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Certificate of Occupancy Report
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Project Of. 5 /� S VIC Q 1
Address: f�k�1 -� Final Inspection Approval Dates
Building: (4 / o. 0 / 0 3
Owner's 01-7-7-7-7
Address: Electric: / / n ��
R0-7 3 5 103
HVAC: 14 /,;%--( / 03
General L/
Contractor: C. e"\-
Plumbing: 4/ a 4 / U 3 C M
Inspector & Notes:
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Letter to Building, Electric, HVAC, or Letter to Homeowner/
/ / Plumbing Contractor / / General Contractor
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Building Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 0097777 Create Date 9/25/02
Owner BELTER, TOM/ GISSAL,WENDY Contractor LADISH HOMES LTD
Category 110 - New Single Family
Type • Building 0 Sign Q Canopy Q Fence Q Raze Plan D1- 143 -0902R
Zoning R -1 Class of Const: 8 Size Irrg. Value $259,600.00
Unfinished /Basement 1285 Sq. Finished/Living 3530 Sq. Ft. Garage 1150 Sq. Ft.
Ft.
Rooms 11 Bedrooms 3 Baths 3 n Projection
Stories 2 Height 34 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, 3 car garage and 22' x15' patio. Driveway will be 24' wide at the front property line.
of Work
HVAC Contr BREWER HEATING Plumbing Contr LARRY HANSEN PLBG
Electric Contr ALL BRIGHT ELECTRICAL SERVICES If'
Inspections:
Date 4/24/03 10:15 AM Type Re Final Inspector John Zarate approved
REQUEST LINE.
Date/Time requested: 4/25/03 08:20 AM Notice Type: Phone Number: 725 - 6620/428 -0684
Access:
Lock Box 428
Ready Date/Time: 4/25/03 08:20 AM Requested By: LADISH HOMES LTD - Arthur Ladish
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 0097777 Create Date 9/25/02
Owner BELTER, TOM/ GISSAL,WENDY Contractor LADISH HOMES LTD
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze 1 Plan D1- 143 -0902R
Zoning R -1 Class of Const: 8 Size Irrg. Value $259,600.00
Unfinished /Basement 1285 Sq. Finished/Living 3530 Sq. Ft. Garage 1150 Sq. Ft.
Ft.
Rooms 11 Bedrooms 3 Baths 3 ® Projection
Stories 2 Height 34 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, 3 car garage and 22' x15' patio. Driveway will be 24' wide at the front property line.
of Work
HVAC Contr BREWER HEATING Plumbing Contr LARRY HANSEN PLBG
Electric Contr ALL BRIGHT ELECTRICAL SERVICES It%
Inspections:
Date 12/12/02 Type Re Insulation Inspector John Zarate approved
REQUEST LINE.
Datemme requested: 12/11/02 04:03 PM Notice Type: Phone Number: 428 -0684
Access:
Open or Lock Box NAX
Ready Date/Time: 12/11/02 04:03 PM Requested By: LADISH HOMES LTD - Arthur Ladish
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 4/24/03 11:00 AM Type Final Inspector John Zarate not approved
Request Line
Column specs required
Bracing for LVL in bsmt
Date/lime requested: 4/23/03 09:23 AM Notice Type: Phone Number: 920 - 428 -0684 or 725 -6620
Access:
'lock box 428
Ready Date/Time: 4/23/03 09:23 AM Requested By: LADISH HOMES LTD -Arthur
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 0097777 Create Date 9/25/02
Owner BELTER, TOM/ GISSAL,WENDY Contractor LADISH HOMES LTD
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan D1- 143 -0902R
Zoning R -1 Class of Const: 8 Size Irrg. Value $259,600.00
Unfinished/Basement 1285 Sq. Finished/Living 3530 Sq. Ft. Garage 1150 Sq. Ft.
Ft.
Rooms 11 Bedrooms 3 Baths 3 n Projection
Stories 2 Height 34 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, 3 car garage and 22' x15' patio. Driveway will be 24' wide at the front property line.
of Work
HVAC Contr BREWER HEATING Plumbing Contr LARRY HANSEN PLBG
Electric Contr ALL BRIGHT ELECTRICAL SERVICES Is
Inspections:
Date 12/11/02 Type Re Rough In Inspector John Zarate not approved
Date/Time requested: 12/11/02 Notice Type: FC Phone Number:
Access:
•
Ready Date/Time: 12/11/02 Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 12/12/02 Type Re Rough In Inspector John Zarate approved
REQUEST LINE.
Date/Time requested: 12/11/02 04:03 PM Notice Type: Phone Number: 428 -0684
Access:
Open or Lock Box NAX
Ready Date/Time: 12/11/02 04:03 PM Requested By: LADISH HOMES LTD - Arthur Ladish
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 0097777 Create Date 9/25/02
Owner BELTER, TOM/ GISSAL,WENDY Contractor LADISH HOMES LTD
Category 110 - New Single Family
Type • Building Q Sign Q Canopy 0 Fence Q Raze Plan D1- 143 -0902R
Zoning R -1 Class of Const: 8 Size Irrg. Value $259,600.00
Unfinished /Basement 1285 Sq. Finished /Living 3530 Sq. Ft. Garage 1150 Sq. Ft.
Ft.
Rooms 11 Bedrooms 3 Baths 3 Projection
Stories 2 Height 34 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete Q Floating Slab 0 Pier 0 Other
Q Concrete Block Q 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, 3 car garage and 22' x15' patio. Driveway will be 24' wide at the front property line.
of Work
HVAC Contr BREWER HEATING Plumbing Contr LARRY HANSEN PLBG
Electric Contr ALL BRIGHT ELECTRICAL SERVICES II`
Inspections:
Date 12/5/02 Type Rough In Inspector John Zarate not approved
REQUEST LINE. FYI - There is a beam that is bolted in the garage. The engineering for it is taped, for you, to a back window in the
house.
Date/Time requested: 12/4/02 09:40 AM Notice Type: FC Phone Number: 725 - 6620/428 -0684
Access:
Ready Datemme: 12/4/02 09:40 AM Requested By: LADISH HOMES LTD - Arthur Ladish
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 12/11/02 Type Insulation Inspector John Zarate not approved
Request Line
Date/Time requested: 12/10/02 09:41 AM Notice Type: FC Phone Number: 428 -0684
Access:
MAX
Ready Date/Time: 12/10/02 09:41 AM Requested By: LADISH HOMES LTD -Arthur
Reinspect Fee 0 Fee Waived 121 Reinspect Fee Paid
Building Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 0097777 Create Date 9/25/02
Owner BELTER, TOM/ GISSAL,WENDY Contractor LADISH HOMES LTD
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan D1- 143 -0902R
Zoning R -1 Class of Const: 8 Size Irrg. Value $259,600.00
Unfinished/Basement 1285 Sq. Finished /Living 3530 Sq. Ft. Garage 1150 Sq. Ft.
Ft.
Rooms 11 Bedrooms 3 Baths 3 n Projection
Stories 2 Height 34 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, 3 car garage and 22' x15' patio. Driveway will be 24' wide at the front property line.
of Work
HVAC Contr BREWER HEATING Plumbing Contr LARRY HANSEN PLBG
Electric Contr ALL BRIGHT ELECTRICAL SERVICES IN
Inspections:
Date 10/21/02 Type Foundation Backfill Inspector Jon Fischer approved
Request Line
Called Ladish homes to go ahead
10/21/02 approved
Date/Time requested: 10/17/02 11:29 AM Notice Type: Phone Number: 428 -0684 725 -6620
Access:
Ready Date/Time: 10/17/02 11:29 AM Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 10/28/02 Type Drain Tile Inspector John Zarate no time
REQUEST LINE. They'd like to pour the basement 10/29 AM.
NOTE: 3 post pad 4'x4. 8'x10' pad middle.
Date/Time requested: 10/28/02 01:27 PM Notice Type: Phone Number: 378 -1629
Access:
Ready Date/Time: 10/28/02 03:30 PM Requested By: Tim Hippert - United Concrete
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 0097777 Create Date 9/25/02
Owner BELTER, TOM/ GISSAL,WENDY Contractor LADISH HOMES LTD
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan D1- 143 -0902R
Zoning R -1 Class of Const: 8 Size Irrg. Value $259,600.00
Unfinished/Basement 1285 Sq. Finished /Living 3530 Sq. Ft. Garage 1150 Sq. Ft.
Ft.
Rooms 11 Bedrooms 3 Baths 3 ❑ Projection
Stories 2 Height 34 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, 3 car garage and 22' x15' patio. Driveway will be 24' wide at the front property Tine.
of Work
HVAC Contr BREWER HEATING Plumbing Contr LARRY HANSEN PLBG
Electric Contr ALL BRIGHT ELECTRICAL SERVICES IN
Inspections:
Date 10/11/02 Type Footings Inspector John Zarate cancelled
Request Line - should be ready late PM
Will pour Monday
Datemme requested: 10/11/02 01:08 PM Notice Type: Phone Number: 570 - 0462,0461,0460,428 -0684
Access:
Ready Date/Time: 10/11/02 03:00 PM Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 10/14/02 Type Footings Inspector John Zarate not approved
Request Line - will be poured Monday & will have a water pump on site
Told contractor to keep pumping water and pour when ready this aftemoon.
Date/Time requested: 10/11/02 03:25 PM Notice Type: Phone Number: 570 -0461
Access:
Ready Date/Time: 10/14/02 07:00 AM Requested By: WOLF RIVER CONCRETE -Doug
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 0097777 Create Date 9/25/02
Owner BELTER, TOM/ GISSAL,WENDY Contractor LADISH HOMES LTD
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan D1- 143 -0902R
Zoning R -1 Class of Const: 8 Size Irrg. Value $259,600.00
Unfinished/Basement 1285 Sq. Finished /Living 3530 Sq. Ft. Garage 1150 Sq. Ft.
Ft.
Rooms 11 Bedrooms 3 Baths 3 n Projection
Stories 2 Height 34 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, 3 car garage and 22' x15' patio. Driveway will be 24' wide at the front property line.
of Work
HVAC Contr BREWER HEATING Plumbing Contr LARRY HANSEN PLBG
Electric Contr ALL BRIGHT ELECTRICAL SERVICES It%
Inspections:
Date • Type Footings Inspector cancelled
Request Line - footings will be set up Thursday to pour Thursday (Cancelled 10/10/02 @ 7:32 a.m.)
Date/Time requested: 10/8/02 03:45 PM Notice Type: Phone Number: 570 -0461
Access:
Ready Date/Time: 10/10/02 09:00 AM Requested By: Wolf River Concrete -Doug
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date Type Footings Inspector cancelled
Will shoot for Friday
Cancelled Friday
Date/Time requested: 10/10/02 07:32 AM Notice Type: Phone Number: 570 -0461
Access:
Ready Date/Time: 10/11/02 07:00 AM Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 98073 Create Date 10/07/2002
Owner THOMAS S BELTER Contractor ALL BRIGHT ELECTRICAL SERVICES IN
Category 611 - Residential -New Single Family Wiring
Service 0 New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 120 / 240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $165.00 ❑ Value $9,000.00
Appliances Range, Dishwasher, Garbage Disposal, Dryer, Fumace, A/C
Use /Nature NSFR
of Work
Inspections:
Date 05/30/2003 Type Final Inspector Jon Fischer not approved
Homeowner has been in for 2 weeks.
1) Hot tub access. 2) Breaker locks.
Date/Time requested: Notice Type: Phone Number:
Access:
Ready Date/Time: Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 98073 Create Date 10/07/2002
Owner THOMAS S BELTER Contractor ALL BRIGHT ELECTRICAL SERVICES Ils
Category 611 - Residential -New Single Family Wiring
Service 0 New O Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 120 / 240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $165.00 ❑ Value $9,000.00
Appliances Range, Dishwasher, Garbage Disposal, Dryer, Fumace, NC
Use /Nature NSFR
of Work
Inspections:
Date 12/04/2002 Type Note Inspector Jon Fischer
Jim called & said he fixed the violation. I told him OK & that I'd enter it in the computer - JF.
Date/Time requested: • Notice Type: _ Phone Number:
Access:
Ready Datefine: • Requested by:
0 Reinspect Fee ❑ Fee Wavied ❑ Reinspect Fee Paid
Date 05/08/2003 Type Final Inspector Jon Fischer no time
Date/Time requested: 05/07/2003 07:14 AM Notice Type: _ Phone Number: 725 -6620 428-0684
Access:
Call Arthur Ladish
Ready Date/Time: 05/07/2003 07:14 AM Requested by: Art Ladish
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 98073 Create Date 10/07/2002
Owner THOMAS S BELTER Contractor ALL BRIGHT ELECTRICAL SERVICES IN
Category 611 - Residential -New Single Family Wiring
Service 0 New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 120 / 240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $165.00 ❑ Value $9,000.00
Appliances Range, Dishwasher, Garbage Disposal, Dryer, Fumace, A/C
Use /Nature NSFR
of Work
Inspections:
Date 10/21/2002 Type Service Inspector Jon Fischer approved
Request Line
10/21/02 approved
10/21/02 faxed in
10/21/02 mailed in
Date/Time requested: 10/18/2002 01:46 PM Notice Type: Phone Number: 428 -4433
Access:
Ready Date/Time: 10/18/2002 01:46 PM Requested by: ALL BRIGHT ELECTRICAL SERVICES IN(
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 12/04/2002 Type Rough In Inspector Jon Fischer not approved
SUPPORT FEEDS IN CEILING.
Date/Time requested: 12/04/2002 08:01 AM Notice Type: Phone Number:
Access:
Ready Date/Time: 12/04/2002 08:01 AM Requested by: JEFF
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
HVAC Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 98152 Create Date 10/07/2002
Owner THOMAS S BELTER Contractor BREWER HEATING
Category 502 - Residential -Both Plan
Fuel Ill Gas I Oil I I Electric Solar I Solid Value $6,430.00
System 0 New I n Replace ❑ Other
u Forced Air u Radiant Li Steam U A/C u Vent
LJ Electric U Hot Water U Suppl. u Con. Bumer
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss p As Approved O Existing • Not Applicable Value 0
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature NSFR/ Install HVAC system for new home.
of Work
Inspections:
Date 12/5/02 Type Rough In Inspector John Zarate not approved
REQUEST LINE.
Date/Time requested: 12/04/2002 09:40 AM Notice Type: FC Phone Number: 725 - 6620/428 -0684
Access:
Ready Date/Time: 12/04/2002 09:40 AM Requested By: Arthur Ladish of Ladish Homes
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 4/24/03 Type Final Inspector John Zarate approved
Request Line
Date/Time requested: 04/23/2003 09:23 AM Notice Type: Phone Number: 920 -428 -0684 of 725 -6620
Access:
Mock box 428
Ready Date/Time: 04/23/2003 09:23 AM Requested By: Ladish Homes -Arthur
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 97660 Create Date 10/01/2002
Owner THOMAS S BELTER Contractor LARRY HANSEN PLBG
Category 410 - Residential - Interior Plan Value $9,580.00
Bathtub 1 Shower 2 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 1 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 5 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 4 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 Fir/Wst 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 0
Use /Nature NSFR
of Work
Size Material Type # Conn.Type
Sewer 0
0
0
0
0
Storm Sewer 0
0
24 Plastic Lateral 1 New
0
0
Water Service 0
0
0
0
0
Date Type Re Final Inspector WJ (Chip) Callies
FAXED REQUEST.
Date/Time requested: 5/20/03 10:40 AM Notice Type: Telephone Number:
Access:
Call homeowner (Tom Belter) & 426 -9254 or 236 -8124.
Ready Date/Time: 5/20/03 10:40 AM Requested By: LARRY HANSEN PLBG
Q Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
.
Plumbing Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 97660 Create Date 10/01/2002
Owner THOMAS S BELTER Contractor LARRY HANSEN PLBG
Category 410 - Residential- Interior Plan Value $9,580.00
Bathtub 1 Shower 2 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 1 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 5 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 4 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst 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 0
Use /Nature NSFR
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
24 Plastic Lateral 1 New
0
0
Water Service 0
0
0
0
0
Date 4/24/03 Type Final Inspector WJ (Chip) Callies approved w /cond.
Faxed request
SEE CORR NOTICE
Date/Time requested: 4/24/03 07:00 AM Notice Type: CC Telephone Number: 757 -6863
Access:
Mock box 428
Ready Date/Time: 4/24/03 07:00 AM Requested By: LARRY HANSEN PLBG
• Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 97660 Create Date 10/01/2002
Owner THOMAS S BELTER Contractor LARRY HANSEN PLBG
Category 410 - Residential- Interior Plan Value $9,580.00
Bathtub 1 Shower 2 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 1 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 5 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 4 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst 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 0
Use /Nature NSFR
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
24 Plastic Lateral 1 New
0
0
Water Service 0
0
0
0
0
Date Type Re Rough In Inspector WJ (Chip) Callies
FAXED REQUEST.
Date/Time requested: 12/3/02 12:36 PM Notice Type: Telephone Number: 920 - 757 -6863
Access:
Ready Date/Time: 12/3/02 12:36 PM Requested By: LARRY HANSEN PLBG
0 Reinspect Fee 0 Fee Waived 111 Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 97660 Create Date 10/01/2002
Owner THOMAS S BELTER Contractor LARRY HANSEN PLBG
Category 410 - Residential- Interior Plan Value $9,580.00
Bathtub 1 Shower 2 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 1 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 5 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 4 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst 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 0
Use /Nature NSFR
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
24 Plastic Lateral 1 New
0
0
Water Service 0
0
0
0
0
Date 12/2/02 Type Rough In Inspector WJ (Chip) Callies not approved
FAXED REQUEST.
SEE CORR NOTICE
Dateffime requested: 11/29/02 12:38 PM Notice Type: Telephone Number: 757 -6863
Access:
Ready Date/Time: 11/29/02 12:38 PM Requested By: LARRY HANSEN PLBG
Q Reinspect Fee • Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 2395 SHORE PRESERVE DR Permit Number 97660 Create Date 10/01/2002
Owner THOMAS S BELTER Contractor LARRY HANSEN PLBG
Category 410 - Residential- Interior Plan Value $9,580.00
Bathtub 1 Shower 2 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 1 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 5 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 4 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst 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 0
Use /Nature NSFR
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
24 Plastic Lateral 1 New
0
0
Water Service 0
0
0
0
0
Date Type Underground Inspector WJ (Chip) Callies no time
Faxed request
Date/Time requested: 10/24/02 01:00 PM Notice Type: Telephone Number: 920 -757 -6863
Access:
Ready Date/Time: 10/24/02 01:00 PM Requested By: LARRY HANSEN PLBG - Darlene
Q Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid