HomeMy WebLinkAbout0139870-Plumbing (ID CITY OF OSHKOSH No 139870
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 951 STARBOARD CT Owner HENRY F WINTERFELDT Create Date 02/22/2010
Contractor J RASMUSSEN PLUMBING INC Category 412 - Res - Interior (New /Relocated Fixtures) Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink 1 Standp Rec Lab Sink Beer Tap Ice Chest
Disposal 1 Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher 1 Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature SFR/ Kitchen Remodel * Includes moving a 7' high partition wall 2' to enlarge the kitchen area, installation of new cabinets and counter tops.
of Work The exterior wall will not be opened.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1522570000
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By £ 7'!./2- Date 02/25/2010
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
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 231 -1289
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.
02/25/2010 07:14 9202311289 J RASMUSSEN PAGE 01/01
City (4 Oshkosh
• !median Ser iistc Division
1' Q Box 1130
Oshkosh, WI 54903 4131) . (41 . 0 1)). r .
Phone (920) 236 -5050 -1
Fax: (920) 236 -5084 .( ON -
Plumbing Permit Application
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 carer to and are bound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Roam 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Witch
54903-1128. Conn eucing work without permit(s) will result in fees being doubled or S100.00 plus the normal permit •
ever is greater.
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""e Advisory - For applicable projects, an Electrical Installation Verification (WV) forme, signed by the Electrical
Contractor or Honalcowncr (for installations allowed to be jerfox cd by the homeowner) must be submitted
with the permit application. Applications submlitttted without adR MY wben sues is required, will not be
processed for 1 Permit Issuance and will be retarded for colmtplt t�iooal.
1 S I S r 0 A- r C i Wise (i l and matcrrsla) 2 OD °r 0
D Date z .
Job Address_
Owner. _ Contractor . R
t -- R. b, S ,... t„ s S e , P 11 , Z' c- ,
( {Single Faintly ❑Dnplzz DMViult€-fa roily []Rental DCommeretal ❑indnstriall
Number of Fixtures: .
Raihuth Swrtp Pump - - - — 1`)aster Sink _,_.- _ Roof Drain
-- San.samprPutt Scullery —_,__ Soc ltDiap
Shower -- -..
Whirlpool _ -- • Water Softener
Service Sink Coffee Mkr -.
Sink Site Drain
l vatory _ Standpipe Bee, _ . �� m Sink ---t
_ Garage Fl) Surgeons Rink waitr� Stn -�,-_
Toilet
.Kai. Sink __...1__
Local Wash. 3teriti>ar _, 10 Chart •
Disposal gar Sink _ - -•-- RPZ Valve Comm lee Maka -
Bresl m Sink Bidet Int [inane Trap — „__.._
Floor Drain Pat Grease Trap —. -
- - -.
Floor i)rain • Clssertn Sink - -- —""”' Urinal Rye Wash 5t» ._.. --
Exam `ink Beer Tap __., --
1.1 <)xe Bibb __ ._._w ;fhsduCl MetCt' ..---
F Prep Sink — . hipper Well _ __
W a1rA Beater _ —_T Wlr caws Mir —r..-
1 I Gas LI Elect fl Porn nt Floor Sitok Drink Fain
Clothes W Mu _.___ _ Rand Sinlr
Waal, FIM Wa• tlsa5e Mir - --
ilttlry fray lab Sink
Catch Basin M Fixtures AC
Electric Contractor (for projects not requiring an EI Fo
Use / Nature of Work Pte^" '� ! -4'
- -= — r —�. S Material 'T Conn. T
S anitary Sewer
Storm Sewer
L Wa _ Service; ___. —_.. ___ _._ _-. —...— . _ ,.—. -- ____ —___ _ — - __ ,_ ____. .
Oti /aq
: .
Received Time Feb. 25. 2010 6:51AM No. 0012