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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