HomeMy WebLinkAbout0142746-Plumbing (water heater) eol CITY OF OSHKOSH No 142746
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 301 S WESTHAVEN DR Owner COUNTRY PARK LLC APARTMENTS Create Date 08/24/2010
Contractor GARTMAN MECHANICAL SERVICES Category 446 - Commercial -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 FIr/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 Bldg 303 / Replace gas water heater. EIV signed by Slim's Electric. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0614900000
Valuation $4,500.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By G - i f'Q Date 08/24/2010
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.
Aug, 24. 2010 9:01AM GMS INC No. 3702 P. 1
City of Oshkosh
(3e bO
Inspection Services Division
P O Box 1130
1
Oshkosh, WI 54903 -1130
Fa(022) 236-5050 „ ■ H
Fax: x: ( (920) 236 -506- 50 0 84 J 1--� '� _f
ON THE WAYElt
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 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 1 128, Oshkosh WI
54903 -1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the normal permit fce, which
ever is greater.
OR
Tr you are a contractor participating in the Perm'tF _ a . , . e aye ade'uate und_ heck here
if you want this prgcgsced through your account ' _'
** 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 Address301 S Wi-S I,,,,.,,r, 3 ,
Q � 0 � Value (Including labor and materials) VS � �
. Date g/ W/G
Owner I Pa. -k. Contractor � x/v 15 /c. ,
['Single Family j ❑Duplex ❑Multi -Family ['Rental ❑Commercial ❑Industrial
Number of Fixtures:
Bathtub Disposal Drink F ro Catch Basin
Whirlpool Dishwasher Wait. Si. Wash Fin
Lavatory Sump Pump Ice Chest Urinal
To11et Ejector /Grind Exam Sink Gar Drain
Rea. Sink Water Softer
Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker .
Water Heater % Clothes Wshr F Prep Sink Comm. lee Maker
t§'Craa ❑ Elect n Pwrvpt Bidet
Sery Sink Site Drain
Shower
Beer Tap Int Grease Trap Roof Drain
Floor Drain
Class= Sink
Ext Carcase Trap Standp Rec
Lndry Tray Surgeons Sink R.P.Z. Valve
Lab Sick Eye Wash Sin
Break= Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink
Dip Well Flr/Wst Sink Deduct Meters
Sterilizer Bose Bibs
Wu. Usage Wry
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form) $�s' :I b7-Cc-/ c.
Use / Nature of Work is c.4,- ek v/►,,.1..t.. -- 4, -..
Size Material Type # Conn. Type
- Sanitary Sewer
Storm Sewer
Water Service
Received Time Aug. 24. 2010 9:00AM No. 2532
07/07
Aug. 24. 2010 9:01AM GMS INC No. 3702 P. 2
•
_
0
) Dmw.elm
PoBox 113o
%Soh al 54903-1130
WAr C
atIPTAI: F :te 52
Electric Installation 'Verification
(We) SLIM'S INC..
. • • •• • •
• " (
. . . .••,•• : • .• . • • .
• • • • • • • • •
• • • •
2608 Oakwood Circle Oshkosh . . WI 54904
(Address) • ."' ••• ••• (Mate) (Zip Code)
•:i • .
have been contracted to perfornielemric installation work for 0 t*O
«'Jame ofpart contracted to)
" " 1
at the ih31OW4'addOSSS: ••••••:•04:-.1.• I k 11
. .
Thonatini oftb '.: :WOrli:COnsiSta Of Of Work)
• • • ••••:•.:::••: • :f :,f •
• ciro A/C Condcnser.
- 1 7 ..iiiOOnn .._eitt,.. Hider or Power vatted
• ••".
ltoOOtitil0i9nOttthe • • .0:•#iii* Box, **aliens to receptacles
*icl'Iji*tit.rii*i:thie'i(044/:*ftit:*a*on. Note: New Service
....
itne004. new OitinitTOTithe,MiliceMent of other permanently wired
•:?• • 7. • •
NeW,CliciiitfOr the.additiOn ei•Aie• 10 . an taigvidisai ihvelliag unit (house or the •
=vice
OkOtii*** • • • • • •
••••••• ••;
• • • . .
••
. • • .
. . •. . , • . • • .
The vale °fails work is 3
, • .... . . .
I hereby verify this *pi* wili be performed by an •employee of this company and further verify
the reCOnnection 'finite** *ill . be done io conniliance With maniifaMnier illeettic code
11211 n
• . • . .
4 . 1 ,.
. .
4D.4!"/P .. i 9 lail4 11.)
(Signatura of tamp, ear) (Print Nome of Offunt)- (De) r
5,02
Received Time Aug. 24. 2010 9:00AM No, 2532