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Certificate of Occupancy
CITY HALL Inspection Services Div 215 Church Avenue City of Oshkosh PO Box 1130 Oshkosh WI A tir 54903 -1130 OIHKOOH Approved: 7/29/04 ON THE WATER Issued: 7/29/04 Geurts Custom Homes Inc. 735 Fox Fire Drive Oshkosh, WI 54904 CERTIFICATE OF OCCUPANCY An Occupancy Permit is hereby granted for the single family residence located at 1406 Monroe Street, Oshkosh, Wisconsin 54901 -3058 as described in Building Permit Application number(s) 107577. 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. Buildi g Systems Inspector Building Permit Work Card Job Address 1406 MONROE ST Permit Number 0107577 Create Date 4/19/04 Owner GEURTS CUSTOM HOMES INC Contractor SUPERIOR BUILDERS Category 110 - New Single Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan F1- 035 -0404R Zoning R -1 Class of Const: 8 Size Irrg Value $105,000.00 Unfinished/Basement 96 Sq. Finished /Living 1614 Sq. Ft. Garage 484 Sq. Ft. Ft. Rooms 8 Bedrooms 3 Baths 2 ❑ Projection Stories Bi -level Height 22 Ft. Canopies 0 Signs 0 Foundation • Poured Concrete 0 Floating Slab 0 Pier Q Other 0 Concrete Block 0 Post 0 Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required Park Dedication Not Required # Dwelling Units 1 # Structures 1 Use /Nature NSFR/ New Bi -level with 2 car attached garage and 12' x 12' deck. The driveway shall not exceed 22' wide of Work at the front property line. HVAC Contr MCM AIR INC Plumbing Contr HANSON QUALITY PLUMBING Electric Contr UNKNOWN ? ? ?? Inspections: Date 7/29/04 Type Final Inspector John Zarate approved REQUEST LINE / ALSO REQUESTED FINAL HVAC & ELEC Daterme requested: 7/27/04 02:11 PM Notice Type: Phone Number: 203 -3909 Access: CALL ADAM GEURTS TO OPEN Ready Date/Time: 7/27/04 02:11 PM Requested By: ADAM GEURTS 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Building Permit Work Card Job Address 1406 MONROE ST Permit Number 0107577 Create Date 4/19/04 Owner GEURTS CUSTOM HOMES INC Contractor SUPERIOR BUILDERS Category 110 - New Single Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan F1- 035 -0404R Zoning R -1 Class of Const: 8 Size lrrg Value $105,000.00 Unfinished /Basement 96 Sq. Finished /Living 1614 Sq. Ft. Garage 484 Sq. Ft. Ft. Rooms 8 Bedrooms 3 Baths 2 ❑ Projection Stories Bi -level Height 22 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 Not Required # Dwelling Units 1 # Structures 1 Use /Nature NSFR/ New Bi -level with 2 car attached garage and 12' x 12' deck. The driveway shall not exceed 22' wide of Work at the front property line. HVAC Contr MCM AIR INC Plumbing Contr HANSON QUALITY PLUMBING Electric Contr UNKNOWN ? ? ?? Inspections: Date 6/23/04 • Type Rough In Inspector John Zarate not approved REQUEST LINE Date/Time requested: 6/22/04 08:09 AM Notice Type: FC Phone Number: 203 -3909 Access: CONTACT ADAM, HE WOULD LIKE TO BE PRESENT Ready Date/Time: 6/22/04 08:09 AM Requested By: ADAM GEURTS 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 6/29/04 • Type Insulation Inspector John Zarate approved REQUEST LINE Date/Time requested: 6/28/04 09:26 AM Notice Type: Phone Number: ADAM 203 -3909 Access: Ready Date/Time: 6/28/04 09:26 AM Requested By: ADAM GEURTS 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Building Permit Work Card Job Address 1406 MONROE ST Permit Number 0107577 Create Date 4/19/04 Owner GEURTS CUSTOM HOMES INC Contractor SUPERIOR BUILDERS Category 110 - New Single Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan F1- 035 -0404R Zoning R -1 Class of Const: 8 Size Irrg Value $105,000.00 Unfinished/Basement 96 Sq. Finished /Living 1614 Sq. Ft. Garage 484 Sq. Ft. Ft. Rooms 8 Bedrooms 3 Baths 2 n Projection Stories Bi -level Height 22 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 Not Required # Dwelling Units 1 # Structures 1 Use /Nature NSFR/ New Bi -level with 2 car attached garage and 12' x 12' deck. The driveway shall not exceed 22' wide of Work at the front property line. HVAC Contr MCM AIR INC Plumbing Contr HANSON QUALITY PLUMBING Electric Contr UNKNOWN ? ? ?? Inspections: Date 5/13/04 Type Footings Inspector John Zarate no time Faxed request - ready 5/12/04 3:00 -4:00 Date/Tiime requested: 5/11/04 04:30 PM Notice Type: Phone Number: 231 -1667 Access: Ready Date/Time: 5/12/04 03:00 PM Requested By: JOHN SKOTZKE CONCRETE CONST -Mi 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 5/19/04 • Type Foundation Backfill Inspector John Zarate approved Request Line DateTme requested: 5/19/04 12:36 PM Notice Type: Phone Number: 203 -3909 Access: Ready Date/Time: 5/19/04 12:36 PM Requested By: SUPERIOR BUILDERS -Adam 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Electric Permit Work Card Job Address 1406 MONROE ST Permit Number 108593 Create Date 04/20/2004 Owner GEURTS CUSTOM HOMES INC Contractor JK 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 12 Fixtures 0 Amps 200 Switches 25 Receptacles 50 Fee $98.00 ❑ Value $3,500.00 Appliances RANGE, DISHWASHER, FURNACE, GARBAGE DISPOSAL, A/C DRYER Use /Nature NSFR of Work Inspections: Date 07/28/2004 Type Final Inspector Jon Fischer approved REQUEST LINE Date/Time requested: 07/27/2004 08:49 AM Notice Type: Phone Number: NOT GIVEN Access: Ready Date/Time: 07/27/2004 08:49 AM Requested by: JK ELECTRIC JOHN 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid Electric Permit Work Card Job Address 1406 MONROE ST Permit Number 108593 Create Date 04/20/2004 Owner GEUR'I'S CUSTOM HOMES INC Contractor JK ELECTRIC Category 611 - Residential -New Single Family Wiring Service Q New Q ChangeQ Temp Q N/A Type 0 Overhead • Underground 0 N/A Volts 120/240 Circuits 12 Fixtures 0 Amps 200 Switches 25 Receptacles 50 Fee $98.00 ❑ Value $3,500.00 Appliances RANGE, DISHWASHER, FURNACE, GARBAGE DISPOSAL, NC DRYER Use /Nature NSFR of Work Inspections: Date 06/14/2004 Type Service Inspector Kevin Benner approved REQUEST LINE Faxed & Mailed to WPS 6/14/04 Date/Time requested: 06/10/2004 08:06 AM Notice Type: Phone Number: 850 -2867 Access: Ready DateTme: 06/10/2004 08:06 AM Requested by: JK ELECTRIC Q Reinspect Fee Q Fee Wavied ❑ Reinspect Fee Paid Date 06/22/2004 Type Rough In Inspector Jon Fischer not approved REQUEST LINE fan rated box, access to panel pending email to tom from state Date/Time requested: 06/22/2004 08:09 AM Notice Type: Phone Number: 203 -3909 Access: CONTACT ADAM, HE WOULD LIKE TO BE PRESENT Ready DateTme: 06/22/2004 08:09 AM Requested by: ADAM GEURTS 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid HVAC Permit Work Card Job Address 1406 MONROE ST Permit Number 108926 Create Date 04 /20/2004 Owner GEURTS CUSTOM HOMES INC Contractor MCM AIR INC Category 502 - Residential -Both Plan Fuel 11 Gas Oil 1 ✓1 Electric 1 Solar Solid Value $6,000.00 System 0 New I ❑ Replace n Other l-j Forced Air ❑ Radiant U Steam u A/C U Vent u Electric u Hot Water u Suppl. ❑ Con. Bumer Chimney Type Q Chimney A Q Chimney B • Direct Vent O Not Applicable Heat Loss le As Approved O Existing Q Not Applicable Value 0 BTU Rate J As Per Plan Q Variable • Other Value 60,000 / 2.5 Ton Use /Nature NSFR/ HVAC for New Bi -level with 2 car attached garage and 12' x 12' deck. The driveway shall not of Work exceed 22' wide at the front property line. Inspections: Date 6/23/04 Type Note Inspector John Zarate approved REQUEST LINE FOR ROUGH IN INSPECTION / PERMIT NOT YET ISSUED Date/Time requested: 06/22/2004 08:09 AM Notice Type: Phone Number: 203 -3909 Access: CONTACT ADAM, HE WOULD LIKE TO BE PRESENT Ready Date/Time: 06/22/2004 08:09 AM Requested By: ADAM GEURTS O Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 7/29/04 Type Final Inspector John Zarate approved Faxed request. Will do with Final Bldg. Date/Time requested: 07/16/2004 08:58 AM Notice Type: Phone Number: 920 - 582 -4402 Access: Call builder 203 -3909 Ready Date/Time: 07/16/2004 08:58 AM Requested By: MARX MECHANICAL 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Plumbing Permit Work Card Job Address 1406 MONROE ST Permit Number 108506 Create Date 04 /20/2004 Owner GEURTS CUSTOM HOMES INC Contractor LARRY HANSEN PLBG Category 410 - Residential- Interior Plan Value $6,760.00 ,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 0 Clothes Wshr 1 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 7/28/04 Type Final inspector WJ (Chip) Callies approved FAXED REQUEST DateTme requested: 7/28/04 07:30 AM Notice Type: Telephone Number: DARLENE 757 -6863 Access: Ready DateTme: 7/28/04 07:30 AM Requested By: LARRY HANSEN PLBG 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Plumbing Permit Work Card Job Addres.s 1406 MONROE ST Permit Number 108506 Create Date 04/20/2004 Owner GEURTS CUSTOM HOMES INC Contractor LARRY HANSEN PLBG Category 410 - Residential- Interior Plan Value $6,760.00 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 0 Clothes Wshr 1 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 6/22/04 Type Rough In Inspector WJ (Chip) Callies approved Faxed request (rec'd on Sat 6/19/04) ADAM GEURTS ALSO CALLED FOR ROUGH IN INSPCETION THROUGH THE REQUEST LINE 6/22/04 © 8:09 AM Date/Time requested: 6/21/04 07:00 AM Notice Type: Telephone Number: 920 - 757 -6863 Access: Ready Date/Time: 6/21/04 07:00 AM Requested By: LARRY HANSEN PLBG -Karen 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Plumbing Permit Work Card Job Address 1406 MONROE ST Permit Number 108506 Create Date 04/20/2004 Owner GEURTS CUSTOM HOMES INC Contractor LARRY HANSEN PLBG Category 410 - Residential- Interior Plan Value $6,760.00 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 0 Clothes Wshr 1 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 Type Underground Inspector WJ (Chip) Callies no time PHONE REQUEST Datemme requested: 6/4/04 10:11 AM Notice Type: Telephone Number: 757 -6863 Access: Ready Date/Time: 6/4/04 10:11 AM Requested By: LARRY HANSEN PLBG 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid