HomeMy WebLinkAbout0103000-Plumbing (interior)OSHKOSH
ON THE WATER
Job Address 3237 BELLFIELD DR
CITY OF OSHKOSH No 103000
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date 04/28/2003
Contractor HANSON QUALITY PLUMBING
Bathtub 2 Shower
Whirlpool 0 Floor Drain
Lavatory 3 Lndry Tray
Toilet 3 Lndry Stndp
Res, Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater I Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
Category 410 - Residential-Interior
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Dent. Oper.
Lab Sink
Sterilizer
Plan
0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 Drink Ftn 0 Ser~Sink 0 Soda Disp 0
0 Wait. St. 0 Sha~np Sink 0 Coffee Maker 0
0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap 0
0 Exam Sink 0 Catch Basin 0 Ext GreaseTrap 0
0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Hand Sink 0 Urinal 0 Eye WashStatn 0
0 Plaster Sink 0 Standp Rec 0
0 Surgeons Sink 0 Ice Maker 1
SFR/1
story home with a 2 car attached garage, gas water heater
Use/Nature
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
#
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Conn. Type
Valuation $6,000.00 Plan Approval $0.00 Permit Fees $102.00
issued By
Date 07/22/2003
[] Permit VoidedI
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address 550 N BLUEMOUND RD
Agent/Owner
APPLETON WI 54914 - 0000 Telephone Number 730-0205
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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
- ...O../HKO/H
Plumbing Permit Application '"
I hereby apply for a permit to do and instatl the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the peffonuance of which all parties hereto a~ee to and are boand by said ~tamtes.
· Application(s) and fee(s) can be brought to Ciw Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds.· check hera
if you want this processed through your account [~
Job AddressJo)J 7 ,,/~f,,/t/~'(/cf Value (~cl.di.s labor ~.d ~,~)~ Date
Owner ~C~ Contractor ~ro~J ~'~/'5 ~/~' '
~ingle DRental ~Commercial ~Indus~ial
Family
DDuplex
DMulfi-Famfly
Number of Fixtures:
Bathtub ~
Whirlpool
Toilet ~
Pla~ter Sink
Lndry Standp J D~nt. Opec. Shamp Sink
Disposal / Dip Well Flr/Wst Sink
Dishwasher t/ Drink Fm Catch Basin
Sump Pump j Wait. St, Wash Fm
Ejector/Grind Ice Chest Urinal
Water Sofmer Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap S~ Sink . . Site Drain.
Classrm Sink Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Breakrm Sink
Electric Contractor
Use / Nature of Work
[-]Electric Installation Verificatidn form attached
(If Replacement) ~/~,/~
Size Material Type. # Corm. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02
Plumbing Permit Work Card
J . . b i.ddress 3237 BELLFIELD DR Permit Number 103000 Create Date 04/28/2003
Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING
"ategory 410 - Residential- Interior Plan Value $6,000.00
Jthtub ! / 2 Shower 1 1 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 I/ $ i 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet /1 /3 Lndry Stndp 11 Clothes Wshr 0 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
Use / Nature NSFR/ 1 garage, home with a 2 car attached garage, gas water heater
of Work
•
Size Material Type # Conn.Type
Sanitary Sewer 0 g 1 , I 3 /
0 /
0
r Ir. r il.,_,_,16 "f Storm Sewer 0
./ h I) PM
0
Water Service \ r 0
0
0
0
0
Date Type Underground Inspector WJ (Chip) Callies
Counter request rec'd with permit application ,,
7/,2_ z� b 3
,0,---z.t. Cry, ,n / C.
Date /Time requested: 7/22/03 10:15 AM Notice Type: Telephone Number: 730 -0205
Access:
Ready Date /Time: 7/22/03 10:15 AM Requested By: HANSON QUALITY PLUMBING -Mark
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
\ 41/4
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