HomeMy WebLinkAboutCertificate of Occupancy CITY HALL
Inspection Services Div
215 Church Avenue City of Oshkosh
PO Box 1130
Oshkosh WI
54903 -1130
OfHKOJH
ON THE WATER
Approved: December 22, 2004
Oshkosh Theatres Corp
100 E. Wisconsin Avenue 1900
Milwaukee, Wisconsin 53202 4125
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the theater addition located 340 S.
Koeller Street Oshkosh, Wisconsin 54902 -5546 as described in Building Permit
Application number(s) 110489.
This building is to be used only as theater space and is located in the C -2PD,
General Commercial District with a Planned Development Overlay.
LIMITATIONS:
Maximum number of persons: Seating capacity 1,874
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 certific. • be valid.
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D O' OF INSPECT' 00 : ERVICES
cc: Tri -North Builders
Building Permit Work Card
Job Address 340 S KOELLER ST Permit Number 0110489 Create Date 8/27/04
Owner OSHKOSH THEATRES CORP Contractor TRI -NORTH BUILDERS
Category 204 - Addition Amusement, Social, Recreation
Type le Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan M7 -77 -0804
Zoning Class of Const: 2Bibc Size irreg Value $432,800.00
Unfinished /Basement 0 Sq. Finished /Living 9788 Sq. Ft. Garage 0 Sq. Ft.
Ft.
Rooms 0 Bedrooms 0 Baths 0 ❑ Projection
Stories 1 Height 0 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 Height Permit
Park Dedication # Dwelling Units 0 # Structures 1
Use /Nature inema/ 62'x131' (approximate) theater addition. 8191 sf grade level, 1597 sf mezzanine /projection room. 3
of Work - uditoriums.* Note: No work above the foundation is to commence until all required Planning /Zoning
pprovals have been obtained.
I
I
HVAC Contr Plumbing Contr
Electric Contr
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Date 12 91' : Type c Inspector r �/
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Date/Time requested: Notice Type: Phone Number:
Access:
Ready Date/Time: • Requested By :( — r, << �Q w A
• 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid / � i
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Dec.14. 2004 10:01AM No.2397 P. 2/2
BUILDINGS, HVAC, COMPLIANCE STATEMENT SBD -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 area 50,000 cubic feet or greater and bleachers
(Comm 60.10/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. This form must be submitted prior to the plan approval expiration date or another submittal may
be required.
General Instructions: 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, 10541N Ranch Road Hayward, Wi. 54843
Note: if the review was done by the municipality, the compliance statement goes only to the municipal budding
inspector. A copy is not needed by Safety 8 Buildings.
Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (lXm)).
1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter.
Transaction ID Number 102$487
Site Number 189704 _
Site location (number & street) 340 S. Moller Road
X City D Village D Town of gram& County of yy nneb>go
2. PURPOSE OF THIS STATEMENT: (Check Box A, 8, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additional pages if necessary.)
Check those which apply: X Building Object ID # 971598 X HVAC Object ID # 971601
D Lighting Object ID it
0 Partial Completion
Description of Portion Completed
A) X Statement of Substantial Compliance
To the best of my knowledge, belief, and based on onsite observation, construction of the following building and/or HVAC
Items applicable to this project have been completed in substantial compliance with the approved plans and
spsdfleNfons.
X BUILDINGAJGHTING ITEMS
1. Structural system indudi g submittal and erection of all building components 10. Exterior fighting & control requdremente
(trusses, precast, metal building. etc.) 11. Interior lighting d Control requirements
2. Fire protection systems (sprinklers, alarms, smoke detectors) designed, 12. All conditions of fighting pion approval
installed. and tested (including fowled now on back flow devices) by and applicable variances
approprletey registered professionals
3. Shaft and stairway enclosure
4. Exits including exit and directional lights
5. Fife-resistive construction. enclosure of hazards, fire walls, labeled doors, class a HVAC trEMS
of Conabudion, fire stopped penetrations
6. Sanitation system (toNe$, sinks, drinking facilities) 1. HVAC system including final test
7. Ramer -fires including Comm 18 elevators and lifts 2. All conditions of HVAC plan approval and
8. Energy envelope requirements applicable variances
O. AN conditlons of building plan approval and applieble variances
The following items are not in compliance and must be addneeed:
B)
0 Statement of Noncompliance
Due to the following listed violations, this project is not ready for occupancy:
C) Q Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.)
