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HomeMy WebLinkAboutCertificate of Occupancy CITY HALL Inspection Services Div 215 Church Avenue City of Oshkosh PO Box 1130 Oshkosh WI 54903 -1130 OfHKOIH Approved: 8/19/04 ON THE WATER Issued: 8/19/04 Creative Custom Homes Inc. 1087 Velp Avenue Green Bay, WI 54303 CERTIFICATE OF OCCUPANCY An Occupancy Permit is hereby granted for the single family residence located at 3201 Bellfield Drive, Oshkosh, Wisconsin 54904 -8736 as described in Building Permit Application number(s) 103029. 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 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. JCA967. Building Systems Inspector Building Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 0103029 Create Date 6/26/03 Owner CREATIVE CUSTOM HOMES Contractor CREATIVE CUSTOM HOMES, INC Category 110 - New Single Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan E1- 084 -0603R Zoning R -1 Class of Const: 8 Size IRR Value $108,000.00 Unfinished /Basement 1778 Sq. Finished /Living 1778 Sq. Ft. Garage 528 Sq. Ft. Ft. Rooms 2 Bedrooms 4 Baths 3 ❑ Projection Stories 2 Height 24 Ft. Canopies 0 Signs 0 Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other ❑ 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/ 2 story home with a 2 car attached garage, 12'x12' rear patio. of Work HVAC Contr MARTENS HEATING & COOLING Plumbing Contr HANSON QUALITY PLUMBING Electric Contr VAN ERT ELECTRIC Inspections: Date 8/19/04 Type Re Final Inspector Nicole Krahn approved Contractor called to state everything was done. Heating contractor provided a statement that the air flow provided is adequate. Date/Time requested: 8/19/04 07:18 AM Notice Type: Phone Number: Access: Ready Date/Time: 8/19/04 07:18 AM Requested By: 0 Reinspect Fee ❑ Fee Waived ❑ Reinspect Fee Paid Building Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 0103029 Create Date 6/26/03 Owner CREATIVE CUSTOM HOMES Contractor CREATIVE CUSTOM HOMES, INC Category 110 - New Single Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan E1- 084 -0603R Zoning R -1 Class of Const: 8 Size IRR Value $108,000.00 Unfinished/Basement 1778 Sq. Finished /Living 1778 Sq. Ft. Garage 528 Sq. Ft. Ft. Rooms 2 Bedrooms 4 Baths 3 ❑ Projection Stories 2 Height 24 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/ 2 story home with a 2 car attached garage, 12'x12' rear patio. of Work HVAC Contr MARTENS HEATING & COOLING Plumbing Contr HANSON QUALITY PLUMBING Electric Contr VAN ERT ELECTRIC Inspections: Date 7/15/04 • Type Final Inspector Nicole Krahn not approved Request Line (rec'd 7/14/04 4:56 PM) HOUSE WAS LOCKED. NO PHONE NUMBER LEFT OR LOCK BOX COMBINATION LEFT ON THE INSPECTION REQUEST. *PROVIDE CODE COMPLIANT STEP OFF FRONT PORCH STOOP *BLOCK BEAMS AT THE BEAM POCKETS *PROVIDE UNIFORM RISERS FOR BASEMENT STEPS *REMOVE PLUMBING PIPE JOINTS FROM RETURN AIR SPACES Date/Time requested: 7/15/04 07:00 AM Notice Type: Phone Number: Access: Ready Date /me: 7/15/04 07:00 AM Requested By: CREATIVE CUSTOM HOMES, INC -John 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 7/26/04 • Type Re Final Inspector Nicole Krahn not approved REQUEST LINE *STEP OFF THE FRONT PORCH RISE IS OFF W+ *PROVIDE WRITTEN DOCUMENTATION FROM THE HEATING CONTRACTOR STATING THAT THE FLOW THROUGH THE RETURN IS ADEUQUATE WITH THE PLUMBING PIPE BOXED OUT IN THE RETURN. Datemme requested: 7/23/04 12:30 PM Notice Type: Phone Number: JOHN 217 -1619 Access: LOCK BOX JEF Ready Datemme: 7/23/04 12:30 PM Requested By: CREATIVE CUSTOM HOMES, INC 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Building Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 0103029 Create Date 6/26/03 Owner CREATIVE CUSTOM HOMES Contractor CREATIVE CUSTOM HOMES, INC Category 110 - New