HomeMy WebLinkAbout0126277-Plumbing (bath/shower faucet)
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OSHKOSH
ON THE WATER
Job Address 1630 NEBRASKA ST
CITY OF OSHKOSH
No
126277
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner DOUGLAS A LACROIX Create Date 08/15/2007
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 AHERN-GROSS INC.
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
ISFR / Replace bath/shower faucet with pressure balance faucet.
I
i
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0305900000
$400.00 Plan Approval
~4
$0.00
$25.00 0 Permit Voided I
Permit Fees
Date 08/15/2007
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
FOND DU LAC
WI 54935 - 0000 Telephone Number 920-921-1414
Address 218 S MAIN ST
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit A@lication
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to thc
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
Owner
163) N::1:raska St.
Sarrlra laCroix
Value (Including labor and materials)
$4CX) .00
Date .l.J1y 3), 2CX)7
Job Address
Dnuplex
Contractor
DMuiti- Family
..AlmJ.-Gross Phnbing
[!lSingle 'Family
DRental
DCommerciai
Olndustrial
Number of Fixtures:
Bathtub F~t 1
Whirlpool
Lavatory
Toilet
Res, Sink
Bar Sink
Water Heater
o Gas 0 Electric 0 Power Vent
Shower
Floor Drain
Sterilizer
nrcakrmSeCEIV 0
Lndry Tray
Lab Sink
Plaster Sink
Lndry Standp
Disposal
Dishwasher
Sump Pump
EjeCtor/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Dent. Oper.
DipWell
Drink Ftn
Wait.St.
Ice Chest
A\tfr1-5 2007 Shamp Sink
Flr/Wst Sink
DEPARTMENT OF~~tcl1 Basin
COMMUNITVt>EVELOPlV t:. " I
INSPECfION"SC-RVICES DIV't'~Rfn
Unnal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
lnt Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor
OR 0 EIV form attached (If Replacement)
Repla::€d regplar tath/sln\er f~t w/pressure l:EJ.ar:"re f~t.
Use / Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
$ 25.00
Storm Sewer
Water Service
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh W
54903-1128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus the normal permit fee,
which ever is greater.
OR
Check here if you want this processed through your account []
/,.z~ "- 77
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application ~;;;5 ~6 h(jl/-
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 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 permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
If yOU are a contractor varticipating in the Permit Fee Account System and have adequate funds. check here
if you want this vrocessed through your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address /WtJ Il+ti~.4 S;IJ Sf
Owner ;VOLe.gfa ~ loLAot'l
DSingle Family DDuplex
Number of Fixtures:
Bathtub -L
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater.
C Gas C Elect iJ PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
S teri lizer
Misc.
Fixtures
Value (Including labor arv.l, materials)
e f/?:)'-
Contractor
DMuIti-Family
grRental
Disposal Drink Ftn 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
Use / Nature of Work
Electric Contractor (for rojects not requiring an EIV Form)
tA1~ ~f &J~ J!.11~Jce/
Size
Material
#
Sanitary Sewer
Storm Sewer
Water Service
Type
Conn.
)hrJ/I ~GfbfJ
07/07
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Central Wisconsin Rebath
Div: Vande Zande Home Improvements, LLC
97 S. Pioneer Rd. Suite 300
Fond du Lac, . WI 54935
920-926-1704 .' .~ fax 920-926-1705
"We Make Bafrroom Remodeling Easy"
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Date: L~:) I(hi ') tL)1 Approximate install date: \, fA A) ( 0 LUf-2:I
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Address4l~{o. \/0... -l-H, ,Fti Nl .
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Phone C1;,-:1 (-:~, '?3S'; ()Ld=P:-/Work/ Qell
1. Inst~ll: I
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. )~:, Rebath orp. acrylic bat tub in , .<,\,i\,",-,,\"y....-
'. '. .' Bath guard non-slip bottom Yes 0 No
D.?traight~Form .Fit' o.es~h <10 11 :121-Krf'~~
pralnstopper & overflow.. .. ,,~Chrome' D Pol. Brass
o SWAN Veritek bathtub in .
o Include tear out,& disposal oft~e exis~il1gtub.
color.
'0 White 0
Color.
Install Fl~athC.,!rp~ a~rylicshower wa.llpanel~in ...... fA \h':i -to,. . .
~FullceJhnghelght. . D %Helghtto. . . . ""Inches.
'#OTower soaPdi$h 02 shelf corner \. .,0 Classicj small dish
o Install ( ) , ..... . .... .. ......-inchGrab:B~r in .
[] Ceiling panel aboVethetubonlyin
o New'acrylicwiridowtrim.'
D,Newbathwindow: '. .....- ." .' ........... ..... - .'..
,~.eVfl'F.....a. LJ.t;e..t:. B........~a....n... d... +:J,C,D~,.... .'
JelChrome.. [] Brass. '[]Whlte.
o ,Usethe~xisting faucet
O' New Shower Door Model
, . Frame 1J. SilvefD Brass' '[J White
5tJ-1nstall new shower rod. 0 Screwed on
, ~ " '. . .
color.
o Above the. tub only.
o Rcundtopshe!f.
color.
Gelor,
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Mod~r#> ;F'1r~r:(./ .' .~u~v
o Br(js,hedNiC,kel 0 ' .., · .... '
. sashes.
Ion; ,;:j''''''''
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o BnishedNickel 0
. [J Spril1gRod ....
glass. .
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Totallabor,materi~Ial1d s~les)ax $. ~u I
30% advancewithor~er' $. j . t () () . lJ>:/ li(
. ..'....',..' ; .." $ I~'
" ,_"S'alance du~ 10 days after complete' $' ,~:-)7 c., t_{
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Presented by:".,-.,{ 1.1/ i.,iLl(/, ;L Jt Jl>-l?/l' '. .... . .... Date: .6.../ OiL; J { J7
. CEi9trafWisconsinRebath IVandeZande Home Improvemertts,LLC
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Accepted by:
j)'<'; ,:A', .' . / '
t~, / ,J.b
Date:
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Owner
See the back for additional conditions