Loading...
HomeMy WebLinkAbout0127527-Plumbing (fixtures; water heater) o OSHKOSH ON THE WATER Job Address 206-212 W 12TH AVE CITY OF OSHKOSH No 127527 PLUMBING PERMIT - APPLICATION AND RECORD Owner DALE M/SHERRY L HOTOVEC Create Date 10/23/2007 Plan Contractor O'NEILL ENTERPRISES INC Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Category 440 - Industrial-Interior Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink FlrlWst 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 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature COMM #212 / Replace plumbing fixtures and electric water heater, EIV signed by Grover Electric "debt acct of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type Valuation $700.00 Issued By Q::x):)8 Plan Approval Parcelld # 0901240000 $0.00 Permit Fees $28.00 D Permit Voided I Date 10/26/2007 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. 110/23/2007 10:46 FAX 19202302008 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 ONEILL ENTERPRISES 14I 001/001 .....,...........". . . .....-. . ., ,'"., ','.' ,," ,::' "" : '. . . . ...'.'..........,,',. ...'..'...:.:... .:. :..::: . ':: . " ". ... . "., .'.n . .... .... ,....... .' . ". ... . .. . ., . .' .' . ", "'. .. ... .. ;;" ,.'~:' :".;.;: ". " : . .. .~ ..... .... .d' ,. ...._ .... .. "-':'. :'.. ..... .; .:.;.; 'J':.... :'.: . . . ... . .... .. ...- "". .,' .". .'~ . '. ."" . . ,"". .... -, -, ..... '.,"" < ,",. .." .... '.'" ....'...... ... ..... . ",.. . . ~' . ,.,.. " " . "..."". ...: . ." ..... ". ." .." .": .,1'. ,: . Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to confonn to the Wisconsin State Plumbing Code, in the perfonnance 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 nonnal permit fee. which ever is greater. OR I i E e Account S stem and have ade ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be ped'ormed 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. It Job Add..... ~~/K.. Value (1""_ ."""1 """f'!'! D~e / (f :JJ3 001 Owner ~-----'-_ Contractor /lJ.P OSingle Family DDupJex DMulti-Family ~ental Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait.St. WashFtn Lavatory -----L Sump Pump Ice Chest Urinal Toilet J Ejector/Grind Exam Sink Gar Drain Res. Sink Water Soflner Scuhy Sink Soda Disp Bar Sink Local W ute Hand Sink Coffee Maker - Water Heater -L- Clothes Wshr F Prep Sink Comm. Ice Maker o GasXElect 0 PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Staodp Rec LndIy Tray -L- Surgeons Sink RP,Z. Valve Eye Wash Stn Lab Sink Brealam Sink Shamp Sink WIr Sewer Mtrs Plaster Sink Dip Well FlrlWst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Mise, Fixtures Type Conn. Type Electric Contractor (for projects not requiring an EIV Form) , ~ Use I Nature of Work Size Sanitary Sewer Storm Sewer Water Service 07/07 FROM J0EATK[NS0N FAX NO. 9202357124 Oct. 26 2007 03:10PM P2 ~ QlHKOJH pN t'Ht:: V,^ll: City ol'ORhkosh Oivisioo of IIlSlle..lillll Services LIS Church ^venue PO Bo>: 113(} Oshkosh wI S4903-1130 Office 92tl.236-S0S0 Fax 920.236-5084 Electric Installation Verification r(We) (;,..vau~v. FIe( t-r,'C (Electrical Contractor Name or Horneownerls Name) I , c: 0 s. C) c;, I-r..y co.f f2--J <4ddress) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: ~ JL tA/ 1 Jl.. +-1 (Addr~ss where work will be performed) 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 AlC Condenser. ~ Reconnection or new circ1..1it 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 / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. New circuit for the addition of Ale to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on'Q single family owner occupied home. Work on a condominium, duplex, rental, or mu/ti.use building would require a licensed Electrical Contractor. Other DU The value of this work is $ d-, ~ S- -- . I hereby verify this work will be perfonned in compliance 'With the License requirements of Section 11-22 of the Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. . j)~~\~ ~V/' (Print Name) J O.--;;t /- 0 7. (n~rc) . 07/07