HomeMy WebLinkAbout2005-Certificate of Occupancy
CITY HALL
Inspection Services Div
215 Church Avenue
PO Box 1130
~ o.hkosh WI
~ 54903-1130
OJHKOfH
ON 'THE WATER
City of Oshkosh
Approved: 5/3/05
Issued: 5/5/05
Midwest General Contractors Inc.
100 N. Westhaven Drive
Oshkosh, Wisconsin 54904-7426
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby granted for the multi-family residence located at 456
Wyldewood Drive, Oshkosh, Wisconsin 54904 as described in Building Permit
Application number(s) 106711.
This building is to be used only as a 6 unit condo and is located in the R-3PD, Multiple
Dwelling District with a Planned Development Overlay.
LIMITATIONS:
Maximum persons and/or living units: Six living units
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.
Dt~{tuJ ~
Building Systems Inspector
~
Building Permit Work Card
fob Address 456 WYLDEWOOD DR Permit Number 0106711 Create Date 2/16/04
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor MIDWEST GENERAL CONTRACTORS INC
Category 130 - New Multi-Family
Type . Building o Sign o Canopy o Fence o Raze -~ Plan K1-128-1203
Zoning Class of Const: VBibc Size irreg Value $474,000.00
~ Sq. Finished/Living Garage
Unfinished/Basement 0 0 Sq. Ft. 0 Sq.Ft.
, Ft. -
Rooms 0 Bedrooms 0 Baths 0 o Projection I
- -
Stories 1 Height 0 Ft. Canopies 0 Signs 0
-
Foundation . Poured Concrete o Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
-
Park Dedication Required # Dwelling Units 6 # Structures 1
Use/Nature 6 Unit Condo / 4 Units @1442sf, 2 Units @ 1321 sf, all with 440 sf garage.
of Work
HV AC Contr Plumbing Contr
Electric Contr
Inspections:
Date 5/3/05
Type Final,.".,~~;lt
~";';':-"
Inspector Nicole Krahn
"~~'y~.ii:,L ,
romPI;ao~ ~ffimaom -;~
Date/Time requested: 5/3/05
Access:
I'
08:53 AM
Notice Type:
Phone Number:
]
Ready Date/Time: 5/3/05
08:53 AM Requested By:
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
. I
Building Permit Work Card
Sob Address 456 WYLDEWOOD DR Permit Number 0106711 CrElate Date 2/16/04
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor MIDWEST GENERAL CONTRACTORS INC
Category 130 - New Multi-Family
Type . Building o Sign o Canopy o Fence o Raze I Plan K1-128-1203
Zoning Class of Const: VBibc Size irreg Value $474,000.00
. Sq. Finished/Living 0 Sq.Ft. Garage 0 Sq.Ft.
Unfinished/Basement 0
-Ft. -
Rooms 0 Bedrooms 0 Baths 0 o Projection I
Stories 1 Height 0 Ft. Canopies 0 Signs 0
- -
Foundation . Poured Concrete o Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
-
Park Dedication Required # Dwelling Units 6 # Structures 1
Use/Nature o Unit Condo / 4 Units @1442 sf, 2 Units @ 1321 sf, all with 440 sf garage.
of Work
HV AC Contr Plumbing Contr
Electric Contr
Inspections:
Date 10/26/04
[REQUEST LINE
Type Insulation
Inspector Nicole Krahn
approved
Date/Time requested: 10/25/04 05:02 PM Notice Type: Phone Number: JAY 420-5878
Access:
PPEN 7-5, INSPECTORS HAVE KEYS
Ready Date/Time: 10/25/04 05:02 PM Requested By: MIDWEST GENERAL CONTRACTORS It
o Reinspect Fee 0 Fee Waived
:J
o Reinspect Fee Paid
Date 4/14/05 Type Final Inspector Nicole Krahn not approved
!REQUEST LINE / JAY WOULD LIKE TO BE PRESENT AND WOULD LIKE INSPECTION ON THURSDAY Need compliance
statements and rear exits off the decks are not installed. '
,/20/05 Jay called to state that the steps were installed off the rear decks.
