HomeMy WebLinkAbout2006-Certificate of Occupancy
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CITY HALL
Inspection Services Div
215 Church Avenue
PO Box 1130
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OfHKOfH
ON THE WATER
City of Oshkosh
Approved:
Issued:
08/10/06
08/15/06
Wyldewood Condominiums LLC
100 N. Westhaven Dr.
Oshkosh, WI 54904
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby granted for the new two family residence located a1l~.
€Dyraewbo~ Oshkosh, Wisconsin 54904 as described in Building Permit
,. <,,',,"~"<,"'. ..' ....;'-... ,",.:.:..;.i;-..~.,-. ----.,
Application number(s) 116180.
This building is to be used only as a two family residence and is located in the R-3PD,
Multiple Dwelling District.
LIMITATIONS:
Maximum persons and/or living units: Two 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) Mold was present on the structural floor framing at the inspection indicating possible
health issues related to mold exposure. The contractor has assured our office that
appropriate measures were taken to remove the mold and remediate the problem.
The City of Oshkosh neither approves or disapproves the measures used to
remediate mold. Further measures may be required to prevent future problems with
mold and/or mildew. This situation should be monitored to ensure that future mold
growth does not create potential health problems or cause damage to the structure.
3)' 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.
A. (leixA ~
'BUilding Systems Inspector
Cc: Midwest General Contractors Inc.
,~ Building Permit Work Card
.':'".1
Job Address 430 432 WYLDEWOOD DR Permit Number 0116180 Create Date 9/7/2005
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor MIDWEST GENERAL CONTRACTORS INC
Category 120 - New Duplex
Type . Building o Sign o Canopy o Fence o Raze I Plan F1-021-0304MP
Zoning Class of Const: Size Value $225,000.00
-
Unfinished/Basement 1594 Sq. Finished/Living 1594 Sq.Ft. Garage 572 Sq.Ft.
- Ft. - -
Rooms 3 Bedrooms 2 Baths 2 D Projection I
- - -
Stories 1 Height 17 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 2 # Structures 1
Use/Nature NEW DUPLEX! 1 Sun room Unit - Single story, 2 car attached garage, 12' x 12' deck per unit as per plans.
of Work
HV AC Contr BREWER HEATING Plumbing Contr WATTERS PLUMBING
Electric Contr CUMINGS ELECTRIC INC
Inspections:
Date 8/10/2006
Type Re Final
Inspector Nicole Krahn
approved w/cond.
he contractor submitted the signed and dated
~~E;;~~r,,~!l9.~....c.ted. ~:lli~Jn9.g.
~~l'.nspect'on.1If'
. g that.the..violatiQn~.w.ere<:;Qrfepte(j.; .G19~eJhe"fi!e7J1Q.Qn~jt~" .....0
jjifncypefriiitade"'to'mOld'6etngc'presentor{lfie"flo({f"system-atlfi~7t
Date/Time requested: 8/10/2006 08:28 AM
Access:
Notice Type:
Phone Number:
Ready Date/Time: 8/10/2006 08:28 AM Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Page 4 of 4
Building Permit Work Card '
t
Job Address 430 432 WYLDEWOOD DR Permit Number 0116180 Create Date 9/7/2005
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor MIDWEST GENERAL CONTRACTORS INC
Category 120 - New Duplex
Type . Building o Sign o Canopy o Fence o Raze I Plan F1-021-0304MP
Zoning Class of Const: Size Value $225,000.00
-
Unfinished/Basement 1594 Sq. Finished/Living 1594 Sq.Ft. Garage 572 Sq.Ft.
- Ft. - -
Rooms 3 Bedrooms 2 Baths 2 D Projection I
- - -
Stories 1 Height 17 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 2 # Structures 1
Use/Nature NEW DUPLEX! 1 Sunroom Unit - Single story, 2 car attached garage, 12' x 12' deck per unit as per plans.
of Work
HV AC Contr BREWER HEATING Plumbing Contr WATTERS PLUMBING
Electric Contr CUMINGS ELECTRIC INC
Inspections:
Date 3/10/2006
Type Insulation
Inspector Nicole Krahn
approved
r~"e" Un,
Date/Time requested: 3/9/2006
Access:
IOpen
Ready Date/Time: 3/9/2006 01:37 PM Requested By: MIDWEST GENERAL CONTRACTORS INC-Jay
01 :37 PM
Notice Type:
Phone Number: 420-5878
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Date 7/20/2006
Type Final
Inspector Nicole Krahn
not approved
Request line/final occupancy
I
Date/Time requested: 7/18/2006 02:38 PM
Access:
~all Jay Hendricks - 420-5878
Ready Date/Time: 7/18/2006 02:38 PM Requested By: MIDWEST GENERAL CONTRACTORS INC
Notice Type: FC
Phone Number: Jay - 420-5878
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Page 3 of 4
. Building Permit Work Card
Job Address 430 432 WYLDEWOOD DR Permit Number 0116180 Create Date 9/7/2005
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor MIDWEST GENERAL CONTRACTORS INC
Category 120 - New Duplex
Type . Building o Sign o Canopy o Fence o Raze I Plan F1-021-0304MP
Zoning Class of Const: Size Value $225,000.00
-
Unfinished/Basement 1594 Sq. Finished/Living 1594 Sq.Ft. Garage 572 Sq.Ft.
- Ft. - -
Rooms 3 Bedrooms 2 Baths 2 D Projection I
- - -
Stories 1 Height 17 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 2 # Structures 1
Use/Nature NEW DUPLEX! 1 Sunroom Unit - Single story, 2 car attached garage, 12' x 12' deck per unit as per plans.
of Work
HV AC Contr BREWER HEATING Plumbing Contr WATTERS PLUMBING
Electric Contr CUMINGS ELECTRIC INC
Inspections:
Date 3/1/2006
Type Drain Tile
Inspector John Zarate
no time
[FAXED REQUEST / WOULD LIKE TO POUR 3/2/06 IF POSSIBLE, CALL BEFORE GOING TO SITE. I gave Janell from Skotzke the go
~head on these.
Date/Time requested: 2/28/2006 02:29 PM
Access:
Notice Type:
Phone Number: JANELL 231-1667 378-4580
Ready Date/Time: 2/28/2006 02:30 PM Req uested By: JOHN SKOTZKE CONCRETE CONST
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Date
Type Rough In
Inspector Nicole Krahn
REQUEST LINE, JAY REQUESTED INSPECTIONS FOR 430 432, ACTUAL ADDRESSE IS 420 422 PER MARY C
Date/Time requested: 3/3/2006
Access:
IOPEN
Ready Date/Time: 3/3/2006 08:52 AM Requested By: MIDWEST GENERAL CONTRACTORS INC
08:52 AM
Notice Type:
Phone Number: JAY 420-5878
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Page 2 of 4
Building Permit Worl( Card '
. .
Job Address 430432 WYLDEWOOD DR Permit Number 0116180
Create Date 9/7/2005
Owner WYLDEWOOD CONDOMINIUMS LLC
Contractor MIDWEST GENERAL CONTRACTORS INC
Category 120 - New Duplex
Type . Building
o Sign
o Canopy
o Fence
o Raze
Plan F1-021-0304MP
Zoning
Unfinished/Basement
Class of Const:
Size
Value
$225,000.00
1594
Sq.
Ft.
Bedrooms
Finished/Living 1594 Sq. Ft.
Garage ~ Sq. Ft.
D Projection I
Rooms 3
2 Baths 2
Stories
Height
17 Ft.
Canopies
o Signs
o
Foundation . Poured Concrete
o Concrete Block
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 2
# Structures
Use/Nature 'NEW DUPLEX! 1 Sunroom Unit - Single story, 2 car attached garage, 12' x 12' deck per unit as per plans.
of Work
HVAC Contr BREWER HEATING
Electric Contr CUMINGS ELECTRIC INC
Plumbing Contr WATTERS PLUMBING
Inspections:
Date 10/12/2005
Type Footings
Inspector Nicole Krahn
no time
rAXEO REQUEST f REOY 10112, 3-4 PM
DatelTime requested: 10/12/2005 07:00 AM
Access:
Notice Type:
Phone Number: MIKE OR TOM 231-1667
Ready DatelTime: 10/12/200503:00 PM Requested By: JOHN SKOTZKE CONCRETE CONST
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Date 10/21/2005
Type Foundation Backfill
Inspector Nicole Krahn
approved
re,"", u",
DatelTime requested: 10/20/2005 01 :46 PM
Access:
Notice Type:
Phone Number: 420-5878
Ready DatelTime: 10/20/200501:46 PM Requested By: MIDWEST GENERAL CONTRACTORS INC-Jay
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
- - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - - - - - - - - - - - - --- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - - - - - - -- - - - - - - ',.-
Page 1 of4
'~ Electric Permit Work Card
Job Address 430 432 WYLDEWOOD DR Permit Number 117162 Create Date 9/8/2005
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor CUMINGS ELECTRIC INC
Category 621 - Residential-New Duplex Wiring
Service I. New o Change 0 Temp o N/A I Type 0 Overhead . Underground ON/A I
Volts 120/240 Circuits 20 Luminaires 20
Amps 200 Switches 20 Receptacles 30
Fee $146.00 D Value $7,000.00
Appliances Range, dishwasher, garb. disp., dryer, fan/blower, furn. & AlC.
Use/Nature NEW DUPLEX! 2-100 amp services & premises wiring including: 1 Sunroom Unit - Single story, 2 car
of Work ~ttached garage, 12' x 12' deck per unit as per plans.
i
Inspections:
Date 05/30/2006
Type Final
Inspector Kevin Benner
not approved
REQUEST LINE (Left a note on a Not Approved sticker attached to the placard.)
Fireplace fan wiring not correct. AC 's not wired from the disconnect to a non existing condensing unit.
DatelTime requested: 05/30/2006 09:46 AM
Access:
Notice Type: FC Phone Number: NOT GIVEN
Ready DatelTime: 05/30/2006 09:46 AM Requested by: CUMINGS ELECTRIC INC JAN
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Date 07/18/2006
Type Re Final
Inspector Adam Krause
approved
Accepted based on Dick from Cumings called to state corrections completed. No inspection.
DatelTime requested: 07/31/2006 09:06 AM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 07/31/2006 09:06 AM Requested by: CUMINGS ELECTRIC INC
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
~
.
Electric Permit Work Card ,
,.
Job Address 430 432 WYLDEWOOD DR Permit Number 117162 Create Date 9/8/2005
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor CUMINGS ELECTRIC INC
Category 621 - Residential-New Duplex Wiring
Service Ie New o ChangeO Temp o N/A I Type 0 Overhead . Underground o N/A I
Volts 120/240 Circuits 20 Luminaires 20
Amps 200 Switches 20 Receptacles 30
Fee $146.00 D Value $7,000.00
Appliances Range, dishwasher, garb. disp., dryer, fan/blower, fum. & NC.
Use/Nature ~IEW DUPLEX! 2-100 amp services & premises wiring including: 1 Sunroom Unit - Single story, 2 car
of Work ttlaOh'd g''''ge, 1 Z x 1 Z d,d< po< ,,;,., p" pi,,,.. .
Inspections:
Date 11/18/2005
Type Service
Inspector Adam Krause
approved
Request Line
Faxed to WPS 11/18/2005-p.m.
Mailed 11/21/2005
Date/Time requested: 11/17/2005 08:45 AM
Access:
Notice Type:
Phone Number:
Ready Date/Time: 11/17/2005 08:45 AM Requested by: CUMINGS ELECTRIC INC-Jan
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Date 02/15/2006
Type Rough In
Inspector Adam Krause
approved w/cond.
REQUEST LINE
Some penetrations not sealed
Date/Time requested: 02/15/2006 08:41 AM
Access:
Notice Type:
Phone Number: NOT GIVEN
Ready Date/Time: 02/15/200608:41 AM Requested by: CUMINGS ELECTRIC INC JAN
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
HVAC Permit Work Cara
Job Address 430 432 WYLDEWOOD DR Permit Number 116509 Create Date 09/08/2005
Owner WYLDEWOOD CONDOMINIUMS LLC Contractor BREWER HEATING
Category 502 - Residential-Both Plan
Fuel ~ Gas I UOil I ~ Electric I U Solar I l J Solid I Value $8,600.00
System o New I D Replace I D Other I
l.!'J Forced Air I U Radiant I U Steam I l.!'J A1C I U Vent I
U Electric I U Hot Water I U Suppl. I U Con. Burner I
Chimney Type o Chimney A o Chimney B . Direct Vent o Not Applicable I
Heat Loss . As Approved o Existing o Not Applicable I Value 0
BTU Rate . As Per Plan o Variable o Other I Value
Use/Nature NEW DUPLEX!HVAC system for Side by side 1 story with 2 car attached garages I
of Work
Inspections:
Date 7/20/2006 Type Final
Inspector Nicole Krahn
not approved
DatelTime requested: 07/21/2006 07:07 AM
Notice Type: FC
Phone Number:
Access:
]
Ready DatelTime: 07/21/2006 07:07 AM
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Date 8/10/2006 Type Final
Inspector Nicole Krahn
approved
The make up air damper is located within the duct close to the vent hood.
DatelTime requested: 08/10/2006 08:30 AM
Notice Type:
Phone Number:
Access:
]
Ready Date/Time: 08/10/2006 08:30 AM
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
"
.$
Plumbing Permit Work Card
Permit Number 116429
Job Address 430 432 WYLDEWOOD DR
Owner WYLDEWOOD CONDOMINIUMS LLC
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Contractor
Plan
WATTERS PLUMBING
2 Shower 4 Water Softner 0 Wait. St. 0 Shamp Sink 0
-
0 Floor Drain 2 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0
8 Lndry Tray 0 Clothes Wshr 2 Exam Sink 0 Catch Basin 0
-
6 Disposal 2 Bidet 0 Sculry Sink 0 Wash Ftn 0
-
2 Dishwasher 2 Beer Tap 0 Hand Sink 0 Urinal 0
0 Sump Pump 2 Lab Sink 0 Plaster Sink 0 Standp Rec 0
-
2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 2
0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
0
[DUPLEX
Create Date 09/08/2005
Value
$11,896.00
o
o
o
o
o
o
o
o
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
=--=
Size
Sanitary Sewer
Material Type # Conn.Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Inspector Paul Wolf approved
Storm Sewer
Water Service
Date 5/11/2006
FAXED REQUEST
Type Final
DatelTime requested: 5/9/2006 04:00 PM
Notice Type:
Telephone Number: JAMIE 733-8125
Access:
~A Y 420-5878
Ready DatelTime: 5/9/2006 04:00 PM Requested By: WATTERS PLUMBING
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
Job Address 430 432 WYLDEWOOD DR
Owner WYLDEWOOD CONDOMINIUMS LLC
Category 410 - Residential-I nterior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Plumbing Permit Work Card
Permit Number 116429
Contractor
Plan
WATTERS PLUMBING
Create Date 09/08/2005
Value
$11,896.00
o
o
o
o
o
o
o
o
2 Shower 4 Water Softner 0 Wait. St. 0 Shamp Sink 0
-
0 Floor Drain 2 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
-
8 Lndry Tray 0 Clothes Wshr 2 Exam Sink 0 Catch Basin 0
-
6 Disposal 2 Bidet 0 Sculry Sink 0 Wash Ftn 0
-
2 Dishwasher 2 Beer Tap 0 Hand Sink 0 Urinal 0
0 Sump Pump 2 Lab Sink 0 Plaster Sink 0 Standp Rec 0
-
2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 2
-
0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
-
0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
0
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
rEW DUPLEX
=
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type # Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Inspector Paul Wolf approved
Date 2/9/2006
Type Re Rough In
Faxed request
Notice Type:
Telephone Number: 733-8125
Access:
Date/Time requested: 2/9/2006 07:00 AM
Ready DatelTime: 2/9/2006 08:00 AM Requested By: WATTERS PLUMBING-Jamie
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
.
.
Job Address 430 432 WYLDEWOOD DR
Owner WYLDEWOOD CONDOMINIUMS LLC
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Plumbing Permit Work Card
Permit Number 116429
Create Date 09108/2005
Contractor
Plan
WATTERS PLUMBING
Value
$11,896.00
o
o
o
o
o
o
o
o
2 Shower 4 Water Softner 0 Wait. St. 0 Shamp Sink 0
-
0 Floor Drain 2 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
-
8 Lndry Tray 0 Clothes Wshr 2 Exam Sink 0 Catch Basin 0
6 Disposal 2 Bidet 0 Sculry Sink 0 Wash Ftn 0
-
2 Dishwasher 2 Beer Tap 0 Hand Sink 0 Urinal 0
-
0 Sump Pump 2 Lab Sink 0 Plaster Sink 0 Standp Rec 0
-
2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 2
0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
-
0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
0
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
rEW DUPLEX
=--=
Sanitary Sewer
Type
Storm Sewer
Water Service
Size
# Conn.Type
o
o
o
o
o
Material
o
o
o
o
o
o
o
o
o
o
Date 2/7/2006
Type Rough In
Inspector Rich Wood
not approved
Faxed request - Inspection found the horizontal vent over the bathroom area lacking supports at 4 foot intervals. Called contractor
Notice Type:
Telephone Number: 733-8125
Access:
Date/Time requested: 2/7/2006 01:05 PM
Ready Date/Time: 2/7/2006 02:00 PM Requested By: WATTERS PLUMBING-Jamie
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
.
.
Plumbing Permit Work Card
Permit Number 116429
Job Address 430 432 WYLDEWOOD DR
Owner WYLDEWOOD CONDOMINIUMS LLC
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Contractor
Plan
Create Date 09/08/2005
Value
$11,896.00
o
o
o
o
o
o
o
o
WATTERS PLUMBING
2 Shower 4 Water Softner 0 Wait. St. 0 Shamp Sink 0
0 Floor Drain 2 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
8 Lndry Tray 0 Clothes Wshr 2 Exam Sink 0 Catch Basin 0
-
6 Disposal 2 Bidet 0 Sculry Sink 0 Wash Ftn 0
-
2 Dishwasher 2 Beer Tap 0 Hand Sink 0 Urinal ~
-
0 Sump Pump 2 Lab Sink 0 Plaster Sink 0 Standp Rec 0
-
2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 2
-
0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
-
0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
0
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
rEW DUPLEX
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Conn.Type
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Date 11/7/2005
Type Underground
Inspector Allyn Dannhoff
no time
IFaxed request
I
~
Access:
DatelTime requested: 11/7/200507:00 AM
Notice Type:
Telephone Number: 920-733-8125
Ready DatelTime: 11/7/2005 01:00 PM Requested By: WATTERS PLUMBING-Jamie
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
City of Oshkosh
Inspection Services Division
2 I 5 Church Avenue, PO Box 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
JOB LOCATION:
CONTRACTOR:
PROJECT TO BE INSPECTED: '~'Ylj-J\j~,
--- /' - ,
TYPE OF INSPECTION: t- f~b (" f'-YC!\C.._
t
~
II. .if
"l "l ,
CORRECTION NOTICE / FI
Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
. )~.t.EM#. INSPECTION RtSULtS
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Print Name
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Company
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Signature:
Date