HomeMy WebLinkAbout2008-PlumbingOSHKOSH
ON THE WATER
Job Address 1053 ADAMS AVE
CITY OF OSHKOSH
No 130147
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DANNY LENZ
Contractor LARRY HANSEN PLBG
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest FINWst Sink Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature ap and seal laterals for reuse inside property. Sanitary sewer shall be inspected by camera to verify condition of piping and type c
of Work or reuse. Home to be razed and rebuilt due to fire. **check #16347
Sanitary Sewer
Storm Sewer
Water Service
Size Material ~ Type # Conn.
Parcelld #
1606600000
Category 401 -Residential-Exterior (laterals) Plan
Valuation ~ Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 05/23/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Agent/Owner
Address N-1044 TOWER VIEW DR GREENVILLE
Date
WI 54942 - 8683 Telephone Number 920-757-6863
~ s~~~vau~e ~nspeciivns please tali the Inspection Request line at 238-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Create Date 05/12/2008
05/21/2008 12:03 FA% 9207575807 HANSEN PLMG INC
Play, 12, 2008 9:20AM
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REQUEST' FOR EXC$PTION TO REQUIRED
SEWE1t•~IVD WATER A$ANDONMENT REGULATIONS
Date ^~ , ~~ .
I~oo2
No. 1047 P. 1
A-ddexse of buildln~ -,
J ~~
~~~,Name of Owner
,Address ofowner /C>_
The undersigned Master plumber requests that the requirement for abandonment of tho
se~x+er and water latax~$ for this address not be required to meM the ordinance for
sbdudoament at the proporty line before raze or removal of the served structure. (Check
oae or provide In[ormettonj
. • The utllltles w~lll be reused for new construction at.this site within twelve months of
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~:. the dato ofreque~ for exoeption. Ifthe utilities wil! not be reused within this time
. ~ ~frame ~y will be prnpcrlq abandoned at the proparty line per ordu~anct
~. ~ ~ ru~uinmeptg no labor than twelve months from date of this rgqucst. - ~4n: t'-' ,$'1 ~~`
. ~ ~ '~~ ' ~{. CatM~'J`tt ~s 1/rPr%/' ,~o~.~e /rc~ c.c.. ~'PP /~I~ , S~% . ~j ~ ~w
' ~~~ ~;•~~ .:The utilities will be properly abando~ed after the structure
is removed to wake the
. ~..~' Futilities accessible forabandonment. The utilities will be seoured against damage
. ~ ~ .~ ~ :' d!~g daAaOlition and until they can be abandoned to meet the requirements of
. ~ , ordimauCe; (Not to exceed 60 days)
• ~, Other rcasors for the requostod exception;
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~r.G`, ~;:~C~.:~Mas~torPlwaber ~r '~Y`_ ,-.-
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•~~~: ~~?Msster Ccrt(~(eate Number ~ .
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