I
I
Date/Time requested: 4/12/05
Access:
IOPEN 7-5
Ready Date/Time: 4/14/05
04:38 PM
Notice Type:
Phone Number: JAY 420-5878
:J
Requested By: MIDWEST GENERAL CONTRACTORS It
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Building Permit Work Card
job Address 456 WYLDEWOOD DR Permit Number 0106711
Create Date 2/16/04
Owner WYLDEWOOD CONDOMINIUMS LLC
Contractor MIDWEST GENERAL CONTRACTORS INC
Category 130 - New Multi-Family
Type . Building 0 Sign
o Canopy
o Fence
o Raze
Plan K1-128-1203
Zoning
Class of Const:
VBibc
Size irreg
Value
$474,000.00
Unfinished/Basement 0
Rooms 0
Sq.
Ft.
Bedrooms
Finished/Living 0 Sq. Ft. Garage 0 Sq.Ft.
-
0 Baths 0 o Projection I
Height 0 Ft. Canopies 0 Signs 0
- -
o Floating Slab o Pier o Other
o Post o Treated Wood
Stories
Foundation . Poured Concrete
o Concrete Block
Occupany Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication Required
# Dwelfing Units 6
# Structures
Use/Nature 16 Unit Condo / 4 Units @1442 sf, 2 Units @1321 sf, all with 440 sf garage.
of Work
HV AC Contr
Plumbing Contr
Electric Contr
Inspections:
Date 9/24/04 Type Inspector Nicole Krahn
FAXED REQUEST / INSPECTION FOR FLASHING ON PORCHS & GARAGES
no time
DatefTime requested: 9/23/04
Access:
01 :27 PM
Notice Type:
Phone Number: 231-1667 JANELL
]
Ready DatefTime: 9/23/04 01 :27 PM Requested By: JOHN SKOTZKE CONCRETE CONST
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Date 10/18/04
rEQUEST LINE
DatelTime requested:
Access:
IOPEN 7-5
Ready DatefTime: 10/15/04 09:59 AM Requested By: MIDWEST GENERAL CONTRACTORS It
o Reinspect Fee 0 Fee Waived
Type Rough In
Inspector Nicole Krahn
no time
10/15/04
0~:59 AM
Notice Type:
Phone Number: JAY 420-5878
]
o Reinspect Fee Paid
Building Permit Work Card
Job Address 456 WYLDEWOOD DR Permit Number 0106711 Create Date 2/16/04
Owner WYLDEWOODCONDOMINIUMS LLC Contractor MIDWEST GENERAL CONTRACTORS INC
Category 130 - New Multi-Family
Type . Building o Sign o Canopy o Fence o Raze I Plan K1-128-1203
Zoning Class of Const: VBibc Size irreg Value $474,000.00
-
.
Unfinished/Basement 0 Sq. Finished/Living 0 Sq.Ft. Garage 0 Sq.Ft.
Ft. o Projection I
Rooms 0 Bedrooms 0 Baths 0
-
Stories 1 Height 0 Ft. Canopies 0 Signs 0
- -
Foundation . Poured Concrete o Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
pccupany Permit Required Flood Plain No Height Permit Not Required
-
Park Dedication Required # Dwelling Units 6 . # Structures 1
Use/Nature ~ Unit Condo / 4 Units @1442 sf, 2TJnits @ 1321 sf, all with 440 sf garage.
of Work
HV AC Contr Plumbing Contr
Electric Contr
Inspections:
Date 7/26/04
Type Re Foundation
Inspector Nicole Krahn
approved w/cond.
REQUEST LINE The foundation was backfilled: I-could not verify the repair. Jay w/ Midwest stated that a wall was poured under the
umps.
DatefTime requested: 7/22/04
Access:
01 :32 PM
Notice Type:
Phone Number: JAY 420-5878
]
Ready DatefTime: 7/22/04 01:32 PM Requested By: MIDWEST GENERAL CONTRACTORS It
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Date 8/2/04
Type Drain Tile
Inspector Nicole Krahn
approved
[FAXED REQUEST
DatefTime requested: 8/2/04 07:49 AM Notice Type: Phone Number: 231-1667
Access:
!NOTIFY JANELL 231-1144 378-4380
Ready DatefTime: 8/2/04 07:49 AM Requested By: JOHN SKOTZKE CONCRETE CONST
o Reinspect Fee 0 Fee Waived
]
o Reinspect Fee Paid
Building Permit Work Card
Job Address 456 WYLDEWOOD DR Permit Number 0106711
Create Date 2/16/04
Owner WYLDEWOOD CONDOMINIUMS LLC
Contractor MIDWEST GENERAL CONTRACTORS INC
Category 130 - New Multi-Family
Type . Building
Zoning
Unfinished/Basement
Rooms 0
o Sign o Canopy o Fence o Raze
Class of Const: VBibc Size irreg
0 Sq. Finished/Living 0 Sq. Ft.
Ft.
