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Home My WebLink About0127758-Plumbing (repipe; fixtures) ," ". OSHKOSH ON THE WATER Job Address 2213 MOUNT VERNON ST CITY OF OSHKOSH 127758 No PLUMBING PERMIT - APPLICATION AND RECORD Owner ROBERT R VROMAN III Create Date 11/07/2007 Category 410 - Residential-Interior Contractor BENDING PLUMBING LLC Plan Shower Water Softner Floor Drain 1 Local Waste - 1 Lndry Tray 0 Clothes Wshr - 1 Disposal 1 Bidet - - 1 Dishwasher 1 Beer Tap Sump Pump Lab Sink 1 Classrm Sink Sterilizer - 0 Breakrm Sink Dip Well Ejector/Grind Drink Ftn 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 2 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 Repipe SFR and install all new fixtures w/ gas wtr htr. Discharge point is required for HVAC condensate and water heater relief valve. Orders of Work ,^,ritten for plumbing to be installed by licensed plumber, owner has gutted home and does not occupy. # Size Material Type Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1515940000 $77.00 0 Permit Voided I $0.00 Permit Fees $3,000.00 Plan Approval Valuation Date 11/12/2007 Issued By 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 hold ) a d to secure any necessary approvals before starting such activity. Date /1- 0-07 Signature Agent/Owner BERLIN WI 54923 - 0000 Telephone Number 920-369-6100 Address W588 EXCHANGE 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. i City of Oshkosh lhspecticm Services Division If 0 Box 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 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 VVisconsin 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 VVI 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 Ifvou are a contractor varticivatinf! in the Permit Fee Account Svstem and have adequate funds. check here if vou want this processed through vour account n ** Advisory - For applicable projects, an Electrical Installation Vedfication (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 .2Jn AI. /I,M!') ~~er B00 V(o,'J7~" [ufSingle Family DDuplex Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink ~ -L --.L 1-- Bar Sink Wa~ Heater I 0Gas D Elect D PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures -L- Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Value (Including labor and materials) i 3 Lbo ~[~~ LtL D ommercial Contractor DMuIti-Family -L ~ -L Date II-/)- () 7 T3,'i'Jdj DRental Dlndustrial Drink Ftn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain lnt Grease Trap Roof Drain Ext Grease Trap Standp Rec J-.-, R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FIrlWst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 07/07