HomeMy WebLinkAboutCertificate of Occupancy CITY HALL
Inspection Services Div
215 Church Avenue City of Oshkosh
PO Box 1130
C)
el Oshkosh WI
A fir 54903 -1130
OfH<OJ- Approved: November 21, 2003
ON THF,-vATFR Issued: November 24, 2003
Adam Geurts
735 Fox Fire Dr
Oshkosh, WI 54904
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby granted for the new single family home with 2 car
attached garage and deck located at 1834 Michigan Street, Oshkosh, Wisconsin 54902
as described in Building Permit Application number(s) 103827.
This building is to be used only as a single family dwelling and is located in the
R -1 Single Family Residence District.
LIMITATIONS:
Maximum Floor Loading: 40 lbs. 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, 3 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.
kD icett.V .-
Building Systems Inspector
NK /km
Building Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 0103827 Create Date 8/20/03
Owner ADAM R GEURTS Contractor SUPERIOR BUILDERS
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan E1- 119 -0308R
Zoning R -1 Class of Const: 8 Size Irrg Value $100,000.00
Unfinished /Basement 76 Sq. Finished /Living 1770 Sq. Ft. Garage 540 Sq. Ft.
Ft.
Rooms 6 Bedrooms 3 Baths 2 r Projection
Stories Bi -level Height 21 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, 2 car attached garage and 12' x 12' deck. Driveway shall not exceed 24' wide at
of Work the front property line.
HVAC Contr MCM AIR INC Plumbing Contr HANSON QUALITY PLUMBING
Electric Contr SCHOMMER ELECTRICAL CON
Inspections:
Date 11/21/03 02:45 PM Type Re Final Inspector Nicole Krahn approved
REQUEST LINE.
Date/Time requested: 11/20/03 11:40 AM Notice Type: Phone Number: 203 -3909
Access:
He'd like to be present.
Ready Date/Time: 11/20/03 11:40 PM Requested By: SUPERIOR BUILDERS - Adam
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 0103827 Create Date 8/20/03
Owner ADAM R GEURTS Contractor SUPERIOR BUILDERS
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan E1- 119 -0308R
Zoning R -1 Class of Const: 8 Size Irrg Value $100,000.00
Unfinished /Basement 76 Sq. Finished /Living 1770 Sq. Ft. Garage 540 Sq. Ft.
Ft.
Rooms 6 Bedrooms 3 Baths 2 n Projection
Stories Bi -level Height 21 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, 2 car attached garage and 12' x 12' deck. Driveway shall not exceed 24' wide at
of Work the front property line.
HVAC Contr MCM AIR INC Plumbing Contr HANSON QUALITY PLUMBING
Electric Contr SCHOMMER ELECTRICAL CON
Inspections:
Date 11/3/03 10:30 AM Type Insulation Inspector Nicole Krahn approved
REQUEST LINE.
Date/Time requested: 10/30/03 12:00 PM Notice Type: Phone Number: 203 -3909
Access:
Ready Date/Time: 10/30/03 12:00 PM Requested By: SUPERIOR BUILDERS - Adam Geurtz
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date Type Final Inspector Nicole Krahn
REQUEST LINE.
Date/Time requested: 11/18/03 08:07 AM Notice Type: Phone Number: 203 -3909
Access:
Locked - Call him. He'd like to be present.
Ready Date/Time: 11/18/03 08:07 AM Requested By: SUPERIOR BUILDERS - Adam G
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 0103827 Create Date 8/20/03
Owner ADAM R GEURTS Contractor SUPERIOR BUILDERS
Category 110 - New Single Family
Type • Building O Sign O Canopy O Fence O Raze I Plan E1- 119 -0308R
Zoning R -1 Class of Const: 8 Size Irrg Value $100,000.00
Unfinished /Basement 76 Sq. Finished /Living 1770 Sq. Ft. Garage 540 Sq. Ft.
Rooms 6 Bedrooms 3 Baths 2 ❑ Projection
Stories Bi -level Height 21 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete O Floating Slab O Pier 0 Other
0 Concrete Block 0 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/ New single family, 2 car attached garage and 12' x 12' deck. Driveway shall not exceed 24' wide at
of Work the front property line.
HVAC Contr MCM AIR INC Plumbing Contr HANSON QUALITY PLUMBING
Electric Contr SCHOMMER ELECTRICAL CON
Inspections:
Date 10/28/03 Type Re Rough In Inspector John Zarate not approved
REQUEST LINE. Seal all holes in elec boxes on exterior walls, seal holes in retum air spaces(studs)
Date/Time requested: 10/27/03 12:33 PM Notice Type: Phone Number: 203 -3909
Access:
Ready Date/Time: 10/27/03 12:33 PM Requested By: SUPERIOR BUILDERS - Adam
O Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 10/28/03 Type Re Rough In Inspector Nicole Krahn no time
REQUEST LINE. Check items at the insulation inspection.
Date/Time requested: 10/28/03 01:06 PM Notice Type: Phone Number: 203 -3909
Access:
I
Ready Date/Time: 10/28/03 01:06 PM Requested By: SUPERIOR BUILDERS - Adam Geurtz
0 Reinspect Fee 0 Fee Waived 111 Reinspect Fee Paid
Building Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 0103827 Create Date 8/20/03
Owner ADAM R GEURTS Contractor SUPERIOR BUILDERS
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan E1- 119 -0308R
Zoning R -1 Class of Const: 8 Size Irrg Value $100,000.00
Unfinished /Basement 76 Sq. Finished /Living 1770 Sq. Ft. Garage 540 Sq. Ft.
Ft.
Rooms 6 Bedrooms 3 Baths 2 ❑ Projection
Stories Bi -level Height 21 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, 2 car attached garage and 12' x 12' deck. Driveway shall not exceed 24' wide at
of Work the front property line.
HVAC Contr MCM AIR INC Plumbing Contr HANSON QUALITY PLUMBING
Electric Contr SCHOMMER ELECTRICAL CON
Inspections:
Date • Type Drain Tile Inspector Nicole Krahn
REQUEST LINE. Basement Inspection - They'd like to pour on 10/13am.
Date/Time requested: 10/10/03 09:31 AM Notice Type: Phone Number: 841 -0148
Access:
Ready Date/Time: 10/10/03 01:30 PM Requested By: ?
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 10/24/03 Type Rough In Inspector John Zarate not approved
REQUEST LINE.
Date/Time requested: 10/23/03 12:46 PM Notice Type: FC Phone Number: 203 -3909
Access:
Ready Date/Time: 10/23/03 12:46 PM Requested By: SUPERIOR BUILDERS - Adam Geurtz
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 0103827 Create Date 8/20/03
Owner ADAM R GEURTS Contractor SUPERIOR BUILDERS
Category 110 - New Single Family
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan E1- 119 -0308R
Zoning R -1 Class of Const: 8 Size Irrg Value $100,000.00
Unfinished /Basement 76 Sq. Finished /Living 1770 Sq. Ft. Garage 540 Sq. Ft.
Ft.
Rooms 6 Bedrooms 3 Baths 2 —] Projection
Stories Bi -level Height 21 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, 2 car attached garage and 12' x 12' deck. Driveway shall not exceed 24' wide at
of Work the front property line.
HVAC Contr MCM AIR INC Plumbing Contr HANSON QUALITY PLUMBING
Electric Contr SCHOMMER ELECTRICAL CON
Inspections:
Date 9/9/03 Type Footings Inspector Nicole Krahn no time
Faxed request - ready 9/9/03 3:00 -4:00
Date/Time requested: 9/8/03 04:10 PM Notice Type: Phone Number: 231 -1667
Access:
Ready Date/Time: 9/9/03 03:00 PM Requested By: JOHN SKOTZKE CONCRETE CONST -Mi
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 9/18/03 09:30 AM Type Foundation Backfill Inspector Nicole Krahn approved
REQUEST LINE. They'd like to backfill on 9/22.
Date/Time requested: 9/18/03 07:18 AM Notice Type: Phone Number: 203 -3909
Access:
Ready Date/Time: 9/18/03 07:18 AM Requested By: SUPERIOR BUILDERS - Adam Geurts
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 104648 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor SCHOMMER ELECTRICAL CONTRACTIf
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 $105.00 ❑ Value $4,500.00
Appliances Range, Dishwasher, Fan or Blower, Garbage Disposal, Fumace, Dryer & A/C.
Use /Nature NSFR/ Wire new home.
of Work
Inspections:
Date 11/21/2003 Type Re Final Inspector Jon Fischer not approved
1) Fluch micro recp. 2) H2O ground needs to be within 5' of entrance.
Date/Time requested: Notice Type: FC Phone Number:
Access:
Ready Date/Time: Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 11/21/2003 Type Re Final Inspector Jon Fischer approved
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 1834 MICHIGAN ST Permit Number 104648 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor SCHOMMER ELECTRICAL CONTRACTIF
Category 611 - Residential -New Single Family Wiring
Service 10 New Q Change Q Temp 0 N/A Type Q Overhead • Underground 0 N/A
Volts 120/240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $105.00 ❑ Value $4,500.00
Appliances Range, Dishwasher, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use /Nature NSFR/ Wire new home.
of Work
Inspections:
Date 10/23/2003 Type Rough In Inspector Jon Fischer no time
FAXED REQUEST.
Date/Time requested: 10/23/2003 10:13 AM Notice Type: Phone Number: 731 -2299
Access:
Open.
Ready Date/Time: 10/23/2003 10:13 AM Requested by: SCHOMMER ELECTRICAL CON
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 11/21/2003 Type Final Inspector Jon Fischer not approved
Faxed request. Could not get in - left a card.
Date/rme requested: 11/19/2003 03:55 PM Notice Type: Phone Number: 731 -2299
Access:
Ready Date/Time: 11/20/2003 08:00 AM Requested by: SCHOMMER ELECTRICAL CON -bob
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 104648 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor SCHOMMER ELECTRICAL CONTRACTIF
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 $105.00 ❑ Value $4,500.00
Appliances Range, Dishwasher, Fan or Blower, Garbage Disposal, Furnace, Dryer & NC.
Use /Nature NSFR/ Wire new home.
of Work
Inspections:
Date 10/08/2003 Type Service Inspector Jon Fischer not approved
FAXED REQUEST. 1) Land ground. 2) Bond screw. I called Bob & told him of violations.
Date/Time requested: 10/08/2003 12:54 PM Notice Type: Phone Number: 731 -2299
Access:
Ready Date/Time: 10/08/2003 12:54 PM Requested by: SCHOMMER ELECTRICAL CON
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 10/21/2003 Type Re Service Inspector Jon Fischer approved
FAXED REQUEST.
10/21/03 called in
10/27/03 mailed in
Date/Time requested: 10/20/2003 11:05 AM Notice Type: Phone Number: 920 - 731 -2299
Access:
Ready Date/Time: 10/20/2003 11:05 AM Requested by: SCHOMMER ELECTRICAL CON
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
HVAC Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 104479 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor MCM AIR INC
Category 502 - Residential -Both Plan
Fuel ✓ Gas I Oil 1 Electric 1 Solar Solid Value $5,400.00
System 0 New 1 ❑ Replace ❑ Other
U Forced Air LI Radiant LI Steam u A/C u Vent
U Electric u Hot Water u Suppl. u Con. Burner
Chimney Type 10 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value 0
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use /Nature NSFR/ Install 40m btu fumace, 2T 24m btu A/C & ductwork.
of Work
Inspections:
Date 10/24/03 Type Rough In Inspector John Zarate approved
FAXED REQUEST.
Date/Time requested: 10/24/2003 11:00 AM Notice Type: Phone Number:
Access:
Ready Date/Time: 10/24/2003 11:00 AM Requested By: MCM AIR INC
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 11/21/03 Type Final Inspector Nicole Krahn approved
FAXED REQUEST.
Date/Time requested: 11/21/2003 02:56 PM Notice Type: Phone Number: 582 -4402
Access:
Call builder @ 232 -6777 or 379 -8111
Ready Date/Time: 11/21/2003 02:56 PM Requested By: MCM AIR INC
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 104421 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor LARRY HANSEN PLBG
Category 410 - Residential- Interior Plan Value $6,620.00
Bathtub 2 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 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
0
0
0
Water Service 0
0
0
0
0
Date 11/20/03 Type Final Inspector Rich Wood approved
DateTme requested: 11/20/03 12:49 PM Notice Type: Telephone Number:
Access:
Ready Date/Time: 11/20/03 12:49 PM Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 104421 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor LARRY HANSEN PLBG
Category 410 - Residential- Interior Plan Value $6,620.00
Bathtub 2 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 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
0
0
0
Water Service 0
0
0
0
0
Date 11/18/03 Type Final Inspector Rich Wood not approved
FAXED REQUEST. VENT IN BASEMENT NOT SEALED AIR TIGHT
Date /me requested: 11/18/03 10:53 AM Notice Type: Telephone Number: 757 -6863
Access:
Ready Date/Time: 11/18/03 01:20 PM Requested By: LARRY HANSEN PLBG
0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 104421 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor LARRY HANSEN PLBG
Category 410 - Residential- Interior Plan Value $6,620.00
Bathtub 2 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 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
0
0
0
Water Service 0
0
0
0
0
Date 10/22/03 Type Rough In Inspector Rich Wood approved
FAXED REQUEST.
Date/Time requested: 10/21/03 08:42 AM Notice Type: Telephone Number: 920- 757 -6863
Access:
Ready Date/Time: 10/21/03 09:00 AM Requested By: LARRY HANSEN PLBG - Karen
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 104421 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor LARRY HANSEN PLBG
Category 410 - Residential - Interior Plan Value $6,620.00
Bathtub 2 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 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
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date 10/20/03 Type Rough In Inspector Rich Wood cancelled
FAXED REQUEST. Cancelled by Karen from Larry Hansen Plbg - NOT READY.
Date/Time requested: 10/20/03 02:06 PM Notice Type: Telephone Number: 920 - 757 -6863
Access:
Ready Date/Time: 10/20/03 02:06 PM Requested By: LARRY HANSEN PLBG - Karen
0 Reinspect Fee 0 Fee Waived Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 104421 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor LARRY HANSEN PLBG
Category 410 - Residential- Interior Plan Value $6,620.00
Bathtub 2 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 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
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date 10/8/03 Type Underground Inspector Rich Wood approved
CORRECTED VENT FOR FD INSTALLED HORIZONTAL BACK VENT ON FD BRANCH.
Date/Time requested: 10/8/03 07:19 AM Notice Type: Telephone Number:
Access:
Ready Date/Time: 10/8/03 09:30 AM Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 1834 MICHIGAN ST Permit Number 104421 Create Date 08/29/2003
Owner ADAM R GEURTS Contractor LARRY HANSEN PLBG
Category 410 - Residential- Interior Plan Value $6,620.00
Bathtub 2 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 2. Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 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
0
0
0
Water Service 0
0
0
0
0
Date 10/7/03 Type Underground Inspector Rich Wood not approved
FAXED REQUEST. VENT PROVISION NEEDED FOR FLOOR DRAIN
Date/Time requested: 10/6/03 09:15 AM Notice Type: Telephone Number: 920 - 757 -6863
Access:
Ready Date/Time: 10/6/03 09:15 AM Requested By: LARRY HANSEN PLBG
0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid