HomeMy WebLinkAbout0127820-Plumbing
e
OSHKOSH
ON THE WATER
Job Address 2616 A FOND DU LAC RD
CITY OF OSHKOSH
No 127820
PLUMBING PERMIT - APPLICATION AND RECORD
Owner NANCY W AUFDERHEIDE
Create Date 09/12/2007
-~._._~--_._.~-,.__.-_.._.-._--_..,---~._-~._._._--'-~--.-- --...-'-'--
Contractor GARTMAN MECHANICAL SERVICES
Category i19_~~sid_~ntial-!~teri~--__-_---------- Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
1
3
1
1
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal 1 Bidet Sculry Sink Wash Ftn RPZ Valve
--
Dishwasher 1 Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump 1 Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
hose bibs
2
SFRI FremovTngcom-mon wansbefweenThellV,rigroom~dTnlngroom-and kTtCTlen-lo-provTde foran-op-en-concepf Adding ont611i-eexisting
imaster bedroom and remodeling the master bath and closet. Adding a second story room above the master bedroom**debt acct
I
l______
i
I
I
I
_...______..-J
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1413343200
$35,000_00
~-----
Plan Approval
.. i.O.QQ
Permit Fees
$91.00 0 Permit Voided!
_.__ __________.__ ..._____..__...._____J
Date 11/14/2007
OSHKOSH
WI 54902 - 6470 Telephone Number 920-~31~553o._
Address 520 W SOUTH PARK AV
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
NOV-14-2007 09:31 AM
P.02/03
It. ,. I" &.1.111111I I I' , I""
City of OBhkosh
Jnspection Services Divislon
POBox 1130
Ollbkosh, Wl54903-lJ30
.Phone: (920) 2:3~S050
FaJc.: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit to dQ and insta.11 the following plumbin& Oil the premlllCS hereinafter descnbed, the work to conform to the
WiscollSin State Plumbing Cede:, in the performance of which. all pllI1ies hereto agree to and on: bound by ~l1id statutes.
Owner
~ingle Family
· Applica.tion(s) and feces) can be brought to City Hall. Rooxn 205 or mailed to Inspection Servioes, PO Box 1128J
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100-00 plus the
normal permit fee, which ever is greater.
OR
i{:;~ ,:;,:.: ,!:I:.~~:::;.~~r:~~~1";~~ ~:,f:;t1jJ' Aoco"" Sm'lIl <oJ 1m ad..ua" ",.d" eM 1m
Job Addre9s~" A FbL- Kd. Value CInC1U<li~lllblll"lnllll'lll=riaI8~OS-pYtJ- (IV Date ll- \ (....l -01
G-u.~a-V\ VV\ -eL~ ~
C!RentaI DCommerciaJ Dlndustrial
Contractor
DDuplex
DMulti-Family
Number ofFb::tures:
Bathtub - Dl&po8111 -L OrinkFIl'l C:ilCh Ballin
Whirlpool l Dishwasher -L Wllll. S~ Wll~b Fln
t..VRtary '&<3 Sump Pump -L [ge: CheSI Urinal
Toilet -L. Ejec;tcr/Orind 11\0 ~ 6;1:IlmSfllk Onr Dnlin
Res. Sink --1.._ WnllSf SUnDe SC:\Ilry Sinl; SoLlnDiJifl
BIII'Slnll: I...ocIlIW~L= Hand SInk CD!l,,~ Mllklll"
Water Heuer t CIClLbe. Wllhr ..l. 'F Prep Sink Ctlmm. lac Mak=r
~*UJ:.1Clgt~t ~ic1ot Scrv Sink SI\c Dram
li/lQwer .....L... Bo=: T~'P Int GtcNt TI'l\p RUIl! Drain
Plcror !)rain Clnsb'rm S'ink E.x, Or=ac Tl'tlp SLllmlp R~c:
l..ndry Tniy SU'1iCgl1~ Sinle; R.r.z. Vn1'\le !lye WMh Sin
l..sh SinK B",akr'm Sink. Shnnljl Slllk Wit S~wer Mrrs
Plllll~r Sink Dip Well FlrlW91 Sink Deduct Meb:T;
$mrilil!:CT HaRe Bibs ~ Wtr Usaec MlTl
Misc.
Plxtul'fl
Electric Con tractor
OR , DElectrie Iut.allntion VerifiCliltion form attached
(If RcplllCcmenl)
Use I Nature of Work ~O\J~~ o.Jj"~J()~ - v~\N\{)c1te
Sa.citary SewCT
Size Material
~ _r.J~
Type
#
Conn. Typo
Storm Sewer
I II
Water ServIce
-n
11/05