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HomeMy WebLinkAbout0126277-Plumbing (bath/shower faucet) o 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 ,'Y ,'~"~:>O::':'"':'::)\'r~:;":S '~V'~" ;~ " ... 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" - '. ....' '., 1:f'If':mr6., '. "... ... . ........'~'..... ~ ,'--".."-.: 1_" ,1 " .-1. j r f .,-.... --t , '.' t'""'t -ft...._ r" " """\ ~ J ~ Date: L~:) I(hi ') tL)1 Approximate install date: \, fA A) ( 0 LUf-2:I . .' j- I ("- ! N. a m e'~"/] r\ -11'-/, - _......-(.# ,,~.A :(,.-"{~, ,1 1....,""'J4, Address4l~{o. \/0... -l-H, ,Fti Nl . C't' . /'>-I~~}{--1 . . . . .... W' r:::,LiQrY'-j \ .1 y.. i j"",[ '\ 'Fy-,n . I. : ,..../ J' II,'/,-~{ , Phone C1;,-:1 (-:~, '?3S'; ()Ld=P:-/Work/ Qell 1. Inst~ll: I C hi ')L/" ,-n-, . )~:, 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, ',' .,.- ..., >.,0 OBglCl.ssiri '.' ...... . . . '+1 ,n id,r'......, ft'-'111.~/1 Mod~r#> ;F'1r~r:(./ .' .~u~v o Br(js,hedNiC,kel 0 ' .., · .... ' . sashes. Ion; ,;:j'''''''' ,-,/~/A..e..Jj.:',. : '.-,,'~ .- '.;i..-',. , ..-', .... . ,. 'wI: o BnishedNickel 0 . [J Spril1gRod .... glass. . ....... .t!.l'''' ............~..-...., .'. '. .........' ". ..... ." ". .' ,zy./ '-1'1- i~:)' {jz:~>L)i,it...('JL:J-).-. . . . '. .' .... . . . .... '. II .: .. -'?{:'a~ -", ;{-., '-1 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_{ .: . ...(. \~'t\ l\/j,'t\ ..'.::2\. .,'./" .,.'. . / ",l~j,\ /i"- .... .' Presented by:".,-.,{ 1.1/ i.,iLl(/, ;L Jt Jl>-l?/l' '. .... . .... Date: .6.../ OiL; J { J7 . CEi9trafWisconsinRebath IVandeZande Home Improvemertts,LLC '/ I ,1 Accepted by: j)'<'; ,:A', .' . / ' t~, / ,J.b Date: f ( ;;-' /. (./'!, .;>;' )... J .,--JI-47 Owner See the back for additional conditions