HomeMy WebLinkAbout0126517-Plumbing (water heater)
G CITY OF OSHKOSH No 126517
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1260 N WESTFIELD ST Owner ELlZ B DAVIS CHILDRENS HOME Create Date 08/29/2007
Category 411 - Residential-Water Heaters
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY T. RUCK ELECTRIC '.check #8772
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1608600000
Use/Nature
of Work
Valuation
Issued By
$693.00
~
'-..../ . '--"
$0.00
$25.00 0 Permit Voided I
Date 08/29/2007
Plan Approval
Permit Fees
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
Address 665 N MAIN ST
Agent/Owner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
Date
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.'s084
RECEIVED
@.'
~
DEPARTMENT OF 01tJV.OVH
. COMMUNITY DEVELOPMENT . N ..
INSPECTION SERVICES DIVISION, " ON THE WATER
AUG 2 8 2007
PlumbingPerl11itApplication
lhereby apply for a permit to do and install the followingplumbins on the.prenrises hereinafter described, the work to con('Q11n'.to the
Wisconsin State Plumbing Code, in the performance' of which aU parties hereto agree t~ and are bound by said statutes.
· Application(s) and fee(s) canbe brought'to CitylIal1, Roorn: 205 <lrnuiiledtolnspectionServices, PO Box t128,
Oshkosh WI 54903-1128. Commencing work Withoutpennit(s)will r~ultii1 feesbeingdouble~or $100.. 00 plu~the
nonnal pennit'fee, which ever is greater;
OR '.' .... . . ......... ". '. .
I ouare a contractor arfici atin ihothe FermHFee ACCOitnISslemandhaveade
ifvou want this processed throughvo.ur accountn ..... . .'
..r.o bA. ddre$sj~laO~ ~.~ __..,'"t&i-i _ ...... VaIUe(""''''';'''I''''.~d.ma. ..'...en......'.'.'...>...... to~3,()O ...
OWner ~~ ~ontractor ~~~~..,.-
OSingle Family DDuplex DJ>>:!!iItICFa!lli1y DRental... .~CO~I... . DlndnslirW
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink _
Water Heatey +
o Gaslj)!lectb PwrVnt
Shower
Floor Drain
Lndry Tray.
Lab Sink
~
: Disposal .
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassnnSink
SUrgeons Sink
Breaknn Sitik
Dip Well
~
~
.~
Plaster Sink'
.Sterilizer
Misc.
. Fixtures
~,
Electric Contractor
Use I Nature of Work:
Size
Material
Type
Sanitary Sewer
'StormSewer
Water Service
................../'..................
.:'. ,
. ., '.
.ejEI~etr,it,Inst~ilationVerifi.cati~n:"forin attached
... ( """"I) .~. .
DrinkFtn
Wait.St.
Ice Chest
,Exam Sink
~~\!!ry Sink
lAIri~~i?~'
. F PrqrSihk
..SetvSink
. In.t\qrease Trap
'BlGl\Q!;easetrap.
.R;i\Z. Valve
~hanipSink
,BlrtylstSink.
~
"--:....:--
.~
~
~.
--"-
/~
check here
Date~/~'JO:j
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
RQOfDrain
Standp Rec
EyeWaWStn
.WtrSewer.Mtrs
Deduct Meters
W'trJ)sage Mtrs
~.aV.
4/05
@...........
~
0lFR0JR
ON"lHE W^TER
City of Oshkosh
Division of InSpection Services
215 Church Avenue
PO BOll 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fill 920-236-5084
RECEIVED
AUG 28 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION. SERVICES DIVISION
Electric Installation Verification
l(We)r1~) e~~ctnS;Name)
(;9o a). .&P-,tJ~~
(Address). . (City)
;Jr-
(State)
have been contracted to perfonnelectric in$tallatioI1workfor
atthe following address:
The nature of the work consists of: (Check One or Describe the Nature of Work)
_ Reconnection or new circuit for replacement Heating Plant and/or A/CC()t;ldenser.
. ~ Reconnection or new circuit for replacement Electric Water Heaterorpbwer vented
water heater.
Reconnection of the Service Entrance Cable, Meter Bc)'x, altera.tionsto receptacles
and lighting fixtures due to siding! soffltinsta.l1ation. Note: New Service
Entrance Cables will require a separatepel'1l1it.
Reconnection or new circuit for. fhereplacementof other permanently wired
appliances lfixtures. ... ... . . .
New circuit fortheadditionofAlCtoani~divid~ar4wel1ingunit (house or the
. individual systems in a duplex or condQminilk-n), including required service
electrical outlets.
Other
The value of this work is $ ( 0(/' OrJ
I. hereby verify this work will beperforrned.bY~11iernployeeof this company and further verify
the reconnection / installationwilLbe done incompliance with manufacturer and Electric code
requirements.
~-
of Company. Officer).
5/02