The URL can be used to link to this page

Home My WebLink About2007-Plumbing o OSHKOSH ON -tHE WATER Job Address 329 SUNNYBROOK DR Contractor WELLNITZ PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND REC6RD I i Owner CHRISTOPHER AlJACQUELlNE J KUJAWA , Valuation Issued By Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Sanitary Sewer Storm Sewer Water Service $1,900.00 Plan Approval Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Size Category 410 - Residential-Interior Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Material $0.00 Permit Fees I Shamp Sink I FlrlWst Sinkl== Catch Basin I i- Wash Ftn Urinal 1- Standp Rec Ice Maker !- Gar Drain Soda Disp 1- No 125029 Create Date OS/29/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Parcel Id # 0622470000 Date 05/30/2007 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature FRI Finishing the basement" to include a 1/2 bath, family room, office and bar area. of Work Type Co~n. Type I In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. I While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfo~ the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the i easement holder(s) and to secure any necessary approvals before starting such activity. Signature I Date AgenUOwner Address 4810 AMBERWOOD LN APPLETON WI 54915 - 0000 Telephone NU~ber (0)231-7390 To schedule inspections please call the Inspection Request line at 236-5128 noting the Addres$, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain e~try), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the reque~t is received. Work may continue if the inspection is not performed within two business days from the time the project's ready. i i I I # $25.00 0 Permit'Voided I I I , i I hereby apply for a permit to do and install the following plumbing on the premises hereinafter d4scribed, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to an? are bound by said statutes. i · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspectiion 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 i If yOU are a contractor oarticipatinf! in the Permit Fee Account System and hav'e adequate funds, check here i ou want this rocessed throu h our account ! i , Job Address 3;) 9 5~)FJrJ J ~r'DC.'} b/r. Value (Incluqing labor and materials) /7'0 CJ I, 0 () Date ~ :3 0 ~ ? . . I CAr.s K tlfO.. ...J ,J Contractor \~e~.f?_ P/V'/H ~{. .vq ! ,.- I []single Family DDuplex DMuIti-Family DRental DCommercial DIndustrial f i I I I City, of Oshkosh In~pection Services Division POBox 1130 'Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Owner Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink -L -L ---1- ----'--- Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use / Nature of Work ~ OfHKOfH ON rHE WATER Plumbing Permit Application Disposal DrinkFtn Catch Basin Dishwasher Wait.St. Wash Ftn Sump Pump Ice Chest Urinal Ejector/Grind Exam Sink Gar Drain Water Softner Sculry Sink Soda Disp Local Waste Hand Sink Coffee Maker Clothes Wshr F Prep Sink - , Comm. Ice Maker Bidet Serv Sink Site Drain Beer Tap Int Grease Trap Roof Drain Classrm Sink Ext Grease Trap Standp Rec Surgeons Sink R.P.Z. Valve Eye Wash Stn Breakrm Sink Shamp Sink Wtr Sewer Mtrs Dip Well Flr/Wst Sink Deduct Meters Hose Bibs Wtr Usage Mtrs OR i i I . DElectric Installation Verification form attached (If Replacement) ! I I I ~~t:-tf Lh-~ .?~ J/~~ Sanitary Sewer # Storm Sewer Water Service Size Conn. Type! i Material Type 11/05