HomeMy WebLinkAbout0123067-Plumbing
e CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1185 FREEDOM AVE
Contractor
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
No
123067
HOMEOWNER
Owner CRAIG S LUCZAK Create Date 01/04/2007
Category 410 - Residential-I nterior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int GreaseTrap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
DipWell. F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
I
Use/Nature INSTALL SINK IN BASEMENT.
of Work
Valuation
Issued By
Size
Material
#
Conn. Type
Type
Storm Water
Parcelld #
1250175000
$150.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 01/04/2007
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 ~ ~:Y'-
Date
l/q lei7
,
Agent/Owner
OSHKOSH
WI 54901 0000 Telephone Number
Address 1185 FREEDOM AVE
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
G
OSHkoSH
ON THE WATER
Issue Date 1/12/2007
Address
Sent to
Introduction
INSPECTION SERVICES DIVISION ROOM 205
rrurmrV./1mm rElFfel'ii'rEPARTMENT OF COMMUNITY DEVELOPMENT
l!:DlYJlJ\jdlfLblb U lbW CORRECTION NOTICE
Compliance Date 2/11/2007
CITY OF OSHKOSH
215 CHURCH AVE
PO Box 1130
OSHKOSH WI 54903-1130
Compliance No
City
OSHKOSH
State Zip Code
WI 54901 -0000
1185FREEDOM AVE
~ Owner
Name
I CRAIG S LUCZAK
Address
1185 FREEDOM AVE
Item # Code COMM 84.30 Compliance No Compliance Date 02/11/2007
Description Water treatment device outlet piping shall be made of approved water distribution piping per COMM 84.30, Table 84.30-8.
01/12/2007
Last
Updated
Item # 2
Description
01/12/2007
Last
Updated
U . Required for Occupancy Occupancy
n inspection of the plumbing on 01-11-2007 revealed the following violation(s):
Code COMM 82.33 Compliance No Compliance Date 02/11/2007
ra." _"""of de"", d;,"'a",e pipe ,hall Ie""'"ale to a" approved ,""",foe by mea", of COMM 82.33(8).
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12162
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Of
OSHKOSH
ON THE WATER
Issue Date 1/12/2007
Address 1185 FREEDOM AVE
INSPECTION SERVICES DIVISION ROOM 205
DEPARTMENT OF COMMUNITY DEVELOPMENT
CORRECTION NOTICE
CITY OF OSHKOSH
215 CHURCH AVE
PO Box 1130
OSHKOSH WI 54903-1130
Compliance Date 2/11/2007
Compliance No
Sent to
~ Owner
Name
I CRAIG S LUCZAK
Address
1185 FREEDOM AVE
City
OSHKOSH
State Zip Code
WI 54901 -0000
Introduction
U Required for Occupancy Occupancy
n inspection of the plumbing on 01-11-2007 revealed the following violation(s):
Item # 3 Code MC 20-8 Compliance No Compliance Date 02/11/2007
Description No person shall perform any plumbing work, as defined by state statute or regulation as adopted by reference as a part of this Code, unless a
permit therefor has first been obtained. A LATE PERMIT FEE shall be assessed to permit.
01/12/2007
Last
Updated
Summary You shall comply and call for reinspection NO LATER THAN 01-26-2007.
Violations must be corrected and approved within 30 days unless otherwise noted. Call for reinspections prior to concealment
and/or occupa~cy. Upon completing the corrections, the owner/contractor/ag~nt must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of 2/11/2007
Office hours fo'r obtaining permits are Monday through Friday 7:30-8:30 a.m. and 12:30-1 :30 p.m. or by appointment. To schedule
inspections please call the Inspection Request line at 236-5128 noting the address, permit number (when applicable), and the
nature of what needs to be inspected.
Signature Date
Inspected by: Paul Wolf 236-5052 pwolf@ci.oshkosh.wi.us
I hereby certify the violations listed on this report have been corrected in compliance with the applicable codes.
Print Name
Company
Signature
Date
Also Sent to: U Bldg
U Elec
U HVAC
~ Plbg
U Designer
U Other
U Inspector
ADVANCED WATER TECHNOLOGY
217 MAIN ST.
SEYMOUR
WI 54165 -0
12162
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