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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.