HomeMy WebLinkAbout0133582-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 40-90 WISCONSIN ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner D&F INVESTMENTS
No 133582
Create Date 10/20/2008
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
Category 441 -Industrial-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrIWst 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 Well 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
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 Date
Date 10/20/2008
AgenUOwner
Address 522 W 6TH AVE 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 pertormed within two business days from the time the project is ready.
$1,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided)
10/17/2008 11:01 FAX 19202302008
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
ONEILL ENTERPRISES
Plumbing Permit Application
l'~jool/ool
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 W I
54903-i 128. 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 pro3ects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with the permit application. Applications sabmitted without an EIV when such is required, will not be
processed for Permit Issuance auttd will be retarned for completion.
Job Address .Value (Including labor and materiala) ~ Date d j~
Owner Contractor
^Single Fam Duplex ^Mnlti-Family ^Rental ~Commerci 1 ^Indnstrial
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait. St. Wash Ftn
Lavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Sculry Sink Soda D'
~P
Bar Sink Local Waste Head Sink Coffce Maker
Water Heater ~_ Clothes Wshr F Prep Sink Comm. ice Maker
0 Os~ Elect G PwrVat Bides Serv Sink Site Drain
Shower Beer Tap Int Grease Trap hoof Drain
Floor Drain Classrm Sink, Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Sm
Lab Sink g Sink Shamp Sink Wtr SewerMtrs
Plaster Sink Dip Well Flr/Wst Sink DeductMetors
Sterilizer Hose Bibs Wtr UsageMtrs
Mist,
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use /Nature of Work ~~Qi
Size
Sanitary Sewer
Storm Sewer
Water Service
Material Type # Conn. Type
~Ckt~c.
o~~o~
Oct 18 2008 5:56PM Shea Electric & Comm, LLC 920-303-9410 p.l
City of Qkhkos6
Division of]rnpepioa Services
2l5 Qauoh Avenue
PO Box t l30
O~hlcoch WI 54903-1130
Of'Fice 92 0.2 36-5 0 50
N Fax 920.236.5084
Electric Installation Verification
I (We) ?//P~ ~~C~7Tt~ ~ i~~~muy/~r4TJ `~ ~ L
(Electrical Contractor Name or Homeowner's Name}
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
(Address v~rhere work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit fvr 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. 1T'ork on a condominium,
duplex, rental, or multi-use building would require a licensed Electrical
Contractor.
Other
~l
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
wi~l( be done in co~p}iatts~ with manufacturer and Electric code requirements.
i /o-/ ~-Og
or Homeowner) (Print Name) (Date)
o~io~