HomeMy WebLinkAbout0127610-Plumbing
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OSHKOSH
ON THE WATER
Job Address 2211 VINLAND ST
CITY OF OSHKOSH No 127610
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor RJ KAMPO PLBG
Category 410- Residential-Interior
Owner TYLER J HOYT Create Date 10/24/2007
Plan
Bathtub Shower Water Softner Wait. St.
Whirlpool Floor Drain Local Waste Ice Chest
Lavatory 2 Lndry Tray Clothes Wshr Exam Sink
Toilet 2 Disposal 1 Bidet Sculry Sink
-
Res. Sink 1 Dishwasher 1 Beer Tap Hand Sink
-
Bar Sink Sump Pump 1 Lab Sink Plaster Sink
Water Heater Classrm Sink Sterilizer Surgeons Sink
Site Drain Breakrm Sink Dip Well F Prep Sink
Roof Drain Ejector/Grind Drink Ftn Serv Sink
Misc.
Fixtures
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
Use/Nature ,Owner came in on 10/24/07 to pull permit. Informed owner thaf he musCownand also occupylhe-dwellin9lnorderlo-p-ulTperm-iTa-n-d-do----
of Work plumbing work per 145.06 Stats. RJ Kampo Plumbing will do work.
I
I
l_ ______________________________________________________----------------- ---------------.-
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
Parcelld #
1219623200
Valuation __~,~Q.Q:9.Q Plan Approval _______~,QQ Permit Fees
Issued By
.__J~1'.ClQ D_~errTl~t_\loL~~~J
Date 11/01/2007
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 1000 S WESTLAND DR
Agent/Owner
APPLETON
Date
WI 54914 - 8862 Telephone Number 730-9600
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.
cOd,31, 2007 7:53AM
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-50$0
Fax: (920) 236.5084
inspection services
NO~ 2
DfHKOJR
ON 'fHE WATEre
Plumbing Permit Application
r hereby apply for a permit to do and install the fOIIc,wing plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all partie$ hereto agree to ilnd are bound by said statutes.
. Application(s) and feces) can be brought to City Hall, Room 205 or mailed to Ihspection Services, PO Box 1128, Oshkosh WI
54903.1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the norl'l'Ul1 permit fee, which
ever is greater.
Oil
!(YOU afe a ~J2.':!traclor particfpa!jJJ.gJ./:!_fhe. Permit Fee Accou!'t S)'srem and haYl..ac(e.'iuafe f'IJru!s .check here.
!.f.:t,Qu want this.12f'ocessed through your account n
w* Admory . For applicable projects1 an Electrical Installation Yeritication (EIV) form, signed by the Electrical
Contra(.tor or Hotneowner (fOT installations allowed to be performed by the homeowner) m.ust be submitted
with the permit application. Appli~ations submitted, without an EIV when such is required, will not bc
processed for Penuit 18su~n(:e and W~l be returned for completion. t. ^ \,:
Job Address. Z '-I! ~ I" \t\V\} .il Value (l!l\'lludmg laborl\l1Q materials) Z J S 00 Date-.ll;.l.- 2.y -07
Owner -1Y- {{" U"1 t ~ Contractor '-:~tI~ ~'7~
ASingle Family DDuplex DMulti.Family o RentaI DCommercial
F~oor Dnsin
Llldl)' 'fray
Lab Sink
Plll.$!e.r Sink
Sterilizer
Misc.
Filfiures
Electric Contraetor (for projects not requiring an EIV Form)
Number of Fixtures:
-L
Balhlub
,Whirl jiOol
,l.llVatilry::., "
:r?n~JJ! "i,
:Res Sir,k !
Bar Sihk
Waler Healll1 -L
){Ou 0 Ek~t ,J ?wrVnt
Shower -L
.!.i,;;...~.
_2-
'1L
Use I Nature of Work
Di~posal
. ",Dishwasher .
Sump Pump
l',je~tor/Otjnd
WatuSoi'lflu
Local Wasw
Cl(lthl!:-~ Wsllr
Bidet
6eer Till'
Cla$.'inn Sink
SurpQn$ Sible
l3r.akrrll Smk
Dip Well
l'{osc Bib.
..L
. ..--1.-
-L
I
-J...-
Materia'i
,
Drink Pm
W~!!,$t. .
Ic~ Che"
ExalTl Sink
Sou!ty Sil\k
Hand Sink
f Prl;p Silll<
Serv Sink
[nt Gn:Qse Trap
EX! Gl'Illlse Trap
R.P,Z. Vulve
Shamp Sink
Flr,lW5tSillk
Cl3t~h Basin
WIi$h FIn
Urinal
Our Drain
Sodu Disp
C<lll'ee Makel
Comtn. let Maim
Site Draill
RoofDtain
Slr.lndp Rec
eye WlISh SIn
Wtr Sewer Mtrs
!)WOOl Met/:!'s
Wtt lJ~lIf,le MttS
-i-
-.-'
Size
#
l
I Sanitary Sf,lwer
_";X~'- ., ',,'';,;;~
, StOrm Sewer
,.'::l;:c.,: .
Wll.T,er Service'
.,\.:,'"
~ ~1'ype
Conn, Type-- I
RECE:li\f D
NO V ,~'{i_ZOO 7
DEPARfMENT OF
. COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISIObJ'l/o7
~i';~:;'.