Bedrooms 0 Baths 0
-
Plan K1-128-1203
Value
$474,000.00
Garage ~ Sq. Ft.
o Projection I
Stories
Height
o Ft.
Canopies
o Signs
o
Foundation . Poured Concrete
o Concrete Block
o Floating Slab
o Post
o Pier
o Treated Wood
o Other
pccupany Permit Required
Park Dedication Required
Flood Plain No
Height Permit Not Required
# Dwelling Units 6
# Structures
Use/Nature '6 Unit Condo / 4 Units @1442 sf, 2 Units @ 1321 sf, all with 440 sf garage.
of Work
HV AC Contr
Plumbing Contr
Electric Contr
Inspections:
Date 7/12/04
Type Foundation Backfill
Inspector Nicole Krahn
cancelled
Faxed request (received 3: 17 PM states ready 11 :00-12:00)
DatefTime requested: 7/9/04
Access:
03:17 PM
Notice Type:
Phone Number: 231-1667
]
Ready DatefTime: 7/9/04
03:17 PM Requested By: JOHN SKOTZKE CONCRETE CONST-Mi
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Type Foundation Backfill
Inspector Nicole Krahn
not approved
Date 7/14/04
Request Line 6'-12' FOUNDATION JUMPS LOCATED ALONG BEARING WALLS DUE TO THE SEWER. I CALLED JAY TO INFORM
HIM THAT WE WOULD NEED CALCS OR A REPAIR.
Date/Time requested: 7/14/04
Access:
07:09 AM
Notice Type:
Phone Number: 420-5878
]
Ready DatefTime: 7/14/04 07:09 AM Requested By: MIDWEST GENERAL CONTRACTORS It
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
..
Building Permit Work Card
Job Address 456 WYLDEWOOD DR Permit Number 0106711
Create Date 2/16/04
Owner WYLDEWOOD CONDOMINIUMS LLC
Contractor MIDWEST GENERAL CONTRACTORS INC
Category 130 - New Multi-Family
Type . Building
Zoning
Unfinished/Basement
Rooms 0
D Sign o Canopy o Fence o Raze
Class of Const: VBibc Size irreg
0 Sq. Finished/Living 0 Sq.Ft.
Ft.
Bedrooms 0 Baths 0
Plan K1-128-1203
Value
$474,000.00
Garage ~ Sq. Ft.
D Projection I
Stories
Foundation . Poured Concrete
o Concrete Block
Height
o Ft.
Canopies
o Signs
o
o Floating Slab
o Post
o Pier
o Treated Wood
o Other
Occupany Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication Required
# Dwelling Units 6
# Structures
Use/Nature ~Dnit Co-riC!o / 4 Units @1442 sf, 2 Units @ 1321 sf, all with 440 sf garage.
