HomeMy WebLinkAbout0100004-Plumbing (interior)OSHKOSH
ON THE WATER
.lob Address 3210 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 100004
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 #
$8,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$84.00
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 8 2005
Plumbing Permit Appli lion
,O/HKO/H
ON T~E 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, in the performance of which all parties hereto a~ee to and are bound by said ~tatutes.
AppliCation(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services. PO Box ! !28.
Oshkosh WI 54903-1128. 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 adequate funds, check here
if you want this processed through your account ~
Job Address~)'~_~/~ /~//~/'~ Value<Includin~,a~orand~t~iais) OOL?O,C~ Date
Owner ~J C ~ Contrae,or ~C/7~h3 0~ ~14,,
Number of Fixtures:
/
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink !
Bar Sink
Water Heater ]
~)~Gas - Elect ~ PwrVnt
Shower
Floor Drain ]'
Lndry Tray
· Lab Sink
Pla~ier Sink
Sterilizer
Lndry Standp Dent. Oper. Shamp Sink
Disposal / Dip Well Flr/Wst Sink
Dishwasher [ Drink Fm Catch Basin
Sump Pump } Wait. St. Wash Fm
Ejector/Grind Ice Chest Uhnal
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 Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Breaknu Sink
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Size
Material Type. # Conn. Type
[-]Electric(~f Replacement)Installation Verificatid~
Storm Sewer
Water Service
3/02
Plumbing Permit Work Card
Job Add ress 3210 BELLFIELD DR Permit Number 100004 Create Date 02/03/2003
Ow CREATIVE CUSTOM HOMES & DEVEL Contractor HANSON QUALITY PLUMBING
`e• - 410 - Residential- Interior Plan Value $6,000.00
.,athtub ' 2 Shower 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 [ 1 Disposal 1 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 INSFR
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer i id 0
0
0 5 dix444' 0
0
0
Water Service 0
0
0
0
0
Date Type F- Inspector
SI i 0 p‘
a' ,9-5 of
Date /Time requested: Notice Type: Telephone Number:
Access:
F " - -_.
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid