HomeMy WebLinkAbout0108204-Plumbing (water heater)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 108204
JobAddress 242W 15TH AVE Owner PHILIP H BALER Create Date 05/21/2004
Contractor HOMEOWNER Category 410- Residential-Interior Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap 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 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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
of Work
REPLACE
WATER HEATER AND PART OF THE POTABLE WATER DISTRIBUTION SYSTEM IN THE BASEMENT AREA (USE OF CPVC)
Valuation
Issued By
Storm Water
Size Material Type #
Conn. Type
0
0
0
0
0
$700.00 Plan Approval
$0.00 Permit Fees
$20.00 L~ Permit Voided
Parcel Id #
0901870000
Date 05/21/2004
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 243W 15TH AVE OSHKOSH WI 54902 6514 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Document Number
STATE BAR. OF WISCONSIN FORM 2 - 2000
WARRANTY DEED
This Deed, made between Philip II. Baler,
Daniel M. Hoyt and ~ , Grantor, and
Christina L. Hoyt ~ashusbandand~Sfe~assur~vorsh~pmadta]
property, Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grantee the
following described real estate in Wiunebago County, Sta~e of Wisconsin (if more
space ig needed, please attach addendum):
Lot Sixteen (16), Block Fil%y-eight (58) in the PLAT OF THE
ORIGINAL TH/RD WARD, in the Ninth Ward, City of Oshkosh,
Winnebago County, Wisconsin.
Exceptions to warranties: municipal zoning ordinances,
easements, covenants and restrictions of record.
Recording Area
Name and Return Address
Daniel & ChriStina Hoyt
242 West 15m Avellue
Oshkosh, WI 54902
Dated this ~/9 ~day o f May, 2004.
~liiilp I~ Baier
909-0187
Parcel Identification Numher (PIN)
~ais is not homestead property.
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN )
Signature(s) Philip H. Baler authenticated this day of Ma3' ) ss.
· 2004. Winnebago COUnty )
Personally came before me this~(~/g'-day of May, 2004,
* the above named Philip H. Baier to me known to be the person
TITLE: MEMBER STATE BAR OF WISCONSIN who executed the foregoing instrument and acknowledged the
(If not, atahorized by § 706.06,,x,~i~:$ttgs,~, same. ,~ -,
,' ~lE I.
_ . . ---- .: , Notary Pfiblic, State of Wisconshi
(Sigaalures may he aufamticated or aeknowledge~. Bo~ are n6"~.): -' M Commission is ermanent
"~". ~OB/IC ..' ~*A p .tunot, smieexpmuonaare: '-90,
-,?,;..,. --
_ . ,?',-;:'.-.. :.i'~'~,-'
-mame$ o~pcrsoas sigaiag in any capaci~7 mu~ bc typed 9 .~ti'i~ ~'~ ~k sigaamrc.
WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 20~0
· ~STAPLE
ATTACHMENTS Wisconsin //Il/J/II Ill I/Ill I/Ill Il/Il Il/II/l/JI JIJ/J Il/Il Il/I/Il/
HERE Real Estate Transfer Return - Confidential
To complete see Instructions for Real Estate Transfer Return PE-$OOA.
Submit original form to Register of Deeds with document(s) to be recorded. Completely fill in all appropriate areas. TYPE or PRINT
clearly in BLACK INK, and use ALL UPPERCASE LETTERS. If typing form, type through vertical character lines.
I. GRANTOR (Sell-er) If more Ihan ONE (1) grantor, check box at ~efl and 6st on attached addendum. Note: Lines 67-72 must be completed wifn grantor's address.--
BAIER
PHILIP H.
IL GRANTEE (Buyer} If more than ONE (1) grantee, check box at eft and list on attached addendum.
393-50-4053
HOYT
DANIEL M. AND
242
OSHKOSH
WEST 15TH AVENUE
IlL PROPERTY TRANSFERRED
OSHKOSH
242 WEST 15TH AVENUE
909-0187
398-64-7672
WI 54902
13. County Name
WINNEBAGO
SEE ADDENDUM "A"
IV. COMPUTATION OF FEE OR STATEMENT OF EXEMPTION --
, 80,--%--00
DOLLRR$
IN WHOLE
DOLLARS
V. TO BE COMPLETED BY AUTHORIZED COUNTY/LOCAL OFFICIAL
Condo
$
7 (Other)
7
Continued
ADDENDUM "A"
Lot Sixteen (16), Block Fifty-eight (58) in the PLAT OF THE ORIGINAL THIRD
WARD, in the Ninth Ward, City of Oshkosh, Winnebago County, Wisconsin.