HomeMy WebLinkAboutCertificate of Occupancy
CITY HALL
Inspection Services Div
215 Church Avenue
PO Box 1130
~ Oshkosh WI
~ 54903-1130
OJHKOJH
ON THE WATER
City of Oshkosh
Approved:
Issued:
1/5/2004
2/20/2004
Steven M. / Lynne Petr
856 Greenwood Court
Oshkosh,VVl54901
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby granted for the single family residence located at 2395
Hickory Court, Oshkosh, VVisconsin 54901 as described in Building Permit Application
number(s) 101847.
This building is to be used only as a single family residence and is located in the
R-1 Single Family Residence District.
LIMITATIONS:
Maximum Floor Loading: 40 Ibs. Per square foot live load
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, 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.
t/Jrk
BUilding Systems Inspector
Building Permit Work Card
Job Address 2395 HICKORY CT Permit Number 0101847 Create Date 5/22/03
Owner STEVEN M/L YNNE PETR Contractor OWNER
Category 110 - New Single Family
Type . Building o Sign o Canopy o Fence o Raze I Plan E1-066-0503R
Zoning R-1 Class of Const: 8 Size IRR Value $153,800.00
-
Unfi nished/Basement 2001 Sq. Finished/Living 2400 Sq. Ft. Garage 933 Sq.Ft.
Ft. -
Rooms 3 Bedrooms 4 Baths 3 o Projection I
-
Stories 1 Height 22 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 1 # Structures 1
Use/Nature NSFR/1 story home with a 3 car attached garage, NO DECK OR PATIO.
of Work
HV AC Contr E C MERRILL INC Plumbing Contr MS PLUMBING
Electric Contr JAW.s. ELECTRIC
Inspections:
Date 12115/03
Type Final
Inspector John Zarate
not approved
REQUEST LINE. They plan on moving in on 12114. Provide permanent step for bedroom in lower level.
DatelTime requested: 12111/03
Access:
09:50 AM
Notice Type: FC
Phone Number: 203-6491/203-6419
Ready DatelTime: 12111/03 09:50 AM Requested By: OWNER - Steve
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Date 1/5/04
Type Re Final
Inspector John Zarate
approved
DatelTime requested: 1/5/04
Access:
09:03 AM
Notice Type:
Phone Number:
Ready DatelTime: 1/5/04
09:03 AM Requested By: Owner
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Building Permit Work Card
Job Address 2395 HICKORY CT Permit Number 0101847 Create Date 5/22103
Owner STEVEN MIL YNNE PETR Contractor OWNER
Category 110 - New Single Family
Type . Building o Sign o Canopy o Fence o Raze I Plan E1-066-0503R
Zoning R-1 Class of Const: 8 Size IRR Value $153,800.00
-
Unfinished/Basement 2001 Sq. Finished/Living 2400 Sq. Ft. Garage 933 Sq.Ft.
- Ft. -
Rooms 3 Bedrooms 4 Baths 3 o Projection I
-
Stories 1 Height 22 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 1 # Structures 1
Use/Nature NSFR/1 story home with a 3 car attached garage, NO DECK OR PATIO.
of Work
HV AC Contr E C MERRILL INC Plumbing Contr MS PLUMBING
Electric Contr J.AW.S. ELECTRIC
Inspections:
Date 9/30/03
Type Re Rough In
Inspector John Zarate
approved
rEQUESTLINE.
DatelTime requested: 9/30/03
Access:
09:41 AM
Notice Type:
Phone Number: 426-9320
Ready DatelTime: 9/30/03 09:41 AM Requested By: OWNER - Lynne Petr
o Reinspect Fee 0 Fee Waived
o R!3inspect Fee Paid
Date 10/8/03 Type Insulation Inspector John Zarate approved
IREQUEST LINE.
DatelTime requested: 10/8/03 09:52 AM Notice Type: Phone Number: 426-6492/203-6491
Access:
He'll be there most of the day.
Ready DatelTime: 10/8/03 09:52 AM Requested By: OWNER - Steve Petr
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Building Permit Work Card
Job Address 2395 HICKORY CT Permit Number 0101847 Create Date 5/22/03
Owner STEVEN MIL YNNE PETR Contractor OWNER
Category 110 - New Single Family
Type . Building o Sign o Canopy o Fence o Raze I Plan E 1-066-0503R
Zoning R-1 Class of Const: 8 Size IRR Value $153,800.00
Unfinished/Basement 2001 Sq. Finished/Living 2400 Sq.Ft. Garage 933 Sq.Ft.
- Ft.
Rooms 3 Bedrooms 4 Baths 3 o Projection I
-
Stories 1 Height 22 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 1 # Structures 1
Use/Nature NSFR/1 story home with a 3 car attached garage, NO DECK OR PATIO.
of Work
!
HV AC Contr E C MERRILL INC Plumbing Contr MS PLUMBING
Electric Contr JAW.s. ELECTRIC
Inspections:
Date 8/26/03
Type Drain Tile
Inspector John Zarate
approved
r-,eq"es'3"3'POS'P''''
DatelTime requested: 8/25/03
Access:
02:54 PM
Notice Type:
Phone Number: 231-1667
02:30 PM Requested By: JOHN SKOTZKE CONCRETE CONST-Mi
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Ready DatelTime: 8/25/03
Date 9/25/03
Type Rough In
Inspector John Zarate
not approved
IREQUEST LINE.
DatelTime requested: 9/24/03
Access:
10:40 AM
Notice Type: FC
Phone Number: 426-9320
Ready DatelTime: 9/24/03
10:40 AM Requested By: OWNER - Lynn Petr
o Reinspect Fee. 0 Fee Waived
o Reinspect Fee Paid
Building Permit Work Card
Job Address 2395 HICKORY CT Permit Number 0101847 Create Date 5/22/03
Owner STEVEN MIL YNNE PETR Contractor OWNER
Category 110 - New Single Family
Type . Building o Sign o Canopy o Fence o Raze I Plan E1-066-0503R
Zoning R-1 Class of Const: 8 Size IRR Value $153,800.00
Unfinished/Basement 2001 Sq. Finished/Living 2400 Sq.Ft. Garage 933 Sq.Ft.
Ft. -
Rooms 3 Bedrooms 4 Baths 3 o Projection I
-
Stories 1 Height 22 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 1 # Structures 1
Use/Nature NSFR/1 story home with a 3 car attached garage, NO DECK OR PATIO.
of Work
HV AC Contr E C MERRILL INC Plumbing Contr MS PLUMBING
Electric Contr JAW.S. ELECTRIC
Inspections:
Date 6/30/03 Type Footings
IFAXED REQUEST. Ready 2pm-3pm 00 6130.
DatelTime requested: 6/27/03 02:55 PM
Access:
Inspector Nicole Krahn
no time
Notice Type:
Phone Number: 231-1667
Ready DatelTime: 6/30/03 02:00 PM Requested By: JOHN SKOTZKE CONCRETE CONST
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Date 7/14/03
,QUEST LINE.
DatelTime requested:
Access:
Type Foundation Backfill
Inspector John Zarate
approved
7/14/03
08:30 AM
Notice Type:
Phone Number: 426-9320
Ready DatelTime: 7/14/03 08:30 AM Requested By: OWNER - Lynne
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Electric Permit Work Card
Job Address 2395 HICKORY CT Permit Number 104273 Create Date 07/29/2003
Owner STEVEN M/L YNNE PETR Contractor J.AW.S. ELECTRIC
Category 611 - Residential-New Single Family Wiring
Service b New o ChangeO Temp ON/A I Type 0 Overhead . Underground o NIA ~
Volts 120/240 Circuits 35 Fixtures 35
Amps 200 Switches 50 Receptacles 70
Fee $120.00 0 Value $5,880.00
Appliances Range, Dishwasher, Furnace, Garbage Disposal, A1C & Dryer.
Use/Nature NSFRI Wiring of new home.
of Work
Inspections:
Date 12/11/2003
Type Re Final
Inspector Jon Fischer
approved
DatelTime requested:
Access:
Notice Type:
Phone Number:
Ready DatelTime:
o Reinspect Fee 0 Fee Wavied
Requested by:
o Reinspect Fee Paid
Electric Permit Work Card
Job Address 2395 HICKORY CT Permit Number 104273 Create Date 07/29/2003
Owner STEVEN MIL YNNE PETR Contractor JAW.S. ELECTRIC
Category 611 - Residential-New Single Family Wiring
Service b New o ChangeO Temp o NIA I Type 0 Overhead . Underground ON/A I
Volts 120/240 Circuits 35 Fixtures 35
Amps 200 Switches 50 Receptacles 70
Fee $120.00 0 Value $5,880.00
Appliances Range, Dishwasher, Furnace, Garbage Disposal, A1C & Dryer.