of Work
:
HV AC Contr
Plumbing Contr
Electric Contr
Inspections:
Date 6/23/04 Type Footings
IFAXED REQUEST I READY BETWEEN 3 & 4 PM
DatelTime requested: 6/23/04 04:21 AM
Access:
Inspector Nicole Krahn
no time
Notice Type:
Phone Number: MIKE OR TOM 231-1667
]
Ready DatelTime: 6/23/04 03:00 PM Requested By: JOHN SKOTZKE CONCRETE CONST
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Date 7/8/04
Type Foundation Backfill
Inspector Nicole Krahn
cancelled
,AXED REQUEST I READY BETWEEN 2 & 3
DatelTime requested: 7/8/04 07:44 AM
Access:
Notice Type:
Phone Number: MIKE OR TOM 231-1667
]
Ready DatelTime: 7/8/04
02:00 PM Requested By: JOHN SKOTZKE CONCRETE CONST
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
HVAC Permit Work Card
Job Address 456 WYLDEWOOD DR Permit Number 110797 Create Date 09/28/2004
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor BREWER HEATING
Category 512 - Ind. & Comm-Both Plan K1-128-1203
,
Fuel ~ Gas I UOil I U Electric I U Solar I U Solid I Value $27,000.00
System ~ New I o Replace I o Other I
~ Forced Air I U Radiant I U Steam I ~ AfC I U Vent I
U Electric I U Hot Water I U Suppl. I U Con. Burner I
Chimney Type K) Chimney A () Chimney B . Direct Vent () Not Applicable I
Heat Loss . As Approved o Existing o Not Applicable I Value 0
BTU Rate . As Per Plan o Variable o Other I Value
Use/Nature HVAC system for 6 unit as per State Transaction ID No. 976043
of Work
Inspections:
Date 5/3/05
Type Final
Inspector Nicole Krahn
approved
DatelTime requested:
Notice Type:
Phone Number:
Access:
Ready DatelTime:
Requested By:
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
-------------------------------------------------------------------'--~----------------------
Electric Permit Work Card
Job Address 456 WYLDEWOOD DR Permit Number 110656 Create Date 09/22/2004
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor CUMINGS ELECTRIC !NC
Category 631 - Residential-New Multi-Family Wiring
..~fIJ I Type . Underground I
Service KJNew o ChangeO Temp ON/A o Overhead ON/A
Volts 110/220 Circuits 0 Fixtures 0
,
Amps 400 Switches 0 Receptacles 0
Fee $234.00 0 Value $18,000.00
Appliances ange, water heater, disposal, dryer, dishwasher, fan, furnace, a-c.
Use/Nature ~ire new 6 unit
of Work
Inspections:
Date 04/08/2005
Type Final
Inspector Kevin Benner
approved wIeand.
Request Line
The post lights are not installed. No access to .unit "E".
DatefTime requested: 04/07/2005 07:14 AM
Access:
Notice Type:
Phone Number:
Ready DatefTime: 04/07/200507:14 AM Requested by: CUMINGS ELECTRIC INC-Jan
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Electric Permit Work Card
Job Address 456 WYLDEWOOD DR Permit Number 110656 Create Date 09/22/2004
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor CUMINGS ELECTRIC INC
Category 631 - Residential-New Multi-Family Wiring
~~w " I Type
Service o ChangeO Temp ON/A o Overhead . Underground ON/A I
Volts 110/220 . Circuits 0 Fixtures 0
.
Amps 400 Switches 0 Receptacles 0
Fee $234.00 0 Value $18,000.00
Appliances ange, water heater, disposal, dryer, dishwasher, fan, furnace, a-c.
Use/Nature Hire new 6 unit
of Work
Inspections:
Date
Type Rough In
Inspector Kevin Benner
no time
REQUEST LINE / UNITS A THRU F
DatelTime requested: 10/15/2004 08:11 AM
Access:
Notice Type:
Phone Number: NOT GIVEN
Ready DatelTime: 10/15/2004: PM
o Reinspect Fee 0 Fee Wavied
Requested by:
o Reinspect Fee Paid
CUMINGS ELECTRIC INC
Date
Type Note
Inspector Jon Fischer
Request Line
DatelTime requested: 11/03/2004 01:58 PM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 11/03/2004 01 :58 PM Requested by: CUMINGS ELECTRIC INC-Jan
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Electric Permit Work Card
Job Address 456 WYLDEWOOD DR Permit Number 110656 Create Date 09/22/2004
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor CUMINGS ELECTRIC INC
Category 631 - Residential-New Multi-Family Wiring
~ew ..
Service o ChangeO Temp ON/A I Type o Overhead . Underground ON/A I
Volts 110/220 . Circuits 0 Fixtures 0
Amps 400 Switches 0 Receptacles 0
Fee $234.00 0 Value $18,000.00
Appliances range, water heater, disposal, dryer, dishwasher, fan, furnace, a-c.
Use/Nature wire new 6 unit
of Work
Inspections:
Date
Type Service
Inspector Kevin Benner
DatefTime requested: 11/04/2004 07:33 AM
Access:
Notice Type:
Phone Number:
Ready DatefTime: 11/04/2004 07:33 AM Requested by: CUMINGS ELECTRIC INC (Richard)
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Date 11/05/2004
Type Service
Inspector Jon Fischer
approved
Request Line -- public service needs to be contacted.
