Date 10/17/05 Type Reinspect Inspector John Zarate approved w /cond.
Rick stated Make up air has now been installed.
Date/Time requested: 10/17/2005 12:02 PM Notice Type: Phone Number:
Access:
Ready Date/Time: 10/17/2005 12:02 PM Requested By: Rick
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
HVAC Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 113944 Create Date 03/24/2005
Owner NORTHSHORE REAL ESTATE DEVELOP! Contractor BERKEN HEATING & COOLING INC
Category 502 - Residential -Both Plan
Fuel (✓ Gas 1 J Oil ✓ Electric J Solar 1 1 Solid Value $12,000.00
System 0 New 1 ❑ Replace 1 n Other
U Forced Air U Radiant Lj Steam u A/C u Vent
u Electric J Hot Water L J Suppl. U Con. Bumer
Chimney Type 0 Chimney A O Chimney B • Direct Vent O Not Applicable
Heat Loss • As Approved 0 Existing O Not Applicable Value 0
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use /Nature NSFR/ HVAC systems for New single family w/ attached garage.
of Work
Inspections:
Date 5/23/05 Type Rough In Inspector John Zarate no time
REQUEST LINE. Will do with rough building.
Date/Time requested: 05/20/2005 01:38 PM Notice Type: Phone Number: 759 -1478
Access:
Ready DateTme: 05/20/2005 01:38 PM Requested By: BERKEN HEATING & COOLING INC
Q Reinspect Fee O Fee Waived ❑ Reinspect Fee Paid
Date 8/11/05 Type Final Inspector John Zarate not approved
MAKE UP AIR WAS NOT PROVIDED
Date/Time requested: 08/12/2005 07:50 AM Notice Type: FC Phone Number:
Access:
Ready Date/Time: 08/12/2005 07:50 AM Requested By: RICK
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
•
Plumbing Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 113683 Create Date 04/25/2005
Owner JAKOB H /KIMI3ERL IVERSEN Contractor RAUSCH PLUMBING
Category 410 - Residential- Interior Plan Value $12,000.00
Bathtub 1 Shower 2 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 1 Floor Drain 1 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Lavatory 4 Lndry Tray 1 Clothes Wshr 1 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 4 Disposal 1 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 1 Dishwasher 1 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 1 Lab Sink 0 Plaster Sink 0 Standp Rec 2 Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 2 Wtr Usage Mtrs 0
Roof Drain 0 Ejector /Grind 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use /Nature
of Work
NSFR
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date 8/12/05 Type Final Inspector Rich Wood approved w /cond.
Hand held shower w/o vacuum breakers, sump pit flush with floor needs cover sealed watertight, laundry stand pipe at 27" above finished floor ( ?2 "dia)
Called contractor.
Datemme requested: 8/12/05 01:17 PM Notice Type: Telephone Number:
Access:
Ready Date/Time: 8/12/05 01:17 PM Requested By:
0 Reinspect Fee 0 Fee Waived Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 113683 Create Date 04 /25/2005
Owner JAKOB H /KIMBERL IVERSEN Contractor RAUSCH PLUMBING
Category 410 - Residential- Interior Plan Value $12,000.00
Bathtub 1 Shower 2 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 1 Floor Drain 1 Local Waste 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Lavatory 4 Lndry Tray 1 Clothes Wshr 1 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 4 Disposal 1 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 1 Dishwasher 1 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 1 Lab Sink 0 Plaster Sink 0 Standp Rec 2 Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 2 Wtr Usage Mtrs 0
Roof Drain 0 Ejector /Grind 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use /Nature
of Work
NSFR
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date Type Re Rough In Inspector Rich Wood no time
request line
Rich out of office , called contractor with ok to continue per AD
Datemme requested: 6/7/05 02:53 PM Notice Type: Telephone Number: kelly 920 - 830 -9222
Access:
open
Ready Date/Time: 6/7/05 02:53 PM Requested By: RAUSCH PLUMBING
Q Reinspect Fee 0 Fee Waived Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 113683 Create Date 04/25/2005
Owner JAKOB H /KIMBERL IVERSEN Contractor RAUSCH PLUMBING
Category 410 - Residential- Interior Plan Value $12,000.00
Bathtub 1 Shower 2 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 1 Floor Drain 1 Local Waste 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Lavatory 4 Lndry Tray 1 Clothes Wshr 1 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 4 Disposal 1 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 1 Dishwasher 1 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 1 Lab Sink 0 Plaster Sink 0 Standp Rec 2 Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 2 Wtr Usage Mtrs 0
Roof Drain 0 Ejector /Grind 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use /Nature
of Work
NSFR
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date 5/31/05 Type Rough In Inspector Rich Wood not approved
REQUEST LINE / UPPER WANTS INSPECTION LATE FRIDAY, TUB MODULE IS ARRIVING FRIDAY AM, HOPEFULLY BY LATE PM FIRE PROOFING
WILL BE COMPLETETub was not set and 3" horizontal drain line was not supported at 4' intervals.
Date /me requested: 5/26/05 03:16 PM Notice Type: Telephone Number: TIM 378 -1553
Access:
Ready Date/Time: 5/27/05 : PM Requested By: RAUSCH PLUMBING
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 2371 SHORE PRESERVE DR Permit Number 113683 Create Date 04/25/2005
Owner JAKOB H /KIMBERL IVERSEN Contractor RAUSCH PLUMBING
Category 410 - Residential- Interior Plan Value $12,000.00
Bathtub 1 Shower 2 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 1 Floor Drain 1 Local Waste 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Lavatory 4 Lndry Tray 1 Clothes Wshr 1 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 4 Disposal 1 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 1 Dishwasher 1 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 SUmp Pump 1 Lab Sink 0 Plaster Sink 0 Standp Rec 2 Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 2 Wtr Usage Mtrs 0
Roof Drain 0 Ejector /Grind 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use /Nature
of Work
NSFR
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date 4/25/05 Type Underground Inspector WJ (Chip) Callies approved
REQUEST LINE / TIM WOULD LIKE INSPECTION THIS AFTERNOON, CALL IF NOT POSSIBLE
MLD RETURNED CALL AND TIM SAID HE HAS ALREADY SPOKEN TO CHIP
Date/Time requested: 4/25/05 01:38 PM Notice Type: Telephone Number: TIM 920 - 378 -1553
Access:
Ready Date/Time: 4/25/05 01:38 PM Requested By: RAUSCH PLUMBING
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid