HomeMy WebLinkAbout0099949-Plumbing (interior)OSHKOSH
ON THE WATER
.lob Address 3230 BELLFIELD DR
Contractor HANSON QUALITY PLUMBING
Bathtub 2 Shower
Whirlpool 0 Floor Drain
Lavatory 2 Lndry Tray
Toilet 2 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 99949
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
1 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 #
$7,400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$84.00
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
lmpection Services Division
P O Box 1 I30
Oshkosh. WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
" .. O_/HKO_/"H
ON TME ~A/ATER
Plumbing Permit
in
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 a~ee to and are bound by said statutes.
· Application(s) and fee(s) can be brought to city Hail, 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
[£ vou are a contractor participating in the' Permit Fee Account System 'and have adequate funds, check here
if you want this processed through your account ~
Owner ~"d~/(n/ Contractor ('~"~/?/o ~ ' ~ t"cr'~ ~:2/~// ,
~Single Family [-]Duplex [-']Multi-Family ['-]Rental [-']Commercial [--]Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
~,,Gas ~ Elect 7. PwrVni
Shower
Floor Drain ]
Lndry Troy
. Lab Sink
Pla~er Sink'
Sterilizer
Lndry Standp j Dent. Oper. Shamp Sink
Disposal i Dip Well Ftr/Wst Sink
Dishwasher ] Drink Ftn Catch Basin
Sump Pump ~ Wait. St. Wash Fm
Ejector/Grind Ice chest Urinal
Water Sofmer Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap Sen' Sink ,, Site Drain.
Classrm Sink Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Breakrm Sink
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer.
Water Service
[--]Electric Installation Verific~~ed
' (If Replacement)
Size Material Type. #
Conn. Type
3/02
Plumbing Permit Work Card
Job Address 3230 BELLFIELD DR Permit Number 99949 Create Date 02/03/2003
Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING
tegory 410 - Residential- Interior Plan Value $7,400.00
..dthtub d 2 Showe 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet ' ' 2 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 11 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 1 Sump Pump i 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 1 - -
NSFR
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0 ' /" --.i.&--t-',1/3'
0
0
0
0
Water Service 0
0
0
0
0
Date Type E Inspector
A61 el at )1 0 3
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid