HomeMy WebLinkAbout0099948-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 3238 BELLFIELD DR
Contractor HANSON QUALITY PLUMBING
Bathtub 2 Shower
Whirlpool 0 Floor Drain
Lavatory 3 Lndry Tray
Toilet 3 Lndry Stndp
Res. Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 99948
Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
2 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker
1 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
1 Beer Tap 0 SculrySink 0 Wash Ftn 0
1 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
02/03/2003
Plan
Use/Nature
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$7,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$102.00
Date
02/26/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 550 N BLUEMOUND RD APPLETON WI 54914 - 0000 Telephone Number
730-0205
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Apl:
I hereby apply for a permit to do and install the following plumbing on the premises
Wisconsin State Plumbing Code, in the performance of which ail parties hereto a~ee to and are
work to conform to the
by said ~tatutes.
· Application(s) and fee(s) can be brought to city Hall, Room 205 or mailed To Inspection Services, PO Box 1128,
Oshkosh WI 54903ol 128. Commencing work without permit(s) will result m fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have ade~Tuare funds, check here
if you want this processed through your account ~
Job Address d3,~ ' fl}7?/'/~/~e'f"t
Ser ~'i/r(
ngle Family [-']Duplex
Value (Including labor and materials)
Contractor ~/'~b~d~" ~ '
[~]Multi-Family ['-]Rental
~ ~ccO , 0'0 Date
~]Commercial [--~Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Gas E Elect ~ PwrVnt
Shower
Floor Drain %
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp i Dent. fi)per.
Disposal [ Dip Well
Dishwasher [ Drink Fm
Sump Pump ] Wait. St.
Ejector/Grind Ice Chest
Water Sofmer Exam Sink
Local Waste Sculry Sink
Clothes Wshr Hand Sink
Bidet F Prep Sink
Beer Tap Serv Sink
Classrm Sink tnt Grease Trap
Surgeons Sink Ext Grease Trap
Breakrm Sink
Shamp Sink
Ftr/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Size Material Type
Sanitary Sewer
Storm Sewer
Water Service
["-]Eloef~t~J~n~s~allation Verificati6n for~
Conn. Type
3/02
Plumbing Permit Work Card
J ob Address 3238 BELLFIELD DR Permit Number 99948 Create Date 02/03/2003
Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING
`egory 410 - Residential- Interior Plan Value $7,000.00
..�ithtub t 2 Shower 0 Ejector /Grind 0 Dip Well O F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain , 2 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 113 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet (13 Lndry Stndp / 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 1 1 Disposal / 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher ' 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater II 1 Sump Pump / 1 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
Use /Nature 'NSFR
of Work
i
Size Material Type # Conn.Type
Sanitary Sewer 0 fc 1 ti / A :5 / 6 .''
0
0
0
Vt67 kill I^ b d
Storm Sewer 0 0 / G 3 0
0 1 / ( It 6 - - R-e 1).-
Water Service N\ 0 Y� ,`/
. / 0 3
U ' 0
0
0
0
Date Type F Inspector
9/I SP2
Date/Time requested: Notice Type: Telephone Number:
Access:
-- -- - -- - - — --
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid