HomeMy WebLinkAbout0133094-Plumbing (water heater)~`~ CITY CDF ®SHK®SFi No t33os4
OSHKOSF~ PLIJMBiNG PE RMIT - APPLICATION AND REC®RD
ON THE WATER
Job Address 558 N MAIN ST Owner FOX RIVER DEVELOPMENT CO LLC Create Date 09/24/2008
Contractor O'NEILL E NTERPRISES INC Category 441 -Industrial-Water Heaters Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest FIr/Wst 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 1 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 COMM (STS Consultants LT D) /REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY SHEA ELECTRIC "debt acct
of Work
Size Material Type ~ Conn. Type ~
Sanitary Sewer
{
Storm Sewer
Water Service
R
I
Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ',~', Permit Voided
Issued By
Parce9 Id #
0401620000
Date ::9/242008
In the perforrnance 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 Hermit application within an easement, the City strongly urges the permit applicant to contact the
easement holderlsj and to secure any necessary approvals before start+ng such activity.
Signature Date
Address 522 W 6TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
To schedule 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.
OSHKOSH
ON THE WATER
Job Address 558 N MAIN ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner FOX RIVER DEVELOPMENT CO LLC
No 133094
Create Date 09/24/2008
Contractor O'NEILL ENTERPRISES INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
1
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Category 441 -Industrial-Water Heaters Plan
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FIrlVllst Sink __
Catch Basin _ _
Wash Ftn
Urinal __ _
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Date 09/24/2008
In the pertormance 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 Date
Address 522 W 6TH AVE
T_
Agent/Owner
OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007
~~,.`w~~~ ~~~~N~~~w~~s N~rase cau ine mspection Kequest nne at z36-5128 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.
Coffee Maker
Int Grease Trap ___
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs __
Deduct Meters
Wtr Usage Mtrs
$600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
09/24/2008 08:31 FAX 19202302008 ONEILL ENTERPRISES
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Plumbing Permit Application
~J001/001
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 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 Wl
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
** Advisory : For applicable projects, an Electrical Installation Verification (E1V) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be pe><formed by the homeowner) mast be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and wfil be returned for completion.
N,
Job Addr S Value (Including tabor and materials) w Date
^----
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toiler
Res. Sink
Bar Sink
Water H r 1-
^ Gas~Elect ^ PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Siok
Sterilizer
Mist,
Fixtures
Electric Contractor (for
Use /Nature of Work
n,5u~-a n ~-i nt
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
)uplez ]Multi-Family ^Rental ~'commercial~ ^Industrial
Disposal Drink Fm Catch Basin
Dishwasher Weit SL Wash p~
Sump ~P Ica Chest Urinal
Ejector/Grind Exam Sink Gar Drain
Water Sooner Sculry Sink Soda Disp
Local Waste Hand Sink Coffee Maker
Clothes Wshr F Prep Sink Comm. Ice Maker
Bidet Serv Sink
Site Drain
Bar Tap Int Grease Trap Roof Drain
Classrm Sink Ext Grease Trap Stand Rec
P
Surgeons Sink R.PZ, Valve Eye Wash Stn
Breakrtn Sink Shamp Sink Wtr Sewer Mtrs
Dip Well Flr/Wst Sink Deduct Meters
Hone Bibs
Wtr Usage Mtrs
acts not requiring an EIV Form)
o~~o~
Sep 24 2008 9:14RM Shea Electric a Comm, LLC 920-303-9410
City of Oshkosh
Division of Inspection Services
215 Church Avarwe
PO Box 1130
Oshkosh W1 54903-1130
Of5w 920-236.SOS0
Fss; 920-236-5084
I (We)
Electric Installation Verification
(Electrical Contractor Name or Homeowner's Name)
p.l
a3fo9~6
(Address)
(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 consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating 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 / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances /fixtures.
New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single, family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed Electrical
Contractor.
Other
The value of this work is $ ~• ~
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection /installation
w~ done in compljart~ with manufacturer and Electric code requirements.
of C arty O~c or Homeowner) (Print Name) (Date)
o~ro~