Use/Nature NSFRI Wiring of new home.
of Work
Inspections:
Date 09/2212003
Type Rough In
Inspector Jon Fischer
approved
COUNTER REQUEST.
DatelTime requested: 09/18/2003 02:06 PM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 09/221200307:30 AM Requested by: J.AW.S. ELECTRIC
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Date 12104/2003
Type Final
Inspector Jon Fischer
not approved
1) Proper size cover for single recp in garage. 2) Use cutter breaker in cutter panel. 3) Seal the top of
conduits. 4) GFI protect all basement recps. 5) Gaskets on all outside wall openings. 6) Closet light must be
totally enclosed.
DatelTime requested: 12104/2003 06:30 AM
Access:
Open
Ready DatelTime: 12/04/200306:30 AM Requested by: John Woods JAWS
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Notice Type: FC Phone Number:
HVAC Permit Work Card
Job Address 2395 HICKORY CT Permit Number 104672 Create Date 05/30/2003
Owner STEVEN MIL YNNE PETR Contractor E C MERRILL INC
Category 502 - Residential-Both Plan
Fuel l,(1 Gas I UOil I U Electric I U Solar I I ) Solid I Value $12,367.00
System 2'J New I o Replace I o Other I
~ Forced Air I U Radiant I U Steam I ~ 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 NSFRI LATE PERMITI Install HVAC system.
of Work
Inspections:
Type
Inspector John Zarate
not approved
Date 12115/03
Duct boots shall be installed under toe kicks kitchen and bathroom.
DatelTime requested: 12/16/2003 07:14 AM
Notice Type: FC
Phone Number:
Access:
Ready DatelTime: 12116/2003 07:14AM
Requested By: Owner
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Type Reinspect
Inspector John Zarate
approved
Date 1/5/04
DatelTime requested: 01/05/2004 10:53 AM
Notice Type:
Phone Number:
Access:
Ready DatelTime: 01/05/2004 10:53 AM
Requested By: Owner
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
-----------------------------------------------------------------~--------------------------
HVAC Permit Work Card
Job Address 2395 HICKORY CT Permit Number 104672 Create Date 05/30/2003
Owner STEVEN M/L YNNE PETR Contractor E C MERRILL INC
Category 502 - Residential-Both Plan
Fuel 1,(1 Gas 1 I ) Oil 1 I ) Electric I L I Solar I U Solid I Value $12,367.00
System 2'J New I o Replace I o Other I
~ Forced Air I U Radiant I U Steam I ~ 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 NSFRI LATE PERMIT/ Install HVAC system.
of Work
Inspections:
Date 9/25/03
Type Rough In
Inspector John Zarate
not approved
REQUEST LINE. **NO PERMIT**
DatelTime requested: 09/25/2003 08:44 AM
Notice Type:
Phone Number: 235-3600
Access:
Ready DatelTime: 09/25/2003 08:44 AM
Requested By: E C MERRILL INC - Jay
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Date 1211/03
Type Final
Inspector John Zarate
no time
Request Line - do not need to be present. Will do this inspection with building final.
DatelTime requested: 11/26/2003 01 :08 PM
Notice Type:
Phone Number: 235-3600
Access:
Ready Date/Time: 11/26/2003 01 :08 PM
Requested By: E C MERRILL INC-Jay
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Category
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
o Floor Drain
3 Lndry Tray
3 Lndry Stndp
1 Disposal
o Dishwasher
1 Sump Pump
o Classrm Sink
o Breakrm Sink
Plumbing Permit Work Card
Permit Number 102984 Create Date 07/2212003
Contractor MS PLUMBING
Plan Value $11,800.00
1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 1
1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
- - -
0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
1 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
- -
1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
-
1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
- - -
1 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
- - -
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
Job Address 2395 HICKORY CT
Owner STEVEN M/L YNNE PETR
410 - Residential-Interior
2 Shower
rSFR
Size
Material Type # Conn.Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Inspector Rich Wood approved
Sanitary Sewer
Storm Sewer
Water Service
Date 1214/03
Type Re Final
Date/Time requested: 1214/03 09:00 AM
Notice Type:
Telephone Number:
Access:
Ready DatelTime: 1214/03 09:00 AM Requested By:
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Job Address 2395 HICKORY CT
Owner STEVEN M/L YNNE PETR
Plumbing Permit Work Card
Permit Number 102984
Contractor MS PLUMBING
Create Date 07/22/2003
Category 410 - Residential-Interior Plan Value $11,800.00
Bathtub 2 Shower 1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 1
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
-
Lavatory 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
- -
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
- - -
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
-
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
Use/Nature rSFR
of Work
Size
Type
Material
Sanitary Sewer
Storm Sewer
Water Service
# Conn.Type
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Date 1213/03
Inspector Rich Wood
not approved
Type Re Final
REQUEST LINE. KITCHEN SINK DRAIN DOES NOT HAVE ENOUGH PITCH ACROSS THE BASEMENT CEILING. (3/4" OF FALL OVER 8' OF
RUN)CALLED MIKE SPUHLER
DatelTime requested: 1212103 10:14 AM
Notice Type:
Telephone Number:
Access:
10pen.
Ready DatelTime: 1212103 10:14 AM Requested By: MS PLUMBING - Mike
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Job Address 2395 HICKORY CT
Owner STEVEN MIL YNNE PETR
Plumbing Permit Work Card
Permit Number 102984
Contractor MS PLUMBING
Create Date 07/2212003
Category 410 - Residential-Interior Plan Value $11,800.00
Bathtub 2 Shower 1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 1
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
- -
Lavatory 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
- - -
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
-
Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
- - -
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
- - -
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
Use/Nature rSFR
of Work
Size
Type
Material
Sanitary Sewer
Storm Sewer
Water Service
# Conn.Type
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Date 11/25/03
Type Final
Inspector Rich Wood
approved w/cond.
Counter request KITCHEN SINK WASTE DOES NOT HAVE REQUIRED MINIMUM PITCH - WATER HEATER WAS NOT VENTED AT TIME OF
INSPECTION - HORIZONTAL DRAINS HANGER SEPARATION EXCEEDS 4 FEET.
DatelTime requested: 11/24/03 02:14 PM
Notice Type:
Access:
~omeone will be there.
Ready DatelTime: 11/24/03 02:14 PM Requested By:
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Telephone Number:
------------------------------------------------------------------;---------------------------------------
Plumbing Permit Work Card
Permit Number 102984
Contractor MS PLUMBING
Create Date 07/2212003
Job Address 2395 HICKORY CT
Owner STEVEN M/L YNNE PETR
Category 410 - Residential-Interior Plan Value $11,800.00
Bathtub 2 Shower 1 Ejector/Gri nd 0 Dip Well 0 F Prep Sink 0 Gar Drain 1
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
-
Lavatory 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
- -
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
- - -
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
- -
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
Use/Nature INSFR
of Work
Size
Material
Type # Conn. Type
0
0
0
0
0
0
0
0
0
0
Sanitary Sewer
Storm Sewer
Water Service
Date 9/24/03
Type Rough In
o
o
o
o
o
Inspector WJ (Chip) Callies
approved
COUNTER REQUEST.
DatelTime requested: 9/18/03 01 :18 PM
Notice Type:
Telephone Number: 920-410-1189
Access:
Ready DatelTime: 9/18/03 01:18 PM Requested By: MS PLUMBING - Mike
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
------------------------------------------------------------------,---------------------------------------
Job Address 2395 HICKORY CT
Owner STEVEN MIL YNNE PETR
Plumbing Permit Work Card
Permit Number 102984
Contractor MS PLUMBING
Create Date 07/22/2003
Category 410 - Residential-Interior Plan Value $11,800.00
Bathtub 2 Shower 1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 1
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
- -
Lavatory 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
-
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
- - - -
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
- - -
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
Use/Nature rSFR
of Work
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 7/23/03 Type Underground Inspector WJ (Chip) Callies approved
DatelTime requested: 7/22/03 01:13 PM
Notice Type:
Telephone Number:
Access:
Ready DatelTime: 7/22/03 01:13 PM Requested By: MS PLUMBING - Mike
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
-----------------------------------------------------------------~---------------------------------------