Single Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan E1- 084 -0603R Zoning R -1 Class of Const: 8 Size IRR Value $108,000.00 Unfinished/Basement 1778 Sq. Finished /Living 1778 Sq. Ft. Garage 528 Sq. Ft. Ft. Rooms 2 Bedrooms 4 Baths 3 [] Projection Stories 2 Height 24 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/ 2 story home with a 2 car attached garage, 12'x12' rear patio. of Work HVAC Contr MARTENS HEATING & COOLING Plumbing Contr HANSON QUALITY PLUMBING Electric Contr VAN ERT ELECTRIC Inspections: Date 1/28/04 08:30 AM Type Rough In Inspector Nicole Krahn approved w /cond. REQUEST LINE DOES NOT NEED TO BE PRESENT 1) Blocking is required for the floor joists that run parallel to the foundation wall at no more than 32" o /c. Date/Time requested: 1/26/04 12:41 PM Notice Type: Phone Number: 217 -6152 Access: DOOR OPEN Ready Date/Time: 1/26/04 12:41 PM Requested By: CREATIVE CUSTOM HOMES, INC MIKE 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 2/9/04 • Type Insulation Inspector Nicole Krahn no time REQUEST LINE /NSFR INSULATION Datemme requested: 2/5/04 12:57 PM Notice Type: Phone Number: 217 -6152 Access: UNKNOWN Ready Date/Time: 2/5/04 12:57 PM Requested By: CREATIVE CUSTOM HOMES, INC MIK 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Building Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 0103029 Create Date 6/26/03 Owner CREATIVE CUSTOM HOMES Contractor CREATIVE CUSTOM HOMES, INC Category 110 - New Single Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan E1- 084 -0603R Zoning R -1 Class of Const: 8 Size IRR Value $108,000.00 Unfinished /Basement 1778 Sq. Finished/Living 1778 Sq. Ft. Garage 528 Sq. Ft. Ft. Rooms 2 Bedrooms 4 Baths 3 ❑ Projection Stories 2 Height 24 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/ 2 story home with a 2 car attached garage, 12'x12' rear patio. of Work HVAC Contr MARTENS HEATING & COOLING Plumbing Contr HANSON QUALITY PLUMBING Electric Contr VAN ERT ELECTRIC Inspections: Date 12/29/03 Type Drain Tile Inspector Nicole Krahn no time REQUEST LINE. Date /me requested: 12/24/03 11:28 AM Notice Type: Phone Number: Access: Ready Date/Time: 12/24/03 11:28 AM Requested By: Andy - Northern Concrete 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 1/7/04 10:30 AM Type Rough In Inspector Nicole Krahn not approved Inspection was not ready Date/Time requested: 1/5/04 01:31 PM Notice Type: Phone Number: 819 -2656 Access: Wants to be present - call at least 45 minutes prior to inspection. Ready Datemme: 1/5/04 01:31 PM Requested By: CREATIVE CUSTOM HOMES, INC -Mike 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Building Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 0103029 Create Date 6/26/03 Owner CREATIVE CUSTOM HOMES Contractor CREATIVE CUSTOM HOMES, INC Category 110 - New Single Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze j Plan E1- 084 -0603R Zoning R -1 Class of Const: 8 Size IRR Value $108,000.00 Unfinished /Basement 1778 Sq. Finished /Living 1778 Sq. Ft. Garage 528 Sq. Ft. Ft. Rooms 2 Bedrooms 4 Baths 3 ❑ Projection Stories 2 Height 24 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/ 2 story home with a 2 car attached garage, 12'x12' rear patio. of Work HVAC Contr MARTENS HEATING & COOLING Plumbing Contr HANSON QUALITY PLUMBING Electric Contr VAN ERT ELECTRIC Inspections: Date 8/4/03 • Type Footings Inspector Nicole Krahn no time REQUEST LINE. Date/Time requested: 8/4/03 07:26 AM Notice Type: Phone Number: 371 -0301 Access: Ready Date/Time: 8/4/03 09:30 AM Requested By: Chris from Northern Concrete 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 8/28/03 10:30 AM Type Foundation Backfill Inspector Nicole Krahn approved Date/Time requested: 8/26/03 02:38 PM Notice Type: Phone Number: 819 -4396 Access: Ready Date/Time: 8/26/03 02:38 PM Requested By: Corey w/ Creative 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Electric Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 103862 Create Date 07/23/2003 Owner CREATIVE CUSTOM HOMES & DEVELOP II Contractor VAN ERT ELECTRIC Category 611 - Residential -New Single Family Wiring Service ❑ New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A Volts 120/240 Circuits 20 Fixtures 17 Amps 200 Switches 30 Receptacles 40 Fee $105.00 ❑ Value $4,200.00 Appliances Range, Fan or Blower, Dishwasher, Fumace, NC, Garbage Disposal, Dryer & Water Heater. Use /Nature NSFR/ Wire new house. *Job #F1562 -W. of Work Inspections: Date 03/03/2004 Type Reinspect Inspector Jon Fischer approved REQUEST LINE Date/Time requested: 03/02/2004 09:39 AM Notice Type: Phone Number: JESSIE 427 -8222 Access: • Ready DateTme: 03/02/2004 09:39 AM Requested by: VAN ERT ELECTRIC 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid Electric Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 103862 Create Date 07/23/2003 Owner CREATIVE CUSTOM HOMES & DEVELOP II Contractor VAN ERT ELECTRIC Category 611 - Residential -New Single Family Wiring Service IQ New Q Change 0 Temp Q N/A Type 0 Overhead • Underground Q N/A Volts 120/240 Circuits 20 Fixtures 17 Amps 200 Switches 30 Receptacles 40 Fee $105.00 ❑ Value $4,200.00 Appliances Range, Fan or Blower, Dishwasher, Furnace, NC, Garbage Disposal, Dryer & Water Heater. Use /Nature NSFR/ Wire new house. *Job #F1562 -W. of Work Inspections: Date 12/30/2003 Type Re Rough In Inspector Jon Fischer not approved Request Line Date/Time requested: 12/30/2003 10:51 AM Notice Type: Phone Number: 920 -427 -8149 Access: Ready Datemme: 12/30/2003 10:51 AM Requested by: VAN ERT ELECTRIC -Eric Q Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid Date 03/01/2004 Type Final Inspector Jon Fischer not approved Request Line 3/1/04 missing lites and grounding not done Date/Time requested: 02/27/2004 10:04 AM Notice Type: Phone Number: 427 -8222 Access: Ready Date/Time: 02/27/2004 10:04 AM Requested by: VAN ERT ELECTRIC -Jesse 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid Electric Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 103862 Create Date 07/23/2003 Owner CREATIVE CUSTOM HOMES & DEVELOP It Contractor VAN ERT ELECTRIC 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 20 Fixtures 17 Amps 200 Switches 30 Receptacles 40 Fee $105.00 ❑ Value $4,200.00 Appliances Range, Fan or Blower, Dishwasher, Furnace, NC, Garbage Disposal, Dryer & Water Heater. Use /Nature NSFR/ Wire new house. *Job #F1562 -W. of Work Inspections: Date 09/08/2003 Type Service Inspector Jon Fischer approved 9/8/03 faxed in 9/15/03 mailed in Date/Time requested: 09/08/2003 12:38 PM Notice Type: Phone Number: Access: Ready Date/Time: 09/08/2003 12:38 PM Requested by: 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid Date 12/12/2003 Type Rough In Inspector Jon Fischer not approved REQUEST LINE. 1) Range hood. 2) Connect all grounds in boxes. Date/Time requested: 12/10/2003 04:11 PM Notice Type: FC Phone Number: 427 -8149 Access: Ready Date/Time: 12/10/2003 04:11 PM Requested by: VAN ERT ELECTRIC - Eric 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid HVAC Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 106062 Create Date 07/23/2003 Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas I I Oil 1 I Electric I I Solar 1 Solid Value $3,680.00 System [f New ❑ Replace Other u Forced Air l-� Radiant u Steam u A/C u Vent Li Electric Li Hot Water u Suppl. Con. Bumer Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss • As Approved 0 Existing 0 Not Applicable Value 0 BTU Rate • As Per Plan 0 Variable 0 Other Value Use /Nature NSFR/ 2 story home with a 2 car attached garage. Heating system for new home. of Work Inspections: Date 8/19/04 Type Final Inspector Nicole Krahn approved HEATING CONTRACTOR PROVIDED A STATEMENT THAT THE AIR FLOW PROVIDED IS ADEQUATE 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 3201 BELLFIELD DR Permit Number 104047 Create Date 07/23/2003 Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING Category 410 - Residential- Interior Plan Value $7,000.00 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 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 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 1 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 3/8/04 Type Final Inspector WJ (Chip) Callies approved FAXED REQUEST Date/Time requested: 3/8/04 11:13 AM Notice Type: Telephone Number: 730 -0205 MARK Access: UNKNOWN Ready Date/Time: 3/8/04 11:13 AM Requested By: HANSON QUALITY PLUMBING 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Plumbing Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 104047 Create Date 07/23/2003 Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING Category 410 - Residential- Interior Plan Value $7,000.00 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 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 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 1 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 12/15/03 Type Rough In Inspector WJ (Chip) Callies no time FAXED REQUEST. Date/Time requested: 12/15/03 02:15 PM Notice Type: Telephone Number: 730 -0205 Access: Ready DateTme: 12/15/03 02:15 PM Requested By: HANSON QUALITY PLUMBING Q Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Plumbing Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 104047 Create Date 07/23/2003 Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING Category 410 - Residential- Interior Plan Value $7,000.00 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 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 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 1 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 12/12/03 Type Rough In Inspector WJ (Chip) Callies no time FAXED REQUEST. Date/Time requested: 12/12/03 08:11 AM Notice Type: Telephone Number: Access: Ready Date/Time: 12/12/03 08:11 AM Requested By: HANSON QUALITY PLUMBING 0 Reinspect Fee 0 Fee Waived EI Reinspect Fee Paid Plumbing Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 104047 Create Date 07/23/2003 Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING Category 410 - Residential - Interior Plan Value $7,000.00 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 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 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 1 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 12/11/03 Type Rough In Inspector WJ (Chip) Callies no time FAXED REQUEST. DateTme requested: 12/11/03 10:04 AM Notice Type: Telephone Number: 730 -0205 Access: Ready Date/Time: 12/11/03 10:04 AM Requested By: HANSON QUALITY PLUMBING Q Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Plumbing Permit Work Card Job Address 3201 BELLFIELD DR Permit Number 104047 Create Date 07/23/2003 Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING Category 410 - Residential - Interior Plan Value $7,000.00 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 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 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 1 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 9/10/03 Type Underground Inspector WJ (Chip) Callies approved REQUEST LINE. Date/Time requested: 9/9/03 09:34 AM Notice Type: Telephone Number: 730 -0205 Access: Ready Date/Time: 9/9/03 09:34 AM Requested By: HANSON QUALITY PLUMBING 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid