HomeMy WebLinkAbout0143446-Plumbing (bathroom remodel) O . CITY OF OSHKOSH No 143446
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 844 WISCONSIN ST Owner PAULA JEAN AVERKAMP Create Date 10/05/2010
Contractor O'NEILL ENTERPRISES INC Category 413 - Res - Interior (Replacement Fixtures) Plan
Bathtub 1 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 1 San Sump /Pump FINWst Sink Bidet Site Drain Misc.
Toilet 1 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
Use /Nature LATE PERMIT/ 1st floor bathroom remodel.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0500980000
Valuation $$4 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By //"!/ J Date 10/05/2010
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority tp enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any neces$ary approvals before starting such activity.
Signature Date
Agent/Owner
Address 522 W 6TH AVE r _____ OSHKOSH WI 54902 - 5916 Telephone Number 920 - 230 -2007
To schedule inspections please call Ole 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 perfc$rmed within two business days from the time the project is ready.
City of Oshkosh - Inspection Services Division - Plumbing Permit App... http://www.ci.oshkosh.vil i.us!Community DevelopmentdInspection Se...
Division of inspection Services
LJ ' O t 215 Church Avenue
. P.O. Box 1130
Oshkosh, W154903-1130
Fax (920) 236 -5084
(.....,
� Phone (920) 236 -5050
.00P 05
PLUMBING PERMIT APPLICATION
All information with * next to it must be provided. Incomplete applications will not be processed.
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 saki 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.
tvae YES if you want this processed through your account YES
-- _....
** 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 Wisconsin Ave.
ADDRESS
* Paula Averkamp
*CONTRACTOR O'Neill Enteprises, Inc.
..........
*VALUE 4200
*USE CATEGORY
Single Family ~ Duplex Multi- Family -- Rental Commercial Industrial
Bathtub 1 Sump Pump Plaster Sink Roof Drain
Shower San.
Sump /Pump Scullery Sink Soda Disp
Whirlpool . Softener Servce Sink Coffee Mkr
p
Lavatory 1 Standpipe e Rec Shamp Sink Site Drain
Toilet 1 Garage FD Surgeons Waitrs Stn
Sink
loft
9/30/2010 11;59 AM
city 0 roshkosh- inspection Services Division - Plumbing Permit App... hnp://www.ci.oshkosh.wi.us/ConmnunityDeveloptnent/Inspection_Se,..
Kit Sink Local Waste Sterilizer . Ice Chest
.
Disposal Bar Sink RPZ Valve Comm Ice
Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal Ext Grease Trap
- .
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Water Heater F Prep Sink Dipper Well - Deduct Meter
I
Pwr Floor Sink • Drink Fntn Wtr Sewer Mtr
Gas Electric Vnt
Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
*USE NATURE OF WORK
ba thx.ccrn remod1. of first f r apar tment .
ELECTRIC CONTRACTOR (for projects not requiring an EIV Form)
Size Material Type Conn, Type
Sanitary
Sewer
Storm
Sewer
Water
Service
Submit Reset
2 of 7' 9/30/2010 11:59 AM