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Home My WebLink About0128283-Plumbing (water heater) e OSHKOSH ON THE WATER Job Address 244 W 11TH AVE CITY OF OSHKOSH No 128283 PLUMBING PERMIT . APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner OSH AREA SCHL DIST JEFFERSON Create Date 12/27/2007 Category 441 - Industrial-Water Heaters Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ Valve Beer Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Contractor GRP MECHANICAL INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UsefNature of Work Valuation Issued By efferson School/ Replace gas water heater. EIV provided by Braun Electrical Solutions. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0900880000 $3,000.00 Plan Approval //!../77f-:7 $0.00 Permit Fees $25.00 D Permit Voided I Date 12/27/2007 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 Date Agent/Owner Address 730 HAWTHORNE DR OMRO WI 54963 - 0000 Telephone Number 920-685-0990 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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER 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, PO Box 1128, Oshkosh WI 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 If vou are a contractor particilJating in the Perm it Fee Account Svstem and have adequate funds, check here ifvou want this processed throuf!h vour account n ** Advisory - For applicable projects, an Electrical Installation Verification (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 !)A~ W \ \ j-I, ~J"- Value (In''"d;"g]'b''~d'''''o-i.],) ~DO~ ' Date~ Owner Th\~\))\.\ ~c.-~~~ Contractor Q..Q'V ~\~~,,",V\.\c-& ~ij'-~ DSingle Family DDuplex DMulti-Family DRental o Commercial _dndustrial Number of Fixtures: Bathtub Whirlpool La vatory Toilet Res. Sink Bar Sink _ Water Heater.~ ~as 0 Elec~rVnt ~hovver _ Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) j;1d.\I\,V\ ~ \ec.l\~'c:,., Disposal Dishvvasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs 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 Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.z. Valve Eye Wash Stn Shamp Sink Wtr Sevver Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Use / Nature of Work Size Material Type # Conn, Type Sanitary Sewer Storm Sewer Water Service 07/07 ~c 27 07 IO,23a ~ OfHKOfH ON THe 'N/:rW- Gregor~ R. Peters S20 685-5472 p. 1 Ci\y of Os\lkosh Division oflnspe< lion Services 215 Churcll A ven' ,e PO Box 1130 Oshkosh WI 549:13-1130 Office 920-236-5 )50 Fax 920-236-508 j lElectri( Installation Verification I (\V e) _.-~ \- <1;",-" €- \ecJ.. t \ G~ S., \ .......\ \ -,:;, w'\..5 (Electrical Contractor Name or Homeowner's Name) \", 0I.\te... 1 \- Dil... U ~'^' ~::.~ (City) s ~ "\~~ (Zip Code) ---1-~t-.. S S (Address) w"J::... (State) accept the re~;ponsibility to perform the electric work as stated below, at the following address: s(\\.~c \ ? "\ '-\ \. ~ \ \~ \\v ~ (Addless where work will be performed) ""-"'" ~~,(""' . )~~r~G-,'"Ch' The nature 0:: the work consists of: (Check One or Describe the Nature of Work) $- Reconnecti:m or new circuit for replacement Heating Plant and/ef /.,)C COj,lJ\'!1;)t;;r. Reconnecti ::m or new drcuit for replacement Electric Water Heater or power vented water h~ater. Reconnecti.on of the S ~rvice Entrance Cable, Meter Box, alterations to receptacles and lighting fixturl~s due to siding / soffit installation. Note: New Service Entrance Cables v..ill require a separate permit. Reconnecti on or new drcuit for the replacement of other permanently wired appliances I fixturl~s. New circuit for the ad:lition of AIC to an individual dwelling unit, including require::! service electrical outlets, Note: Homeowners can only do their own electric on a singl~family owner occupied home. Work on a condominium, duplex, rental, or '11Ulti-use building would require a licensed Electrical Contnlctor. Other ~<:::o~ The value of this work .s $ I hereby verify this w01k vvill be p~rfonned in compliance with the License requirements of Section 11-:2.2 of the O~,hkosh Municipal code and further verify the reconnection / installation will be don:~ in compli~nce with rr.anufacturer and Electric code requirements. <L~'~~ (Signature of Company Officer or Homeown';r) ~Q..<";) '\'1'<""-'-\ V\. (Print Name) \S\ ~lJ C~l (Date) 07107