HomeMy WebLinkAbout2010-HVAC (steam boiler) Ill CITY OF OSHKOSH No 141780
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2015 NORTHPOINT ST Owner TED J /SANDRA ZELLMER Create Date 06/29/2010
Contractor GARTMAN MECHANICAL SERVICES Category 411 - Residential -Water Heaters 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 Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher 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 1
Use /Nature SFR / Replace gas water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1521660000
Valuation $800.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By (1i9---Ai.L/ Date 06/29/2010
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 520 W SOUTH PARK AVE OSHKOSH WI 54902 - 6470 Telephone Number 920 - 231 -5530
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.
Jun, 29. 2010 12:37PM GMS INC No. 2273 P. 3
City of Oshkosh ol5 ��
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax; (920) 236 -5084 V _/HKOJH
ON THE WATER
Plumbing Permit Application
1 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 WI
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
you are a • ,tractor • 'et • atin_ in < ' Perm'' Fe
i ou w this me _ e d throe -ccuunt S stern and hav .r le ends check he. e
ur account 1
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address, e 2i 1 rPh h . I Value (Including labor and materials) r CO - � Date 6/2 /o
, Uwn Si S c.-4 y �- i lp..e. — Contractor &-htS I--`
ngle Family DDuplex fl111ulti -Family ['Rental
Commercial Ol nduatrial
•
Number of Fixtures:
Bathtub Disposal
Drink Fm Catch Basin
Whirlpool Dishwasher
Wait SL Wash Fm
lavatory Sump Pwnp Ice C'hcst
Toilet Urinal
Ejector /Grind Exam Sink
Rcs. Sink Gar Drain Spier Scully Sink
Soda Disp
Bar Sink Local Waste Hand Sink
Water Beater 1 Coffee Maker
Clothes Wshr F Prep Sink Comm. Ice Maker
F6ss 0 Elect 0 PwrVnt
Bidet Sery Sink ��
Shower Site Drain
Floor Drain Beer Tap Roof Drain
but Grease Trap
Clessirn Sink Est Grease Trap Scan -
Lndry Tray dp Roo
Lab Sink Surgeons Sink RB2 Valve Wash Stn
Brnknn Sink Shamp Sick Wr Sewer Mfrs
Prater Sink
Dip Well Flr/Wat Sink Deduct Meters
Sterilizer
Hose Bibs
Wtr VsageMtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work 373 f
iG^ tNO. h -- /�..: It.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewcr
Water Service
•
01/07
Received Time Jun, 29. 2010 12:36PM No. 1707