11/5/04 called in
11/8/04 mailed in
Date/Time requested: 11/05/2004 09:11 AM
Access:
Notice Type:
Phone Number:
Ready DatefTime: 11/05/2004 09:11 AM Requested by: CUMINGS ELECTRIC INC
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Job Address 456 WYLDEWOOD DR
Owner WYLDEWOOD CONDOMINIUMS LLC
Category
Bathtub
Whirlpool
Lavatory
Toilet
Misc.
Fixtures
Use/Nature
of Work
440 - Industrial-Interior
------;-
~ Shower
o Floor Drain
~ ,Lndry Tray
---.1.!! Disposal
~ Dishwasher
~ SumpPump
~ Classrm Sink
~ Breakrm Sink
~ Ejector/Grind
o
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Plumbing Permit Work Card
Permit Number 109011
Contractor WATTERS PLUMBING
Plan C6-96-0404-P
Create Date 06/29/2004
Value
12 Water Softner 0 Wait. St. 0 Shamp Sink 0
6 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0
-
0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
6 Bidet 0 Sculry Sink 0 Wash Ftn 0
-
6 Beer Tap 0 Hand Sink 0 Urinal 0
-
6 Lab Sink 0 Plaster Sink 0 Standp Rec 0
-
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 6
-
0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
NEW 6UNIT CONDO INTERIOR ONLY
~
$32,010.00
o
o
o
o
o
o
o
o
Size
Sanitary Sewer
Storm Sewer
Water Service
Date 3/31/05
FAXED REQUEST
Type Final
Material
Type # Conn.Type
0
0
0
0
0
0
0
0
0
0
DatefTime requested: 3/30/05 01 :15 PM
o
o
o
o
o
Inspector WJ (Chip) Callies
approved
Notice Type:
Telephone Number: JAMIE 733-8125
Access:
~A Y 420-5878
Ready DatefTime: 3/30/05 02:00 PM Requested By: WATTERS PLUMBING
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
]
---------------------------------------------------------------------------------------------------------
.
Plumbing Permit Work Card
Job Address 456 WYLDEWOOD DR Permit Number 109011 Create Date 06/29/2004
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor WATTERS PLUMBING
Category 440 - Industrial-Interior Plan C6-96-0404-P Value $32,010.00
Bathtub 6 Shower 12 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
-
Whirlpool 0 Floor Drain 6 Local Waste 0 Ice Chest 0 FlrfWst Sink 0 Int Grease Trap 0
-
Lavatory 24 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 18 Disposal 6 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
-
Res. Sink 6 Dishwasher 6 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
-
Bar Sink 0 Sump Pump 6 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
-
Water Heater 6 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 6 Deduct Meters 0
-
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
NEW 6UNIT CONDO INTERIOR ONLY
~
Size
Material
Type # Conn.Type
0
0
0
0
0
0
0
0
0
0
Sanitary Sewer
. ; Storm Sewer
Water Service
Type Rough In
o
o
o
o
o
Inspector WJ (Chip) Callies
no time
Date
axed request
DatefTime requested: 10/5/04 07:18 AM
Notice Type:
Telephone Number: 733-8125
Access:
]
Ready DatefTime: 10/5/04 08:00 AM Requested By: WATTERS PLUMBING
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Job Address 456 WYLDEWOOD DR
Owner WYLDEWOOD CONDOMINIUMS LLC
Category 440 - Industfial-Interior
Bathtub 6 Shower
Whirlpool 0 Floor Dtain
Lavatory 24 . Lndry Tray
Toilet 18 Disposal
Res. Sink 6 Dishwasher
Bar Sink 0 Sump Pump
Water Heater 6 Classrm Sink
Site Drain 0 Breakrm Sink
Roof Drain 0 Ejector/Grind
Misc. 0
Fixtures
Plumbing Permit Work Card
Permit Number 109011
Contractor WATTERS PLUMBING
Plan C6-96-0404-P
o Wait. St. 0 Shamp Sink
o Ice Chest 0 Flr/Wst Sink
o Exam Sink 0 Catch Basin
o Sculry Sink 0 Wash Ftn
o Hand Sink 0 Urinal
o Plaster Sink 0 Standp Rec
o Surgeons Sink 0 Ice Maker
o F Prep Sink 0 Gar Drain
o Serv Sink 0 Soda Disp
12 Water Softner
6 Local Waste
o
6
6
6
o
o
o
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Create Date 06/29/2004
$32,010.00
o
o
o
o
o
o
o
o
Value
o Coffee Maker
Oint Grease Trap
o Ext Grease Trap
o RPZ Valve
o Eye Wash Statn
o Wtr Sewer Mtrs
6 Deduct Meters
o Wtr Usage Mtrs
o
NEW 6UNIT CONDO INTERIOR ONLY
Use/Nature
of Work
~
Material
Size
Type # Conn.Type
0
0
0
0
0
0
0
0
0
0
Sanitary Sewer
Storm Sewer
Water Service
o
o
o
o
o
Inspector WJ (Chip) Callies
no time
Date
Type Underground
FAXED REQUEST
DatelTime requested: 7/29/04 12:16 PM
Notice Type:
Telephone Number: JAMIE 733-8125
Access:
]
Ready DatefTime: 7/29/04 12:16 PM Requested By: WATTERS PLUMBING
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
--~----------------------------------------------------------------------------------------.-------------
'"
. .
Buildings, 'HV AC, Compliance Statement
This form i:s required to be SUbmitted' by the 8upervisi~ professional (architect. 1tl"l9in~, HVAC designer or electrical
designer) observing construction of projeds within buildings with total areas 60.000 cubIc; fee~ or greater and bleachers
(Comm SO.1 O/C~m 61.50). Failura to submit this form may result in ~naltje:; as specified In Comm 50..261Comm 61.23
and/or IOCDI ordinances.
General Jnstructions: PriOr to tr'le initial oc::cupancy of new buildings. or additions and the final OCcupancy of
altered existing builcfing$. submit this completed snd signed 10m to:
J · The municipal building inspection office a~
.,... · Safety and Buildings, 'T054'N Ranch Road Hayward. Wi. 54843
Person::/.I il'lfo~n you proViClc may t)e u:u:ad for :sec:ondwy pUtpOllQS (Privla<.)' Law, s. 15.04 (1 )(m)l
1. PROJECT IN;"?ORMAnON: Please fill in the following with information from your plan approval letter.
TranS3ction JO Number 7'1r:~4';'
Site Number <:, '?S7& I r ['
Site Ioc:.l!tion (number & street) J,~Q "'-J ld..wed - *' (p ~ lkl<:axt- IIi !elr--
[B"""City D Village 0 Town of at'~4J'H County of L.J. ,,/tJ~J~~i'A
2. PURPOSE OF THIS STATEMENT: (Check Box A. B, C. or 0 to indicato ~urpO$e OlInd completo ~ny other
applicable l>Oxes and information. Attach additionsl pages jf necessary.)
Check those which apply: 0 Building Object ID # B'HVAC OOject 10 11 f 1-5 ~/ i.
Cl Lighting Objed'IO #
'!
C Parrial Completion
o..cription of PMion COmpleted
A} ~tatem.l1t of Substantial Compliance
To the best of my knowledge. belief, and ~ed on onaite obset\<ation. eonStn.lctio" of tne following building and/or HVAC
items applic.blv to tI'li.s project have belen completed in $utl:il~nti31 compliance with tne approl.'9d plans and
sPOcl1'lCllttO"f; .
o eUIlDING/UGHnNG ITEMS
'. SlrV~r'lIl S>'S1'e1l'J incl~o;ng S\,lbm;nal and cr~c:ion Of ..II t)"'ilttil'lg components
lll'Us.SCs. j)recr.sl, melal Ouijdln;. etc.)
2. Fire croteaiOft sysr:em:s ISCl~nklers. a.larms. smOlle c2et~C:OrsJ aeslgr;el::.
il'l$tIlllfld. aM teste., (indudlrl' fcrward flow on !:lad< lIow l::evice3) Oy
oIIppropn.lltely rwgil5l8t'8d pro1sa15lonals
3. S"'.,ft ,nCl s~irway enQosure
4. Exits inClUding e.ll'l.;:lnd djrec:liQTIalligh~
5. FI~Sl.llllive CXlnstruc1:lCln. endcsure of tlazards. lire ....<llIs. laCleIeC: coors, Clan
of con:;~l'l. fire :;lOppad ponolt:lliOI'l4:
6. S3nillliOtl :!I)'srem (toile", sinlts. lftlrlking fadlith.5)
7. ellrrier-f~ inClII.,ing Comm 18 !!leVlilOrs and lift:s
8. Enel'9Y enweIOptr.~uirel'l1enls
9. All Conditions Of bI.Iilding Illan 4PPrQv". ~nd appliQt)le ...ati~lIeo:::;
Tho following l1ems are nOl in c:ompli;Jlnc:e and must tJo addressed:
,
/
'0. E;.;lCrlQf li~tltil1" & conlrOl rOQuircmtn1.5
11. Il'llCrior lj~"ng 150 cOtttrOl rec:ui(erl'\etl~
,~. All condit:ons ot lig!1ting plan <Ipproval
.lIf1' lJppliC:ll~le vlrianl;e5
o HVAC IT&MS
1. MVAC SYSteM includinlO final reSl
2. All CQtldlllClrloli of I'tV AC pIa" :loprO"31 :!f':C:
lIppliCil~Je varilnOIl$
B) 0 Statement of Non~mpfiance
Due to the following listed vlol~ons, this project is not ready for o<x:upancy:
C) 0 Supervising Professional Witncfrawn From Project (Use A Or B B/k)w>o lQ indicate project statllS as of this date.)
0) 0 Project Abandoned
3. SUPERV'SING PROFESSIONAL SIGNATURE FOR:
CJ 6uilding K'HVAC 0 Lighting --.1:21\/(\ 6t'?".I;:'te..
Name (please print or typG)
~ Customer 10 # ~ 8'.2~ II
P!'lO"~ numl)cr Z.,;,... 74.,
..:J't>,!
Sigl'llllture
SBO.9no (l't.O I 12002)
23
2'd
r ji:d~
L -, __
02S9-8vL-026
~u~...eaH ..Iama..lH
dl0:tO so 12 ..Idl:l
RIO; 21 05 02:3210
DON HRRNEN
r
920-497-5007
P. 1
Buildings, HV AC Compliance Statement 5BO-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 (Comm 50.10/Comm 61.50). Failure to submit this form may result in penalties as specified in Comm
50.26/Comm 61.23 and/or local ordinances.
General InstrLJ[!tions: 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, 10541 N Ranch Road, Hayward, WI 54843
Personal infonnation you provide may be used for secondary purposes [Privacy Law, s, 15.04 (1 )(m)J.
1. PROJECT INFORMATION: Please tiU in the following with information from your plan approval Jetter.
Transaction ID Number 937355
Site Number 667578
Site location (number & street) 456 WYLDEWOOD
o City 0 Village D Town Of
OSHKOSH
Jrb
County of
W1NNEBAGO
2. PURPOSE OF THIS STATE:MENT: (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# 928334 0 HVAC Object 10#
o Lighting Object ro#
o Partial Completion
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 and/or HVAC
items applicable to this project have been completed in substantial compliance with the approved plans and specifications.
o BUILDING/LIGHTING ITEMS
1_ Structural system including submittal and erection of all building
components (trusses, precast, metal building, etc.)
2. Fire protection systems (sprinklers, alarms, smoke detectors)
designed, installed, and tested (inClUding forward flow on back flow
devices) by appropriately registered professionals.
3. Shaft and stairway enclosure
4. Exits including exit and directional lights
5. Fire-resistive construction, enclosure of hazards, tire walls, labeled
doors, class of construction, fire stopped penetrations
6. Sanitation system (toilets, sinks, drinking facilities)
7. Barrier-free includIng Comm 18 elevators and lifts
8. Energy envelope requirements
9. All conditions of building plan approval and applicable variances
The following items are not in compliance and must be addressed:
10. Exterior lighting & control requirements
11_ Interior lighting & control requirements
12. All conditions of lighting plan approval
and applicable variances
o HVAC ITEMS
1_ HVAC system including final 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.)
D) 0 Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
o Building 0 HVAC 0 Lighting
Phone #.
Name (please print or type)
Customer 10# 649536 Signature '
920-497-5007
SBD-9720 (R.Ot/2003)
.-.-----~-:
4/20/2005