HomeMy WebLinkAbout0127429-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 922 ELMWOOD AVE
CITY OF OSHKOSH No 127429
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor O'NEILL ENTERPRISES INC
Owner TRADEMARK INVESTMENTS LLC Create Date 10/17/2007
Plan
Category 411 - Residential-Water Heaters
- --~---- ----------------------... .-,.---"---.--,.----.--.-
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR / Replace electric water heater. **EIV provided by HullarElectric. **DEBIT ACCT**.
of Work
I
i
I
I
I
L.
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
"'--'--'-~--~~'I
I
I
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
Conn. Type
Valuation
$700.00 Plan Approval
~--~
~~-,-Q.Q
Permit Fees
Parcel Id #
0505600000
Issued By
#
$25.00 D Permit Voided j
._-~-~~-
Date 10/23/2007
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
Address 522 W 6TH AVE
Agent/Owner
OSHKOSH
Date
WI 54902 - 5916 Telephone Number 920-230-2007
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.
i10/15/2007 16:03 FAX 19202302008
City of Oshkosh
Inspection Services Division
POBox 1130
Cshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
ONEILL ENTERPRISES
I4l 001/001
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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 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, PC Box 1128, Cshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100,00 plus the normal pennit fee, which
ever is greater.
OR
unds check here
** Advisoty - For applicable projects, an Electrical Installation Verification (EIV) form, siped by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mOst be submitted
with the permit application. Applications sabmitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. .._
JObAddressg&.'O\ce~st Value (IncludinglaborandmateriaJs) JOi).oo '. Date.1.OJ.5&0
Owner \.1~~~.. Contractor _ ~itU. ~J mG..
DSingle Family DDuplex DMulti-Family ~ental DCommercial DIndustrial
Number of Fixtures:
Bathtub Disposal - Drink Ftn
Whirlpool Dishwasher Wait St
Lavatory Sump Pump Ice Chest
Toilet Ejector/Grind Exam Sink
Res. Sink Water Softner Sculey Sink
Bar Sink Local Waste Hand Sink
Water Heater --1--- Clothes Wshr F Prep Sink
o Gas~lect 0 PwrVnt Bidet Serv Sink
Shower Beer Tap Int Grease Trap
Floor Drain Classnn Sink Ext Grease Trap
Lochy Tray Surgeons Sink R.P.z. Valve
Lab Sink Breakrm Sink Shamp Sink
Plaster Sink Dip Well Flr/Wst Sink
Sterilizer Hose Bibs
-
Catch Basin
Wasil Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtnl
Deduct Meters
Wtr Usage Mtts
Misc.
Fixtures - ( '" l /J/J .,..
Electric Contractor (for projects not requiring an EIV Form) ..::JlJIJ J(Y~
Use I Nature of Work l~ ?<.Jttiu.. M.a~
~;bj.~
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
il~ ~
\~1
Water Service
07/07
~
OfHKOfH
ON THE WATER
City of Oshkosh
Division ofInspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
JJ~ )1,., [,In/n {
(Electrical Contractor Name or Homeowner's Name)
Lf13t
(Address)
tv- '1/\ J~raL
C?~ L /::"'" l
(City)
tv-;
(State)
Sy 10<--/
(Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
'112
t / (\ "L-QocA SJ- 00 L k~~ ( i-J J,.Y90)
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
LA:onnection or new circuit for replacement Heating Plant andlor AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of AIC to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed Electrical
Contractor.
Other
The value of this work is $
r; 0/0-:)
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection I installation
will be done in compliance with manufacturer and Electric code requirements.
If kl 11 /l,,,
(Print Name)
10/2J/6'?
(Date)
E 19nature of Company Officer or Homeowner)
07/07