HomeMy WebLinkAbout0124524-Plumbing (water use meter)
o
OSHKOSH"
ON THE W~TER
Job Address 970 FREEDOM AVE
CITY OF OSHKOSH
No
124524
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JOE EITINA M HUINKER Create Date 05/01/2007
Category 410 - Residential-I nterior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
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
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor JIM'S PLUMBING & HEATING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
SFR /Install water use only meter. **DEBIT ACCT**.
Size
#
Conn. Type
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1250176200
$500.00 Plan Approval
~
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 05/01/2007
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 Date
Agent/Owner
Address W6166 GREENVILLE DR
GREENVILLE
WI 54942 - 0000 Telephone Number 920-757-5258
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.
~05/01/2007 09:10 FAX 920
:::
757 6482
JIM'S PLtlMBING
f4j 001/001
City of OsEkosh
Inspeption Services Division
POBox 1130
Oshkosh., Wl54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJFK.OfH
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 pexformance 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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
ou 'are'o contractor artiei orin in the Permi F e Account S unds ,check here
u want t is rocessed throu h our account
<r ob Add~ess " 70 ' ~..( eeL€) /I'A. ~ V alue (lneludi~g lab~r and malerials) -$ S{) 0 ", ,', Date S" /,; <0 7
Owner Jo~ HIA,V\\L(", Contractor~l'Vv\S QJ~'.\N"J..dV\~ ' ' , .......
WSingle Family ,DDu~lex DMulti~FamilyDRental DComin~r,eiaJ I '[Jlli\ustri~C; ;.~ c::.;, ,
Number of FixtUres:
Ba.thtub Disposal
WhirlpOol Dishwasher
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink Water Softner
Bar Sink Local Waste
Water ficatc:r Clothal Wshr
o G~ 0 EIC(:t Cl PwrVnl Bidet
Shower Beer Tap
Floor Dnin Clasmn Sink
~dry Tray' S~c:Dn$ Sink
Lab Sink Bn:akrm Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixlures
Electric Contractor OR
!':(~:'. ~ "". :'1:' .:'..:~:~~t.....:..:~.
DrinlcFtn
Wait. Sl
Ice Ches1
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ex! Grease Trap
R,P 2. Valve
Shamp Sink
FlrlWsl Sink
Caleh Basin
,wash Fm
:Urinal
Gar Drain
Soda Disp
Coffee Maker
Cornm. Ice Maker
She Dnl,in
Roof Drain
S tandp Rc:c
Eye Wll$h Stll
Wtr Sewer Mtrs
DcductMcters
Wrr Usage Mtrs
-L
, $ 3S,0e>
DElectric Installation Verification form attached
(If Replacement)
Use I Nature of Work
/ r1 sfo. / I!' V\9 Q.. ,~r lAK ~vd(; lllN J(-r r
/
Material Type # Conn. Type IJA
LA0
\~
9/lA-' s- 'I /.' 3" 11/05
Size:
Sanitary Sewer
Storm Sewer
Water Service
r
~r
~ 05/01/2007 09:09 FAX 920 757 6482
::: Mar.10.2006.10:32AM
JIM'S PLUMBING
IdJ 0011001
No.06S3 p. 2
CITY OF 0 HKOSH wATER DiSTRIBUtION
"I TER METER PERMIT
(Please. Prillt)
Date: $'" (- 07
'Meter{s) InstalledAtr p70 r-r-eedo vv;,.", Al1~ V1 fA-'L
Name 01 Owuer: ~ O~ H vi .. \(\ K. r . ....
Address olOwuer:.. ICiJO ,c-~~Q tI'^- ..{~
Meter(s) Size: . :u~ 1\ .
Meter(s) Use: Check th. U~s) that apply4
....\
Typical NeW Constructlon
Single Meter
. Typical Mu1ti-U~t, Multiple Meter -
1ICIJl.....-wa
, ~
...
_/ """';j~""'"
..... ....-..- .
. ----...-.a=--- .'
~"~V~'I'Cl
..,.,- ......1IIIr_
..........~--
Typica1Deduct Meter
IIlD ........
.....,. DD01~~
.III.Ll:MI!D
Typical Watt:r Use Oaly Meter
....IICIU.....~
+~
'1: :==
"/ : . . I ~.....~v...~ "
No~' l~::-;:t-:: be required prior 10 the fnstaljalion of~ ~ water
meter(s). .
" 2. All plumbing mUSt be conducted by a Wisconsin Licensed Plumber, except 8 hQme
owner may pc~ol hislher own plumbina within their single family, owne-r occupil!ld
home. For inq . e$ please call 236-~OS2.
3. Meters~ 1-112" rquirea bypass.
Meter(s) will be ~led 1: used according 10 the above info~tioXL
~ ' ..s' L.( ,'11\
Signarorc of Qwneror Agent Print Name of Applicant and Company'
,A)/Uc Ja.uk-tfS
TO
.....
IIIQ....~
.....~,~
~-
~."'1D
...-r.IIWGlWlDt
03/30/2006 THU 1.1:39 (TX/RX NO 9462] @002
WATER METER REPORT
05/1 0/07
ADDRESS: 970 FREEDOM AVE
METER #1 %" Meter #67575321 Water to interior plumbing, bill sewer
and water.
METER #2%" Meter #67508584 Water only meter to outside silcocks, k
bill water only.
Survey date: 05-09-07
Meter readings:
#1-00000004
#2-00034766
Note: Meter #2 is a new installation.
Survey By: Paul Wolf, Plumbing Inspector