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Home My WebLink About0124504-Plumbing 05 OSHKOSH ON THE WATER Job Address 604 W 20TH AVE CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD No 124504 Contractor MYRON KERSCHNER Bathtub Whirlpool Lavatory Toilet ..,~...,~' ".- Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature SFRI Bsmt, 1st floor ACW & Kitchen remodel. Plumber will have a representative bring letter stating license info to be entered in the system of Work and the fee for permit per converstaion on 4-2-07. Shower Floor Drain Lndry Tray Disposal 1 ",-, .." .,',. .. ""~'.':'..,~'. "~"-'-':.';' .... ", ,',." " Dishwasher 1 Sump Pump 1 Classrm Sink Breakrm Sink Ejector/Grind 3 outside silcock 2 2 1 Sanitary Sewer Storm Sewer Water Service Valuation $1,200.00 Plan Approval Issued By Water Softner Local Waste Clothes Wshr Bidet "'_'ic' "~' ~. ";.. <'";",4":-~'::''',-,:. Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Size Owner PETER H KUJAWA/LUCINDA C CHESTNUT Category 410 - Residential-Interior Wait. St. Ice Chest Exam Sink Sculry Sink ~,,. ;"~"~H~~(~rs'i~'k Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink FlrlWst Sink Catch Basin Wash Ftn "''''''''''U;i~al'.' Standp Rec Ice Maker Gar Drain Soda Disp Material Type # Conn. Type Create Date 03/19/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve EyeWa;hSt~f~"~' . 2 Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs . ",:,,:.,,<<-.~:.,.. $98.00 0 Permit Voided I $0.00 Permit Fees Parcelld # 1409180000 Date 04/30/2007 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 ~~.r~ Date '--<1-- ..5c::::>-CJ? AgenUOwner Address PO BOX 280,609 WAUTOMA RD COLOMA WI 54930 - 0000 Telephone Number 715-228-2570 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. KERSCHNER'S P.O.Box.280, 609 Wautoma Rd, Coloma, WI 54930 . (715) 228-2570 Fax (71S) 228-2560 - GAS SERVICE INC. www.kerschners.com 800-729-2570 I ' : 'I-.:J3- 07 ,he ~O' r"~-Gr~~ 7""6 A~ -aft .6'4.- rx Q ~ e c:.. CoG ,L ,!J/",- '/n~ (.;vc~ Ie.( ;J') /(";rf~,<!....... a-_~ d "C.. 8 ~ 4 ou;, f!!. of Cu '- '-~c..,~e-I' ~ ' -6.1 Co. ~ 0 t Rt:C ~ e. 7A (; OU~of 12 ~,1'c.-K ~ ,/J/UM tI" ,'),c:7 /fJe..r~" ~ ~- 7A,:r ,,0/<1) c:c.l /o~l:.~ #T 6 of' wr:..tf~ ,?a r~ 4t/'t.. 08,,( /:cd~ / ~/Ir c. sr'?O~ A j 'Y"77 .... uC' ~ 4.,..1" ~ ~ /f;' Y jL 4. 't.4'~~)-..,.r d ^" Y/'>--uJ /0 Cq. PI t:..t S of 71 s: ~,(,/'~ ;< S? () K t.-~...r C--A..., e...... ~ G c:e..., J" e.; v t 'Co .... /1 c. _ 6" '\r~ ~ A'" ed,,"), :7 ~.~~ 11.11 1I~i!;SiRo~ LP GAS · PLUMBING · HEATING · AIR CONDITIONING · SEPTIC SYSTEMS City of Oshkosh ~ Inspectjon Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a permit 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 ofwmch 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) win result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If vou are a contractor participatinz in the Permit Fee Account System and have adequate funds. check here ifvou want this processed through vour account n t- Job Address ?'1 tJ ~.:l(1!3 AJ't.<. ~Owner r hr;s /fqf:, '-(.. ~ingle Family DDuplex Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 P"WTVnt Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink ~ ~ -L Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Surgeons Sink Breakrm Sink Dip Well Hose Bibs Value (Including labor and materialS;' /2 0 p #' ~ 't', 5"C t. 14 (r DRental DCommercial Contractor DMulti-Family -L -L -I- -L J Date fL-3 Q- y-"7 fJ (t/uVl f;~' 1.1-7 DIndustrial DrinkFtn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec -L RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor OR DElectric Installation Verification fo'rm attached (If Replacement) Use / Nature of Work ~:f' cAb. /Y.N1C~/ . / /1; / ,/; b~r- ~ct---/ ;r~( / ~ j Of -fA /,clJ' ft/) (t/VL iY u<-< I Size Material Conn. Type Sanitary Sewer Storm Sewer Water Service Type # 11/05