HomeMy WebLinkAbout0133124-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1120 LOCUST ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner LINDA J KNEEPKENS
No 133124
Create Date 09/09/2008
Contractor LARRY HANSEN PLBG
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/Wst Sink _
Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn _
Dishwasher Beer Tap Hand Sink _ Urinal __
_ Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Weil F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs _
Deduct Meters
Wtr Usage Mtrs
Valuation $599.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By /~~%I'Yl~o Date 09/25/2008
In the performance of this work, I agree to pertorm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address N-1044 TOWER VIEW DR GREENVILLE WI 54942 - 8683 Telephone Number 920-757-6863
i o scneauie inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
n
„ L.,~...
Irtspectian Servir~;:s pt vision
I' C) l3ox 11;10
t~shlcosh, WY S'44U3-1130
Pho-te: ()2f?) 23b-S(1St1
Fttx: (r~2(1) 2:Ifi->031
~ as
1'lumbin~ Pcrrrrit Application
t herChy apply for a permit to do E3nd install the fullowittg plumbing on the premises hcreinaftor described, the wor[c to conFarm Yo the
Wisconsin Stttte Phtmbing (;orie, in the pe; fonnttnce of which all parties hereto agree to sad are bound by said staiuies.
~ Appliczitir)rt(ti) atul #%e(s) cisn be brought to City Htttl, Routn 205 ar mailed to Inspection Services, PO Bpx 1128, Oshkosh V1~1
~~19U~-I 1'?$, t~~ymntencing work without permits} will result in foss being doubled or ~100.0U pltts the l~onnal permit fee, which
eyrr is greirtKl~.
OR
** AclYisory -For applicahlc projects, an electrical T;i;<stallatiun Veriflt:ation (EIy) form, signed b~ the EIectricaY
C'oitt_racitir or Hotnet~wijer {ft)z tnstiilYatic,iti;s alyowed tQ be perfo><'nied U~ the 1r<ameaw~ner} tttrxst be stYhrnitted
~uitlY the pt',i«>ti# ~;<ppl%a3tion, AljPlictttions sttGmittcd without an FIY when such is required, ~YiII not be
rn'ocessed t'or 1>eY~r~ni~t `Xssi~nnce ttaitl w11I bo retarttied For corn~letiou.
Job AcldreSS~C2t-~ ~~C l_~`~ __ Viilu@ {Including labor and materials)- . ~ ~ ~ a Date ~ ~~-(~
- ,
1Vtltrt' ~. ~_ .,1 _I~ ~bXlt1'iiCfUt' ~r 1 ~ ~~
~'~9tii~li:l'ilrritil' ~^ ~~~ti~t{i:n L]Nlulii-S~tt<itlll
y ^Pelztttt t;ommercial QIndustriHl
Ntttttit~er Of Fixtt-i:'e.8:
t;flIIIIUt, _ DISp{)SaI
l`~bir)pool ______. Dishwasher _ _
L.'rritlc~ry _____..__ 5onlp Fump -- _-
Tirilet
____-._
Ejector/[_irind _
-
ties, Sink __ 1vyterSoftncr
-..._._.__
HarSinl: _ i.ocal Waste
WalCr It'SIr! ~ _
r'.IOt11rS Wshr
o r,~s ~? 'kct ^'r=,~;r~`nt
nte~,t
Shower _
t3ecr ~ratl
Ffpru Drr,in -l-V
-- Clessmt Sink
Lndl~~ 1-ray _
_._----.--- Surgenns Sink
[.ab Stnk
_ _ llr,:aknn Sink
Flr~ster.Sii,k
_ DJp Well
Stcr;iizcr
--- tiosc tubs
A•i i ac.
Fixtures ~~-.___..
L'lectrre CnnirtYCt4r (l'i,r ~roject3
(.lsc~ / IVltiurc nf'`4'Vot•lt:
~; iz`=
Sanitary Sewer
Storm Sewer
~ti~.ttar Seruicr
drink 1=[n
1Vait. St.
!ce Chest
Exam Sink
Sculry Sint;
hand tiink
F Prcp Sink
5e,v Sirth
LrtCireasc Trap
Eict Grtasc Trap
R.P.L. Valvo
Shantp Sink
Flr/Wst Sink
..., ~
f' t•eyttirin~ siu +.I~' Form)
r~ ~. 241 ?---.F. 1.
~~ W~-
Cnleh Basin
4Yash Ftn
Urinal
Gar main
Soda Disp
Coffee Maker
Cumm. Ice: Maker
Site XSrnin
Roof rein
Standp Rec
Eyt 1Yash Sm
tYtr Stover Mtrs
t7educE Meters
Wtr Usago A41rs
l~~l+ltt~rittl T`,-~s ~ Conn. Type
o~/oz
09/24/2008 14:53 FA% 9207575807 HANSEN PLMG INC
Sep. 9. 2008 9:15AM
ClryofOsfiico~h
Atyltloq otln+pecuon Savita
ZI S C1wroA Aveaua
pp Eoa 1130
OshkosA WI SA90]-1130
OtIICe 920-236.!0!0
ow r iR P+x 9~0.2]d•i08~
~leetric ~nstailation 'Verification
f~002
No. 3633 P. 1
1(We) ~o+-t ~L~ ~ ~ ~'1~~~GG
(Electrical Contractor Name or Eiotnaowner's Name)
~ I (o ~l ~ a roc ~ ~ i~ ~p t,k,,~h~ till ~`' .~~ 9~'~
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
(Address where work will be performed)
The nature of the work comt~iats of• (Check Ona or Describe the Nature of Work)
Reconnection or new circuit for replacement Treating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soi~it installation. Note: N'ew 5er'vice
Enitrance Cables 'will require a separate permit.
Reconnection or new circuit for the replacement 4~ Other permanently wired
appliances /fixtures.
NQw circuit for the addition of AlC to an individual dwelltrrg unit, including
required service electrice~l outlets. Note: ~1'omeowrrets can oily do their own
eleclrto on a sl'ngle family owner oacupl'ed ho»~e. Work an a cando»ilniurn,
d>aplex, renlal, or multi-use huildi»g would require a licensed Electrical
Contractor.
Other
~o
The value of this work is $. ~~
I hereby verify this work will be performed in compliance with the T:icense iequirornents of
Section 1 ] -22 of the Oshkosh Municipal code and further verify the reconne0tio~n /installation
will be done incompliance with manufacturer and Electric code requirements,
~0 ~ ~GI{ o-titM Jl Z 3 D
(Signa~urc of Cowpony 0 Ricer or Horneowner) (Print Name) (Date)
o~ro7