D) Cl Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
X Bulidina X HVAC o Lighting Jeffrey me (please print or typ.) / • Date D•Ca 14.200044
Phone number 414/278 -1760 Customer ID * 889259 Signature ibk( 1 54 /-
SBD -9720 (8.02/2004)
Building Permit Work Card
Job Address 340 S KOELLER ST Permit Number 0110489 Create Date 8/27/04
Owner OSHKOSH THEATRES CORP Contractor TRI -NORTH BUILDERS
Category 204 - Addition Amusement, Social, Recreation
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan M7 -77 -0804
Zoning Class of Const: 2Bibc Size irreg Value $432,800.00
Unfinished /Basement 0 Sq. Finished /Living 9788 Sq. Ft. Garage 0 Sq. Ft.
Ft.
Rooms 0 Bedrooms 0 Baths 0 ❑ Projection
Stories 1 Height 0 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 Height Permit
Park Dedication # Dwelling Units 0 # Structures 1
Use /Nature Cinema/ 62'x131' (approximate) theater addition. 8191 sf grade level, 1597 sf mezzanine /projection room. 3
of Work auditoriums.* Note: No work above the foundation is to commence until all required Planning /Zoning
Approvals have been obtained.
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 12/16/04 Type Final Inspector Allyn Dannhoff approved
FINAL OK B &H
Date/Time requested: Notice Type: Phone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 340 S KOELLER ST Permit Number 0110489 Create Date 8/27/04
Owner OSHKOSH THEATRES CORP Contractor TRI -NORTH BUILDERS
Category 204 - Addition Amusement, Social, Recreation
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan M7 -77 -0804
Zoning Class of Const: 2Bibc Size irreg Value $432,800.00
Unfinished/Basement 0 Sq. Finished /Living 9788 Sq. Ft. Garage 0 Sq. Ft.
Ft.
Rooms 0 Bedrooms 0 Baths 0 ❑ Projection
Stories 1 Height 0 Ft. Canopies 0 Signs 0
Foundation 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 1
Use /Nature Cinema/ 67x131' (approximate) theater addition. 8191 sf grade level, 1597 sf mezzanine /projection room. 3
of Work auditoriums.' Note: No work above the foundation is to commence until all required Planning/Zoning
Approvals have been obtained.
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 9/27/04 Type Footings Inspector Allyn Dannhoff no time
REQUEST LINE / PARTIAL FOOTING INSPECTION, JAY HAS PICTURES OF ALL THE FOOTINGS, WILL BE POURING MON
AFTER 1 PM.
Date/Time requested: 9/24/04 02:58 PM Notice Type: Phone Number: Jay 608 -712 -2619
Access:
Ready Date/Time: 9/24/04 02:58 PM Requested By: TRI -NORTH BUILDERS
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 12/6/04 Type Rough In Inspector Allyn Dannhoff
SPOKE TO CHAD ABOUT O/H FIRE SHUTTER- SUB SENDING INSTALL INFO TO REVIEW. ?'S -SMOKE DETECTION ON BOTH
SIDES? LOCATION OF FUSIBLE LINKS?
Date/Time requested: Notice Type: Phone Number:
Access:
Ready Date/Time: Requested By: CHAD TRI NORTH
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 340 S KOELLER ST Permit Number 0110489 Create Date 8/27/04
Owner OSHKOSH THEATRES CORP Contractor TRI -NORTH BUILDERS
Category 204 - Addition Amusement, Social, Recreation
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan M7 -77 -0804
Zoning Class of Const: 2Bibc Size irreg Value $432,800.00
Unfinished /Basement 0 Sq. Finished /Living 9788 Sq. Ft. Garage 0 Sq. Ft.
Ft.
Rooms 0 Bedrooms 0 Baths 0 ❑ Projection
Stories 1 Height 0 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 Height Permit
Park Dedication # Dwelling Units 0 # Structures 1
Use /Nature Cinema/ 62'x131' (approximate) theater addition. 8191 sf grade level, 1597 sf mezzanine /projection room. 3
of Work auditoriums.* Note: No work above the foundation is to commence until all required Planning /Zoning
Approvals have been obtained.
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 9/22/04 • Type Footings Inspector Allyn Dannhoff no time
REQUEST LINE / WOULD LIKE A PARTIAL FOOTING INSPECTION 9/22, AM
Date/Time requested: 9/21/04 01:01 PM Notice Type: Phone Number: NOT GIVEN
Access:
Ready DateTme: 9/22/04 : AM Requested By: TRI -NORTH BUILDERS JAY
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 9/22/04 • Type Footings Inspector Allyn Dannhoff no time
REQUEST LINE FOR PARTIAL INSPECTION
Date/Time requested: 9/22/04 03:12 PM Notice Type: Phone Number: NOT GIVEN
Access:
Ready Date/Time: 9/23/04 10:00 AM Requested By: TRI -NORTH BUILDERS JAY
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 340 S KOELLER ST Permit Number 110785 Create Date 09/27/2004
Owner OSHKOSH THEATRES CORP Contractor RLT ELECTRIC INC
Category 644 - Commercial- Service Change
Service 0 New • Change() Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 120/208 Circuits 46 Fixtures 97
Amps 1200 Switches 8 Receptacles 28
Fee $460.00 ❑ Value $92,000.00
Appliances NC Mvie Projector
Use /Nature Wiring for movie theater addition.
of Work
Inspections:
Date 12/21/2004 Type Final Inspector Kevin Benner not approved
jPhone request
Date/Time requested: 12/20/2004 09:21 AM Notice Type: FC Phone Number: 414 - 303 -8145
Access:
Ready Date/Time: 12/21/2004 07:00 AM Requested by: RLT ELECTRIC INC -Mark
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 12/22/2004 Type Re Final Inspector Kevin Benner approved
Date/Time requested: 12/22/2004 07:50 AM Notice Type: Phone Number:
Access:
Ready Date/Time: 12/22/2004 00:00 PM Requested by: RLT ELECTRIC INC Mark
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 340 S KOELLER ST Permit Number 110785 Create Date 09/27/2004
Owner OSHKOSH THEATRES CORP Contractor RLT ELECTRIC INC
Category 644 - Commercial - Service Change
Service ❑ New • Change 0 Temp 0 N/A Type ❑ Overhead • Underground 0 N/A
Volts 120/208 Circuits 46 Fixtures 97
Mips 1200 Switches 8 Receptacles 28
Fee $460.00 ❑ Value $92,000.00
Appliances A/C Mvie Projector
Use /Nature Wiring for movie theater addition.
of Work
Inspections:
Date 11/24/2004 Type Rough In Inspector Kevin Benner not approved
Request Line - ceiling
The ceiling panels were installed in all theaters except the west theater, which the grid was being installed.
Noted with the electrician that CL2 shall be used for the exposed speaker wiring
Date/Time requested: 11/23/2004 08:23 AM Notice Type: Phone Number: 414 - 651 -4010
Access:
Ready Date/Time: 11/23/2004 12:00 PM Requested by: RLT ELECTRIC INC -Dick
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date Type Rough In Inspector Kevin Benner no time
REQUEST LINE / CEILING, WOULD LIKE INSPECTION THURSDAY, PM
Date/Time requested: 12/08/2004 09:26 AM Notice Type: Phone Number: MARK 414 - 303 -8145
Access:
Ready Date/Time: 12/09/2004 : PM Requested by: RLT ELECTRIC INC
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 340 S KOELLER ST Permit Number 110785 Create Date 09/27/2004
Owner OSHKOSH THEATRES CORP Contractor RLT ELECTRIC INC
Category 644 - Commercial - Service Change
Service ❑ New • Change ❑ Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 120/208 Circuits 46 Fixtures 97
Amps 1200 Switches 8 Receptacles 28
Fee $460.00 ❑ Value $92,000.00
Appliances NC Mvie Projector
Use /Nature Wiring for movie theater addition.
of Work
Inspections:
Date 10/26/2004 Type Rough In Inspector Kevin Benner approved
Phone request (message left on ext. 5050) - ground wire down corridor if inspector would like to inspect.
Date/Time requested: 10/25/2004 09:19 AM Notice Type: Phone Number: not given
Access:
Ready Date/Time: 10/25/2004 09:19 AM Requested by: RLT ELECTRIC INC- Dick
❑ Reinspect Fee ❑ Fee Wavied ❑ Reinspect Fee Paid
Date 10/27/2004 Type Service Inspector Kevin Benner approved w /cond.
REQUEST LINE / PIPE & SLAB CONTINUATION OF LINE & SERVICE INSPECTION
Need Arc Flash Warning Labels & suplemental grounding was not done
Faxed to WPS 10/28/04, Mailed 11/8/04
Refaxed to WPS & faxed to the E.C. 11/2/04
Date/Time requested: 10/26/2004 04:58 PM Notice Type: Phone Number: DICK 414 - 651 -4010
Access:
PETE WILL BE ON SITE WEDNESDAY, SEE PETE HE HAS QUESTIONS
Ready Date/Time: 10/27/2004 04:58 PM Requested by: RLT ELECTRIC INC
❑ Reinspect Fee ❑ Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 340 S KOELLER ST Permit Number 110785 Create Date 09/27/2004
Owner OSHKOSH THEATRES CORP Contractor RLT ELECTRIC INC
Category 644 - Commercial- Service Change
Service 9 New • Change O Temp O N/A Type ❑ Overhead • Underground 0 N/A
Volts 120/208 Circuits 46 Fixtures 97
Amps 1200 Switches 8 Receptacles 28
Fee $460.00 ❑ Value $92,000.00
Appliances NC Mvie Projector
Use /Nature Wiring for movie theater addition.
of Work
Inspections:
Date Type Service Inspector Kevin Benner no time
REQUEST LINE / GROUND ROD FOR SERVICE
Date/Time requested: 10/27/2004 01:42 PM Notice Type: Phone Number: 414 - 651 -4010
Access:
Ready Date/Time: 10/27/2004 01:42 PM Requested by: RLT ELECTRIC INC
O Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date Type Rough In Inspector Kevin Benner
Phone request (left on 5050 while away at a seminar)
Date/Time requested: 11/12/2004 08:43 AM Notice Type: Phone Number: 414 - 651 -4010
Access:
Ready Date/Time: 11/12/2004 08:43 AM Requested by: RLT ELECTRIC INC -Dick
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
HVAC Permit Work Card
Job Address 340 S KOELLER ST Permit Number 111990 Create Date 12/06/2004
Owner OSHKOSH THEATRES CORP Contractor MARED MECHANICAL CONTRACTORS
Category 510 - Ind. & Comm - Heating & Ventilating Plan M7 -77 -0804
Fuel ✓1 Gas I I 00 Electric I Solar Solid Value $53,450.00
System 0 New I LI Replace n Other I
✓ Forced Air '.1 Li Radiant U Steam u A/C U Vent
IJ Electric ❑ Hot Water ❑ Suppl. u Con. Burner
Chimney Type 0 Chimney A O Chimney B O Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing 0 Not Applicable Value 0
BTU Rate le As Per Plan 0 Variable 0 Other Value
Use /Nature COMM/ HVAC for Theater Addition Install 4 RTU, replace 1 RTU, install 4 power exhuast fans, install 3
of Work new electric wall heaters as per State Approved plans.
Inspections:
Date 12/16/04 Type Final Inspector Allyn Dannhoff approved
FINAL OK B &H
Date/Time requested: Notice Type: Phone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 340 S KOELLER ST Permit Number 110186 Create Date 08/26/2004
Owner OSHKOSH THEATRES CORP Contractor JIM'S PLUMBING & HEATING INC
Category 410.- Residential- Interior Plan C6- 118 - 0804 -P Value $22,000.00
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 3 Water Softner 0 Drink Ftn 1 Sery Sink 1 Soda Disp 0
Lavatory 4 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 1
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 4 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature
of Work
THEATER ADDITIONS ALTERATIONS
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 12/17/04 Type Final Inspector WJ (Chip) Callies approved
Faxed request
Date/Time requested: 12/15/04 09:53 AM Notice Type: Telephone Number: 757 -5258
Access:
Open
Ready Date/Time: 12/16/04 12:00 PM Requested By: JIM'S PLUMBING & HEATING INC -Jeff
Q Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
L
Plumbing Permit Work Card
Job Address 340 S KOELLER ST Permit Number 110186 Create Date 08/26/2004
Owner OSHKOSH THEATRES CORP Contractor JIM'S PLUMBING & HEATING INC
Category 410 - Residential- Interior Plan C6- 118 - 0804 -P Value $22,000.00
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 3 Water Softner 0 Drink Ftn 1 Sery Sink 1 Soda Disp 0
Lavatory 4 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 1
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 4 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature
of Work
THEATER ADDITIONS ALTERATIONS
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Stone Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date 11/12/04 Type Rough In Inspector WJ (Chip) Callies approved
Date/Time requested: 11/11/04 01:37 PM Notice Type: Telephone Number:
Access:
Ready Date/Time: 11/11/04 01:37 PM Requested By: JIM'S PLUMBING & HEATING INC
0 Reinspect Fee 0 Fee Waived 11 Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 340 S KOELLER ST Permit Number 110186 Create Date 08/26/2004
Owner OSHKOSH THEATRES CORP Contractor JIM'S PLUMBING & HEATING INC
Category 410 - Residential- Interior Plan C6- 118 - 0804 -P Value $22,000.00
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 3 Water Softner 0 Drink Ftn 1 Sery Sink 1 Soda Disp 0
Lavatory 4 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 1
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 4 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature
of Work
THEATER ADDITIONS ALTERATIONS
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 Type Underground Inspector WJ (Chip) Callies no time
FAXED REQUEST
Date/Time requested: 10/11/04 12:33 PM Notice Type: Telephone Number: 757 -5258
Access:
OPEN
Ready Date/Time: 10/11/04 12:33 PM Requested By: JIM'S PLUMBING & HEATING INC
0 Reinspect Fee 0 Fee Waived 111 Reinspect Fee Paid