HomeMy WebLinkAbout0100005-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 3234 BELLFIELD DR
Contractor HANSON QUALITY PLUMBING
Bathtub 1 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 100005
Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date
Category 410 - Residential-Interior
2 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
$102.00
Date
02/28/2003
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
RECEIVED
FEB 2 20O5
DEPART flENT OF
OOM UN)TY DEVELOPMENT
Plumbing Permit Application
O/HKO/H
ON THE WATER
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, m 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 54903-1 t28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal Permit fee, which ever is .greater.
OR
I£ 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
Value (Including labor and materials) '?)/LO~ C0 Date
Contractor ~.!n~c~n'~ (~.L,~.~-~ ~]~l,
[--]Multi-Family [-]Rental ['~commer~al -(ii, Industrial
Job Address ~J.~ Zf~//'&/zf
Owner ~?C~
[~Single Family [-]Duplex
Number of Fixtures:
Bathtub /
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
/
Sas 2 Elect - PwrVnt
Shower +
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp / Dent. Oper. Shamp Sink
Disposal { Dip Well Flr/Wst Sink
Dishwasher / Drink Fm Catch Basin
Wait. St. Wash Ftn
Sump Pump }
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 Serv Sink Site Drain
Classrm Sink [nt Grease T[ap .. Roof Drain
Surgeons Sink ........ Ext Grease Trap Standp Rec
Breakrm Sink
Electric Contractor
['-]Electric Installation Verificati6~m~ched
(If Replacement) //
Use / Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer '
Water Service
3/02
Plumbing Permit Work Card
..ob Address 3234 BELLFIELD DR Permit Number 100005 Create Date 02/03/2003
Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING
4 egory 410 - Residential- Interior Plan Value $7,400.00
..athtub 1 Shower 2 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 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 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 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
Size Material Type # Conn.Type
Sanitary Sewer 0
o L cv �eD f�
0 0 f'�
Storm Sewer 0
0
'?/1" 0
0
1 )(574.1 0 Water Service 0
0
0
0
0
Date Type 4 ( Inspector
// x/4
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: Requested By:
O Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
fl. .
1 4 / VfK 1 � 1 s
4