HomeMy WebLinkAbout0116860-Plumbing
0 CITY OF OSHKOSH No 116860
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 45W 10TH AVE Owner STEN C ANDERSON Create Date 10/19/2005
Contractor VAN HANDEL, TOM CORP Category 401 - Residential-Exterior (laterals) Plan
Bathtub 0 Shower 0 Water Softner 0 Wail.SI. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ex! Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res, Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
Abandon water and sanitary sewer laterais.
Size Material Type # Conn. Type
Sanitary Sewer 4" Laterai 1 Aband
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 3/4" Lateral 1 Aband
0
0
0 Parcelld #
0 0302390000
$100.00 0 Permit Voided I
Valuation
$500.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 10/19/2005
in the performance of this work, I agree erform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no auth rit to enforce easement restrictions of which it is not a party, if you perform the work
described in this p . appli tion wi in n easement, the City strongly urges the permit applicant to contact the ~
easement hold s) an to cure necessary approvals before starting such activity.
Signature Date I- Ò ò¿
AgenUOwner
APPLETON
Address
1830 E EDGEWOOD DR
~ 54913 - 0000 Telephone Number
920-735-1221
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.
Job Address 45 W 10TH AVE
Plumbing Permit Work Card
Permit Number 116860
Contractor VAN HANDEL, TOM CORP
Create Date 10/19/2005
Owner
STEN C ANDERSON
Category 401 - Residential-Exterior (laterals) Plan Value $500.00
Bathtub ~ Shower 0 Water Softner a Wait. St. ~ Shamp Sink ~ Coffee Maker ~
Whirlpool ~ Floor Drain ~ Local Waste 0 Ice Chest ~ Flr/Wst Sink ~ Int Grease Trap ~
Lavatory ~ Lndry Tray a Clothes Wshr a Exam Sink ~ Catch Basin ~ Ext Grease Trap ~
Toilet ~ Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink ~ Dishwasher a BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink ~ Sump Pump a Lab Sink 0 Plaster Sink ~ Standp Rec ~ Wtr Sewer Mtrs ~
Water Heater 0 Classrm Sink ~ Sterilizer 0 Surgeons Sink ~ Ice Maker ~ Deduct Meters ~
Site Drain 0 Breakrm Sink 0 Dip Well a F Prep Sink 0 Gar Drain ~ Wtr Usage Mtrs ~
Roof Drain ~ Ejector/Grind ~ Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. ~
Fixtures
Use/Nature
of Work
V'bandon water and sanitary sewer laterals.
Sanitary Sewer
Size
4"
Material
Type
Lateral
Storm'Sewer
Water Service
3/4"
Lateral
Date 11/4/05
Type Sewer
Inspector Allyn Dannhoff
no time
#
1
0
0
a
0
'0
a
0
a
a
Conn.Type
Abandn
1
a
a
0
a
Abandn
Request Line - sewer disconnect ready after lunchNO STAFF AVAILABLE TO PERFORM INSPECTION
Date/Time requested:
11/4/05 08:53AM
Notice Type:
Access:
Telephone Number:
735-1221
Ready Date/Time: 11/4/05 12:00 PM Requested By: VAN HANDEL, TOM CORP-AI
0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
---------------------_u------------------------------------------------------------------------_u_-----