HomeMy WebLinkAbout2003-Plumbing (addition)OSHKOSH
ON THE WATER
.lob Address 746 PROSPECT AVE
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEFFREY J WICINSKY
Category 410 - Residential-Interior
No 103484
Create Date 05/01/2003
Plan
Bathtub 1 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 2 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 Lndry Stndp 1 CIothesWshr 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 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 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 SFR/Constructing a 24' x 28' addition on the rear of the house for 3 bedrooms.
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
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $36.00 ~ Permit Voided
Issued By
Date
08/12/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
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.
Signature Date
Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
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.
OSHKOSH
ON THE WATER
Job Address 746 PROSPECT AVE
Contractor SOPER PLUMBING
CITY OF OSHKOSH No 103484
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEFFREY J WIClNSKY Create Date 05/01/2003
Category 410- Residential-Interior Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
I Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 Floor Drain 0 WaterSoffner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
2 Lndry Stndp I Clothes Wshr 0 Ice Chest 0 FIr/~Vst Sink 0 Int Grease Trap 0
0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye WashStatn 0
0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
~FPJ Constructing a 24' x 28' addition on the rear of the house for 3 bedrooms.
Valuation $2,000.00
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$36.00 [] Permit Voided J
Da~ 0~1~2003
In the performance of this work, I agree to perform all work pumuant to rules governing the described construction.
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
easementrbglder(s) aP~°\1 /~' secure anti. scary approvals before starting such activity.
Sig nat u re~L~_____~('-'~__~
j~.~--~ Date (~--~.~
' ~" *" ~ (¢/~/- Agent]Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151
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 Ps 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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
Plumbing Permit Application
I hereby apply for a perrrdt to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I£¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check hera
i£¥ou want this processed through your account [-]
Job Address ~ ~/~, ~~r Value (Including labor and materials)._~.q~
Owner .../~¢-~,~ ~t n~,.~-,e'~' Contractor __"~.~..,,~ ~"~Z~.~.,~..~_
[~]Single Family [-]Duplex [~Multi-Family [~Rental [--]Commercial
Date~
[--]Industrial
Number of Fixtures:
Bathtub 4~ Lndry Standp / Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory ~ Dishwasher Drink Ftn
Toilet ~.* Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater Local Waste Sculry Sink
[] Gas [] Elect [] PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain
Beer Tap Sew Sink
Lndry Tray Classrm Sink Iht Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
FlrfC/st Sink .
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
OR
[~Electric Installation Verification form attached
(If Replacement)
Size Material Type
# Conn. Type
3/02